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Not yet recruitingNCT07661030Updated Jun 22, 2026

The Impact of Initiating Dotinurad Urate-Lowering Therapy at Different Time Windows on Gout Flare Resolution Time

A Phase 4 interventional study of Dotinurad and colchicine in Gout, sponsored by First Affiliated Hospital of Wenzhou Medical University. Not yet recruiting. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-06-22.

Sponsored by First Affiliated Hospital of Wenzhou Medical University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
142
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

To confirm that initiating Dotinurad for uric acid uric acid lowering during the acute phase of gout is non-inferior to initiating it after the acute phase of gout has subsided, and to analyze whether initiating Dotinurad treatment during the acute phase will increase the pain level, the recurrence rate of gout, and the inflammatory level of patients.

Read the detailed description

To confirm that initiating Dotinurad for uric acid uric acid lowering during the acute phase of gout is non-inferior to initiating it after the acute phase of gout has subsided, and to analyze whether initiating Dotinurad treatment during the acute phase will increase the pain level, the recurrence rate of gout, and the inflammatory level of patients. At the same time, to compare whether there are differences in the uric acid-lowering effects of initiating Dotinurad treatment at different times.And to evaluate the safety and tolerability of the treatment regimen.

02

Conditions studied

  • Gout

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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 142 is above the median of 83 across 286 interventional studies indexed under Gout.

Browse Gout studies →

Lead sponsor

First Affiliated Hospital of Wenzhou Medical University is the lead sponsor of 83 studies on the registry; 57 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 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

  • Male or female individuals aged 18-70 years old.
  • Meet the 2015 ACR/EULAR diagnostic criteria of gout.
  • With an onset of acute gout flares within 7 days.
  • With gout experiencing gout flares ≥2 times; or with gout experiencing gout flares 1 time and is younger than 40 years old; or with gout experiencing gout flares 1 time and has a serum uric acid level greater than 480 μmol/L and/or has co-morbidities (renal function impairment, hypertension,).
  • Provide a signed written form.

Exclusion criteria

Exclusion Criteria:

  • Has secondary hyperuricemia.
  • Serum uric acid level \< 360 μmol/L.
  • Used IL-1β inhibitors within 6 months before screening.
  • Used uric acid-lowering drugs within 1 month before screening.
  • Used anti-inflammatory drugs within 14 days before screening.
  • Comorbidities with nephrolithiasis or clinical urinary calculi
  • History of kidney transplantation or dialysis.
  • Estimated (eGFR) \< 60 mL/min/1.73 m².
  • or ALT > 2 times the .
  • Systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 100 mmHg during the screening period.
  • White blood cell count \< 3.5 × 10⁹/L, or count \< 100 × 10⁹/L, or \< 90 g/L.
  • Currently in the treatment period of malignant tumors, or within 6 months after the end of the treatment period.
  • Congestive heart failure ( [NYHA] cardiac function classification II-IV), confirmed ischemic heart disease, peripheral artery disease and/or cerebrovascular disease (including patients who have recently undergone coronary artery bypass grafting or angioplasty).
  • to the study drugs or their , or all of urine alkalinizer (potassium citrate/sodium citrate hydrate compound preparations).
  • Have active gastrointestinal ulcers/bleeding, or have had a recurrence of ulcers/bleeding in the past.
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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
142 participants (estimated)

Study arms

  • Experimental
    treatment group

    The treatment group will be administered dotinurad 2 mg/day, colchicine 1 mg/day, and etoricoxib 120 mg/day (for 1-3 days) or 60 mg/day(for 4-7 days) for a duration of 4 weeks.

    Drug: Dotinurad · Drug: colchicine · Drug: etoricoxib

  • Experimental
    Control group

    The control group will be administered colchicine 1 mg/day, and etoricoxib 120 mg/day (for 1-3 days) or 60 mg/day(for 4-7 days) for 2 weeks. Then the control group will be administered dotinurad 2mg/day, colchicine 1 mg/day for 2 weeks.

    Drug: Dotinurad · Drug: colchicine · Drug: etoricoxib

Interventions

  • The drug used in the treatment group (from week 1 to 4)and the control group (from week 3 to 4). This is the main intervention factor of the study.

  • The drugs used throughout the treatment and control groups. In this design, it is part of the background treatment or the standard treatment.

  • The drugs used by the treatment group and the control group in the first week. It is also part of the background treatment.

06

What researchers measure

Primary outcomes

  1. Compare the days to resolution from enrolment to the resolution of an acute gout flare between the two groups

    Time frame: From enrollment to the end of treatment at 12 weeks

Secondary outcomes

  1. Compare the main joint visual analogue scale (VAS) scores of the two groups on the 1, 3, 7 and 14 days.

    The VAS scores range is from 1 to 10. The higher the score, the more severe the pain.

    Time frame: From enrollment to the end of treatment at 1,3,7,14days

  2. Compare the proportions of gout flares at 28 days between two groups

    Time frame: From enrollment to the end of treatment at 28 days

  3. Compare the proportions of subjects whose serum uric acid (SUA) levels were ≤ 360 umol/L at 7, 14 and 28 days between two groups

    Time frame: From enrollment to the end of treatment at 7, 14 and 28 days

  4. Compare the percentage reduction in SUA from the baseline at 7, 14 and 28 days between two groups

    Time frame: From enrollment to the end of treatment at 7, 14 and 28 days

  5. Compare the C-reactive protein (CRP) levels of the two groups at 7 and 14 days

    Time frame: From enrollment to the end of treatment at 7,14days

  6. Compare the erythrocyte sedimentation rate (ESR) levels of the two groups at 7 and 14 days

    Time frame: From enrollment to the end of treatment at 7,14days

07

Study locations

No study locations are listed for this record.

08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07661030
Lead sponsor
First Affiliated Hospital of Wenzhou Medical University
Collaborators
The Affiliated People's Hospital of Ningbo University, Wenzhou Central Hospital, Yuyao People's Hospital
Responsible party
Sponsor
First posted
Jun 22, 2026
Start date
Jul 30, 2026 (estimated)
Primary completion
Jul 30, 2027 (estimated)
Completion
Jul 30, 2027 (estimated)
Last update
Jun 22, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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Studies of the drug tested here: Dotinurad

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