RecruitingPhase 4NCT06674109

SAVE-Care (Sodium Glucose Cotransporter-2 Inhibitors [SGLT2i] As Novel Gout Care) Trial

SAVE-Care (SGLT2i As Novel Gout Care) Trial


Sponsor

Massachusetts General Hospital

Enrollment

60 participants

Start Date

May 28, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

SAVE-Care (Sodium Glucose Cotransporter-2 inhibitors \[SGLT2i\] As Novel Gout Care) Trial is a double-blind randomized placebo-controlled trial (RCT) designed to assess the effect of empagliflozin on serum urate \[SU\] levels of gout patients, as well as levels of highly-sensitivity C-reactive protein \[hsCRP\] and interleukin 6 \[IL-6\], and estimate gout flares over 3 months, in order to develop a full-scale RCT of clinical endpoints to directly inform gout care guidelines.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria7

  • In order to be eligible to participate in this study, an individual must meet all of the following criteria:
  • Provision of signed and dated informed consent form.
  • Fulfilling American College of Rheumatology \[ACR\]/European Alliance of Associations for Rheumatology \[EULAR\] gout criteria
  • 1+ gout flares in last 12 months
  • Serum urate level ≥ 6mg/dl
  • Males and females; Age 18-80
  • Willingness to adhere to the study intervention procedures.

Exclusion Criteria8

  • An individual who meets any of the following criteria will be excluded from participation in this study:
  • Estimated Glomerular Filtration Rate \[eGFR\] <20ml/min
  • Colchicine or nonsteroidal anti-inflammatory drug \[NSAID\] prophylaxis
  • active cardiovascular disease \[CVD\], type-1 diabetes
  • pregnant and lactating women
  • Presence of a condition(s) or diagnosis, either physical or psychological, or physical exam finding that precludes participation. \[History of ketoacidosis, end-stage or decompensated liver disease, active cancer\]
  • Use of anti-obesity drugs
  • Basal-bolus or multiple daily injection insulin regimens, or loop diuretics

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Interventions

DRUGEmpagliflozin 10 mg

For the empagliflozin arm, participants will take 10 mg daily.

DRUGPlacebo

Participants in the placebo arm will take a placebo daily.


Locations(1)

Massachusetts General Hospital

Boston, Massachusetts, United States

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NCT06674109