Gout & crystal arthritis

Superiority of Low‐Dose Benzbromarone Add‐On to Low‐Dose Febuxostat Compared With Febuxostat Monotherapy in Gout With Combined‐Type Hyperuricemia

Arthritis Care Res (Hoboken)Published Randomised controlled trial

Primary result · SU target (<360 μmol/L) achievedResult — go to the resultOdds ratio 3.37 95% CI 1.90–5.98

Authors' conclusion

Simply adding on low-dose benzbromarone (25 mg/day) to low-dose (20 mg/day) febuxostat showed superior urate lowering compared to febuxostat monotherapy in gout with a combined-type hyperuricemia.

Study context

Population
Patients with gout and combined-type hyperuricemia (renal urate underexcretion and overload) and eGFR >60 mL/min/1.73 m²219 completed 12 weeks
Participants
250 patients
Comparison
Low-dose benzbromarone add-on to low-dose febuxostat vs febuxostat monotherapy
Primary endpoint
Proportion achieving serum urate (SU) <360 μmol/L
Follow-up
12 weeks
Methodological detailsprospective, 1:1 randomisation, comparative effectiveness
  • Prospective
  • 1:1 randomisation
  • Comparative effectiveness

Primary result

SU target (<360 μmol/L) achieved

Odds ratio

3.37

95% CI 1.90–5.98

By group

Febuxostat and benzbromarone combinationvs Febuxostat monotherapy
OR 3.37 (95% CI 1.90–5.98)

As reported in the abstract

Safety

Safety profiles

Comparable between the two groups

Original publication

Superiority of Low‐Dose Benzbromarone Add‐On to Low‐Dose Febuxostat Compared With Febuxostat Monotherapy in Gout With Combined‐Type Hyperuricemia. Arthritis Care Res (Hoboken). Published 20 February 2024. doi:10.1002/acr.25283

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