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CompletedNCT04555486PHYOX4Updated Sep 19, 2024

Study to Evaluate Safety, Tolerability, PK and PD of DCR-PHXC in PH Type 3 Patients

A Phase 1 interventional study of DCR-PHXC and Sterile Normal Saline (0.9% NaCl) in Primary Hyperoxaluria Type 3, sponsored by Dicerna Pharmaceuticals, Inc., a Novo Nordisk company. Completed at 6 sites in 4 countries. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Dicerna Pharmaceuticals, Inc., a Novo Nordisk company (part of Novo Nordisk A/S) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2021, 5 years 2 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Randomized
Ages
6 Years and older
Sex
All
01

Study summary

The DCR-PHXC-104 study is designed to assess the safety, tolerability, and pharmacological parameters of a single dose of DCR-PHXC in Primary Hyperoxaluria Type 3 (PH3). Participants should have had at least one stone event within 12 months of screening and intact renal function.

Read the detailed description

Potential participants are screened over an up-to-35-day period (with an extra 7-day period for participants who are required to repeat screening 24-hour urine collections or initially unanalyzable screening laboratory assessment samples) prior to randomization. Eligible participants will receive a single dose of DCR-PHXC or placebo on Day 1.

In order to maintain the treatment blind, 24-hour urine oxalate (Uox) results that could unblind the study will not be reported to investigative sites or other blinded personnel until the study has been unblinded.

It is expected that approximately 10 participants will be screened in order to randomize 6 participants (2:1 randomization; 4 nedosiran:2 placebo) to the study.

Following the up-to-6-week screening period, participants will return to the clinic for interim visits up to Day 85. Visits occurring between the Day 1 and the Day 85 visit may be conducted as at-home telemedicine visits at the discretion of the Investigator. The total time on study for each participant is approximately 18 weeks.

02

Conditions studied

  • Primary Hyperoxaluria Type 3

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Keywords

  • primary hyperoxaluria
  • primary hyperoxaluria type 3
  • primary hyperoxaluria 3
  • PH
  • PH type 3
  • PH3
  • RNAi
  • RNAi therapeutic
  • LDHA
  • LDH
  • GalNAc
  • siRNA
  • nedosiran
  • DCR-PHXC
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 6 is below the median of 24 across 26 interventional studies indexed under Hyperoxaluria, Primary.

Browse Hyperoxaluria, Primary studies →

Lead sponsor

Dicerna Pharmaceuticals, Inc., a Novo Nordisk company is the lead sponsor of 18 studies on the registry; 2 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

First submitted before Dicerna Pharmaceuticals, Inc. became part of Novo Nordisk A/S.

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

04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • Genetically confirmed PH3
  • 24-hour Uox excretion ≥ 0.7 mmol (adjusted per 1.73 m\^2 body surface area [BSA] in participants \< 18 years of age) on both assessments conducted in the screening period
  • Less than 20% variation between the two 24-hour urinary creatinine excretion values (mmol/kg/24 hours) in the screening period
  • Estimated (eGFR) at screening ≥ 30 mL/min, normalized to 1.73 m\^2 BSA
  • History of at least one stone event within the last 12 months. Stone events are defined as any of the following:

    • renal stone requiring medical intervention, e.g., outpatient procedures such as lithotripsy, or hospitalization or inpatient surgical intervention for confirmed stone-related pain and/or complications;
    • stone passage with or without hematuria; or
    • renal colic requiring medication.

Key Exclusion Criteria:

  • Documented evidence of clinical manifestations of systemic oxalosis (including pre-existing retinal, heart, or skin calcifications, or history of severe bone pain, pathological fractures, or bone deformations)
  • Plasma oxalate > 30 μmol/L
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    DCR-PHXC

    Participants that are at least 12 years old will receive a single dose of 3 mg/kg DCR-PHXC (or nedosiran) via subcutaneous (SC) injection. Participants that are 6-11 years old will receive a single dose of 3.5 mg/kg DCR-PHXC (nedosiran) via SC injection.

    Drug: DCR-PHXC

  • Placebo comparator
    Sterile Normal Saline (0.9% NaCl)

    Participants will receive a single dose of Sterile Normal Saline (0.9% NaCl) for subcutaneous (SC) injection, administered at same injection volume as DCR-PHXC, to serve as placebo.

    Drug: Sterile Normal Saline (0.9% NaCl)

Interventions

  • Intervention, drug, DCR-PHXC

    Also known as: Nedosiran

  • DrugSterile Normal Saline (0.9% NaCl)

    Placebo comparator

06

What researchers measure

Primary outcomes

  1. Safety profile of a single dose of DCR-PHXC in PH3 Patients

    Number of patients with abnormalities in clinically significant laboratory results, vital signs, and 12-lead ECG findings

    Time frame: Screening through Day 85

Secondary outcomes

  1. Plasma pharmacokinetics (PK) of a single dose of DCR-PHXC in PH3 patients

    Measure maximum plasma concentration of DCR-PHXC

    Time frame: Day 1 (dosing) through Day 29

  2. The proportion of participants achieving a > 30% decrease from baseline in 24-hour Urine Oxalate (Uox) on 2 consecutive visits

    Participants must maintain at least a 30% decrease from the average of 2 screening 24-hour Uox values to be considered "responders" to treatment. The proportion of responders to non-responders will be utilize to assess the efficacy of a single dose of DCR-PHXC in PH3 patients.

    Time frame: After screening, 24-hour Uox will be measured at Days 29, 43, 57, and 85.

07

Study locations

6 sites
  • Clinical Trial Site
    Boston, Massachusetts 02115, United States
  • Clinical Trial Site
    Rochester, Minnesota 55905, United States
  • Clinical Trial Site
    New York, New York 10016, United States
  • Clinical Trial Site
    Bonn, 53127, Germany
  • Clinical Trial Site
    Amsterdam, 1105 AZ, Netherlands
  • Clinical Trial Site
    London, NW3 2QG, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04555486
Responsible party
Sponsor
First posted
Sep 18, 2020
Start date
Sep 14, 2020
Primary completion
Sep 7, 2021
Completion
Sep 7, 2021
Last update
Sep 19, 2024

Study contacts

Alexandra Haagensen, MD, MBA
study director · Dicerna Pharmaceuticals

Oversight

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

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This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Nedosiran

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