Crystalys Therapeutics Emerges with $205M to Advance Gout Treatment

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Crystalys Therapeutics Emerges with $205M to Advance Gout Treatment

Crystalys Therapeutics, a San Diego-based biotech startup, has launched with a substantial $205 million Series A funding round to develop next-generation therapies for gout. The company's primary focus is on advancing dotinurad, an oral URAT1 blocker already approved in several Asian countries, through global Phase III clinical trials.

Dotinurad: A Promising Gout Treatment

Dotinurad, discovered by Japanese firm Fuji Yakuhin, works by lowering serum uric acid levels to prevent the formation of crystals in joints that cause the characteristic pain associated with gout. The drug has shown promising results in Asian markets, having gained approval in Japan in 2020 and in China in 2025. Phase III data demonstrated superior uric acid reduction compared to Takeda's Uloric.

James Mackay, Crystalys' cofounder and CEO, sees dotinurad as a potential improvement over existing treatments. "The second-line treatment space is empty," Mackay stated, highlighting the limitations of current options like allopurinol and Krystexxa. Mackay, who previously worked on the now-withdrawn gout medication Zurampic at AstraZeneca, believes dotinurad offers a more potent and safer alternative.

Funding and Market Potential

The $205 million Series A round was led by Novo Holdings, SR One, and Catalys Pacific, with participation from institutional investors including Alexandria Venture Investments, Lightstone VC, and AN Venture Partners. This substantial funding places Crystalys among the highest Series A raises in the biotech sector this year.

The gout treatment market presents significant opportunities, with an estimated 56 million people worldwide affected by the condition. Existing treatments have limitations, creating a need for more effective and safer options. Crystalys aims to fill this gap with dotinurad, which has shown promise in Asian markets and is now poised for global development.

Competitive Landscape and Future Outlook

Crystalys is not alone in pursuing new gout treatments. Arthrosi Therapeutics, another San Diego-based biotech, has a gout drug in Phase III testing. However, Mackay believes there is room for multiple new treatments given the large unmet medical need in this space.

The company's next steps include launching global Phase III clinical trials for dotinurad. With its substantial funding and the drug's established clinical and regulatory profile in Asian markets, Crystalys is well-positioned to advance its gout treatment program and potentially bring a new option to patients worldwide.

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