ClinicalTrials.gg
RecruitingNCT07535034Updated Sep 28, 2026

A Phase 2 Trial of Dotinurad in Xanthine Oxidase Inhibitor (XOI) Intolerant/Uricase Failure Gout Participants

A Phase 2 interventional study of Dotinurad and Placebo in Gout, sponsored by Crystalys Therapeutics. Recruiting at 41 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by Crystalys Therapeutics · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Updated Sep 28, 20263 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The primary objective of this trial is to evaluate the efficacy of dotinurad in lowering serum uric acid (sUA) at Week 24 in participants with gout who are XOI intolerant or have failed uricase treatment.

02

Conditions studied

  • Gout

Browse trials for

Keywords

  • Dotinurad
  • Xanthine Oxidase Inhibitors
03

In context

Gout

345 studies on the registry are indexed under Gout; 49 are open to participants now.

This study's planned enrollment of 90 is close to the median of 83 across 286 interventional studies indexed under Gout.

Browse Gout studies →

Lead sponsor

Crystalys Therapeutics is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Between 18 and 75 years of age (inclusive) at the time of signing .
  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 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 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 from the time of signing informed consent through 30 days after the last dose of trial drug.

Exclusion criteria

Exclusion Criteria:

  1. History of or presence of kidney stones within 1 year prior to Screening.
  2. History of or presence of 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 (HIV), surface antigen (HBsAg), or virus (HCV) during Screening.
  5. Current or historical evidence of any disease or condition that, in the opinion of the Investigator, may compromise participant safety or trial compliance or may confound interpretation of trial results.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Dotinurad

    The Treatment Period will consist of 2 consecutive parts: a 24-week period where participants will take dotinurad (Treatment Period 1) followed by a 12-week period where participants will continue to take dotinurad (Treatment Period 2).

    Drug: Dotinurad

  • Experimental
    Placebo + Placebo to Dotinuard

    The Treatment Period will consist of 2 consecutive parts: a 24-week period where participants will take placebo (Treatment Period 1) followed by a 12-week treatment period where participants will take dotinurad (Treatment Period 2).

    Drug: Dotinurad · Other: Placebo

Interventions

  • Over-encapsulated tablets containing active drug substance administered orally.

  • OtherPlacebo

    Capsules containing microcrystalline cellulose administered orally.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With an sUA Level <6.0 mg/dL at Week 24

    Time frame: Week 24

Secondary outcomes

  1. Percentage of Participants With an sUA Level <6.0 mg/dL at Weeks 16, 20 and 24

    Time frame: Weeks 16, 20 and 24

  2. Percentage of Participants With an sUA Level <6.0 <5.0, <4.0, and <3.0 mg/dL at Each Visit

    Time frame: Up to Week 40

  3. Mean Change From Baseline in sUA at Week 24

    Time frame: Baseline and Week 24

  4. Absolute Change from Baseline in sUA Levels at Each Visit

    Time frame: Baseline to Week 40

  5. Percent Change from Baseline in sUA Levels at Each Visit

    Time frame: Baseline to Week 40

  6. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Treatment Periods 1 and 2

    Any clinically significant changes from baseline in safety laboratory values and vital signs will be reported as AEs per investigators discretion.

    Time frame: Screening to Week 36

  7. Number of Participants With TEAEs and SAEs Throughout the Study

    Any clinically significant changes from baseline in safety laboratory values and vital signs will be reported as AEs per investigators discretion.

    Time frame: Screening to Week 40

07

Study locations

41 of 41 sites recruiting
  • The Kirklin Clinic of UAB Hospital
    Birmingham, Alabama 35233, United States
    Recruiting
    • Kenneth Saag, MD · Contact
  • Arizona Arthritis & Rheumatology Research, PLLC
    Phoenix, Arizona 85032, United States
    Recruiting
    • Nita Kumar, MD · Contact
  • AARA Clinical Research-SE Tucson
    Tucson, Arizona 85748, United States
    Recruiting
    • Romy Cabacungan, MD · Contact
  • Amicis Research Center
    Granada Hills, California 91344, United States
    Recruiting
    • Pascal Dabel, MD · Contact
  • Cohen Medical Center
    Thousand Oaks, California 91360, United States
    Recruiting
    • Shariar Cohen-Gadol, MD · Contact
  • Solace Clinical Research
    Tustin, California 92780, United States
    Recruiting
    • Roger Kornu, MD · Contact
  • Denver Arthritis Clinic - Lowry
    Denver, Colorado 80230, United States
    Recruiting
    • Christopher Antolini, MD · Contact
  • Omega Research Group
    DeBary, Florida 32713, United States
    Recruiting
    • Kwabena Ayesu, MD · Contact
  • Herco Medical and Research Center, Inc
    Flagami, Florida 33126, United States
    Recruiting
    • Eddy Capote, MD · Contact
  • New Generation of Medical Research
    Hialeah, Florida 33016, United States
    Recruiting
    • Karelia Ruiz, MD · Contact
  • Health Awareness, Inc.
    Jupiter, Florida 33458, United States
    Recruiting
    • Ronald Surowitz, MD · Contact
  • Clinical Research of Central Florida
    Lakeland, Florida 33805, United States
    Recruiting
    • Michael Gimness, MD · Contact
  • D&H Pompano Research Center, LLC
    Margate, Florida 33063, United States
    Recruiting
    • Mazyar Rouhani, MD · Contact
  • Panax Clinical Research
    Miami, Florida 33014, United States
    Recruiting
    • Robert Perry, MD · Contact
  • Anchor Medical Research
    Miami, Florida 33176, United States
    Recruiting
    • Juvenal Martinez, MD · Contact
  • Southwest Atlanta Internal Medicine
    Atlanta, Georgia 30331, United States
    Recruiting
    • Tamara Brown, MD · Contact
  • Great Lakes Clinical Trials
    Chicago, Illinois 60640, United States
    Recruiting
    • Manish Jain, MD · Contact
  • Research Group of Lexington, LLC
    Lexington, Kentucky 40503, United States
    Recruiting
    • Justin Arambasick, MD · Contact
  • MD Medical Research
    Oxon Hill, Maryland 20745, United States
    Recruiting
    • Stephen Ong, MD · Contact
  • AARA Clinical Research-Arthritis and Rheumatism Associates
    Rockville, Maryland 20850, United States
    Recruiting
    • Evan Siegel, MD · Contact
  • Clinical Research Institute of Michigan
    Saint Clair Shores, Michigan 48081, United States
    Recruiting
    • Amar Majjhoo, MD · Contact
  • Revival Research Institute
    Sterling Heights, Michigan 48313, United States
    Recruiting
    • Syed Husain, MD · Contact
  • Oakland Medical Research Center
    Troy, Michigan 48085, United States
    Recruiting
    • Jay Sandberg, MD · Contact
  • Velocity Clinical Research
    Norfolk, Nebraska 68701, United States
    Recruiting
    • Charles Harper, MD · Contact
  • Las Vegas Clinical Trials
    Las Vegas, Nevada 89030, United States
    Recruiting
    • Alton Walters, MD · Contact
  • Premier Health Research
    Sparta, New Jersey 07871, United States
    Recruiting
    • Haroon Sarwar, MD · Contact
  • Ellipsis Research Group
    Brooklyn, New York 11215, United States
    Recruiting
    • Jorge Serje, MD · Contact
  • Drug Trials America
    Hartsdale, New York 10530, United States
    Recruiting
    • Michael Gerdis, MD · Contact
  • DJL Clinical Research
    Charlotte, North Carolina 28211, United States
    Recruiting
    • Emily Jane Herron Box, MD · Contact
  • Shelby Clinical Research
    Shelby, North Carolina 28150, United States
    Recruiting
    • Christian Martin, MD · Contact
  • Hometown Urgent Care and Research
    Dayton, Ohio 45424, United States
    Recruiting
    • Carol Bland, MD · Contact
  • Amarillo Premier Research
    Amarillo, Texas 79124, United States
    Recruiting
    • Susan Neese, MD · Contact
  • Zenos Clinical Research
    Dallas, Texas 75230, United States
    Recruiting
    • Bachar Elsaadi, MD · Contact
  • Epic Medical Research
    DeSoto, Texas 75115, United States
    Recruiting
    • Haresh Boghara, MD · Contact
  • Pioneer Research Solutions
    Houston, Texas 77479, United States
    Recruiting
    • Francisco Velazquez, MD · Contact
  • R&H Clinical Research - Westborough Drive
    Katy, Texas 77449, United States
    Recruiting
    • Maryam Khawari, MD · Contact
  • Southwest Rheumatology Research
    Mesquite, Texas 75150, United States
    Recruiting
    • Atul Singhal, MD · Contact
  • Discovery Clinical Trials, LLC
    San Antonio, Texas 78229, United States
    Recruiting
    • Abha Gyani, MD · Contact
  • DM Clinical Research
    Tomball, Texas 77375, United States
    Recruiting
    • Shaikh Ali, MD · Contact
  • Velocity Clinical Research (Impact Research Institute)
    Waco, Texas 76710, United States
    Recruiting
    • Hing-Sheung Fung, MD · Contact
  • Digestive Health Research of North Texas
    Wichita Falls, Texas 76301, United States
    Recruiting
    • Vanya Wagler, MD · Contact
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported for publication, after deidentification.

Supporting information: Study protocol, Statistical analysis plan

09

Updates

1 registry update since Sep 25, 2026
Sites
3 sites added
Show 3 added (3 United States)
  • Arizona Arthritis & Rheumatology Research, PLLC · Phoenix, United States
  • AARA Clinical Research-SE Tucson · Tucson, United States
  • AARA Clinical Research-Arthritis and Rheumatism Associates · Rockville, United States
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    3 sites added
    Show 3 added (3 United States)
    • Arizona Arthritis & Rheumatology Research, PLLC · Phoenix, United States
    • AARA Clinical Research-SE Tucson · Tucson, United States
    • AARA Clinical Research-Arthritis and Rheumatism Associates · Rockville, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07535034
Lead sponsor
Crystalys Therapeutics
Responsible party
Sponsor
First posted
Apr 16, 2026
Start date
May 8, 2026
Primary completion
Jul 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Sep 28, 2026

Study contacts

Clinical Trial Lead
Contact
ClinicalTrials@crystalystx.com
1-858-379-2316

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Dotinurad

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