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This study evaluate the serum uric acid lowering effect of sodium bicarbonate as well as its safety in patients with asymptomatic hyperuricemia or gout. Half of the participants will receive sodium bicarbonate only, while the other half receive none.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: sodium bicarbonate | Experimental |
| |
| No Intervention | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sodium Bicarbonate | Drug | Sodium Bicarbonate was given 1g tid for one month |
|
| Measure | Description | Time Frame |
|---|---|---|
| Serum uric acid | Change from baseline serum levels of uric acid at 1 month | 1 month after randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Fraction excretion of uric acid | Change from baseline fraction excretion of uric acid at 1 month | 1 month after randomization |
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Inclusion Criteria:
Exclusion Criteria:
General situations
Taking part in another trail
Gout flares happening over the last one month;
Administration of medications over the last one month, including: allopurinol, Febuxostat,benzbromarone, and/or sodium bicarbonateï¼›
urine pH>7.0;
Hepatic function:ALT and/or AST and/or TB>1.5 upper limit of normal (ULN);
Renal function:eGFR<60 ml/min for MDRD and/or urine protein>0.5g/24h;
Hypertension:>140/90mmHg;
Type 2 diabetes or taking drugs for lowering glucose (not including prediabetes);
Urinary stone,urinary infection;
Taking drugs ove the last one month and during the trial, including:thiazide diuretic, Loop diuretics, pyrazinamide,ethambutol, tacrolimus, niacin, aspirin, estrogen, losartan, amlodipine, reserpine, vitamin C,fenofibrate,atorvastatin, sulfonylureas,biguanides,NSAIDs;
Disease which influence serum uric acid, such as cancer, lymphoma, and etc.
Severe disorders involving heart, liver, kidneys, brain, lungs,digestive tract, rheumatoid disease, blood, endocrine, infection, and etc;
Blood donation or excessive loss of blood over the last 3 month.
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| ID | Term |
|---|---|
| D006073 | Gout |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070657 | Crystal Arthropathies |
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| ID | Term |
|---|---|
| D017693 | Sodium Bicarbonate |
| ID | Term |
|---|---|
| D001639 | Bicarbonates |
| D002254 | Carbonates |
| D002255 | Carbonic Acid |
| D017554 | Carbon Compounds, Inorganic |
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| D012216 |
| Rheumatic Diseases |
| D011686 | Purine-Pyrimidine Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D007287 |
| Inorganic Chemicals |
| D017670 | Sodium Compounds |