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Promising Combination Treatment for Gout

Michele B. Kaufman, PharmD, BCGP  |  Issue: December 2025  |  October 27, 2025

Adverse effects included mild to moderate stomatitis and infusion reactions, with some serious adverse reactions. Adverse reactions occurred in 3.4% of the low-dose NASP group and 9.2% of patients in the high-dose NASP group compared with no placebo-treated patients.

The FDA has set a Prescription Drug User Fee Act, or target action date of June 27, 2026. In the meantime, we wait and see if the combination therapy receives FDA approval.

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Michele B. Kaufman, PharmD, BCGP, is a freelance medical writer based in New York City and a pharmacist at New York Presbyterian Lower Manhattan Hospital.

References

  1. Ursani M. Patient blog: Understanding gout symptoms and treatment. American College of Rheumatology. 2023 Apr 27.
  2. FDA accepts biologics license application for Sobi’s NASP for patients with uncontrolled gout [news release]. Sobi. 2025 Sep 10.
  3. A study of SEL-212 in patients with gout refractory to conventional therapy (DISSOLVE I) [NCT04513366]. ClinicalTrials.gov. 2025 Sep 11.
  4. A study of SEL-212 in patients with gout refractory to conventional therapy II (DISSOLVE II) [NCT04596540]. 2024 Feb 20.
  5. Phase 3 DISSOLVE program of SEL-212 in chronic refractory gout meets primary endpoint [news release]. Sobi. 2023 Mar 21.

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Filed under:Biologics/DMARDsConditionsDrug UpdatesGout and Crystalline Arthritis Tagged with:FDAGoutnano-encapsulated sirolimus with pegylated-adricase (NASP)U.S. Food and Drug Administration (FDA)

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