Gout
Conditions
Interventions
Treat to Target
Patients in this group will be treated in accordance with the guidelines issued
by the Dutch association for rheumatology (NVR) and the *European League
against rheumatism* (EULAR)
Sponsors
Viecuri Medisch Centrum voor Noord-Limburg
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: • Patients with a Clinical diagnosis of gout and/or fulfilling the 2015 ACR-EULAR criteria • Hyperuricemia • No current use of ULT
Exclusion criteria
Exclusion criteria: • A strong Contraindication for all allopurinol, benzbromarone AND febuxostat ULT • Kidney failuree defined as GFR < 30ml/minute • Insufficient mastery of Dutch language to fill out questionnaires
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is superiority of T2T vs T2S in terms of the difference in proportion of patients fulfilling an adapted version of the preliminary remission criteria for gout (no tophi, no flares, NRS pain due to gout | — |
Secondary
| Measure | Time frame |
|---|---|
| Incremental net monetary benefit of T2T over T2S at cost-effectiveness ceilings ranging from ¤0 to ¤120.000 per Quality Adjusted Life year (QALY) Proportion of patients achieving serum urate level at, or below, 0.3 mmol/l at 12 and 24 months Proportion of patients achieving serum urate level at, or below, 0.36 mmol/l at 12 and 24 months Proportion of patients developing clinically apparent tophi Number of gout flares according to the Gaffo criteria from baseline to last follow up Patient reported functional status by The Rapid-3 version of the Health Assessment Questionnaire-II from baseline over 24 months (3-monthly) Pain by Numerical Rating Scale from baseline over 24 months (3-monthly) Patient Global assessment of Disease Activity by Numerical rating scale from baseline over 24 months (3-monthly) | — |
Countries
Netherlands
Outcome results
None listed