ClinicalTrials.gg
TerminatedNCT03938272ePHex-OLEUpdated Dec 8, 2021Results posted

An Extension Study to Evaluate the Long-term Efficacy and Safety of Oxabact in Patients With Primary Hyperoxaluria

A Phase 3 interventional study of Oxabact OC5 - Oxalobacter formigenes Strain HC-1 in Hyperoxaluria, Primary, sponsored by OxThera. Terminated at 8 sites in 6 countries. Open to participants aged 3 Years and older. Per ClinicalTrials.gov, last updated 2021-12-08.

Sponsored by OxThera · Phase 3, Interventional, and Treatment

Why this study was terminated
Parent, pivotal study (OC5-DB-02) did not meet primary endpoint. No safety concerns for early termination.
Phase
Phase 3
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
3 Years and older
Sex
All
01

Study summary

Open label extension study of Oxabact OC5 in patients with primary hyperoxaluria

Read the detailed description

OC5-OL-02 (ePHex-OLE) is a 2 year, open-label, extension study to evaluate the long-term efficacy and safety of Oxabact OC5 for patients with primary hyperoxaluria who completed treatment in the parent double-blind, placebo-controlled study OC5-DB-02 (ePHex).

02

Conditions studied

  • Hyperoxaluria, Primary

Browse trials for

03

In context

Hyperoxaluria, Primary

42 studies on the registry are indexed under Hyperoxaluria, Primary; 11 are open to participants now.

This study's enrollment of 22 is close to the median of 24 across 26 interventional studies indexed under Hyperoxaluria, Primary.

Browse Hyperoxaluria, Primary studies →

Lead sponsor

OxThera is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
3 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

  1. Signed (as applicable for the age of the subject).
  2. Participation in and completion of study OC5-DB-02.
  3. Subjects who had received vitamin B6 during OC5-DB-02 study should maintain a stable dose. Subjects not receiving vitamin B6 during OC5-DB-02 must be willing to refrain from initiating pyridoxine during study participation.

Exclusion criteria

Exclusion Criteria:

  1. Inability to swallow size 4 capsules.
  2. Use of antibiotics to which O. formigenes is sensitive.
  3. Current treatment with a separate ascorbic acid preparation.
  4. Pregnant or lactating women (or women who are planning to become pregnant).
  5. Women of who are not using adequate precautions.
  6. Presence of a medical condition that the Investigator considers likely to make the subject susceptible to adverse effect of study treatment or unable to follow study procedures or any condition that is likely to interfere with the study drug mechanism of action (such as abnormal GI function).
  7. Participation in any interventional study of another product, biologic, device, or other agent or not willing to forego other forms of investigational treatment during this study.
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Oxabact OC5 capsules

    Oxabact OC5 - Oxalobacter formigenes Strain HC-1

    Biological: Oxabact OC5 - Oxalobacter formigenes Strain HC-1

Interventions

  • BiologicalOxabact OC5 - Oxalobacter formigenes Strain HC-1

    Live, commensal bacteria

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Kidney Function (eGFR) After 12 and 24 Months of Open-label Oxabact Treatment

    Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study.

    Time frame: 104 weeks

Secondary outcomes

  1. Change From Baseline in Plasma Oxalate Concentration

    Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study.

    Time frame: Up to 104 weeks

07

Results

Posted Dec 8, 2021

Participant flow

Participant flow — Overall Study
MilestoneOxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHex
Started1111
Completed01
Not completed1110
Withdrew: Withdrawal by subject10
Withdrew: Physician decision02
Withdrew: Study termination by sponsor108

Outcome measures

PrimaryChange From Baseline in Kidney Function (eGFR) After 12 and 24 Months of Open-label Oxabact Treatment

Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study.

Time frame:
104 weeks
Reported as:
Mean · mL/min/1.73 m2
Change From Baseline in Kidney Function (eGFR) After 12 and 24 Months of Open-label Oxabact Treatment
mL/min/1.73 m2Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHex
Baseline value74.193 ± 9.95258.617 ± 20.858
Month 2-1.568 ± 3.129-1.218 ± 5.255
Month 4-3.246 ± 8.158-2.932 ± 9.889
Month 6-9.547 ± 14.0173.083 ± 8.614
Month 8-9.293 ± 13.6337.825 ± 4.264
Month 101.798 ± 3.3124.530 ± 0.665
Month 12-5.840 ± 11.672-0.994 ± 6.778
Month 15-5.862 ± 8.9542.190 ± 0.764
Month 18—2.785 ± 0.516
Month 21-12.193-3.340
Month 24—-7.110
SecondaryChange From Baseline in Plasma Oxalate Concentration

Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study.

Time frame:
Up to 104 weeks
Reported as:
Mean · μmol/L
Change From Baseline in Plasma Oxalate Concentration
μmol/LOxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHex
Baseline value15.9 ± 6.618.1 ± 7.3
Month 2 Change from baseline2.1 ± 7.21.1 ± 7.0
Month 4 Change from baseline4.0 ± 8.51.3 ± 6.1
Month 6 Change from baseline6.1 ± 10.02.3 ± 4.8
Month 8 Change from baseline13.8 ± 14.6-5.5 ± 0.7
Month 10 Change from baseline5.4 ± 6.0-8.5 ± 2.1
Month 12 Change from baseline14.0 ± 15.70.4 ± 5.7
Month 15 Change from baseline12.3 ± 9.64.0 ± 8.5
Month 18 Change from baseline—20.5 ± 24.7
Month 21 Change from baseline-2.34.0
Month 24 Change from baseline—-7.0

Adverse events

Collected over Open label extension up to 24 months of treatment. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Oxabact OC5 Capsules; OC5 in ePHex0/11 (0%)3/11 (27.3%)7/11 (63.6%)
Oxabact OC5 Capsules; Placeob in ePHex0/11 (0%)1/11 (9.1%)8/11 (72.7%)
Most frequent serious events
Most frequent serious events
EventOxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placeob in ePHex
NephrolithiasisRenal and urinary disorders1/111/11
Renal colicRenal and urinary disorders0/111/11
PyrexiaGeneral disorders1/110/11
PyelonephritisInfections and infestations1/110/11
Pyelonephritis acuteInfections and infestations1/110/11
Burns second degreeInjury, poisoning and procedural complications1/110/11
Most frequent other events
Showing 10 of 14
Most frequent other events
EventOxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placeob in ePHex
PyrexiaGeneral disorders4/110/11
COVID-19Infections and infestations0/113/11
HeadacheNervous system disorders1/113/11
Urinary tract infectionInfections and infestations2/111/11
PharyngotonsillitisInfections and infestations2/110/11
Abdominal pain upperGastrointestinal disorders2/110/11
NephrolithiasisRenal and urinary disorders2/112/11
Calculus urinaryRenal and urinary disorders0/112/11
Flank painMusculoskeletal and connective tissue disorders1/112/11
Eosinophil count increasedInvestigations2/110/11

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHexTotal
<=18 years7815
Between 18 and 65 years437
>=65 years000
Age, Continuous
Age, Continuous(years)Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHexTotal
Mean14.0 ± 6.917.1 ± 14.215.5 ± 11.0
Sex: Female, Male
Sex: Female, Male(Participants)Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHexTotal
Female8412
Male3710
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHexTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White101121
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHexTotal
Belgium022
United Kingdom112
Germany246
Spain527
Tunisia314
United States011
Primary hyperoxaluria diagnosis
Primary hyperoxaluria diagnosis(Participants)Oxabact OC5 Capsules; OC5 in ePHexOxabact OC5 Capsules; Placebo in ePHexTotal
PH Type I111021
PH Type II011
08

Study locations

8 sites
  • Vanderbilt University Hospital
    Nashville, Tennessee 37232, United States
  • Centre Hospitalier Universitaire de Liège
    Liège, Belgium
  • Kindernierenzentrum Bonn
    Bonn, 53127, Germany
  • Hospital Vall d'Hebron
    Barcelona, Spain
  • Hédi Chaker University Hospital
    Sfax, 3000, Tunisia
  • Sahloul University Hospital
    Sousse, 4054, Tunisia
  • Charles Nicolle University Hospital
    Tunis, 1008, Tunisia
  • Royal Free Hospital
    London, NW3 2QG, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2019 to primary completion in Jul 2021, 28 months.

Results were first posted in Dec 2021, 4 months after primary completion.

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

Registered
May 3, 2019
First posted
May 6, 2019
StartActual
Mar 14, 2019
Primary completionActual
Jul 14, 2021
CompletionActual
Jul 14, 2021
Results first posted
Dec 8, 2021
Last update
Dec 8, 2021
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 Dec 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03938272
Lead sponsor
OxThera
Responsible party
Sponsor
First posted
May 6, 2019
Start date
Mar 14, 2019
Primary completion
Jul 14, 2021
Completion
Jul 14, 2021
Results posted
Dec 8, 2021
Last update
Dec 8, 2021

Study contacts

Gesa Schalk, MD
principal investigator · KindernierenZentrum, Bonn, Germany

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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