ClinicalTrials.gg
RecruitingNCT07587021Updated Oct 9, 2026

Study of YOLT-203 in Children and Adults With Primary Hyperoxaluria Type 1 (PH1)

A Phase 2 interventional study of YOLT-203 and Placebo in Primary Hyperoxaluria Type 1 and PH1, sponsored by YolTech Therapeutics Co., Ltd. Recruiting at 4 sites in United States. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by YolTech Therapeutics Co., Ltd · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 9, 2026Site recruiting status changedStudy contact changedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
6 Years and older
Sex
All
01

Study summary

This study will be conducted to evaluate the efficacy and safety of YOLT-203 in children and adults with Primary Hyperoxaluria Type 1.

After the initial randomized, 6-month double-blind, placebo-controlled period, participants who were initially assigned to placebo will receive a single-dose of YOLT-203 treatment whereas participants in the YOLT-203 group will receive a single-dose of placebo infusion.

For patients interested in additional information on how to participate, please follow this link: https://mytomorro.ws/ph1trial.

02

Conditions studied

  • Primary Hyperoxaluria Type 1
  • PH1

Keywords

  • ph1
  • primary hyperoxaluria Type 1
  • yoltech
  • yolt203
  • primary hyperoxaluria
  • recurrent kidney stones
  • rare kidney stones
  • YOLT-203
  • genetic kidney stones
  • gene editing
  • gene therapy
  • AGXT gene
  • CRISPR-Cas9
  • Alanine Glyoxylate Aminotransferase Gene
03

In context

Primary hyperoxaluria type 1

22 studies on the registry are indexed under Primary hyperoxaluria type 1; 8 are open to participants now.

This study's planned enrollment of 36 is above the median of 28 across 16 interventional studies indexed under Primary hyperoxaluria type 1.

Browse Primary hyperoxaluria type 1 studies →

Lead sponsor

YolTech Therapeutics Co., Ltd is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

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

  • You are 6 years old or older.
  • You have been diagnosed with PH1 (primary hyperoxaluria type 1) through genetic testing.
  • Urine tests show that your oxalate levels are not within certain limits (based on at least two 24-hour urine collections).
  • If you take vitamin B6, your dose has been stable for at least 3 months, and you are willing to keep it the same during the study.
  • You (and/or your parent or legal guardian, if you are under 18) understand the study and agree to follow all study requirements, including signing a consent form.

Exclusion criteria

Exclusion Criteria

  • You have signs that oxalate has affected parts of your body outside the kidneys.
  • Your liver blood tests are not within certain limits.
  • You have certain abnormal blood clotting results (unless controlled with medication like warfarin).
  • You have , or active or chronic .
  • You are pregnant, planning to become pregnant, or breastfeeding.
  • You are not willing to use during the study and for 6 months after (if applicable).
  • You are unable to limit alcohol intake to no more than about 2 drinks per day.
  • You have had alcohol or drug abuse in the past year.
  • You are unable to follow standard treatments for PH1 (such as drinking plenty of fluids, taking prescribed medications like potassium citrate, or following dietary advice).
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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    YOLT-203

    Participants will receive both study treatments in sequential treatment periods according to randomized assignment. Participants who initially receive YOLT-203 during the double-blind treatment period and will cross over to the placebo treatment in the subsequent treatment period, followed by safety and efficacy follow-up.

    Genetic: YOLT-203

  • Placebo comparator
    Placebo

    Participants will receive both study treatments in sequential treatment periods according to randomized assignment. Participants who initially receive placebo during the double-blind treatment period and will cross over to the YOLT-203 treatment in the subsequent treatment period, followed by safety and efficacy follow-up.

    Drug: Placebo

Interventions

  • GeneticYOLT-203

    YOLT-203 is an investigational gene editing therapy being evaluated for the treatment of Primary Hyperoxaluria Type 1 (PH1). It is administered by intravenous infusion over 1 hour.

    Also known as: Investigational Gene Editing Therapy

  • DrugPlacebo

    Placebo is a matching intravenous infusion administered over 1 hour.

06

What researchers measure

Primary outcomes

  1. Percent Change From Baseline in 24-Hour Urinary Oxalate (BSA-Corrected)

    Percent change from baseline in 24-hour urinary oxalate excretion corrected for body surface area (BSA) across Months 2 to 6.

    Time frame: Months 2 to 6

Secondary outcomes

  1. Change From Baseline in Plasma Oxalate

    Percent and absolute change from baseline in plasma oxalate levels across Months 2 to 6.

    Time frame: Months 2 to 6

  2. Change in Estimated Glomerular Filtration Rate (eGFR)

    Change from baseline in estimated glomerular filtration rate (eGFR).

    Time frame: Baseline to Month 6

  3. Change in Kidney Stone Burden

    Change from baseline in number and summed surface area of kidney stones as assessed by renal ultrasound.

    Time frame: Baseline to Month 6

  4. Proportion of Participants Achieving Urinary Oxalate Thresholds

    Proportion of participants achieving urinary oxalate levels ≤ upper limit of normal (ULN) and ≤ 1.5 × ULN at Month 6.

    Time frame: Month 6

  5. Incidence of Adverse Events

    Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), graded using CTCAE v6.0.

    Time frame: Day 1 to Month 12

  6. Pharmacokinetic Parameters of YOLT-203 (Cmax)

    Cmax for YOLT-203 components (mRNA, CRISPR RNA, and lipid nanoparticles).

    Time frame: Dosing through Month 1

  7. Pharmacokinetic Parameters of YOLT-203 (AUC0-inf)

    AUC0-inf for YOLT-203 components (mRNA, CRISPR RNA, and lipid nanoparticles).

    Time frame: Dosing through Month 1

Other outcomes

  1. Health-Related Quality of Life

    Change from baseline in EQ-5D Health State Profile and Visual Analog Scale (VAS) scores.

    Time frame: Baseline through Month 12

  2. Change in urinary and plasma glycolate

    Change from baseline in urinary and plasma glycolate levels.

    Time frame: Baseline to Month 6

  3. Change in urinary oxalate:creatinine ratio

    Change from baseline in urinary oxalate:creatinine ratio from spot urine samples.

    Time frame: Baseline to Month 6

  4. Anti-Drug Antibody Incidence

    Incidence of anti-drug antibodies (ADAs) against polyethylene glycol (PEG) and CRISPR-associated protein 12 (Cas12).

    Time frame: Baseline to Month 6

  5. Kidney stone events

    Number of kidney stone events occurring during the study period.

    Time frame: Baseline to Month 6

07

Study locations

2 of 4 sites recruiting
08

References and documents

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Aug 2027, 11 months after the start.

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

Registered
May 1, 2026
First posted
May 14, 2026
StartActual
Sep 16, 2026
Primary completionEst.
Aug 2027
CompletionEst.
Feb 2028
Last update
Oct 9, 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.
Sites
Childrens Hospital of Colorado is now Recruiting
Oct 9, 2026
Contact
Study contact's phone or email changed: •••5818→•••5517. See the current contact
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    Childrens Hospital of Colorado is now Recruiting
    Contact Study contact's phone or email changed: •••5818→•••5517. See the current contact
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07587021
Lead sponsor
YolTech Therapeutics Co., Ltd
Responsible party
Sponsor
First posted
May 14, 2026
Start date
Sep 16, 2026
Primary completion
Aug 2027 (estimated)
Completion
Feb 2028 (estimated)
Last update
Oct 9, 2026

Study contacts

Kim Marie Grabbe, MS, MBA
Contact
Kim.Marie.Grabbe@yoltx.com
217-851-5517
Claudia Rainolter
Contact
claudia.rainolter@yoltx.com
412-227-1722
Wensu Yu
study director · YolTech Therapeutics

Oversight

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

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