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Trial · NCT04152200

A Study to Evaluate Lumasiran in Patients With Advanced Primary Hyperoxaluria Type 1

NCT04152200, Phase 3, Completed, Alnylam Pharmaceuticals; results first posted 2022-07-12

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. A Study to Evaluate Lumasiran in Patients With Advanced Primary Hyperoxaluria Type 1. Trials, record NCT04152200. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04152200

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate Lumasiran in Patients With Advanced Primary Hyperoxaluria Type 1
NCT number
NCT04152200
Status
Completed
Phases
Phase 3
Enrollment
21 participants, actual
Lead sponsor
Alnylam Pharmaceuticals
Conditions
Primary Hyperoxaluria Type 1, Primary Hyperoxaluria
Interventions
Lumasiran
First posted
2019-11-05
Last updated
2025-07-18
Other registries' IDs
eudract:2019-001346-17
Results first posted
2022-07-12

Source ClinicalTrials.gov

Registered outcomes31

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryCohort A: Percent Change in Plasma Oxalate From Baseline to Month 6Baseline 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.
PrimaryCohort B: Percent Change in Pre-dialysis Plasma Oxalate From Baseline to Month 6Baseline 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.
SecondaryCohort B: Percent Change in Plasma Oxalate Area Under the Curve From 0-24 Hours [AUC(0-24)] Between Dialysis Sessions From Baseline to Month 6Baseline to Month 6
Percent change in plasma oxalate AUC(0-24) was estimated by an average percent change from baseline across Months 3 through 6. A negative change from Baseline indicates a favorable outcome. Baseline was defined as the mean value of all valid AUC (μmol/L/24h) profiles being computed prior to the first dose of lumasiran.
SecondaryAbsolute Change in Plasma Oxalate From Baseline to Month 6Baseline to Month 6
Absolute change in plasma oxalate was estimated by an average absolute 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; for Cohort B, the baseline was defined as the mean of the last 4 pre-dialysis plasma oxalate level values collected prior to the first dose of lumasiran. In Cohort B patients, the plasma oxalate baseline was similarly defined except that the values obtained from the plasma oxalate profile assessment visits only included the pre-dialysis sample collected per visit.
SecondaryCohort A: Absolute Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6Baseline to Month 6
Absolute change in 24-hour urinary oxalate excretion corrected for BSA was estimated by an average absolute change from baseline across Months 3 through 6. Only valid urine samples without any non-protocol-related issues were included in the analysis. A negative change from Baseline indicates a favorable outcome. Baseline is defined as the median of all valid 24-hr urine assessments collected prior to the first dose date/time of lumasiran without any non-protocol-related sample issues.
SecondaryCohort A: Percent Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6Baseline to Month 6
Percent change in 24-hour urinary oxalate excretion corrected for BSA was estimated by an average percent change from baseline across Months 3 through 6. Only valid urine samples without any non-protocol-related issues were included in the analysis. A negative change from Baseline indicates a favorable outcome. Baseline is defined as the mean of all assessments prior to the first dose date/time of lumasiran.
SecondaryCohort A: Absolute Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6Baseline to Month 6
Absolute change in spot urinary oxalate:creatinine ratio was estimated by an average absolute change from baseline across Months 3 through 6. A negative change from Baseline indicates a favorable outcome. Baseline was defined as the mean of all assessments prior to the first dose date/time of lumasiran.
SecondaryCohort A: Percent Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6Baseline to Month 6
Percent change in spot urinary oxalate:creatinine ratio was estimated by an average percent change from baseline across Months 3 through 6. A negative change from Baseline indicates a favorable outcome. Baseline was defined as the mean of all assessments prior to the first dose date/time of lumasiran.
SecondaryChange 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 ConsentBaseline to Month 6
Peds-QL is a modular approach to measuring quality of life (QOL) in healthy children and adolescents and those with acute and chronic health conditions. The PedsQL Generic Core Scales contain 23 items designed to measure core domains of health (physical, emotional, and social functioning) and role (school functioning). Scores are summarized as Total Scale Score, Physical Health Summary Score, and Psychosocial Health Summary Score. The Total Scale Score will be reported for this study. The PedsQL will be completed by patients (or caregivers, as appropriate) who are ≥2 to \<18 years of age at the time of consent. Total score range: 0 - 100, with higher scores indicating better health-related quality of life (HRQoL). Baseline is defined as last non-missing value collected prior to the first dose of lumasiran.
SecondaryChange 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 ConsentBaseline to Month 6
The KDQOL questionnaire is used to assess 3 core domains of kidney disease including: burden, symptoms/problems, and effects of kidney disease on daily life. The KDQOL subscales (Burden of Kidney Disease, Effect of Kidney Disease on Daily Life, and Symptoms and Problems of Kidney Disease), and the accompanying Short Form-12 (SF-12) Physical Component Summary and Mental Component Summary will be assessed for this study. These will be completed by patients who are ≥18 years of age at the time of consent. Score range (per domain): 0 - 100; higher scores indicate better HRQoL. Baseline is defined as last non-missing value collected prior to the first dose of lumasiran.

Outcomes31

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCohort A: Percent Change in Plasma Oxalate From Baseline to Month 6Baseline to Month 6
Full Analysis Set (FAS): All patients who received any amount of lumasiran and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6.
percent changeLEAST_SQUARES_MEAN
PRIMARYCohort B: Percent Change in Pre-dialysis Plasma Oxalate From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6.
percent changeLEAST_SQUARES_MEAN
SECONDARYCohort B: Percent Change in Plasma Oxalate Area Under the Curve From 0-24 Hours [AUC(0-24)] Between Dialysis Sessions From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6.
percent changeLEAST_SQUARES_MEAN
SECONDARYAbsolute Change in Plasma Oxalate From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6.
μmol/LLEAST_SQUARES_MEAN
SECONDARYCohort A: Absolute Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran (with data available for analysis) and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6. No analyses were performed for patients in Cohort B that were anuric (ie, patients able to continue to produce urine ≥100 mL per day).
mmol/24hr/1.73m^2LEAST_SQUARES_MEAN
SECONDARYCohort A: Percent Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran (with data available for analysis) and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6. No analyses were performed for patients in Cohort B that were anuric (ie, patients able to continue to produce urine ≥100 mL per day).
percent changeLEAST_SQUARES_MEAN
SECONDARYCohort A: Absolute Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6.
ratioLEAST_SQUARES_MEAN
SECONDARYCohort A: Percent Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6Baseline to Month 6
FAS: All patients who received any amount of lumasiran and had at least 1 evaluable plasma oxalate value (pre-dialysis in Cohort B) at baseline and at least 1 evaluable plasma oxalate value from assessment(s) at Month 3 through Month 6.
percent changeLEAST_SQUARES_MEAN
SECONDARYChange 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 ConsentBaseline to Month 6Participants from the FAS who were ≥2 to \<18 years of age at the time of consent with data available for analysis.score on a scaleMEAN
SECONDARYChange 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 ConsentBaseline to Month 6Participants from the FAS who were ≥18 years of age at the time of consent.score on a scaleMEAN

Results by group57

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Cohort A: Percent Change in Plasma Oxalate From Baseline to Month 6Cohort A: Lumasiran-33.33Standard Error 17.63percent change
Cohort B: Percent Change in Pre-dialysis Plasma Oxalate From Baseline to Month 6Cohort B: Lumasiran-42.43Standard Error 3.95percent change
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 6Cohort B: Lumasiran-41.4Standard Error 4.4percent change
Absolute Change in Plasma Oxalate From Baseline to Month 6Cohort A: Lumasiran-35.28Standard Error 7.40μmol/L
Absolute Change in Plasma Oxalate From Baseline to Month 6Cohort B: Lumasiran-48.33Standard Error 3.63μmol/L
Cohort A: Absolute Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6Cohort A: Lumasiran-0.533Standard Error 0.111mmol/24hr/1.73m^2
Cohort A: Percent Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6Cohort A: Lumasiran-10.557Standard Error 6.811percent change
Cohort A: Absolute Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6Cohort A: Lumasiran-0.1879Standard Error 0.0160ratio
Cohort A: Percent Change in Spot Urinary Oxalate:Creatinine Ratio From Baseline to Month 6Cohort A: Lumasiran-39.5136Standard Error 9.4294percent change
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 ConsentCohort A: Lumasiran-23.91Standard Deviation 9.22score on a scale

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Primary Analysis PeriodSTARTEDCohort A: Lumasiran6
Primary Analysis PeriodSTARTEDCohort B: Lumasiran15
Primary Analysis PeriodCOMPLETEDCohort A: Lumasiran6
Primary Analysis PeriodCOMPLETEDCohort B: Lumasiran15
Primary Analysis PeriodNOT COMPLETEDCohort A: Lumasiran0
Primary Analysis PeriodNOT COMPLETEDCohort B: Lumasiran0
Long-term Extension PeriodSTARTEDCohort A: Lumasiran6
Long-term Extension PeriodSTARTEDCohort B: Lumasiran15
Long-term Extension PeriodCOMPLETEDCohort A: Lumasiran0
Long-term Extension PeriodCOMPLETEDCohort B: Lumasiran0

Adverse events150

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood loss anaemiaBlood and lymphatic system disordersCohort A: Lumasiran06
otherBlood loss anaemiaBlood and lymphatic system disordersCohort B: Lumasiran115
otherHyperparathyroidism tertiaryEndocrine disordersCohort A: Lumasiran06
otherHyperparathyroidism tertiaryEndocrine disordersCohort B: Lumasiran115
otherAbdominal pain upperGastrointestinal disordersCohort A: Lumasiran06
otherAbdominal pain upperGastrointestinal disordersCohort B: Lumasiran115
otherConstipationGastrointestinal disordersCohort A: Lumasiran16
otherConstipationGastrointestinal disordersCohort B: Lumasiran115
otherDiarrhoeaGastrointestinal disordersCohort A: Lumasiran16
otherDiarrhoeaGastrointestinal disordersCohort B: Lumasiran315

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort A: Lumasiran06
Total, all-cause mortalityCohort B: Lumasiran015
Total, other adverse eventsCohort A: Lumasiran56
Total, other adverse eventsCohort B: Lumasiran1315
Total, serious adverse eventsCohort A: Lumasiran16
Total, serious adverse eventsCohort B: Lumasiran815

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35843439DERIVEDPubMed
38332115DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Cohort A: Lumasiran vs Cohort B: Lumasiran: deaths from any causeTrial comparisons
Cohort A: Lumasiran vs Cohort B: Lumasiran: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04152200

GET https://conductscience.org/api/trials/v1/NCT04152200/registered?page=2