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Orlistat and weight loss support for uric acid control in gout with obesity

Tests orlistat plus weight loss support in adults with gout and obesity.

Plain-language title generated from the registry record
Registry title: Orlistat and Weight Management for Uric Acid Control in Obese Gout: A RCT

Key facts

Where
Shenyang, ChinaSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 70 years old?

Source: NCT07326839, who can take part

Where in China

  • General Hospital of Northern Theater Command, PLAShenyang, ChinaNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
XueMei Guo
Trial code
NCT07326839
Record updated
8 January 2026
Original description
A total of 120 obese gout patients were included in a 24-week double-blind randomized controlled design. The intervention group received orlistat 120 mg tid + UTL + individualized diet-exercise-behavioral reinforcement weight loss program, while the control group received a placebo + UTL + standard recommendations. The primary endpoint was the rate of achieving serum uric acid levels <360 μmol/L at 24 weeks; secondary endpoints included the proportion of weight loss ≥5%, frequency of gout attacks, and inflammatory indicators such as CRP and IL-1β; the activity of AMPK in PBMCs and the expression of HIF1α and NLRP3 inflammasome-related proteins were also assessed.Read full original descriptionShow less

Optimization of Blood Uric Acid Control in Obese Gout Patients by Orlistat-Mediated Metabolic Remodeling and Intensive Weight Management: A Randomized Controlled Trial

A total of 120 obese gout patients were included in a 24-week double-blind randomized controlled design. The intervention group received orlistat 120 mg tid + UTL + individualized diet-exercise-behavioral reinforcement weight loss program, while the control group received a placebo + UTL + standard recommendations. The primary endpoint was the rate of achieving serum uric acid levels <360 μmol/L at 24 weeks; secondary endpoints included the proportion of weight loss ≥5%, frequency of gout attacks, and inflammatory indicators such as CRP and IL-1β; the activity of AMPK in PBMCs and the expression of HIF1α and NLRP3 inflammasome-related proteins were also assessed.

Inclusion: Meeting the 2015 ACR/EULAR classification criteria for gout; Age 18-70 years; BMI ≥28 kg/m²; Serum uric acid ≥480 μmol/L; Willing and able to comply with the study protocol.

Exclusion: Contraindications to orlistat or other gout medications; History of severe allergy or adverse reactions to study drugs; Malignancy; Severe hepatic or renal dysfunction; Pregnant or lactating women; Secondary gout; Poor compliance or inability to cooperate; Participation in other clinical trials within the last 3 months.

ClinicalTrials.gov NCT07326839