New gout drug aims to crush uric acid and shrink painful tophi
NCT ID NCT07089888
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 4 times
Summary
This study tests a new medicine called dotinurad against the standard drug allopurinol in 250 adults with tophaceous gout (gout with hard lumps under the skin). The main goal is to see if dotinurad lowers uric acid levels better after 24 weeks. Researchers will also check if tophi shrink over 76 weeks. Participants must be 18-75, have had gout for at least a year, and have at least one measurable tophus.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Dec 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-European Union League Against Rheumatism (ACR-EULAR) criteria for at least 1 year. 3. Has ≥1 measurable tophus on the hands/wrists and/or feet/ankles between Screening and Day 1. A measurable tophus is defined as ≥5 mm and ≤30 mm in the longest diameter. 4. sUA level ≥5.0 mg/dL at Screening Visit 1 (Day -35 Visit) and Screening Visit 2 (Day -7 Visit). 5. Female participants of childbearing potential must have a negative serum pregnancy test at Screening Visit 1 (Day -35 Visit) and Screening Visit 2 (Day -7 Visit), a negative urine pregnancy test on Day 1, and must not be breastfeeding. 6. 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 study 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. Hypersensitivity or intolerance to dotinurad or to colchicine and nonsteroidal anti-inflammatory drugs (NSAIDs). 4. Known or suspected history of drug abuse, a positive drug test at Screening Visit 1, or a recent history of alcohol abuse. 5. Known history of or positive results for human immunodeficiency virus (HIV), Hepatitis B Surface Antigen (HBsAg), or Hepatitis C antibodies (HCV) during Screening.
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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
82 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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A. Alfred Taubman Health Care Center
RECRUITINGAnn Arbor, Michigan, 48109, United States
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Acclaim Clinical Research, Inc.
RECRUITINGSan Diego, California, 92120, United States
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Alabama Clinical Therapeutics
WITHDRAWNBirmingham, Alabama, 35235, United States
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Alliance Clinical Lewisville (Epic Clinical Research)
RECRUITINGLewisville, Texas, 75057, United States
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Amicis Research Center - Balboa
RECRUITINGNorthridge, California, 91324, United States
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Anchor Medical Research, LLC
RECRUITINGMiami, Florida, 33176, United States
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Arizona Arthritis & Rheumatology Associates (AARA) - Gilbert
RECRUITINGGilbert, Arizona, 85297, United States
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Arizona Arthritis & Rheumatology Associates (AARA) - Glendale
RECRUITINGGlendale, Arizona, 85306, United States
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Arizona Arthritis & Rheumatology Associates (AARA) - Mesa
RECRUITINGMesa, Arizona, 85210, United States
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Arthritis & Osteoporosis Center of Coastal Bend
RECRUITINGCorpus Christi, Texas, 78415, United States
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BTC Network - Encompass Clinical Research
RECRUITINGSpring Valley, California, 91978, United States
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Best Quality Research
RECRUITINGHialeah, Florida, 33016, United States
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Boeson Research - Great Falls
RECRUITINGGreat Falls, Montana, 59405, United States
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Bradenton Research Center
RECRUITINGBradenton, Florida, 34205, United States
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Charlottesville Medical Research
RECRUITINGCharlottesville, Virginia, 22911, United States
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Chicago Clinical Research Institute, Inc. (CCRII)
RECRUITINGChicago, Illinois, 60607, United States
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Clinical Research Institute of Michigan - St. Clair Shores
RECRUITINGSaint Clair Shores, Michigan, 48081, United States
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Clinical Research Trials of Florida
RECRUITINGTampa, Florida, 33607, United States
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Clinical Research of Center Florida
RECRUITINGLakeland, Florida, 33805, United States
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Coastal Carolina Research Center - Main
RECRUITINGNorth Charleston, South Carolina, 29405, United States
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Cohen Medical Centers
RECRUITINGThousand Oaks, California, 91360-3967, United States
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Conquest Research - Winter Park
RECRUITINGWinter Park, Florida, 32789, United States
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Curalta Clinical Trials
RECRUITINGOradell, New Jersey, 07649, United States
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Cure Clinical Research, LLC
RECRUITINGOrange, California, 92866, United States
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D&H Pompano Research Center
RECRUITINGMargate, Florida, 33063, United States
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DM Clinical Research - Detroit
WITHDRAWNSouthfield, Michigan, 48076, United States
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DM Clinical Research - Tomball - Multiple Specialties
RECRUITINGTomball, Texas, 77375, United States
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Del Sol Research Management - Tucson East
RECRUITINGTucson, Arizona, 85715, United States
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DelRicht Research
RECRUITINGCharlotte, North Carolina, 28210, United States
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DelRicht Research - Atlanta
WITHDRAWNAtlanta, Georgia, 30329, United States
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DelRicht Research - Hendersonville
WITHDRAWNHendersonville, Tennessee, 37075, United States
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DelRicht Research - LCMC Health Urgent Care - Lakeview
RECRUITINGNew Orleans, Louisiana, 70124, United States
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DelRicht Research - Louisville (Derby City DPC)
RECRUITINGLouisville, Kentucky, 40205, United States
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DelRicht Research - Maryland (Matthew L. Mintz, MD, FACP)
WITHDRAWNRockville, Maryland, 20852, United States
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DelRicht Research - Prairieville
RECRUITINGPrairieville, Louisiana, 70769, United States
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DelRicht Research - Town and Country
RECRUITINGTown and Country, Missouri, 63017, United States
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DelRicht Research - Tulsa
WITHDRAWNTulsa, Oklahoma, 74133, United States
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Delricht Research - Better Life Direct Primary Care
WITHDRAWNIndianapolis, Indiana, 46202, United States
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Delricht Research - Command Family Medicine
WITHDRAWNSpringfield, Missouri, 65807, United States
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Delricht Research - Concierge And Direct Primary Care
RECRUITINGOverland Park, Kansas, 66223, United States
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Delricht Research - Concierge Medicine Of Cincinnati
WITHDRAWNMason, Ohio, 45040, 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
RECRUITINGSan Antonio, Texas, 78229, United States
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Dream Team Clinical Research
WITHDRAWNPomona, California, 91767, United States
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ERG - Endeavor Clinical Trials
RECRUITINGSan Antonio, Texas, 78240, United States
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East Bay Rheumatology Medical Group
RECRUITINGSan Leandro, California, 94578, United States
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Ellipsis Research Group
RECRUITINGBrooklyn, New York, 11215, United States
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Epic Medical Research - DeSoto
RECRUITINGDeSoto, Texas, 75115, United States
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Epic Medical Research - Hurst
RECRUITINGHurst, Texas, 76054, United States
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Epic Medical Research - San Marcos
RECRUITINGSan Marcos, Texas, 78666, United States
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Flourish Chicago - Ravenswood (Great Lakes Clinical Trials)
RECRUITINGChicago, Illinois, 60640, United States
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G & L Research
RECRUITINGFoley, Alabama, 36535, United States
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Gateway Clinical Trials
RECRUITINGO'Fallon, Illinois, 62269, United States
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Gershon Pain Specialists
RECRUITINGVirginia Beach, Virginia, 23454, United States
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Health Awareness Inc
RECRUITINGJupiter, Florida, 33458, United States
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Health Concepts
RECRUITINGRapid City, South Dakota, 57702, United States
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Herco Medical and Research Center, Inc
RECRUITINGCoral Gables, Florida, 33134, United States
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Hometown Urgent Care and Research - Dayton
RECRUITINGDayton, Ohio, 45424, United States
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Infinity Clinical Research
RECRUITINGNorco, California, 92860, United States
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Las Vegas Clinical Trials
RECRUITINGNorth Las Vegas, Nevada, 89030, United States
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Lone Star Arthritis & Rheumatology Associates - Denton
RECRUITINGDenton, Texas, 76205, United States
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MD Medical Research - Oxon Hill
RECRUITINGOxon Hill, Maryland, 20745, United States
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MedVadis Research
RECRUITINGWaltham, Massachusetts, 02451, United States
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MediSphere Medical Research Center, LLC - East
RECRUITINGEvansville, Indiana, 47714, United States
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Medvin Clinical Research - Covina
RECRUITINGCovina, California, 91722, United States
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Medvin Clinical Research - Tujunga
RECRUITINGTujunga, California, 91042, United States
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NYU Langone Health
RECRUITINGNew York, New York, 10016, United States
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New Generation of Medical Research
RECRUITINGHialeah, Florida, 32016, United States
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Oakland Medical Center
RECRUITINGTroy, Michigan, 48085, United States
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Omega Research DeBary
RECRUITINGOrlando, Florida, 32808, United States
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Panax Clinical Research
RECRUITINGMiami Lakes, Florida, 33014, United States
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Pioneeer Research Solutions
RECRUITINGHouston, Texas, 77099, United States
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Preferred Primary Care Physicians - Matthew Drive
RECRUITINGUniontown, Pennsylvania, 15401, United States
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Premier Health Research
RECRUITINGSparta, New Jersey, 07871, United States
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Premise Clinical Research Center
RECRUITINGLancaster, Texas, 75146, United States
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Prolato Clinical Research Center
RECRUITINGHouston, Texas, 77027, United States
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R & H Clinical Research - South Fry Road
RECRUITINGKaty, Texas, 77450, United States
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Revival Research Institute - Sterling Heights
RECRUITINGSterling Heights, Michigan, 48313, United States
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Rio Clinical Trials - Corporate Office
RECRUITINGOgden, Utah, 84404, United States
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SKYCRNG - Rophe Adult and Pediatric Medicine
RECRUITINGDecatur, Georgia, 30034, United States
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Sahni Rheumatology & Therapy
RECRUITINGWest Long Branch, New Jersey, 07764, United States
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Shelby Clinical Research, LLC - North Carolina
RECRUITINGShelby, North Carolina, 28150, United States
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Siena Research Network
RECRUITINGSugar Land, Texas, 77479, United States
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Southland Arthritis and Osteoporosis Medical Center, Inc
RECRUITINGMenifee, California, 92586, United States
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Southwest Rheumatology Research
RECRUITINGMesquite, Texas, 75150, United States
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Suburban Research Associates - West Chester Office
WITHDRAWNWest Chester, Pennsylvania, 19380, United States
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Tandem Clinical Research - Metairie Clinic
ACTIVE_NOT_RECRUITINGMetairie, Louisiana, 70006, United States
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The Kirklin Clinic of University of Alabama Birmingham Hospital
RECRUITINGBirmingham, Alabama, 35233, United States
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Triad Clinical Trials
RECRUITINGGreensboro, North Carolina, 27410, United States
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Velocity Clinical Research - San Bernardino
RECRUITINGSan Bernardino, California, 92408, United States
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Well Pharma Medical Research
RECRUITINGMiami, Florida, 33173, United States
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West Coast Research
RECRUITINGDublin, California, 94568, United States
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Zenos Clinical Research
RECRUITINGDallas, Texas, 75230, United States
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