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Trial ยท NCT00582907

Rilonacept for Treatment of Familial Mediterranean Fever (FMF)

NCT00582907, Phase 2, Completed, The Cleveland Clinic; results first posted 2012-10-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Rilonacept for Treatment of Familial Mediterranean Fever (FMF). Trials, record NCT00582907. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00582907

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Rilonacept for Treatment of Familial Mediterranean Fever (FMF)
NCT number
NCT00582907
Status
Completed
Phases
Phase 2
Enrollment
14 participants, actual
Lead sponsor
The Cleveland Clinic
Conditions
Familial Mediterranean Fever
Interventions
Rilonacept, Placebo
First posted
2007-12-28
Last updated
2013-02-11
Results first posted
2012-10-31
Limitations and caveats
1. Small sample size - accounted for in study design and analysis plan.~2. Carry over/lag effect of rilonacept - sensitivity analysis of shifting course time frame showed similar results.~3. Heterogeneity of FMF mutations~4. Different age groups

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTo Assess the Efficacy of Rilonacept in Decreasing the Number of Acute FMF Attacks.attacks were assessed at the end of each 3 month treatment course (overall up to 6 month of rilonacept and 6 months of placebo, each)Difference in number of attacks per treatment month between rilonacept and placebo
PrimaryTo Determine if There is a Medically Important Difference Between the Safety Profiles of Rilonacept vs. Placebo.12 months of entire study length
Differences in adverse events (AEs) between rilonacept and placebo per patient-month of treatment. We separately analyzed injection site reactions and infectious adverse events. Other adverse events were too small in number to analyze. The upper table (and first statistical analysis) regards injection site reactions and lower table (and second statistical analysis) regards infections.
SecondaryTo Determine the Difference in the Length of Attacks During Treatment With Rilonacept vs. Placebo.12 monthsThis outcome was the difference in days in the length of attacks between rilonacept and placebo.
SecondaryPercentage of Treatment Courses Without FMF Attacks in Rilonacept Courses as Compared to Placebo Courses.Each treatment course of up to 3 monthsThe percentage of rilonacept and placebo treatment courses without FMF attacks.
SecondaryTo Determine the Proportion of Courses in Which Subjects Attained at Least a 50% Decrease in Acute FMF Attacks During Rilonacept Courses as Compared to Placebo Courses.Up to 3 months for each treatment courseDifferences between rilonacept and placebo in the percentage of courses that attained at least a 50% decrease in FMF attacks when compared to attacks in the screening period.
SecondaryTo Determine Differences in the Time to the Development of Attacks Between the Treatment Arms (Rilonacept vs. Placebo).3 months
In a survival analysis we measured the difference (in days) until the development of the first and second attack within a treatment course of up to 3 months and examined differences in this parameter between rilonacept and placebo. Data regarding the development of the second attack are reported below. In regards to the first attack there were no significant differences between rilonacept and placebo (20 days (7.5,\>90)for rilonacept; 15 (8,32) for placebo, P=0.066).
SecondaryTo Determine the Differences in the Erythrocyte Sedimentation Rate Between the Treatment Arms (Rilonacept vs. Placebo).3 months (each treatment course, overall 12 months)Erythrocyte sedimentation rate - ESR (mm/h)
SecondaryTo Determine the Differences in C-Reactive Protein Between the Treatment Arms (Rilonacept vs. Placebo)3 months (each treatment course, overall 12 months)Differences between the treatment courses in the C-Reactive Protein levels mg/L
SecondaryTo Determine the Differences in the Platelet Count Between the Treatment Arms (Rilonacept vs. Placebo)3 months (each treatment course, overall 12 months)The difference between the treatment arms in the platelet count X 10 to the power of 9
SecondaryTo Determine the Differences in the Fibrinogen Levels Between the Treatment Arms (Rilonacept vs. Placebo)3 months (each treatment course, overall 12 months)The differences between treatment arms in the fibrinogen level (micromol/L)

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTo Assess the Efficacy of Rilonacept in Decreasing the Number of Acute FMF Attacks.attacks were assessed at the end of each 3 month treatment course (overall up to 6 month of rilonacept and 6 months of placebo, each)Patients who received at least one complete treatment course and reported attacks were analyzed for the primary outcome measure.number of attacks per monthMEDIAN
PRIMARYTo Determine if There is a Medically Important Difference Between the Safety Profiles of Rilonacept vs. Placebo.12 months of entire study lengthSafety analysis included all participants who received at least one dose of medication.AEs per patient-month of treatmentMEDIAN
SECONDARYTo Determine the Difference in the Length of Attacks During Treatment With Rilonacept vs. Placebo.12 monthsParticipants who received any treatment and had recorded attacksNumber of daysMEDIAN
SECONDARYPercentage of Treatment Courses Without FMF Attacks in Rilonacept Courses as Compared to Placebo Courses.Each treatment course of up to 3 monthsParticipants who at least one complete treatment course.Percentage of coursesNUMBER
SECONDARYTo Determine the Proportion of Courses in Which Subjects Attained at Least a 50% Decrease in Acute FMF Attacks During Rilonacept Courses as Compared to Placebo Courses.Up to 3 months for each treatment courseParticipants who completed at least one complete treatment course.Percentage of coursesNUMBER
SECONDARYTo Determine Differences in the Time to the Development of Attacks Between the Treatment Arms (Rilonacept vs. Placebo).3 monthsAll participants who received an intervention and developed an attack were analyzed.days until second attackMEDIAN
SECONDARYTo Determine the Differences in the Erythrocyte Sedimentation Rate Between the Treatment Arms (Rilonacept vs. Placebo).3 months (each treatment course, overall 12 months)Participants who completed at least one treatment course of both rilonacept and placebo.mm/hMEDIAN
SECONDARYTo Determine the Differences in C-Reactive Protein Between the Treatment Arms (Rilonacept vs. Placebo)3 months (each treatment course, overall 12 months)Patients who received at least one course each of rilonacept and placebomg/LMEDIAN
SECONDARYTo Determine the Differences in the Platelet Count Between the Treatment Arms (Rilonacept vs. Placebo)3 months (each treatment course, overall 12 months)The number of patients who received at least one course each of rilonacept and placebocell count X10 to the power of 9MEDIAN
SECONDARYTo Determine the Differences in the Fibrinogen Levels Between the Treatment Arms (Rilonacept vs. Placebo)3 months (each treatment course, overall 12 months)Patients who received at least one course each of rilonacept and placebomicromol/LMEDIAN

Results by group32

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
To Assess the Efficacy of Rilonacept in Decreasing the Number of Acute FMF Attacks.Rilonacept0.77Inter-Quartile Range 0.18 to 1.20number of attacks per month
To Assess the Efficacy of Rilonacept in Decreasing the Number of Acute FMF Attacks.Placebo2.00Inter-Quartile Range 0.90 to 2.40number of attacks per month
To Determine if There is a Medically Important Difference Between the Safety Profiles of Rilonacept vs. Placebo.RilonaceptInjection site reactions1Inter-Quartile Range 0 to 1.04AEs per patient-month of treatment
To Determine if There is a Medically Important Difference Between the Safety Profiles of Rilonacept vs. Placebo.PlaceboInjection site reactions0Inter-Quartile Range 0 to 0.36AEs per patient-month of treatment
To Determine if There is a Medically Important Difference Between the Safety Profiles of Rilonacept vs. Placebo.RilonaceptInfections0Inter-Quartile Range 0 to 0.12AEs per patient-month of treatment
To Determine if There is a Medically Important Difference Between the Safety Profiles of Rilonacept vs. Placebo.PlaceboInfections0.18Inter-Quartile Range 0 to 0.29AEs per patient-month of treatment
To Determine the Difference in the Length of Attacks During Treatment With Rilonacept vs. Placebo.Rilonacept2.895% Confidence Interval 1 to 3.3Number of days
To Determine the Difference in the Length of Attacks During Treatment With Rilonacept vs. Placebo.Placebo3.295% Confidence Interval 2.7 to 4Number of days
Percentage of Treatment Courses Without FMF Attacks in Rilonacept Courses as Compared to Placebo Courses.Rilonacept29Percentage of courses
Percentage of Treatment Courses Without FMF Attacks in Rilonacept Courses as Compared to Placebo Courses.Placebo0Percentage of courses

Participant flow48

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
1st CourseSTARTEDRilonacept-Placebo-Rilonacept-Placebo4
1st CourseSTARTEDRilonacept-Placebo-Placebo-Rilonacept3
1st CourseSTARTEDPlacebo-Rilonacept-Placebo-Rilonacept3
1st CourseSTARTEDPlacebo-Rilonacept-Rilonacept-Placebo4
1st CourseCOMPLETEDRilonacept-Placebo-Rilonacept-Placebo3
1st CourseCOMPLETEDRilonacept-Placebo-Placebo-Rilonacept3
1st CourseCOMPLETEDPlacebo-Rilonacept-Placebo-Rilonacept3
1st CourseCOMPLETEDPlacebo-Rilonacept-Rilonacept-Placebo3
1st CourseNOT COMPLETEDRilonacept-Placebo-Rilonacept-Placebo1
1st CourseNOT COMPLETEDRilonacept-Placebo-Placebo-Rilonacept0

Adverse events68

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInjection site reactionInjury, poisoning and procedural complicationsPlacebo51413
otherInjection site reactionInjury, poisoning and procedural complicationsRilonacept71353
otherUpper respiratory infection/OtitisInfections and infestationsPlacebo3143
otherUpper respiratory infection/OtitisInfections and infestationsRilonacept0130
otherSinusitisInfections and infestationsPlacebo1141
otherSinusitisInfections and infestationsRilonacept1131
otherHerpes labialisInfections and infestationsPlacebo1141
otherHerpes labialisInfections and infestationsRilonacept0130
otherHerpes ZosterInfections and infestationsPlacebo1141
otherHerpes ZosterInfections and infestationsRilonacept0130

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo
Total, all-cause mortalityRilonacept
Total, other adverse eventsPlacebo1214
Total, other adverse eventsRilonacept1113
Total, serious adverse eventsPlacebo314
Total, serious adverse eventsRilonacept313

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23070486RESULTPubMed
24833067DERIVEDPubMed
25147819DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01FD003435Phase II, IL-1 Trap for Treatment of Familial Mediterranean FeverSPALDING, STEVEN JCLEVELAND CLINIC FOUNDATIONFOOD AND DRUG ADMINISTRATION2007 to 2010

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Rilonacept vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00582907

GET https://conductscience.org/api/trials/v1/NCT00582907/results?page=2