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 Mackay, who previously worked on the now-withdrawn gout medication Zurampic at AstraZeneca, believes dotinurad offers a more potent and safer alternative.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.
References
- Novo-Backed Crystalys Debuts With $205M to Tackle Gout
Already approved in Japan, China and other Asian countries, Crystalys’ dotinurad works to lower serum uric acid levels.
- Crystalys debuts with $205M and plans for a better gout drug
The biotech is starting up with partial rights to a drug that’s approved in multiple Asian countries and its executives see as a superior version of the now-withdrawn gout medication Zurampic.
Explore Further
What are the key clinical data points for dotinurad from its Phase III trials in Asian markets?
How does dotinurad compare in safety and efficacy to existing gout treatments like allopurinol and Krystexxa?
What are the unique mechanisms or advantages of dotinurad as a URAT1 blocker compared to similar drugs in development?
What is the projected growth of the global gout treatment market, and how does Crystalys plan to position dotinurad within it?
What are the competitive advantages and development statuses of other gout treatments currently in Phase III testing, such as Arthrosi Therapeutics' pipeline candidate?