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SHR4640 + febuxostat is a fixed-drug combination therapy under investigation for the treatment of primary hyperuricemia and gout. SHR4640 (also known as ruzinurad) is a novel, highly selective and potent inhibitor of uric acid transporter 1 (URAT1), which reduces serum uric acid by inhibiting its reabsorption in the kidneys[1][3][7]. Febuxostat is a non-purine selective xanthine oxidase inhibitor that lowers serum uric acid by blocking its production[2][6][8]. The combination targets two different mechanisms in urate metabolism, providing synergistic reduction of serum uric acid levels. Clinical studies have shown that this combination has a tolerable safety profile and substantial efficacy in lowering serum urate concentrations in patients with primary hyperuricemia or gout who may not achieve target levels with monotherapy[3][5][7].
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