New gout drug aims to beat allopurinol in major trial
NCT ID NCT07089875
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 for lowering uric acid in adults with gout. About 500 people who have had at least two gout flares in the past year will take either dotinurad or allopurinol for 24 weeks. The main goal is to see if dotinurad can lower uric acid levels below 6.0 mg/dL more effectively than allopurinol.
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 500 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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Nov 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. 3. Had at least 2 gout flares in the 12 months prior to Screening (reported by the participant or documented in the participant's medical records). 4. Participant must be on a stable background allopurinol dose of ≥300 mg/day (200 mg/day for those with moderate renal impairment as documented in the participant's medical history) up to 600 mg/day for at least 3 months prior to Screening and remain on their dosing regimen until Day 1. 5. sUA level ≥6.5 mg/dL at Screening Visit 1 (Day -35 Visit) and Screening Visit 2 (Day -7 Visit). 6. 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. 7. 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 both colchicine and nonsteroidal anti-inflammatory drugs. 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, Hepatitis B Surface Antigen, or Hepatitis C antibodies during Screening. 6. Current or historical evidence of any clinically significant disease or condition that, in the opinion of the Investigator, may compromise participant safety or study compliance or may confound interpretation of study 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
96 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
Locations
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Accellacare - Alcobendas
RECRUITINGAlcobendas, Madrid, 28100, Spain
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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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Altoona Center for Clinical Research
RECRUITINGDuncansville, Pennsylvania, 16635, 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, 85110, 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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Carteret Medical Group LLC
RECRUITINGMorehead City, North Carolina, 28557, United States
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Centrum Medyczne Solumed
RECRUITINGPoznan, Greater Poland Voivodeship, 60-529, Poland
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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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ClinicMed Daniluk Nowak Spółka Komandytowa
RECRUITINGBialystok, Podlaskie Voivodeship, 15-879, Poland
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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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Clínica Gaias Santiago
RECRUITINGSantiago de Compostela, La Coruña, 15706, Spain
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Clínica NTDE - Nuevas Tecnologías en Diabetes y Endocrinología
RECRUITINGSeville, Sevilla, 46010, Spain
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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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Complejo Hospitalario Universitario A Coruña
RECRUITINGA Coruña, La Coruña, 15006, Spain
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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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D&H Pompano Research Center
RECRUITINGPompano Beach, Florida, 33064, 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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Flourish Chicago - Ravenswood (Great Lakes Clinical Trials)
RECRUITINGChicago, Illinois, 60640, United States
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FutureMeds - Krakow
RECRUITINGKrakow, Lesser Poland Voivodeship, 31-501, Poland
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FutureMeds - Targówek
RECRUITINGWarsaw, Masovian Voivodeship, 03-291, Poland
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FutureMeds - Wroclaw
RECRUITINGWroclaw, Lower Silesian Voivodeship, 53-673, Poland
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FutureMeds Gdynia
RECRUITINGGdynia, Pomeranian Voivodeship, 81-537, Poland
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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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Healthcare Research Network
WITHDRAWNHazelwood, Missouri, 63042, United States
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Healthcare Research Network - Tinley Park
RECRUITINGFlossmoor, Illinois, 60402, 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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Hospital Quirónsalud Infanta Luisa
RECRUITINGSeville, Sevilla, 41010, Spain
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Hospital Universitario Infanta Leonor
RECRUITINGMadrid, Madrid, 28032, Spain
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Hospital de la Santa Creu i Sant Pau
RECRUITINGBarcelona, 08041, Spain
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Infinity Clinical Research
RECRUITINGNorco, California, 92860, United States
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Innova Clinic
RECRUITINGPlońsk, Masovian Voivodeship, 09-100, Poland
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Inter Clinic
RECRUITINGBialystok, Podlaskie Voivodeship, 15-077, Poland
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Investigators Research Group
RECRUITINGBrownsburg, Indiana, 46112, 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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Med-Progress Ośrodek Nowoczesnego Leczenia
RECRUITINGWejherowo, Pomeranian Voivodeship, 84-200, Poland
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MedVadis Research
RECRUITINGWaltham, Massachusetts, 02451, United States
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MediSphere Medical Research Center, LLC
RECRUITINGEvansville, Indiana, 47714, United States
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Medicover Integrated Clinical Services- MICS Centrum Medyczne Warszawa Chlodna
RECRUITINGWarsaw, Masovian Voivodeship, 00-872, Poland
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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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Michigan Medicine - University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109-5000, 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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Pioneer Research Solutions
RECRUITINGHouston, Texas, 77099, United States
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Premier Health Research
RECRUITINGSparta, New Jersey, 07871, United States
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Pro Familia - Katowice
RECRUITINGKatowice, Silesian Voivodeship, 40-122, Poland
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Prolato Clinical Research Center
RECRUITINGHouston, Texas, 77027, United States
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Prolato Clinical Research Center
RECRUITINGSochaczew, Masovian Voivodeship, 96-500, Poland
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R & H Clinical Research - Westborough Drive
RECRUITINGKaty, Texas, 77449, United States
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Revive Research Institute - Sterling Heights
RECRUITINGSterling Heights, Michigan, 48313, United States
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SKYCRNG - Rophe Adult and Pediatric Medicine
RECRUITINGDecatur, Georgia, 30034, 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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Silmedic sp. z o.o.
RECRUITINGKatowice, Silesian Voivodeship, 40-282, Poland
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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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University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35233, United States
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Velocity Clinical Research - San Bernardino
RECRUITINGSan Bernardino, California, 92408, 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
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?