Overview
Sponsor-declared trial summary
Gout
1) To assess the between strategy difference in proportion of participants fulfilling adapted preliminary gout remission criteria (no tophi, no flares, NRS pain due to gout <2 and disease activity <2, but independent of sUA level), during the last six months of the 24 month follow-up period. 2) To assess the increment…
Key facts
- Sponsor
- Sint Maartenskliniek
- Participant type
- Patients
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Musculoskeletal Diseases [C05]
- Trial duration
- 9 Jul 2024 → 16 Jun 2025
- Decision date (initial)
- 2024-07-09
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy
1) To assess the between strategy difference in proportion of participants fulfilling adapted preliminary gout remission criteria (no tophi, no flares, NRS pain due to gout <2 and disease activity <2, but independent of sUA level), during the last six months of the 24 month follow-up period.
2) To assess the incremental cost-effectiveness in euro per QALY gained for T2T compared to T2S.
Conditions and MedDRA coding
Gout
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | LLT | 10003257 | Arthritis gouty | 10028395 |
| 21.0 | LLT | 10003435 | Articular gout | 10027433 |
| 20.0 | PT | 10018627 | Gout | 100000004861 |
| 20.0 | PT | 10018627 | Gout | 100000004861 |
| 21.0 | LLT | 10003435 | Articular gout | 10027433 |
| 20.0 | LLT | 10003257 | Arthritis gouty | 10028395 |
| 21.1 | LLT | 10064900 | Gout flare | 10027433 |
Regulatory references
- Plan to share IPD
- Yes
- IPD plan description
- Data will be handled according to FAIR principles. After completion of the study, data will be available on reasonable request by contacting the corresponding author. The request will be reviewed by the trial steering committee.
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-511111-13-00 | GOut TrEatment STrategy (GO TEST) FINALE study, a multicentre pragmatic randomized superiority trial of continuation versus cessation of urate lowering therapies in gout in remission. | Sint Maartenskliniek |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- - Patients with clinical diagnosis of gout and/or fulfilling the 2015 ACR-EULAR gout criteria
- - Use of ULT (allopurinol, benzbromarone and/or febuxostat)
- Achieved remission for ≥ 12 months based on adapted preliminary gout remission criteria (29). o Free of flares and/or clinically apparent tophi during the last 12 months o Serum urate ≤0.36 mmol/l at baseline and all values in the last 12 months should not be >0.36 mmol/l o Pain due to gout <2 using a 10-point Likert-type scale at baseline o Patient global assessment of gout disease activity <2 using a 10-point Likert-type scale at baseline
- Age ≥18 years and mentally competent
- Signed written informed consent
Exclusion criteria 6
- - Not being able to speak, read or write Dutch well enough
- No ability to measure the outcome of the study in the participant (e.g. life expectancy <2 years, planned relocation out of reach of study center)
- A strong contra-indication for glucocorticoids, NSAIDs AND colchicine, as this hampers flare treatment
- Use of ULT (also) for any other indication than gout (for example nephrolithiasis)
- Currently taking regular glucocorticoids, and/or colchicine, and/or interleukine-1 inhibitors for any diagnosis and/or the use of regular NSAID intake for gout activity
- A history of myocardial infarction or stroke in the past six months and/or congestive heart failure NYHA class III or IV
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The between group difference in proportion of patients fulfilling the adapted preliminary gout remission criteria during the last 6 months of 24 month follow up using superiority testing. If superiority is not shown, non-inferiority testing with a prespecified NI margin of 0.08 will be performed exploratory as secondary outcome.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
—
SCP132779 · ATC
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 300 mg milligram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- M04AB03 — BENZBROMARONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP130703 · ATC
- Active substance
- Allopurinol
- Route of administration
- ORAL
- Max daily dose
- 900 mg milligram(s)
- Max total dose
- 900 mg milligram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- M04AA01 — ALLOPURINOL
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP104873455 · ATC
- Active substance
- Febuxostat Hemihydrate
- Route of administration
- ORAL
- Max daily dose
- 120 mg milligram(s)
- Max total dose
- 120 mg milligram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- M04AA03 — FEBUXOSTAT
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Sint Maartenskliniek
- Sponsor organisation
- Sint Maartenskliniek
- Address
- Hengstdal 3
- City
- Ubbergen
- Postcode
- 6574 NA
- Country
- Netherlands
Scientific contact point
- Organisation
- Sint Maartenskliniek
- Contact name
- Iris Rose Peeters
Public contact point
- Organisation
- Sint Maartenskliniek
- Contact name
- Iris Rose Peeters
Locations
1 EU/EEA country · 1 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Netherlands | Ended | 310 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Netherlands | 2024-07-09 | 2025-06-16 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| Summary of results GO Test Finale SUM-136724
|
2026-05-30T13:50:51 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| Lay Summary of Results | 2026-05-30T13:51:22 | Submitted | Laypersons Summary of Results |
Documents 10 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Laypersons summary of results (for publication) | LaySummaryGOTESTFinale | 1 |
| Protocol (for publication) | D_Protocol 2024-511111-13-01 | 11 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICD Go Test Finale substudy | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Go Test Finale | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_ SmPC Benzbromaron | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC allopurinol | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC febuxostat | 1 |
| Summary of results (for publication) | LaySummaryGOTESTFinale | 1 |
| Summary of results (for publication) | Summaryofresultsgotestfinale | 1 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-06-28 | Netherlands | Acceptable with conditions 2024-07-09
|
2024-07-09 |