Gout sufferers could ditch doctor visits with new Self-Monitoring app
NCT ID NCT05507723
First seen Jun 24, 2026 · Last updated Sep 16, 2026 · Updated 3 times
Summary
This study compares two ways of managing gout: a supported self-management approach where patients monitor their own urate levels with a finger-prick test and adjust medication via a smartphone app, versus usual care where a doctor manages treatment. The goal is to see if the self-monitoring method reduces gout flares over two years. The trial will enroll 125 adults with gout who have had at least one flare in the past year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- urate-lowering medication (e.g., allopurinol) adjusted via self-monitoring
- What this could lead to
- If successful, this approach could give gout patients a practical way to manage their condition at home, leading to fewer painful flares and better long-term control.
- What could go wrong
- This is a relatively small trial (125 people) and relies on patients consistently using the app and self-testing, which may not work for everyone. The benefits seen in earlier short-term studies may not hold over two years.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 125 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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: * Provision of informed consent. * Age ≥18 years. * Patient has sustained at least one flare of gout in the previous 12 months. * Confirmed clinical diagnosis of gout as per ACR/EULAR criteria * Serum urate \>0.36mm/L. * Patient has a smart phone and is able to install GoutSMART application. Exclusion Criteria: * Subject unable to provide consent * Patient on maximum urate lowering therapy or where therapy cannot be escalated further due to intolerance/adverse reaction to either allopurinol or febuxostat. * End stage renal failure/transplant * Current prescription of medication known to interact with xanthine oxidase inhibitors such as azathioprine or mercapto-purine.
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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.
Contacts and locations
Locations
-
NHS Lothian
Edinburgh, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a new injection tame Gout's uric acid?