Clinical trial • Phase III • Musculoskeletal
DOTINURAD for Gout | Hyperuricemia
Phase III trial of DOTINURAD for Gout | Hyperuricemia.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Gout | Hyperuricemia
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 10-07-2025
- First CTIS Authorization Date
- 23-10-2025
Trial design
Randomised, allopurinol (oral tablets, overencapsulated) — comparator arm: participants will receive allopurinol for 64 weeks. participants must be on a stable background allopurinol dose of ≥300 mg/day (200 mg/day for those with moderate renal impairment) up to 600 mg/day for at least 3 months prior to screening.-controlled Phase III trial across 20 sites in Spain, Poland.
- Randomised
- Yes
- Comparator
- Allopurinol (oral tablets, overencapsulated) — comparator arm: participants will receive allopurinol for 64 weeks. Participants must be on a stable background allopurinol dose of ≥300 mg/day (200 mg/day for those with moderate renal impairment) up to 600 mg/day for at least 3 months prior to Screening.
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 435
- Trial Duration For Participant
- 448
Eligibility
Recruits 435 The trial record indicates isVulnerablePopulationSelected = true. All participants must "Provide written informed consent and any authorizations required by local law." Subject information and informed consent forms are provided (including specific ICFs for pregnant participants and pregnant partners). ICF documents are available in Spanish and Polish. No assent procedures for minors are described and the age inclusion is 18–75 years, so minors are not included..
- Pregnancy Exclusion
- 7. 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.
- Vulnerable Population
- The trial record indicates isVulnerablePopulationSelected = true. All participants must "Provide written informed consent and any authorizations required by local law." Subject information and informed consent forms are provided (including specific ICFs for pregnant participants and pregnant partners). ICF documents are available in Spanish and Polish. No assent procedures for minors are described and the age inclusion is 18–75 years, so minors are not included.
Inclusion criteria
- {"criterion_text":"- 1. Provide written informed consent and any authorizations required by local law.\n- 2. Between 18 and 75 years of age (inclusive) at the time of signing informed consent.\n- 3. Diagnosis of gout based on 2015 ACR-EULAR criteria for at least 1 year.\n- 4. Had at least 2 gout flares in the 12 months prior to Screening\n- 5. Participant must be on a stable background allopurinol dose of ≥300 mg/day (200 mg/day for those with moderate renal impairment) up to 600 mg/day for at least 3 months prior to Screening.\n- 6. sUA level ≥6.5 mg/dL at Screening Visit 1 (Day -35 Visit) and Screening Visit 2 (Day -7 Visit).\n- 7. 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.\n- 8. 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
- {"criterion_text":"- 1. History of or presence of kidney stones within 1 year prior to Screening.\n- 2. History of or presence of malignancy in the last 5 years other than treated cutaneous basal or squamous cell carcinoma.\n- 3. Hypersensitivity or intolerance to dotinurad or to colchicine AND NSAIDs.\n- 4. Known or suspected history of drug abuse, a positive drug test at Screening Visit 1, or a recent history of alcohol abuse\n- 5. Known history of or positive results for human immunodeficiency virus (HIV), Hepatitis B Surface Antigen (HBsAg), or Hepatitis C antibodies (HCV) during Screening.\n- 6. Participants with unstable long-term conditions, such as diabetes, high cholesterol, hypertension, asthma, etc.\n- 7. 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."}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Proportion of participants with an sUA level <6.0 mg/dL at Week 24.","definition_or_measurement_approach":"Serum uric acid (sUA) measurement at Week 24; endpoint is proportion of participants with sUA <6.0 mg/dL at Week 24."}
Secondary endpoints
- {"endpoint_text":"- 1. Proportion of participants with an sUA level <6.0 mg/dL at Weeks 16, 20, and 24, inclusive.","definition_or_measurement_approach":"Serum uric acid (sUA) measurements at Weeks 16, 20 and 24; endpoint is proportion with sUA <6.0 mg/dL at those visits."}
- {"endpoint_text":"- 2. Mean rate of gout flares requiring treatment from Week 36 through Week 64.","definition_or_measurement_approach":"Count of gout flares requiring treatment captured from Week 36 through Week 64; reported as mean rate over that interval."}
- {"endpoint_text":"- 3. Proportion of participants with an sUA level <5.0 mg/dL at Week 24 AND no gout flares requiring treatment from Week 36 through Week 64.","definition_or_measurement_approach":"Composite endpoint requiring sUA <5.0 mg/dL at Week 24 and absence of gout flares requiring treatment during Weeks 36–64."}
Recruitment
- Digital Remote Recruitment
- True — digital methods include Participant Digital Outreach, Website materials, Facebook Ads, and other digital recruitment materials; materials provided in Spanish and Polish.
- Planned Sample Size
- 435
- Recruitment Window Months
- 24
- Consent Approach
- Written informed consent required: "Provide written informed consent and any authorizations required by local law." Subject information and informed consent forms are provided (subject ICF documents present). ICFs include main ICFs and specific ICFs for pregnant participants and pregnant partners; ICFs are available in Spanish and Polish as indicated in the document list. No assent for minors is described (participants must be 18–75 years).
Methods
- Website recruitment / Participant Digital Outreach (digital) — localized materials available (Spanish and Polish).
- Facebook ads (digital) — participant-targeted recruitment materials (Spanish and Polish versions listed).
- Radio ads (audio) — Spanish version indicated.
- Print advertising and brochures — patient brochures, posters and print ads (Spanish and Polish materials listed).
- HCP engagement (Dear Colleague letters, HCP factsheets) — clinician-targeted recruitment materials to referring physicians/sites.
- Direct patient contact (Dear Patient letters, Participant brochures, ICF Flipbook) — clinic-based recruitment materials for patients.
- Site-based recruitment through participating hospitals/clinics and clinical research organisations.
Geography
- Total Number Of Sites
- 20
- Total Number Of Participants
- 65
Spain
- Earliest CTIS Part Ii Submission Date
- 28-07-2025
- Latest Decision Or Authorization Date
- 24-03-2026
- Processing Time Days
- 239
- Number Of Sites
- 7
- Number Of Participants
- 15
Sites
- Site Name
- Area Sanitaria Da Coruna E Cee
- Department Name
- Rheumatology
- Principal Investigator Name
- Francisco Javier Blanco Garcia
- Principal Investigator Email
- fblagar@sergas.es
- Contact Person Name
- Francisco Javier Blanco Garcia
- Contact Person Email
- fblagar@sergas.es
- Site Name
- Accellacare Espana S.L.
- Department Name
- Accellacare
- Principal Investigator Name
- Gualberto Diaz Saez
- Principal Investigator Email
- Gualberto.DiazSaez@accellacare.com
- Contact Person Name
- Gualberto Diaz Saez
- Contact Person Email
- Gualberto.DiazSaez@accellacare.com
- Site Name
- Hospital De La Santa Creu I Sant Pau
- Department Name
- Rheumatology
- Principal Investigator Name
- Cesar Diaz-Torne
- Principal Investigator Email
- cdiazt@santpau.cat
- Contact Person Name
- Cesar Diaz-Torne
- Contact Person Email
- cdiazt@santpau.cat
- Site Name
- Hospital Universitario Infanta Leonor
- Department Name
- Rheumatology
- Principal Investigator Name
- Enrique Calvo Aranda
- Principal Investigator Email
- enrique.calvoa@salud.madrid.org
- Contact Person Name
- Enrique Calvo Aranda
- Contact Person Email
- enrique.calvoa@salud.madrid.org
- Site Name
- Hospital Quironsalud Infanta Luisa
- Department Name
- Rheumatology
- Principal Investigator Name
- Lola Fernandez de la Fuente Bursón
- Principal Investigator Email
- dralfburson@gmail.com
- Contact Person Name
- Lola Fernandez de la Fuente Bursón
- Contact Person Email
- dralfburson@gmail.com
- Site Name
- Nuevas Tecnologias En Diabetes Y En Endocrinologia S.L. Profesional
- Department Name
- Endocrinology and Nutrition
- Principal Investigator Name
- Alberto Aliaga Verdugo
- Principal Investigator Email
- a.aliaga@ntde.es
- Contact Person Name
- Alberto Aliaga Verdugo
- Contact Person Email
- a.aliaga@ntde.es
- Site Name
- Clinica Gaias Santiago
- Department Name
- Rheumatology
- Principal Investigator Name
- Juan José Amarelo Ramos
- Principal Investigator Email
- juan.amarelo@gaiasresearch.com
- Contact Person Name
- Juan José Amarelo Ramos
- Contact Person Email
- juan.amarelo@gaiasresearch.com
Poland
- Earliest CTIS Part Ii Submission Date
- 03-10-2025
- Latest Decision Or Authorization Date
- 22-02-2026
- Processing Time Days
- 142
- Number Of Sites
- 13
- Number Of Participants
- 50
Sites
- Site Name
- Clinicmed Daniluk Nowak Sp. k.
- Department Name
- -
- Principal Investigator Name
- Stefan Daniluk
- Principal Investigator Email
- daniluk@clinicmed.pl
- Contact Person Name
- Stefan Daniluk
- Contact Person Email
- daniluk@clinicmed.pl
- Site Name
- Futuremeds Sp. z o.o. (Gdynia)
- Department Name
- Futuremeds Gdynia
- Principal Investigator Name
- Barbara Grabowicz-Waśko
- Principal Investigator Email
- barbara.wasko@futuremeds.com
- Contact Person Name
- Barbara Grabowicz-Waśko
- Contact Person Email
- barbara.wasko@futuremeds.com
- Site Name
- Med-Progress Osrodek Nowoczesnego Leczenia Sp. z o.o.
- Department Name
- -
- Principal Investigator Name
- Maciej Osiński
- Principal Investigator Email
- maciejclinicalmed@gmail.com
- Contact Person Name
- Maciej Osiński
- Contact Person Email
- maciejclinicalmed@gmail.com
- Site Name
- Silmedic Sp. z o.o.
- Department Name
- -
- Principal Investigator Name
- Karina Sitek-Ziółkowska
- Principal Investigator Email
- kziolkowska@silmedic.pl
- Contact Person Name
- Karina Sitek-Ziółkowska
- Contact Person Email
- kziolkowska@silmedic.pl
- Site Name
- INTER CLINIC Piotr Adrian Klimiuk
- Department Name
- -
- Principal Investigator Name
- Piotr Klimiuk
- Principal Investigator Email
- klimiuk_piotr@yahoo.com
- Contact Person Name
- Piotr Klimiuk
- Contact Person Email
- klimiuk_piotr@yahoo.com
- Site Name
- Futuremeds Sp. z o.o. (Targówek)
- Department Name
- Futuremeds Targówek
- Principal Investigator Name
- Agnieszka Jurek-Urbanowska
- Principal Investigator Email
- agnieszka.urbanowska@futuremeds.com
- Contact Person Name
- Agnieszka Jurek-Urbanowska
- Contact Person Email
- agnieszka.urbanowska@futuremeds.com
- Site Name
- Futuremeds Sp. z o.o. (Cracow)
- Principal Investigator Name
- Weronika Kleczyńska-Szpakiewicz
- Principal Investigator Email
- weronika.szpakiewicz@futuremeds.com
- Contact Person Name
- Weronika Kleczyńska-Szpakiewicz
- Contact Person Email
- weronika.szpakiewicz@futuremeds.com
- Site Name
- Futuremeds Sp. z o.o. (Wroclaw)
- Department Name
- FutureMeds Wrocław
- Principal Investigator Name
- Ewa Krecipro-Nizińska
- Principal Investigator Email
- ewa.krecipro-nizinska@futuremeds.com
- Contact Person Name
- Ewa Krecipro-Nizińska
- Contact Person Email
- ewa.krecipro-nizinska@futuremeds.com
- Site Name
- Solumed Centrum Medyczne Sp. z o.o.
- Principal Investigator Name
- Kamila Klama
- Principal Investigator Email
- kklama@wp.pl
- Contact Person Name
- Kamila Klama
- Contact Person Email
- kklama@wp.pl
- Site Name
- Medicover Integrated Clinical Services Sp. z o.o.
- Principal Investigator Name
- Magdalena Szuflińska-Sidorowicz
- Principal Investigator Email
- magdalenasidorowicz@medycynakliniczna.pl
- Contact Person Name
- Magdalena Szuflińska-Sidorowicz
- Contact Person Email
- magdalenasidorowicz@medycynakliniczna.pl
- Site Name
- Pro Familia Altera Sp. z o.o.
- Principal Investigator Name
- Danuta Wrońska
- Principal Investigator Email
- dwronska@profamilia.katowice.pl
- Contact Person Name
- Danuta Wrońska
- Contact Person Email
- dwronska@profamilia.katowice.pl
- Site Name
- Rcmed Oddzial Sochaczew
- Department Name
- -
- Principal Investigator Name
- Monika Wronisz
- Principal Investigator Email
- monika.wronisz@rcmed.com.pl
- Contact Person Name
- Monika Wronisz
- Contact Person Email
- monika.wronisz@rcmed.com.pl
- Site Name
- Innova Clinic Sp. z o.o.
- Department Name
- -
- Principal Investigator Name
- Tomasz Wysocki
- Principal Investigator Email
- t.wysocki@innova-clinic.pl
- Contact Person Name
- Tomasz Wysocki
- Contact Person Email
- t.wysocki@innova-clinic.pl
Sponsor
Primary sponsor
- Full Name
- Crystalys Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Icon Clinical Research Limited
- Responsibilities
- Multiple trial management and operational responsibilities (regulatory, central laboratory coordination, data management, monitoring and other roles listed in sponsorDuties).
- Name
- QPS LLC
- Responsibilities
- Clinical services (code 4).
- Name
- Almac Clinical Services Limited
- Responsibilities
- QP release and associated clinical supply services.
- Name
- Medidata Solutions Inc.
- Responsibilities
- Clinical trial technology/platform services.
- Name
- Clario Medical Imaging Inc.
- Responsibilities
- Electronic Clinical Outcome Assessment (eCOA).
- Name
- AG Mednet Inc.
- Responsibilities
- Electronic adjudication system.
Third parties
- {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient travel and reimburesment services","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Clario Medical Imaging Inc.","duties_or_roles":"Electronic Clinical Outcome Assessment (eCOA)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"AG Mednet Inc.","duties_or_roles":"Electronic Adjudication System","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Clinical trial technology/platform services (document code 7 listed)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"QP release","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"QPS LLC","duties_or_roles":"Clinical services (duty code 4)","organisation_type":"Pharmaceutical company"}
- {"country":"Netherlands","full_name":"Certe Medische Diagnostiek en Advies Stichting","duties_or_roles":"Central laboratory / laboratory services (duty code 4)","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Multiple trial management and operational roles including regulatory submissions and centralised trial functions (many duties codes listed: e.g. 1,2,3,4,5,6,8,10,11,12,13,15 etc.)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Cyberchrome Inc.","duties_or_roles":"Materials for patient recruitment services","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Dotinurad
- Active Substance
- DOTINURAD
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Investigational product (Test product, PRD12402812)
- Investigational Product Name
- Allopurinol
- Active Substance
- ALLOPURINOL
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Comparator; marketed product reference SUB05338MIG
- Starting Dose
- ≥300 mg/day (200 mg/day for those with moderate renal impairment) up to 600 mg/day (stable background dose requirement for at least 3 months prior to Screening)
- Dose Levels
- ≥300 mg/day (200 mg/day for moderate renal impairment) up to 600 mg/day
- Frequency
- Daily
- Investigational Product Name
- Placebo capsules to match overencapsulated dotinurad tablets and overencapsulated allopurinol tablets contain microcrystalline cellulose in a gelatin capsule.
- Modality
- Other
- Authorisation Status
- Placebo (matching)
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