New hope for stubborn gout: experimental drug PRX-115 enters phase 2 trial
NCT ID NCT07280156
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new medicine called PRX-115, given through a vein, to see if it can lower uric acid levels in adults with gout who haven't improved with standard pills. About 150 participants will receive either PRX-115 (with or without methotrexate) or a placebo over 24 weeks. The main goal is to find the best dose and check if the drug safely reduces uric acid below the target level.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Males or females ≥18 years of age. 2. Weight within the range of 50.0 - 150.0 kg. 3. Gout patients who failed to normalize sUA (\<7 mg/dL) with or without xanthine oxidase inhibitors or uricosuric agent or have contraindications to these drugs. 4. Willing to discontinue any oral ULT 5. Females who are sterile, postmenopausal, or non-pregnant and using birth control methods. Exclusion Criteria: 1. Any condition known to have arthritis as a clinical manifestation. 2. Positive testing for HBV,HCV, or HIV. 3. The patient is a pregnant or lactating female or plans to become pregnant during the study period. 4. Known allergy or sensitivity to the injected proteins, including pegylated products. 5. Prior exposure to any experimental or marketed uricase. 6. Patient treated with a medication known to have an influence on urate metabolism or clearance such as ULTs. 7. History of anaphylaxis, severe allergic reactions, or severe atopy. 8. G6PD deficiency or known catalase deficiency. 9. History of significant hematologic or autoimmune disorders within 5 years of Screening and/or patient is immunocompromised or treated with immunosuppressive medications. 10. Non-compensated CHF or hospitalization for CHF (Stage 3-4 NYHA Functional Class) within 3 months of the Screening Visit, uncontrolled arrhythmia, treatment for acute coronary syndrome (myocardial infarction or unstable angina), or uncontrolled BP (\>160/100 mmHg) at screening and prior to randomization at Week -4 (Visit 1). 11. Current liver disease, as determined by ALT or AST levels above upper limit of normal at Screening Visit. 12. Chronic liver disease. 13. Hemoglobin \<11 g/dL, neutrophil count \<1500 /µl, or platelet count \<100,000 /µl. 14. Known severe pulmonary fibrosis, bronchiectasis or interstitial pneumonitis. 15. eGFR ≤ 40 mL/min/1.73m2 tested at Screening Visit. Kidney transplant or requires dialysis. 16. Known intolerance and/or known contraindication to MTX treatment or MTX treatment considered inappropriate 17. Has uncontrolled type 2 diabetes at Screening with HbA1c ≥8.5%. Patients with type 1 diabetes will be excluded. 18. Has known latent autoimmune diabetes of adult. 19. Immunocompromised state, regardless of etiology. 20. History or treatment of malignancy in the last 5 years, excluding localized, nonmelanoma skin cancers (e.g. basal or squamous cell)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
27 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Accel Research Sites - Deland Clinical Research Unit
RECRUITINGDeLand, Florida, 32720, United States
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Aleksandre Aladashvili Clinic LLC, Georgia
RECRUITINGTbilisi, 0102, Georgia
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Altoona Center for Clinical Research
RECRUITINGDuncansville, Pennsylvania, 16635, United States
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Applied Research Center of Arkansas
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Barzilai MC, Israel
RECRUITINGAshkelon, 7830604, Israel
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Bioclinical Research Alliance, Inc
RECRUITINGMiami, Florida, 33155, United States
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Centricity Research - Columbus Georgia Multispecialty
RECRUITINGColumbus, Georgia, 31904, United States
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Clinical Research of West Florida, Inc.
RECRUITINGClearwater, Florida, 33765, United States
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Clinical Research of West Florida, Inc.
RECRUITINGTampa, Florida, 33606, United States
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Combined Research Orlando Phase I-IV
RECRUITINGOrlando, Florida, 32897, United States
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Conquest Research - Lake Nona
RECRUITINGOrlando, Florida, 32832, United States
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D&H National Research Centers (North Miami)
RECRUITINGMiami, Florida, 33169, United States
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Georgian-Dutch Hospital, Georgia
RECRUITINGTbilisi, 0172, Georgia
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HaEmek MC, Israel
RECRUITINGAfula, 1834111, Israel
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ICR Sites East
RECRUITINGDoral, Florida, 33125, United States
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LTD First Medical Center, Georgia
RECRUITINGTbilisi, 0180, Georgia
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Mediclub Georgia
RECRUITINGTbilisi, 0160, Georgia
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Meir MC, Israel
RECRUITINGKfar Saba, 4438164, Israel
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Mt. Olympus Medical Research, LLC - Sugar Land
RECRUITINGSugar Land, Texas, 77479, United States
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New Horizons Research
RECRUITINGPalmetto Bay, Florida, 33176, United States
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Pioneer Research Solutions Inc
RECRUITINGHouston, Texas, 77099, United States
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Quest Research Institute
RECRUITINGFarmington Hills, Michigan, 48334, United States
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Qway Research
RECRUITINGHialeah, Florida, 33010, United States
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Tbilisi Heart and Vascular Clinic Ltd , Georgia
RECRUITINGTbilisi, 0159, Georgia
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Tbilisi Institute of Medicine, Georgia
RECRUITINGTbilisi, 0160, Georgia
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Triwest Research Associates Llc
RECRUITINGEl Cajon, California, 91910, United States
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Well Pharma Medical Research Group
RECRUITINGMiami, Florida, 33173, United States
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