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Primary Hyperoxaluria Type 1 (PH1)Phase 1/2NCT02706886

Study of Lumasiran in Healthy Adults and Patients With Primary Hyperoxaluria Type 1

A Phase 1/2 study testing Lumasiran in people with Primary Hyperoxaluria Type 1 (PH1), run by Alnylam Pharmaceuticals at 9 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single-ascending doses (SAD) and multiple-ascending doses (MAD) of lumasiran in healthy adult volunteers and subjects with primary hyperoxaluria type 1 (PH1). Read more about this study

Who is it for?
Ages 6 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Primary Hyperoxaluria Type 1 (PH1)
What is being tested?
Lumasiran
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
52 participants
Where
9 sitesin 5 countries
Study dates
8 Mar 2016to 23 Jan 2019
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Women of child bearing potential must have a negative pregnancy test, cannot be breastfeeding, and must be willing to use contraception.
  • Willing to provide written informed consent and to comply with study requirements.
  • Additional Inclusion Criteria for Part B:
  • Confirmation of PH1 disease
  • Meet 24 hour urine oxalate excretion requirements
  • Estimated glomerular filtration rate (GFR) of >45 mL/min/1.73m^2
  • If taking Vitamin B6 (pyridoxine), must have been on stable regimen for at least 90 days

Who cannot join

  • Clinically significant health concerns (with the exception of PH1 for patients in Part B)
  • Clinically significant electrocardiogram (ECG) abnormalities
  • Abnormal for aspartate aminotransferase (AST)/alanine aminotransferase (ALT) and any other clinical safety laboratory result considered clinically significant
  • Received an investigational agent within 3 months before the first dose of study drug or are in follow-up of another clinical study
  • Known history of allergic reaction to an oligonucleotide or N-acetylgalactosamine (GalNAc)
  • History of intolerance to subcutaneous injection

Trial locations and contacts

9 sites in 5 countries.

9 sites in 5 countries

France3 sites
  • Clinical Trial Site

    Bordeaux

  • Clinical Trial Site

    Lyon

  • Clinical Trial Site

    Paris

Other trials in France

Israel2 sites
  • Clinical Trial Site

    Haifa

  • Clinical Trial Site

    Jerusalem

Other trials in Israel

United Kingdom2 sites
  • Clinical Trial Site

    Birmingham

  • Clinical Trial Site

    London

Other trials in United Kingdom

Germany1 site
  • Clinical Trial Site

    Bonn

Other trials in Germany

Netherlands1 site
  • Clinical Trial Site

    Amsterdam

Other trials in Netherlands

About this study

Official title: A Phase 1/2, Single-Blind, Placebo-Controlled, Single and Multiple Ascending Dose Safety, Tolerability, Pharmacokinetic and Pharmacodynamics Study of Subcutaneously Administered ALN-GO1 in Healthy Adult Subjects, and Patients With Primary Hyperoxaluria Type 1

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single-ascending doses (SAD) and multiple-ascending doses (MAD) of lumasiran in healthy adult volunteers and subjects with primary hyperoxaluria type 1 (PH1). In Part A, single ascending dose (SAD) part, healthy adults were dosed with lumasiran or placebo once. In Part B, multiple ascending doses (MAD) part, patients with primary hyperoxaluria type 1 (PH1) were dosed with lumasiran or placebo. All patients that initially received placebo received lumasiran after completing placebo dosing.

Being tested
Lumasiran, Placebo
Keywords
PH1, Primary Hyperoxaluria, RNAi therapeutic, siRNA, AGT
Medical subject headings
Primary hyperoxaluria type 1, Hyperoxaluria, Primary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LumasiranDrug

    Also called ALN-GO1

    Lumasiran will be administered SC once in Part A. In Part B lumasiran will be administered SC qM (Days 1, 29 and 57) or q3M (Days 1 and 85).

  • PlaceboDrug

    Matching placebo (sterile saline: 0.9% sodium chloride [NaCl]) will be administered SC once in Part A. In Part B matching placebo will be administered SC qM (Days 1, 29 and 57) or q3M (Days 1 and 85).

Study groups in NCT02706886
Study groupRoleWhat they receive
Part A: SAD: PlaceboPlacebo comparatorA single dose of matching placebo will be administered subcutaneously (SC).
Receives: Drug: Placebo
Part A: SAD: Lumasiran 0.3 mg/kgExperimentalA single dose of 0.3 mg/kg lumasiran will be administered SC.
Receives: Drug: Lumasiran
Part A: SAD: Lumasiran 1.0 mg/kgExperimentalA single dose of 1.0 mg/kg lumasiran will be administered SC.
Receives: Drug: Lumasiran
Part A: SAD: Lumasiran 3.0 mg/kgExperimentalA single dose of 3.0 mg/kg lumasiran will be administered SC.
Receives: Drug: Lumasiran
Part A: SAD: Lumasiran 6.0 mg/kgExperimentalA single dose of 6.0 mg/kg lumasiran will be administered SC.
Receives: Drug: Lumasiran
Part B: MAD: PlaceboPlacebo comparatorParticipants with primary hyperoxaluria type 1 (PH1) will be treated with placebo matching one of the lumasiran dosages in the lumasiran arms (one placebo participant for each lumasiran arm). At Day 85 these placebo treated participants will cross over to their respective Part B lumasiran arms in the Part B: MAD Study Day 85-End of Study Period and will then be treated with lumasiran. The estimated total time on study was up to 546 days.
Receives: Drug: Placebo
Part B: MAD: Lumasiran 1.0 mg/kg qMExperimentalParticipants with PH1 will be treated with 1.0 mg/kg lumasiran SC once monthly (qM) on Days 1, 29 and 57. The estimated total time on study is up to 546 days. One participant from the Part B: MAD: Placebo arm will cross over to this lumasiran arm at Day 85. For this participant treatment with lumasiran starts at Day 85.
Receives: Drug: Lumasiran
Part B: MAD: Lumasiran 3.0 mg/kg qMExperimentalParticipants with PH1 will be treated with 3.0 mg/kg lumasiran SC qM on Days 1, 29 and 57. The estimated total time on study is up to 546 days. One participant from the Part B: MAD: Placebo arm will cross over to this lumasiran arm at Day 85. For this participant treatment with lumasiran starts at Day 85.
Receives: Drug: Lumasiran
Part B: MAD: Lumasiran 3.0 mg/kg q3MExperimentalParticipants with PH1 will be treated with 3.0 mg/kg lumasiran SC once every three months (q3M) on Days 1 and 85. The estimated total time on study is up to 546 days. One participant from the Part B: MAD: Placebo arm will cross over to this lumasiran arm at Day 85. For this participant treatment with lumasiran starts at Day 85.
Receives: Drug: Lumasiran

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

    Measured: Part A (SAD): Up to 405 days; Part B (MAD): Up to 546 days

Secondary outcomes (16)
  1. Maximum Concentration (Cmax) of Lumasiran in Plasma

    Samples for Part A were collected only on Day 1; Part B on Days 1 and 57 for qM and on Days 1 and 85 for q3M arm groups.

    Measured: Part A (SAD): Day 1: predose, 30 minutes (min), 1 hour (h), 2 h, 4 h, 6 h, 8 h and 24 h; Part B (MAD): Days 1 and 57 for qM dosing and Days 1 and 85 for q3M dosing: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h and 48 h

  2. Time to Cmax (Tmax) of Lumasiran in Plasma

    Samples for Part A were collected only on Day 1; Part B on Days 1 and 57 for qM and on Days 1 and 85 for q3M arm groups.

    Measured: Part A (SAD): Day 1: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h and 24 h; Part B (MAD): Days 1 and 57 for qM dosing and Days 1 and 85 for q3M dosing: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h and 48 h

  3. Area Under the Concentration-Time Curve From Time 0 to Time of Last Measurable Concentration (AUC0-last) of Lumasiran in Plasma

    Samples for Part A were collected only on Day 1; Part B on Days 1 and 57 for qM and on Days 1 and 85 for q3M arm groups.

    Measured: Part A (SAD): Day 1: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h and 24 h; Part B (MAD): Days 1 and 57 for qM dosing and Days 1 and 85 for q3M dosing: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h and 48 h

  4. Terminal Half-life (t1/2) of Lumasiran in Plasma

    Samples for Part A were collected only on Day 1; Part B on Days 1 and 57 for qM and on Days 1 and 85 for q3M arm groups.

    Measured: Part A (SAD): Day 1: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h and 24 h; Part B (MAD): Days 1 and 57 for qM dosing and Days 1 and 85 for q3M dosing: predose, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h and 48 h

  5. Fraction Excreted in Urine in 24 Hours (Fe0-24) of Lumasiran

    Samples for Part A were collected only on Day 1; Part B on Days 1 and 57 for qM and on Days 1 and 85 for q3M arm groups.

    Measured: Part A (SAD): Day 1: pooled urine 0-4 h, 4-8 h and 8-24 h; Part B (MAD): Part B (MAD phase): Days 1 and 57 for qM dosing and Days 1 and 85 for q3M dosing: pooled urine 0-4 h, 4-8 h, 8-12 h and 12-24 h

  6. Renal Clearance (CLR) of Lumasiran

    Samples for Part A were collected only on Day 1; Part B on Days 1 and 57 for qM and on Days 1 and 85 for q3M arm groups.

    Measured: Part A (SAD): Day 1: pooled urine 0-4 h, 4-8 h and 8-24 h; Part B (MAD): Part B (MAD phase): Days 1 and 57 for qM dosing and Days 1 and 85 for q3M dosing: pooled urine 0-4 h, 4-8 h, 8-12 h and 12-24 h

  7. Baseline Plasma Glycolate Concentration

    The pharmacodynamic (PD) outcome measure of plasma glycolate concentration could only be calculated for Part A. Due to an issue with the plasma glycolate assay at the testing laboratory the data for Part B could not be calculated.

    Measured: Part A (SAD): Baseline, Part B (MAD): Baseline

  8. Percentage Change From Baseline in Plasma Glycolate Concentration

    The PD outcome measure of plasma glycolate concentration could only be calculated for Part A. Due to an issue with the plasma glycolate assay at the testing laboratory the data for Part B could not be calculated.

    Measured: Part A (SAD): Days 15, 29, 57 and 85; Part B (MAD): Days 15, 29, 57, 85

  9. Baseline Spot Urine Glycolate:Creatinine Ratio in Part A

    The endpoint was only measured in Part A.

    Measured: Part A (SAD): Baseline

  10. Percentage Change From Baseline in Spot Urine Glycolate:Creatinine Ratio in Part A

    The endpoint was only measured in Part A.

    Measured: Part A (SAD): Days 29 and 57

  11. Baseline of 24 Hour Urine Oxalate Corrected for BSA in Part B

    The endpoint was only measured in Part B.

    Measured: Part B (MAD): Baseline

  12. Percentage Change From Baseline of 24 Hour Urine Oxalate Corrected for BSA in Part B

    The endpoint was only measured in Part B.

    Measured: Part B (MAD): 24 hour urine collections on Days 29, 57, 85, 113, 141, 169, 197

  13. Baseline 24 Hour Urine Glycolate:Creatinine Ratio in Part B - Initial 85 Days

    The endpoint was only measured during the initial 85 days in Part B.

    Measured: Part B (MAD): Baseline

  14. Percentage Change From Baseline of 24 Hour Urine Glycolate:Creatinine Ratio in Part B - Initial 85 Days

    The endpoint was only measured during the initial 85 days in Part B.

    Measured: Part B (MAD): 24 hour urine collections on Days 29, 57 and 85

  15. Baseline Creatinine Clearance Corrected for BSA in Part B

    Measured: Part B (MAD): Baseline

  16. Percentage Change From Baseline of Creatinine Clearance Corrected for BSA in Part B

    Measured: Part B (MAD): Days 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, 365, 393, 421, 449

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2016 (estimated)
  2. Study start8 Mar 2016
  3. Primary completion23 Jan 2019
  4. Study completion23 Jan 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02706886
Sponsor's protocol ID
ALN-GO1-001
Other IDs
2015-004407-23, 2015
Status last verified
Jan 2020
First submitted
3 Mar 2016
Last updated
30 Jan 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Badri P, Kolachana K, Duong A, Lasko M, Nandi T, Mehrotra N, Robbie GJ. Platform Assessment of Concentration-QTc Relationship Across GalNAc-siRNA Molecules. Clin Pharmacokinet. 2026 Feb;65(2):293-311. doi: 10.1007/s40262-025-01606-0. Epub 2025 Dec 12.

    PubMed 41388232
  • Frishberg Y, Deschenes G, Groothoff JW, Hulton SA, Magen D, Harambat J, Van't Hoff WG, Lorch U, Milliner DS, Lieske JC, Haslett P, Garg PP, Vaishnaw AK, Talamudupula S, Lu J, Habtemariam BA, Erbe DV, McGregor TL, Cochat P; study collaborators. Phase 1/2 Study of Lumasiran for Treatment of Primary Hyperoxaluria Type 1: A Placebo-Controlled Randomized Clinical Trial. Clin J Am Soc Nephrol. 2021 Jul;16(7):1025-1036. doi: 10.2215/CJN.14730920. Epub 2021 May 13.

    PubMed 33985991

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Lumasiran in people with Primary Hyperoxaluria Type 1 (PH1), run by Alnylam Pharmaceuticals at 9 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in France, Israel, United Kingdom, Germany, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Jan 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events (AEs) (time frame: Part A (SAD): Up to 405 days; Part B (MAD): Up to 546 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02706886, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jan 2020.

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