New hope for gout sufferers: drug dotinurad targets high uric acid
NCT ID NCT07535034
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 4 times
Summary
This study tests a new drug called dotinurad in 90 adults with gout who cannot take common medications like allopurinol or have not responded to other treatments. The goal is to see if dotinurad can safely lower uric acid levels over 24 weeks. Participants are randomly assigned to receive either the drug or a placebo, and neither they nor their doctors will know which they receive.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dotinurad (a drug taken orally to lower uric acid levels)
- What this could lead to
- If successful, dotinurad could offer a new treatment option for people with gout who cannot tolerate standard medications or for whom other treatments have failed.
- What could go wrong
- This is an early Phase 2 trial with only 90 participants, so results may not apply to everyone. The drug may not work better than placebo, and side effects are still being studied.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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 90 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Aug 2027
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 to 75 years
- 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. Between 18 and 75 years of age (inclusive) at the time of signing informed consent. 2. Diagnosis of gout based on 2015 American College of Rheumatology (ACR)-European Union League Against Rheumatism (EULAR) criteria for at least 1 year and has at least 1 of the following: * History (either by medical record or participant interview) of intolerance or a contraindication to either allopurinol or febuxostat. * Failed uricase treatment (eg, an sUA level \>6.0 mg/dL at least 2 weeks after last infusion; intolerant or contraindicated to uricase treatment). 3. sUA level \>6.0 and \<10.5 mg/dL at both Screening Visit 1 (Day -28 Visit) and Screening Visit 2 (Day -7 Visit). 4. Female participants of childbearing potential must have a negative serum pregnancy test at Screening Visit 1 (Day -28 Visit), a negative urine pregnancy test on Day 1, and must not be breastfeeding. 5. Fertile male participants and female participants of childbearing potential must be willing to completely abstain from heterosexual sex or agree to use acceptable contraception from the time of signing informed consent through 30 days after the last dose of trial drug. Exclusion Criteria: 1. History of or presence of kidney stones within 1 year prior to Screening. 2. History of or presence of malignancy in the last 5 years other than treated cutaneous basal or squamous cell carcinoma. 3. Known or suspected history of drug abuse, a positive drug test at Screening Visit 1, or a recent history of alcohol abuse. 4. Known history of or positive results for human immunodeficiency virus (HIV), Hepatitis B surface antigen (HBsAg), or Hepatitis C virus (HCV) during Screening. 5. Current or historical evidence of any clinically significant disease or condition that, in the opinion of the Investigator, may compromise participant safety or trial compliance or may confound interpretation of trial results.
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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 places running it
38 sites. 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
Locations
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Amarillo Premier Research
RECRUITINGAmarillo, Texas, 79124, United States
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Amicis Research Center
RECRUITINGGranada Hills, California, 91344, United States
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Anchor Medical Research
RECRUITINGMiami, Florida, 33176, United States
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Clinical Research Institute of Michigan
RECRUITINGSaint Clair Shores, Michigan, 48081, United States
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Clinical Research of Central Florida
RECRUITINGLakeland, Florida, 33805, United States
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Cohen Medical Center
RECRUITINGThousand Oaks, California, 91360, United States
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D&H Pompano Research Center, LLC
RECRUITINGMargate, Florida, 33063, United States
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DJL Clinical Research
RECRUITINGCharlotte, North Carolina, 28211, United States
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DM Clinical Research
RECRUITINGTomball, Texas, 77375, United States
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Denver Arthritis Clinic - Lowry
RECRUITINGDenver, Colorado, 80230, United States
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Digestive Health Research of North Texas
RECRUITINGWichita Falls, Texas, 76301, United States
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Discovery Clinical Trials, LLC
RECRUITINGSan Antonio, Texas, 78229, United States
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Drug Trials America
RECRUITINGHartsdale, New York, 10530, United States
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Ellipsis Research Group
RECRUITINGBrooklyn, New York, 11215, United States
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Epic Medical Research
RECRUITINGDeSoto, Texas, 75115, United States
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Great Lakes Clinical Trials
RECRUITINGChicago, Illinois, 60640, United States
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Health Awareness, Inc.
RECRUITINGJupiter, Florida, 33458, United States
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Herco Medical and Research Center, Inc
RECRUITINGFlagami, Florida, 33126, United States
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Hometown Urgent Care and Research
RECRUITINGDayton, Ohio, 45424, United States
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Las Vegas Clinical Trials
RECRUITINGLas Vegas, Nevada, 89030, United States
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MD Medical Research
RECRUITINGOxon Hill, Maryland, 20745, United States
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New Generation of Medical Research
RECRUITINGHialeah, Florida, 33016, United States
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Oakland Medical Research Center
RECRUITINGTroy, Michigan, 48085, United States
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Omega Research Group
RECRUITINGDeBary, Florida, 32713, United States
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Panax Clinical Research
RECRUITINGMiami, Florida, 33014, United States
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Pioneer Research Solutions
RECRUITINGHouston, Texas, 77479, United States
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Premier Health Research
RECRUITINGSparta, New Jersey, 07871, United States
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R&H Clinical Research - Westborough Drive
RECRUITINGKaty, Texas, 77449, United States
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Research Group of Lexington, LLC
RECRUITINGLexington, Kentucky, 40503, United States
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Revival Research Institute
RECRUITINGSterling Heights, Michigan, 48313, United States
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Shelby Clinical Research
RECRUITINGShelby, North Carolina, 28150, United States
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Solace Clinical Research
RECRUITINGTustin, California, 92780, United States
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Southwest Atlanta Internal Medicine
RECRUITINGAtlanta, Georgia, 30331, United States
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Southwest Rheumatology Research
RECRUITINGMesquite, Texas, 75150, United States
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The Kirklin Clinic of UAB Hospital
RECRUITINGBirmingham, Alabama, 35233, United States
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Velocity Clinical Research
RECRUITINGNorfolk, Nebraska, 68701, United States
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Velocity Clinical Research (Impact Research Institute)
RECRUITINGWaco, Texas, 76710, United States
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Zenos Clinical Research
RECRUITINGDallas, Texas, 75230, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a daily pill tame Gout's uric acid?
- Can a new drug combo crack Hard-to-Treat gout?
- Can a diabetes drug fight gout? metformin takes on febuxostat
- Can a weekly weight drug quiet gout attacks?
- Gout's crystal clues: could urate deposits flag hidden heart risk?
- Can a new injection tame Gout's uric acid?