DCR-PHXC
DrugMultiple fixed doses of DCR-PHXC by subcutaneous (SC) injection
Other names: nedosiran
NCT Number: NCT03847909
The purpose of this study is to evaluate the efficacy and safety of DCR-PHXC in Children and Adults with Primary Hyperoxaluria Type 1 (PH1) and Primary Hyperoxaluria Type 2 (PH2)
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Notify Me6 year and older
All sexes
Interventional
Phase 2
Clinical Trial Site, Herston, Australia
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Key Inclusion Criteria:
Key Exclusion Criteria:
Multiple fixed doses of DCR-PHXC by subcutaneous (SC) injection
Other names: nedosiran
Sterile Normal Saline (0.9% NaCl) for subcutaneous (SC) injection, administered at same injection volume as DCR-PHXC, to serve as placebo
Time frame: From Day 90 to 180
The AUC of 24-hour urinary oxalate (Uox) from Day 90 to Day 180, based on percent change from baseline, was compared between the active treatment group and placebo group. A multiple imputation approach was used to handle missing Uox data and then calculate the AUC.
Time frame: From Day 90 to 180
Percentage of participants whose 24-hour Uox values normalized or near-normalized on at least 2 consecutive visits are presented. Normalization of Uox was defined as less than (<) 0.46 millimole per 24 hours (mmol/24 hours) and near normalization was defined as greater than or equal to (>=) 0.46 to < 0.60 mmol/24 hours (values adjusted per 1.73 square meter [1.73 m^2] body surface area [BSA] in participants aged <18 years).
Time frame: Baseline, Day 180
Percent change from baseline to Day 180 in the summed surface area measured in millimetre square (mm^2) of kidney stones is presented.
Time frame: Baseline, Day 180
Percent change from baseline to Day 180 in the number of kidney stones is presented.
Time frame: Baseline, Day 180
Percent change from baseline to Day 180 in plasma oxalate (for adults only) is presented.
Time frame: Baseline, Day 180
Monthly rate of eGFR change is presented. eGFR was calculated using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and creatinine-based equation.
Time frame: From Baseline up to Day 180
Number of TEAEs and TESAEs are presented. An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalisation, results in persistent disability/incapacity or is a congenital anomaly/birth defect. TEAE was defined as any AE with an onset date/time on or after administration (including any partial administration) of the first dose of study intervention and through the study completion date from the end of study case report form (CRF).
Time frame: Baseline, Day 180
Change from baseline in heart rate is presented.
Time frame: Baseline, Day 180
Change from baseline in PR interval, QRS duration, QT interval, QTcB interval, QTcF interval and RR interval is presented.
Time frame: Baseline up to Day 180
Number of participants who had most abnormal post-baseline shift in physical examination are presented. Physical examination shifts were categories into 4 categories: 1) missing; 2) normal; 3) abnormal-not clinically significant (NCS) and 4) abnormal-clinically significant (CS). Each category was presented according body systems including: 1) eyes, ears, nose and throat; 2) chest/respiratory; 3) heart/cardiovascular; 4) gastrointestinal/liver; 5) musculoskeletal/extremities; 6) dermatological/skin; 7) thyroid/neck; 8) lymph nodes; 9) neurological.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in height is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in weight is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in BMI is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in oral body temperature is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in heart rate is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in respiratory rate is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in systolic and diastolic blood pressure is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in alanine aminotransferase, aspartate aminotransferase, glutamate dehydrogenase, gamma glutamyl transferase, alkaline phosphatase, lactate dehydrogenase and creatine kinase are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in bilirubin, direct bilirubin and creatinine are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in protein and albumin are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in sodium, chloride, potassium and urea are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in vitamin B6 is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in erythrocytes is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in hemoglobin and erythrocytes mean corpuscular hemoglobin concentration are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in hematocrit is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in ery. mean corpuscular volume and mean platelet volume are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in erythrocytes mean corpuscular hemoglobin is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in reticulocytes, platelets, leukocytes, lymphocytes, monocytes, eosinophils, basophils, neutrophils are presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in lymphocytes/leukocytes is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in monocytes/leukocytes is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in eosinophils/leukocytes is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in basophils/leukocytes is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in neutrophils/leukocytes is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in urine specific gravity is presented.
Time frame: Baseline, Day 180
Change from baseline to Day 180 in urine pH is presented.
Time frame: For adults: Day 1 and 30: predose, 5, 15, and 30 minutes and 1, 2, 4, 6, 10, and 12 hours (hrs) postdose; Day 150: predose, 2, 6, and 12 hours postdose For adolescents: Days 1 and 30: predose, 30 minutes and 2 and 10 hours postdose
The Cmax was defined as the maximum observed plasma concentration during a dosing interval. Data for this endpoint is reported only for adults and adolescent participants from PK population.
Time frame: For adults: Day 1 and 30: predose, 5, 15, and 30 minutes and 1, 2, 4, 6, 10, and 12 hours postdose; Day 150: predose, 2, 6, and 12 hours postdose For adolescents: Days 1 and 30: predose, 30 minutes and 2 and 10 hours postdose
AUC0-last was defined as the area under the curve from time of administration to the last measurable concentration. Data for this endpoint is reported only for adults and adolescent participants from PK population.
Novo Nordisk A/S
Industry
A Phase 2 Placebo-Controlled, Double-Blind, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of DCR-PHXC Solution for Injection (Subcutaneous Use) in Patients With Primary Hyperoxaluria
Acronym: PHYOX2
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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