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临床试验/EUCTR2021-001519-10-ES
EUCTR2021-001519-10-ES进行中(未招募)1 期

A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, Pharmacodynamics, and Pharmacokinetics of Lumasiran in Patients with Recurrent Calcium Oxalate Kidney Stone Disease and Elevated Urinary Oxalate Levels

Alnylam Pharmaceuticals, Inc.0 个研究点目标入组 120 人开始时间: 2021年11月30日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
120

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Age 18 years or older (or age of legal consent, whichever is older).
  • Recurrent kidney stone disease, defined as =2 stone events within the 5 years prior to screening. For inclusion, a historical kidney stone event is defined as:
  • 1. the visible passage of a kidney stone
  • 2. a procedural intervention for removal of an asymptomatic or symptomatic stone
  • 3. a new (=1 mm) or enlarged (by =2 mm) kidney stone on CT imaging
  • The 2 most recently analyzed kidney stones prior to randomization contained 50% or more of calcium oxalate; if only one stone analysis is available, then it must have contained 50% or more of calcium oxalate.
  • 24-hour urinary oxalate levels from 2 valid 24-hour urine collections obtained during screening are >ULN.
  • Willing to adhere to dietary recommendations appropriate for stone formers including limiting vitamin C supplementation to <200 mg daily.
  • If taking medications and/or hydrating for kidney stone prophylaxis, or taking medications that alter urinary oxalate excretion and/or kidney stone formation, must have been on a stable regimen for at least 60 days before randomization, and willing to remain on this stable regimen for the duration of the study.
  • Body mass index (the weight in kilograms divided by the square of the height in meters) of 20 to <40 kg/m2.
  • Patient is able to understand and is willing and able to comply with the study requirements and to provide written informed consent.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 90
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 30

排除标准

  • Has any of the following laboratory parameter assessments at screening:
  • a. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 × ULN
  • b. Total bilirubin >1.5 × ULN. Patients with elevated total bilirubin that is secondary to documented Gilbert’s syndrome are eligible if the total bilirubin is <2 × ULN
  • c. International normalized ratio (INR) >2.0 (patients on oral anticoagulant [eg, warfarin] with an INR <3.5 will be allowed)
  • Has an eGFR of <30 mL/min/1.73m2 at screening (calculation will be based on the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] creatinine formula;
  • Received an investigational agent within the last 30 days or 5 half-lives, whichever is longer, prior to the first dose of study drug, or are in follow-up of another clinical study prior to study enrollment
  • Patients with a known history of secondary causes of elevated urinary oxalate and/or recurrent kidney stones including:
  • a. Primary hyperoxaluria
  • b. Severe eating disorders (anorexia or bulimia)
  • c. Chronic inflammatory bowel disease
  • d. Intestinal surgery with malabsorption or chronic diarrhea
  • e. Sarcoidosis
  • f. Primary hyperparathyroidism
  • g. Complete distal renal tubular acidosis
  • Has other medical conditions or comorbidities which, in the opinion of the Investigator, would interfere with study compliance or data interpretation.
  • History of multiple drug allergies or history of allergic reaction to an oligonucleotide or GalNAc.
  • History of intolerance to SC injection(s)
  • Is not willing to comply with the contraceptive requirements during the study period
  • Female patient is pregnant, planning a pregnancy, or breast-feeding
  • Unwilling or unable to limit alcohol consumption throughout the course of the study
  • History of alcohol abuse, within the last 12 months before screening, in the opinion of the Investigator.

研究者

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