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临床试验/NCT04152200
NCT04152200已完成3 期

ILLUMINATE-C: A Single Arm Study to Evaluate Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Lumasiran in Patients With Advanced Primary Hyperoxaluria Type 1 (PH1)

Alnylam Pharmaceuticals1 个研究点 分布在 1 个国家目标入组 21 人开始时间: 2020年1月21日最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
21
试验地点
1
主要终点
Cohort A: Percent Change in Plasma Oxalate From Baseline to Month 6

研究概览

简要总结

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics (PK), and pharmacodynamics (PD) of lumasiran in patients with Advanced Primary Hyperoxaluria Type 1 (PH1).

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Has documented diagnosis of primary hyperoxaluria type 1 (PH1)
  • Estimated glomerular filtration rate (eGFR) ≤45 mL/min/1.73 m^2 for patients ≥12 months of age (<12 months of age, must have serum creatinine considered elevated for age)
  • Meets plasma oxalate level requirements
  • If taking Vitamin B6 (pyridoxine), must have been on stable regimen for at least 90 days
  • If on dialysis, may be on hemodialysis therapy only and must have been on a stable regimen for at least 4 weeks

排除标准

  • Hemodialysis/peritoneal dialysis combination therapy or peritoneal dialysis alone
  • Diagnosis of conditions other than PH1 contributing to renal insufficiency
  • History of liver transplant
  • History of kidney transplant and currently receiving immunosuppressants

研究组 & 干预措施

Lumasiran

Experimental

All patients will receive open-label lumasiran.

干预措施: Lumasiran (Drug)

结局指标

主要结局

Cohort A: Percent Change in Plasma Oxalate From Baseline to Month 6

时间窗: Baseline to Month 6

Percent change in plasma oxalate (umol/L) was estimated by an average percent change from baseline across Months 3 through 6. A negative change from Baseline indicates a favorable outcome. For Cohort A, the baseline was defined as the mean of all plasma oxalate level values collected prior to the first dose of lumasiran.

Cohort B: Percent Change in Pre-dialysis Plasma Oxalate From Baseline to Month 6

时间窗: Baseline to Month 6

Percent change in plasma oxalate (umol/L) was estimated by an average percent change from baseline across Months 3 through 6. A negative change from Baseline indicates a favorable outcome. For Cohort B, the baseline is defined as the mean of the last four pre-dialysis plasma oxalate samples collected prior to the first dose of lumasiran. In Cohort B, only pre-dialysis samples are utilized.

次要结局

  • Change in Quality of Life As Assessed by Pediatric Quality of Life Inventory (PedsQL) Total Score From Baseline to Month 6 in Patients >=2 to 18 Years of Age at Time of Informed Consent(Baseline to Month 6)
  • Cohort A: Percent Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6(Baseline to Month 6)
  • Apparent Clearance (CL/F) of Lumasiran(Day 1; Month 6)
  • Maximum Plasma Concentration (Cmax) of Lumasiran(Day 1; Month 6)
  • Percent Change in Plasma Oxalate Area Under the Curve From 0-24 Hours [AUC(0-24)] Between Dialysis Sessions From Baseline to Month 60(Baseline to Month 60)
  • Percent Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 60(Baseline to Month 60)
  • Absolute Change in Plasma Oxalate From Baseline to Month 6(Baseline to Month 6)
  • Cohort A: Absolute Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6(Baseline to Month 6)
  • Cohort A: Percent Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6(Baseline to Month 6)
  • Absolute Change in Plasma Oxalate From Baseline to Month 60(Baseline to Month 60)
  • Change in Quality of Life As Assessed by Pediatric Quality of Life Inventory (PedsQL) Total Score From Baseline to Month 60 in Patients >=2 to 18 Years of Age at Time of Informed Consent(Baseline to Month 60)
  • Cohort B: Percent Change in Plasma Oxalate Area Under the Curve From 0-24 Hours [AUC(0-24)] Between Dialysis Sessions From Baseline to Month 6(Baseline to Month 6)
  • Cohort A: Absolute Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6(Baseline to Month 6)
  • Change in Quality of Life As Assessed by Kidney Disease and Quality of Life (KDQOL) Scores From Baseline to Month 6 in Patients ≥18 Years of Age at Time of Informed Consent(Baseline to Month 6)
  • Time to Maximum Plasma Concentration (Tmax) of Lumasiran(Day 1; Month 6)
  • Elimination Half-life (t½β) of Lumasiran(Day 1; Month 6)
  • Area Under the Concentration-time Curve From 0 to 24 Hours [AUC(0-24)] for Lumasiran(Day 1; Month 6)
  • Apparent Volume of Distribution (V/F) of Lumasiran(Day 1; Month 6)
  • Percent Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 60(Baseline to Month 60)
  • Change in Frequency of Dialysis From Baseline to End of Study(Baseline to Month 60)
  • Absolute Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 60(Baseline to Month 60)
  • Change in Nephrocalcinosis From Baseline to End of Study(Baseline to Month 60)
  • Change in Mode of Dialysis From Baseline to End of Study(Baseline to Month 60)
  • Change in Frequency of Renal Stone Events From Baseline to End of Study(Baseline to Month 60)
  • Change in Measures of Systemic Oxalosis From Baseline to End of Study(Baseline to Month 60)
  • Absolute Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 60(Baseline to Month 60)
  • Change in Renal Function Assessed by Estimated Glomerular Filtration Rate (eGFR) From Baseline to End of Study(Baseline to Month 60)
  • Change in Quality of Life As Assessed by Kidney Disease and Quality of Life (KDQOL) Scores From Baseline to Month 60 in Patients ≥18 Years of Age at Time of Informed Consent(Baseline to Month 60)
  • Percent Change in Plasma Oxalate From Baseline to End of Study(Baseline to Month 60)

研究者

发起方
Alnylam Pharmaceuticals
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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