Comparing treatment strategies for managing gout symptoms and serum urate levels

Treat-to-Target Serum Urate versus Treat-to-Avoid Symptoms in Gout: A Randomized Controlled Trial (TRUST)

NIH-funded research Massachusetts General Hospital · NIH-10917026

This study is looking at two ways to help people with gout: one that tries to lower uric acid levels in the blood and another that focuses on easing pain and other symptoms, so if you have gout, you can help us find out which method works better for your health!

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-10917026 on NIH RePORTER

What this research studies

This research investigates two different approaches to treating gout: one that aims to lower serum urate levels to a specific target and another that focuses on alleviating symptoms. By conducting a randomized controlled trial, the study will involve collaboration between rheumatologists and primary care providers to gather high-level evidence on the effectiveness of these strategies. Patients will be monitored for changes in their gout symptoms and overall health outcomes, including potential impacts on kidney function and cardiovascular health. The goal is to provide clearer guidelines for gout management based on solid evidence.

Who could benefit from this research

Good fit: Ideal candidates for this research are adults aged 21 and older who have been diagnosed with gout.

Not a fit: Patients who do not have gout or those with other unrelated health conditions may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could lead to more effective treatment strategies for gout, improving patient outcomes and quality of life.

How similar studies have performed: Previous research has shown that targeting serum urate levels can be beneficial in managing gout, but this specific comparative approach is relatively novel.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.