DrugEvidence

Diseases / Gout

Gout

Disease

Gout is an inflammatory arthritis caused by monosodium urate crystal deposition in joints and periarticular tissues due to hyperuricemia. It presents with recurrent attacks of severe joint pain, swelling, redness, and warmth, classically affecting the first metatarsophalangeal joint. Untreated disease may lead to tophi, kidney stones, and chronic joint damage.

Trials
306
Recruiting
27
Completed
195
With results
81

Last revised

Pipeline

Phase by status

PhaseRecruitingNot yetBy invitationActiveCompletedTerminatedWithdrawnSuspendedUnknownTotal
Early Phase 1 31 4
Phase 1 44015 50
Phase 1/2 141 6
Phase 2 412482111 60
Phase 2/3 1121 5
Phase 3 223331 41
Phase 4 631921 31
Not applicable 4615243211 56
Unknown 622223117 53

Trials started per year

2021
6
2022
15
2023
16
2024
19
2025
18
2026
15

Conditions studied, by phase

ConditionEarly Phase 1Phase 1Phase 1/2Phase 2Phase 2/3Phase 3Phase 4Not applicableUnknownTotal
Gout 450660541315653 306
Hyperuricemia 225331278109 97
Arthritis 216187 25
Arthritis, Gouty 515213 17
Cardiovascular Diseases 11411 17
Arthritis, Rheumatoid 412 16
Diabetes Mellitus 11311 16
Hypertension 2210 14
Osteoarthritis 1238 14
Obesity 138 12

Most active sponsors

#SponsorTrialsPhase 3
1Ardea Biosciences, Inc.206
2Takeda156
3LG Chem102
4Atom Therapeutics Co., Ltd92
5Novartis Pharmaceuticals76
6Regeneron Pharmaceuticals75
7Amgen60
8Arthrosi Therapeutics62
9Assistance Publique - Hôpitaux de Paris60
10AstraZeneca60

Most studied interventions

#InterventionTrials
1Allopurinol45
2Febuxostat45
3Colchicine27
4lesinurad12
5Pegloticase12
6verinurad11
7Methotrexate8
8canakinumab7
9Naproxen7
10ruzinurad7

Evidence

Results reported
41.5%81 of 195 completed
Published
12.3%24 of 195 completed
Primary endpoint met
73%84 of 115 analyses
Median months to report
18

Documents disclosed

Protocol available
33
Statistical analysis plan
30
PubMed citations
96

Trial profile

Median enrollment
84
Median duration
20months
Countries
54
Study sites
2699

Who is enrolled

Adults
305
Children
16
Older adults
271
Healthy volunteers
80

Median enrollment by phase

Early Phase 1
30
Phase 1
29
Phase 1/2
48
Phase 2
84
Phase 2/3
300
Phase 3
397
Phase 4
74
Not applicable
76
Unknown
210

Where trials run

United States
154
China
33
Canada
24
Australia
17
France
16
Germany
15
Taiwan
15
United Kingdom
14
New Zealand
12
Poland
12

Busiest cities

#CityCountryTrials
1BirminghamUnited States45
2DuncansvilleUnited States41
3TampaUnited States39
4San AntonioUnited States37
5DallasUnited States36
6MiamiUnited States36
7HoustonUnited States34
8CincinnatiUnited States26
9HonoluluUnited States26
10CharlotteUnited States23

Terminations

Terminated
14
Withdrawn
7
Suspended
2
Stopped for recruitment
1%3 of 306 trials

Stated reasons

Other / unclear
11
Funding
3
Recruitment
3
COVID-19
2
Lack of efficacy
2
Business decision
1
Safety
1

Reasons are grouped from the sponsor's own wording with a rule-based classifier; the original text is shown below.

Recently stopped

TrialStatusStated reasonStopped
NCT04031469 Suspended Suspended Administrative 2030-12-10
NCT04224662 Withdrawn Withdrawn Company shifted focus 2030-07-31
NCT04844814 Suspended Suspended Peremption of treatments, difficulty of patients recrutment (28 patients in 3 years) and lack of funding to pursue the study. 2026-08-31
NCT06276556 Terminated Terminated For business consideration, a new long-term safety study will be conducted in the next new pivotal studies. 2024-09-05
NCT04697602 Terminated Terminated Slow recruitment 2023-08-23
NCT04072471 Withdrawn Withdrawn The study was withdrawn as lesinurad was withdrawn from the market in Europe by the market authorization holder. Hence the commitment to do this PASS was removed by the European Medicines Agency. 2023-06-30
NCT05256810 Terminated Terminated The Sponsor elected not to continue with the study 2023-01-25
NCT04987294 Terminated Terminated Company Financing 2022-09-02
NCT04839315 Terminated Terminated Difficulty with enrollment 2022-02-09
NCT04459936 Withdrawn Withdrawn The study has been terminated due to inclusion difficulties during the worldwide Covid-19 pandemic. 2022-02-01

Trial records

Individual study records live on ClinicalTrials.gov. A sample of the trials counted above:

Search all Gout trials on ClinicalTrials.gov →