Gout & crystal arthritis

Time Trends and Predictors of Gout Remission Over 6 Years

Arthritis Care Res (Hoboken)Published Post hoc analysis of the CARES randomised trial

Authors' conclusion

On ULT, fulfillment of remission increases over time and remission can be achieved in most patients.

Study context

Population
People with gout and CVD taking urate-lowering therapy (ULT), with at least 1 year of follow-up data
Comparison
Febuxostat vs allopurinol
Primary endpoint
Gout remission (simplified definition: no flares in past year, at least two serum urate <0.36 mmol/L in past year, no tophus)
Follow-up
6 years
Methodological detailslogistic regression
  • Logistic regression

Primary result

As reported in the abstract

Gout remission over time

Remission at year 1

37.4%

1,593/4,259

Remission at year 6

63.1%

322/510

Remission at least once over 6 years

59.4%

Further findings

Remission by treatment, first 2 years

More participants receiving febuxostat achieved remission, primarily because of more achieving the serum urate remission domain

Baseline predictors of remission (multivariable analysis)

Age, race, greater disease severity, comorbidities and febuxostat treatment significantly associated with remission

Original publication

Time Trends and Predictors of Gout Remission Over 6 Years. Arthritis Care Res (Hoboken). Published 28 August 2025. doi:10.1002/acr.25584

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