RecruitingPhase 4Drug trialTreat-to-Target Serum Urate Versus Treat-to-Avoid Symptoms in GoutThe TRUST study is a randomized, controlled multicenter study to evaluate the management of gout by comparing two commonly used treatment strategies for gout (TTT vs TTASx) to determine the most beneficial for a patient-centered gout outcomes, as well as relevant cardiovascular-metabolic-renal endpoints.