GoutPhase 3EURELIA1NCT05586958
Tigulixostat, Phase 3 Study, Placebo Controlled in Gout Patients
A Phase 3 study testing Tigulixostat in people with Gout and Hyperuricemia, run by LG Chem at 52 sites in 4 countries.
Trial summary
The aim of this 6-month randomized multi-regional double-blind parallel group placebo-controlled phase 3 study is to assess the efficacy and safety of three different doses of Tigulixostat in gout patients with hyperuricemia. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Gout, Hyperuricemia, Gout Flare
- What is being tested?
- Tigulixostat
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 354 participants
- Where
- 52 sitesin 4 countries
- Study dates
- 25 Oct 2022to 16 Dec 2024
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female subjects between the ages of 18 85 years, inclusive.
- Subjects with hyperuricemia and a history or presence of gout per American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2015 criteria.
- Subjects who are currently on urate-lowering therapies (ULT) with an sUA level ≥6.0 mg/dL at screening (Visit 1); or subjects who are currently not on ULT with an sUA level ≥7.0 mg/dL at screening (Visit 1). Subjects currently on ULT will undergo washout and must have an sUA level ≥7.0 mg/dL at Visit 3 to be randomized and participate in the study.
- Subjects with a Body Mass Index ≤50 kg/m2 and estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73 m2 at screening (Visit 1).
Who cannot join
- Subjects with secondary hyperuricemia, enzymatic defects.
- Subjects experiencing an acute gout attack (intense pain, swelling, or/and tenderness in the joint area) within 2 weeks prior to screening (Visit 1).
- Subjects who have received pegloticase to treat gout which has not responded to the usual treatments.
- Subjects who have not been receiving stable doses of drugs known to affect sUA levels for the last 3 weeks prior to screening (Visit 1).
- Subjects with a history of xanthinuria (elevated levels of xanthine in the urine) and rheumatoid arthritis
Trial locations and contacts
52 sites in 4 countries.
52 sites in 4 countries
United States36 sites
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Clinical Research of West Florida, Inc.
Clearwater, Florida, 33765
PCCR Solutions
Colleyville, Texas, 76034
Herco Medical and Research Center, Inc
Coral Gables, Florida, 33134
Medvin Clinical Research
Covina, California, 91722
Altoona Center for Clinical Research
Duncansville, Pennsylvania, 16635
Healthcare Research Network II, LLC
Flossmoor, Illinois, 60422
Triad Clinical Trials
Greensboro, North Carolina, 27410
Velocity Clinical Research Greenville
Greenville, South Carolina, 29615
HealthCare Research
Hazelwood, Missouri, 63042
Direct Helpers Research Center
Hialeah, Florida, 33012
Pioneer Research Solutions, Inc.
Houston, Texas, 77099
Elite Clinical Research, LLC
Jackson, Mississippi, 39202
Healor Primary Care/CCT Research
Las Vegas, Nevada, 89102
Alliance for Multispecialty Research, LLC
Lexington, Kentucky, 40509
L-MARC Research Center
Louisville, Kentucky, 40213
Velocity Clinical Research
Meridian, Idaho, 83642
Allied Biomedical Research Institute
Miami, Florida, 33155
Research Institute of South Florida, Inc.
Miami, Florida, 33173
Vista Clinical Research, LLC
Newnan, Georgia, 30265
Olive Branch Family Medical Center
Olive Branch, Mississippi, 38654
MD Medical Research
Oxon Hill, Maryland, 20745
Tristar Clinical Investigations, P.C.
Philadelphia, Pennsylvania, 19114
Practice Dr. David Headley
Port Gibson, Mississippi, 39150
Meridian Clinical Research, LLC
Portsmouth, Virginia, 23703
Dominion Medical Associates, Inc.
Richmond, Virginia, 23219
Clinical Research Partners, LLC
Richmond, Virginia, 23226
Highland Clinical Research
Salt Lake City, Utah, 84124
Endeavor Clinical Trials
San Antonio, Texas, 78240
South Ogden Family Medicine/CCT Research
South Ogden, Utah, 84405
Clinical Research of West Florida, Inc.
Tampa, Florida, 33606
DM Clinical Research
Tomball, Texas, 77377
STAT Research
Vandalia, Ohio, 45377
Meridian Clinical Research, LLC
Vestal, New York, 13850
Velocity Clinical Research, Salt Lake City
West Jordan, Utah, 84088
Conquest Research, LLC
Winter Park, Florida, 32789
Georgia6 sites
LTD "Clinic LJ"
Kutaisi, 4600
Aleksandre Aladashvili Clinic LLC
Tbilisi, 0102
LTD Israel-Georgian Medical Research Clinic Helsicore
Tbilisi, 0112
JSC "Vian"
Tbilisi, 0159
LTD MediClub Georgia
Tbilisi, 0160
LTD Multiprofile Clinic Consilium Medulla
Tbilisi, 0186
Philippines6 sites
Angeles University Foundation Medical Center
Angeles, 2009
Davao Doctors Hospital
Davao City, 8000
Lipa Medix Medical Center
Lipa, 4217
Makati Medical Center
Makati, 1229
Manila Doctors Hospital
Manila, 1000
ManilaMed - Medical Center
Manila, 1000
Thailand4 sites
Phramongkutklao Hospital
Bangkok, 10400
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Siriraj Hospital
Bangkoknoi, 10700
Thammasat University Hospital
Khlong Luang, 12120
About this study
Official title: A Randomized, Multi-regional, Double-blind, Parallel-group, Placebo-controlled Phase 3 Study to Assess the Safety and Efficacy of 6 Months Treatment With Tigulixostat in Gout Patients With Hyperuricemia
The aim of this 6-month randomized multi-regional double-blind parallel group placebo-controlled phase 3 study is to assess the efficacy and safety of three different doses of Tigulixostat in gout patients with hyperuricemia.
- Conditions
- Gout, Hyperuricemia, Gout Flare, Tophi
- Being tested
- Tigulixostat, Placebo
- Keywords
- Gout, Hyperuricemia, Xanthine Oxidase Inhibitor
- Medical subject headings
- Gout, Hyperuricemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TigulixostatDrug
Also called LC350189
Xanthine Oxidase Inhibitor
PlaceboDrug
Matching placebo
| Study group | Role | What they receive |
|---|---|---|
| Tigulixostat 100mg | Experimental | Tigulixostat 100mg, Once a day (QD) for up to 6 months Receives: Drug: Tigulixostat |
| Tigulixostat 200mg | Experimental | Tigulixostat 200mg, Once a day (QD) for up to 6 months Receives: Drug: Tigulixostat |
| Tigulixostat 300mg | Experimental | Tigulixostat 300mg (100mg + 200mg), Once a day (QD) for up to 6 months Receives: Drug: Tigulixostat |
| Placebo | Placebo comparator | Placebo, Once a day (QD) for up to 6 months Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
The proportion of subjects with sUA levels <6.0 mg/dL sustained at months 4, 5, and 6
Serum uric acid (sUA) level will be measured at Month 4,5, and 6
Measured: Up to Month 6
Secondary outcomes (3)
The proportion of subjects with sUA levels <5.0 mg/dL sustained at months 4, 5, and 6
Serum uric acid (sUA) level will be measured at Month 4,5, and 6
Measured: Up to Month 6
The proportion of subjects reporting a gout flare up to each visit.
Gout flare (intense pain, swelling, or/and tenderness in the joint area) will be assessed from baseline up to 6 months
Measured: Up to Month 6
Incidence rate of adverse event
Safety assessment
Measured: Up to Month 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Oct 2022
- Study start25 Oct 2022
- Primary completion4 Nov 2024
- Study completion16 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for GoutStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 354 participants (actual)
Sponsor and investigators
- Lead sponsor
- LG Chem
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Hyungjin Cho, MD, Study director, LG Chem
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05586958
- Sponsor's protocol ID
- LG-GDCL009
- Acronym
- EURELIA1
- Status last verified
- Oct 2025
- First submitted
- 16 Oct 2022
- Last updated
- 29 Oct 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Saag KG, Dalbeth N, Hsu CY, Kuo CF, Nuki G, Perez-Ruiz F, White WB, Hariri A, Lee Y, Jang Y, Han S, Choi HK. Evaluation of the efficacy and safety of a novel xanthine oxidase inhibitor, tigulixostat, in gout patients with hyperuricemia: Design of the EURELIA 1 and EURELIA 2 studies. Contemp Clin Trials. 2025 Apr;151:107843. doi: 10.1016/j.cct.2025.107843. Epub 2025 Feb 8.
PubMed 39929260
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multi-regional, Double-blind, Parallel-group, Placebo-controlled Phase 3 Study to Assess the Safety and Efficacy of 6 Months Treatment With Tigulixostat in Gout Patients With Hyperuricemia
- ClinicalTrials.gov ID
- NCT05586958
- Acronym / sponsor ID
- EURELIA1 / LG-GDCL009
- Conditions
- Gout, Hyperuricemia, Gout Flare, Tophi
- Keywords
- Gout, Hyperuricemia, Xanthine Oxidase Inhibitor
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 354 participants (actual)
- Lead sponsor
- LG ChemIndustry (pharma, biotech, devices)
- Study start
- 25 Oct 2022 (actual)
- Primary completion
- 4 Nov 2024 (actual)
- Study completion
- 16 Dec 2024 (actual)
- First posted
- 19 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this 6-month randomized multi-regional double-blind parallel group placebo-controlled phase 3 study is to assess the efficacy and safety of three different doses of Tigulixostat in gout patients with hyperuricemia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Tigulixostat 100mg | Experimental | Drug: TigulixostatTigulixostat 100mg, Once a day (QD) for up to 6 months |
| Tigulixostat 200mg | Experimental | Drug: TigulixostatTigulixostat 200mg, Once a day (QD) for up to 6 months |
| Tigulixostat 300mg | Experimental | Drug: TigulixostatTigulixostat 300mg (100mg + 200mg), Once a day (QD) for up to 6 months |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo, Once a day (QD) for up to 6 months |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Male or female subjects between the ages of 18 85 years, inclusive.
- Subjects with hyperuricemia and a history or presence of gout per American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2015 criteria.
- Subjects who are currently on urate-lowering therapies (ULT) with an sUA level ≥6.0 mg/dL at screening (Visit 1); or subjects who are currently not on ULT with an sUA level ≥7.0 mg/dL at screening (Visit 1). Subjects currently on ULT will undergo washout and must have an sUA level ≥7.0 mg/dL at Visit 3 to be randomized and participate in the study.
- Subjects with a Body Mass Index ≤50 kg/m2 and estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73 m2 at screening (Visit 1).
Key exclusion criteria (5 listed)
- Subjects with secondary hyperuricemia, enzymatic defects.
- Subjects experiencing an acute gout attack (intense pain, swelling, or/and tenderness in the joint area) within 2 weeks prior to screening (Visit 1).
- Subjects who have received pegloticase to treat gout which has not responded to the usual treatments.
- Subjects who have not been receiving stable doses of drugs known to affect sUA levels for the last 3 weeks prior to screening (Visit 1).
- Subjects with a history of xanthinuria (elevated levels of xanthine in the urine) and rheumatoid arthritis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TigulixostatAlso: LC350189Xanthine Oxidase Inhibitor | Drug | Tigulixostat 100mg, Tigulixostat 200mg, Tigulixostat 300mg |
| PlaceboMatching placebo | Drug | Placebo |
Primary outcome
The proportion of subjects with sUA levels <6.0 mg/dL sustained at months 4, 5, and 6
Time frame: Up to Month 6
Serum uric acid (sUA) level will be measured at Month 4,5, and 6
3 secondary outcomes
The proportion of subjects with sUA levels <5.0 mg/dL sustained at months 4, 5, and 6
Time frame: Up to Month 6
The proportion of subjects reporting a gout flare up to each visit.
Time frame: Up to Month 6
Incidence rate of adverse event
Time frame: Up to Month 6
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2025.
- Derived from this study: PubMed 39929260Saag KG, Dalbeth N, Hsu CY, Kuo CF, Nuki G, Perez-Ruiz F, White WB, Hariri A, Lee Y, Jang Y, Han S, Choi HK. Evaluation of the efficacy and safety of a novel xanthine oxidase inhibitor, tigulixostat, in gout patients with hyperuricemia: Design of the EURELIA 1 and EURELIA 2 studies. Contemp Clin Trials. 2025 Apr;151:107843. doi: 10.1016/j.cct.2025.107843. Epub 2025 Feb 8.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hyungjin Cho, MD study director
LG Chem
52 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tigulixostat in people with Gout and Hyperuricemia, run by LG Chem at 52 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 52 sites in United States, Georgia, Philippines, Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The proportion of subjects with sUA levels <6.0 mg/dL sustained at months 4, 5, and 6 (time frame: Up to Month 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05586958, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2025.