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
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
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
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
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
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
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
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)

Related trials

Other published trials that may interest you.