NIH-funded research U01 cooperative agreement

Comparing treatment strategies for managing gout symptoms and serum urate levels

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

Funded at Massachusetts General Hospital · NIH-10917026 · Data updated 2026-11-12

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!

More Randomized Controlled Trial research and trials

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital
NIH-funded
Lab location1 site (Boston, United States)
Project startSeptember 1, 2023
Project endJuly 31, 2028
Funding year2024
Award (this year)$1,937,050
NIH project number5U01AR080985-02
Project IDNIH-10917026 on NIH RePORTER

Who could benefit from this research

Could help

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

Less likely to help

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

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.

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 gone: 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

  • Massachusetts General Hospital
    Boston, United States
    Active

Researchers

  • Principal investigator: Choi, Hyon K — Massachusetts General Hospital
  • Study coordinator: Choi, Hyon K

Related research

Other NIH-funded projects on the same topics.

  • Treat-to-Target Urate in Gout: A New Approach for Better Pain and Health

    A large clinical trial tests whether aiming for a specific uric acid level in gout patients improves symptoms and health outcomes compared with avoiding symptoms.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11416296

  • SGLT2 inhibitors for gout care in adults with diabetes

    A randomized trial is testing whether an SGLT2 inhibitor can help reduce gout flares and improve heart and kidney health in adults with type 2 diabetes.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11358299

  • Targeting low blood uric acid versus treating gout flares for adults with gout

    This compares keeping blood uric acid below a set level versus treating gout flares only, for adults living with gout.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11171432

  • Using SGLT2 inhibitors to improve gout care

    This study is looking at whether a type of medication called SGLT2 inhibitors can help people with gout feel better and reduce their risk of heart problems, and it’s for adults who experience gout flare-ups.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11047879

  • Cognitive behavioral therapy and trazodone for insomnia phenotypes with high blood pressure

    A clinical study tests how CBT-I and the sleep drug trazodone work for adults with insomnia and high blood pressure, focusing on a specific sleep duration pattern.

    NIH research Pennsylvania State Univ Hershey Med Ctr · Hershey, United States · NIH-11635771

  • Shorter antifungal treatment for kids with candidemia

    A multi-center pediatric trial tests whether a shorter, 7 extra days of antifungal therapy after an initial 7 days is just as good as the standard 14-day approach for kids with candidemia who are improving on echinocandin therapy.

    NIH research Arkansas Children's Hospital Res Inst · Little Rock, United States · NIH-11606539

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.
Last reviewed 2026-11-14 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.