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Ruzinurad (SHR4640) is a potent and highly selective small molecule inhibitor of the urate transporter 1 (URAT1), developed by Jiangsu Hengrui Medicine for the treatment of hyperuricemia and primary gout. By selectively blocking URAT1 in the proximal tubules of the kidney, ruzinurad inhibits the reabsorption of uric acid, thereby increasing its renal excretion and reducing serum uric acid levels. It has been evaluated in Phase II clinical trials both as a monotherapy and in combination with the xanthine oxidase inhibitor febuxostat, particularly for patients whose uric acid levels are inadequately controlled by febuxostat alone.
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