Gout & crystal arthritis

Analysis of Gout Remission Definitions in a Randomized Controlled Trial of Colchicine Prophylaxis for People With Gout Initiating Allopurinol

J RheumatolPublished Secondary analysis of a randomised controlled trial

Authors' conclusion

Using either definition, 6 months of colchicine prophylaxis when initiating ULT does not provide an advantage in the fulfillment of gout remission. People fulfilling either definition report fewer symptoms, less concern about their gout, and, when using the simplified definition, are less affected by gout.

Study context

Population
People with gout commencing allopurinol (urate-lowering therapy (ULT))
Participants
200 people
Comparison
Colchicine 0.5 mg daily prophylaxis for 6 months vs placebo in people with gout commencing allopurinol
Primary endpoint
Gout remission by the 2016 preliminary definition or simplified definition without patient-reported outcomes
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Gout remission, 2016 preliminary definition · first 6 months

Further findings

Gout remission, simplified definition · first 6 months

Gout remission, 2016 preliminary definition, after study drug discontinuation · second 6 months

P = 0.03

Gout remission, simplified definition, after study drug discontinuation · second 6 months

P = 0.02

Illness perceptions (gout-specific Brief Illness Perception Questionnaire) in people in remission

Participants in remission by either definition had more favorable perceptions about gout symptoms and illness concerns, and about consequences with the simplified definition

Original publication

Analysis of Gout Remission Definitions in a Randomized Controlled Trial of Colchicine Prophylaxis for People With Gout Initiating Allopurinol. J Rheumatol. Published 1 August 2024. doi:10.3899/jrheum.2024-0400

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.