Evidence map›Paper›PMID 31477161›Full record

Trial reportArthritis research & therapy2019

Baseline urate level and renal function predict outcomes of urate-lowering therapy using low doses of febuxostat and benzbromarone: a prospective, randomized controlled study in a Chinese primary gout cohort.

Nan Liang, Mingshu Sun, Ruixia Sun, Ting Xu, Lingling Cui, Can Wang, Lidan Ma, Xiaoyu Cheng, Xiaomei Xue, Wenyan Sun and 7 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06622603 (A Prospective, Multicenter, Randomized Investigator Initiative Clinical Trial Study on the Effects of Febuxostat Dose Tapering in Gout Patients Optimally Controlled for 5 Years or More), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06622603 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Multicenter, Randomized Investigator Initiative Clinical Trial Study on the Effects of Febuxostat Dose Tapering in Gout Patients Optimally Controlled for 5 Years or More

TypeinterventionalSponsorSeoul National University HospitalRan2025 to 2027Enrolled59ConditionsGout, Uric AcidArmsFebuxostat
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  9. Clinical observations on arthroscopic removal of urate deposits in the knee: a seven-case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
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  11. Review
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  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Nan LiangThe Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China.
Mingshu SunDepartment of Rheumatology and Clinical Immunology, the Affiliated Hospital of Qingdao University, Qingdao, China.
Ruixia SunThe Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China.
Ting XuDepartment of Geratology, the 971th Hospital of PLA, Qingdao, China.
Lingling CuiShandong Provincial Key Laboratory of Metabolic Diseases and Qingdao Key Laboratory of Gout, the Affiliated Hospital of Qingdao University, Qingdao, China.
Can WangShandong Provincial Key Laboratory of Metabolic Diseases and Qingdao Key Laboratory of Gout, the Affiliated Hospital of Qingdao University, Qingdao, China.
Lidan MaThe Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaoyu ChengThe Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaomei XueThe Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China.
Wenyan SunInstitute of Metabolic Diseases, Qingdao University, Qingdao, China.
Xuan YuanInstitute of Metabolic Diseases, Qingdao University, Qingdao, China.
Hui ZhangInstitute of Metabolic Diseases, Qingdao University, Qingdao, China.
Hailong LiInstitute of Metabolic Diseases, Qingdao University, Qingdao, China.
Yuwei HeShandong Provincial Key Laboratory of Metabolic Diseases and Qingdao Key Laboratory of Gout, the Affiliated Hospital of Qingdao University, Qingdao, China.
Aichang JiShandong Provincial Key Laboratory of Metabolic Diseases and Qingdao Key Laboratory of Gout, the Affiliated Hospital of Qingdao University, Qingdao, China.
Xinjiang WuInstitute of Metabolic Diseases, Qingdao University, Qingdao, China. sydwu@foxmail.com.
Changgui LiThe Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China. changguili@vip.163.com.ORCID 0000-0002-4622-3731
Qingdao University · CN

Funding

National Key Research and Development Program of China 2016YFC0903400National Natural Science Foundation of China 31471195National Natural Science Foundation of China 81520108007National Natural Science Foundation of China 81602258National Natural Science Foundation of China (CN) 81770869Natural Science Foundation of Shandong Province ZR2018ZC1053Shandong Province Key Research and Development Program 2018CXGC1207the Basic Application Research Plan of Qingdao 15-9-1-98-jch
6 · The paper itself

Abstract

backgroundLow doses of febuxostat or benzbromarone are widely used in Asian countries, but lacking studies to compare the efficacy and safety of the two urate-lowering drugs.

methodsTo compare the efficacy and safety of low-dose febuxostat with low-dose benzbromarone in patients with primary gout, a randomized controlled, open-label trial was performed among male patients with primary gout for urate-lowering therapy (ULT) in a dedicated gout clinic in China. Randomization was carried out by a third-party institution according to random number table. Patients were randomly assigned 1:1 to febuxostat group (Feb group) (20 mg daily) or benzbromarone group (Ben group) (25 mg daily) and treated for 12 weeks. General information and biochemical data were collected at baseline and at every visit monthly. Clinical characteristics before and after the ULT were analyzed in the two groups by SPSS and EmpowerStats software.

resultsTwo hundred forty patients were enrolled and randomized in the two groups, with 214 patients completing 12 weeks' ULT (105 in the Feb group and 109 in the Ben group). After 12 weeks, substantial percentages of patients in both Feb and Ben group achieved the target serum uric acid (sUA) (< 360 μmol/L) and serum urate levels were reduced significantly for both groups (Feb 39.5% and 156.83 μmol/L vs. Ben 35.7% and 163.99 μmol/L). Multivariate analysis suggests baseline sUA level and renal function were associated with the outcome of the rate of achieving target sUA (RAT). Sub-group analysis suggests low doses of febuxostat and benzbromarone rendered better RAT for patients with sUA < 540 μmol/L and creatinine clearance rate (Ccr) ≤ 110 mL min

conclusionOverall, febuxostat 20 mg daily and benzbromarone 25 mg daily reduced sUA, and gout patients with sUA level < 540 μmol/L or Ccr ≤ 110 mL min

trial registrationRegistered with ChiCTR, No. ChiCTR1800019352 (retrospectively registered).

Indexed as

BenzbromaroneBiomarkersChinaDose-Response Relationship, DrugFebuxostatFollow-Up StudiesGlomerular Filtration RateGoutGout SuppressantsHumansKidneyMaleMiddle AgedProspective StudiesTreatment OutcomeUric AcidBenzbromaroneBiomarkersFebuxostatGout SuppressantsUric AcidUricosuric AgentsBenzbromaroneFebuxostatGoutUrate-lowering treatment

Identifiers

PMID31477161
PMCPMC6719374
OpenAlexW2971481635

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.