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CompletedNCT03346369LaCaUpdated Aug 10, 2026

Lanthanum Carbonate (Fosrenol®) to Reduce Oxalate Excretion in Patients With Secondary Hyperoxaluria and Nephrolithiasis

A Phase 3 interventional study of Lanthanum Carbonate in Secondary Hyperoxaluria and Nephrolithiasis, sponsored by Universitair Ziekenhuis Brussel. Completed at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Universitair Ziekenhuis Brussel · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study investigates the efficacy and the safety of Lanthanum Carbonate for the reduction of urinary oxalate excretion in patients with secondary hyperoxaluria and nephrolithiasis.

Read the detailed description

Nephrolithiasis/urolithiasis is a prevalent (overall lifetime risk up to 13% in Western countries) and highly recurrent disease. Secondary hyperoxaluria is a key risk factor for the development of calcium oxalate stones, the most frequent stone type. Currently used therapeutic options in secondary hyperoxaluria have limited efficacy. Recent findings in vitro and in a rat model, provided evidence that Lanthanum Carbonate is an effective oxalate binder. The objective of this study is to investigate whether treatment with Lanthanum Carbonate reduces urinary oxalate excretion in human subjects with secondary hyperoxaluria and nephrolithiasis. By treating the patients with two different doses of Lanthanum Carbonate during two 14-day treatment periods, a dose-response will be evaluated.

02

Conditions studied

  • Secondary Hyperoxaluria
  • Nephrolithiasis

Keywords

  • Nephrolithiasis
  • Urolithiasis
  • Secondary Hyperoxaluria
  • Hyperoxaluria
  • Lanthanum Carbonate
  • Phosphate Binder
03

In context

Nephrolithiasis

324 studies on the registry are indexed under Nephrolithiasis; 90 are open to participants now.

This study's enrollment of 54 is below the median of 92 across 257 interventional studies indexed under Nephrolithiasis.

Browse Nephrolithiasis studies →

Lead sponsor

Universitair Ziekenhuis Brussel is the lead sponsor of 375 studies on the registry; 107 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • able to give written informed consenct
  • hyperoxaluria (defined as urinary oxalate > 45 mg/24 hours), demonstrated on 24-hour urine collection within 18 months prior to baseline visit
  • history of nephrolithiasis > 60 mL/min/1.73m² (CKD-EPI formula)

Exclusion criteria

Exclusion Criteria:

  • primary hyperoxaluria, diagnosed by genetic testing
  • known allergy to Lanthanum Carbonate
  • hypophosphatemia (defined as serum phosphorus \< 0.81 mmol/L)
  • severe known liver insufficiency of biliary obstruction
  • rectocolitis ulcerohaemorraghica, Crohn's disease, bowel obstruction, stomach/duodenal ulceration
  • glucose/galactose malabsorption
  • severe diarrhea or other gastrointestinal disorder, which might interfere with the ability to absorb oral medication
  • pregnancy or breast-feeding
  • female participant of unwilling to take efficient measures for the duration of the study
  • female participant without negative serum or urine pregnancy test
  • psychological illness or condition, interfering with the patient's compliance or ability to understand the requirements of the study
  • currently participating in another clinical trial
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Experimental single arm

    Treatment with Lanthanum Carbonate 3 x 250 mg/day with meals during a first 14-day treatment period. Subsequently, treatment with Lanthanum Carbonate 3 x 500 mg/day with meals during a second 14-day treatment period.

    Drug: Lanthanum Carbonate

Interventions

  • Treatment with Lanthanum Carbonate 3 x 250 mg/day with meals during a first 14-day treatment period. Subsequently, treatment with Lanthanum Carbonate 3 x 500 mg/day with meals during a second 14-day treatment period

06

What researchers measure

Primary outcomes

  1. The mean reduction in urinary oxalate excretion in patients treated with a daily Lanthanum Carbonate dose of 750 mg

    Mean reduction in urinary oxalate excretion after the first 14-day treatment period during which patients will be treated with 250 mg Lanthanum Carbonate 3x/day with meals, expressed in mg oxalate/g creatinine.

    Time frame: After the first 14-day treatment period

Secondary outcomes

  1. The incremental reduction in mean urinary oxalate excretion after doubling the dose of Lanthanum Carbonate from 750 mg tot 1500 mg daily

    Incremental reduction of mean urinary oxalate excretion after the second 14-day treatment period during which the patients will be treated with 500 mg Lanthanum Carbonate 3x/day with meals, expressed in mg oxalate/g creatinine

    Time frame: After the second 14-day treatment period

  2. The proportion of patients developing severe hypophosphatemia

    Severe hypophosphatemia is defined as serum phosphorus \< 0.64 mmol/L

    Time frame: After the first and second 14-day treatment period

  3. The evolution of phosphaturia, evaluated by 24-hour urinary phosphorus excretion

    24-hour urinary phosphorus excretion will be expressed in mmol/24 hours

    Time frame: After the first and second 14-day treatment period

  4. The evolution of phosphaturia, evaluated by urinary phosphorus to creatinine ratio

    Urinary phosphorus to creatinine ratio will be expressed in mmol phosphorus/g creatinine

    Time frame: After the first and second 14-day treatment period

  5. The evolution of phosphaturia, evaluated by fractional excretion of phosphorus

    Fractional excretion of phosphorus will be expressed in %, defined as (urinary phosphorus (mmol/L) x serum creatinine (mg/dL) / (serum phosphorus (mmol/L) x urine creatinine (mg/dL))

    Time frame: After the first and second 14-day treatment period

  6. The proportion of patients developing hypophosphaturia

    Hypophosphaturia is defined as urinary phosphorus \< 12.9 mmol/24 hours

    Time frame: After the first and second 14-day treatment period

  7. The evolution of calciuria, evaluated by 24-hour urinary calcium excretion

    24-hour urinary calcium excretion will be expressed in mmol/24 hours

    Time frame: After the first and second 14-day treatment period

  8. The evolution of calciuria, evaluated by urinary calcium to creatinine ratio

    Urinary calcium to creatinine ratio will be expressed in mmol calcium/g creatinine

    Time frame: After the first and second 14-day treatment period

  9. The evolution of calciuria, evaluated by fractional excretion of calcium

    Fractional excretion of calcium will be expressed in %, defined as (urinary calcium (mmol/L) x serum creatinine (mg/dL)) / (serum calcium (mmol/L) x urine creatinine (mg/dL))

    Time frame: After the first and second 14-day treatment period

  10. The evolution of serum Lanthanum levels

    Serum Lanthanum levels will be expressed in mcg/L

    Time frame: After the first and second 14-day treatment period

  11. Adverse events

    The number and the proportion of patients experiencing adverse events

    Time frame: After the first and second 14-day treatment period

07

Study locations

1 site
  • University Hospital Brussels
    Brussels, 1090, Belgium
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2017 to primary completion in Aug 2024, 83 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 28, 2017
First posted
Nov 17, 2017
StartActual
Aug 18, 2017
Primary completionActual
Aug 10, 2024
CompletionActual
Oct 10, 2024
Last update
Aug 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03346369
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
Aug 18, 2017
Primary completion
Aug 10, 2024
Completion
Oct 10, 2024
Last update
Aug 10, 2026

Study contacts

Christian Tielemans, MD, PhD
principal investigator · Department of Nephrology, University Hospital Brussels

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Lanthanum carbonate

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