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RecruitingGout

Treat-to-Target Serum Urate Versus Treat-to-Avoid Symptoms in Gout

Eligible age

18–90 yrs

Accepts

All genders

Locations

5 states

Healthy volunteers

No

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About this study

The TRUST study is a randomized, controlled multicenter study to evaluate the management of gout by comparing two commonly used treatment strategies for gout (TTT vs TTASx) to determine the most beneficial for a patient-centered gout outcomes, as well as relevant cardiovascular-metabolic-renal endpoints.

Sponsor: Massachusetts General Hospital

You may not qualify if…

  • Candidates who meet any of the following criteria will be excluded from the study:
  • 1. Diagnosis of CKD Stage 3B or worse (eGFR \< 45 mL/min/ 1.73 m2) at screening
  • 2. More than one subcutaneous tophus on clinical examination at screening
  • 3. Two or more episodes of renal colic in the past 5 years
  • 4. Unable to provide informed consent.
  • 5. AST/ALT \> 3 × upper limit of normal (ULN) (within 6 months of entry).
  • 6. Pregnancy, planning pregnancy, or breastfeeding.
  • 7. Patients who have been treated with thiopurines (mercaptopurine (PURINETHOL®), azathioprine (IMURAN®), or thioguanine) in the past 12 months or currently being treated with thiopurines are not eligible for the study. Usage of the thiopurines (azathioprine and mercaptopurine) with allopurinol has been shown to cause a significant drug-drug interaction.

Where it's recruiting

Alabama

South Birmingham

California

Santa Monica

New York

New York

West Virginia

Morgantown

Source: ClinicalTrials.gov · NCT04875702 · last updated 2025-09-25