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Lumasiran

Phase 3

Primary Hyperoxaluria Type 1 (PH1) | Small molecule | Other |Alnylam Pharmaceuticals, Inc.|Last Updated: Aug 12, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment91
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03681184A Study to Evaluate Lumasiran in Children and Adults With Primary Hyperoxaluria Type 1PHASE3 COMPLETED 39Nov 27, 2018Jan 12, 2024Aug 12, 202417 United States, France +6
NCT02706886Study of Lumasiran in Healthy Adults and Patients With Primary Hyperoxaluria Type 1PHASE1 COMPLETED 52Mar 8, 2016Jan 23, 2019Jan 30, 20209 France, Germany +3
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Study Endpoints
Primary Endpoints
Percent Change in 24-hour Urinary Oxalate Excretion Corrected for Body Surface Area (BSA) From Baseline to Month 6
Baseline 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.

Number of Participants With Adverse Events (AEs)
Part A (SAD): Up to 405 days; Part B (MAD): Up to 546 days

An AE is any untoward medical occurrence in a clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

Secondary Endpoints
Absolute Change in 24-hour Urinary Oxalate Corrected for BSA From Baseline to Month 6
Baseline to Month 6
Percent Change in 24-hour Urinary Oxalate:Creatinine Ratio From Baseline to Month 6
Baseline to Month 6
Percentage of Participants With 24-hour Urinary Oxalate Level Corrected for BSA at or Below 1.5 x ULN at Month 6
Month 6
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Placebo/LumasiranPLACEBO_COMPARATORLumasiran-matching placebo (normal saline \[0.9% NaCl\]) was administered subcutaneously (SC) at Day 1 and Months 1, 2 and 3 during the 6-Month Double-blind (DB) Period, followed by lumasiran SC, 3.0 mg/kg, at Months 6, 7 and 8 during the 3-Month Blinded Treatment Extension Period, followed by lumasiran SC, 3.0 mg/kg, at Month 9 and then every three months during the 51-Month Open-label Extension (OLE) period.
Lumasiran/LumasiranEXPERIMENTALLumasiran was administered SC, 3.0 mg/kg, at Day 1 and Months 1, 2 and 3 during the 6-Month DB Period, followed by lumasiran SC, 3.0 mg/kg at Month 6, and lumasiran-matching placebo SC at Months 7 and 8 during the 3-Month Blinded Treatment Extension Period, followed by lumasiran SC, 3.0 mg/kg, at Month 9 and then every three months during the 51-Month OLE period.
Part A: SAD: PlaceboPLACEBO_COMPARATORA single dose of matching placebo will be administered subcutaneously (SC).
Part A: SAD: Lumasiran 0.3 mg/kgEXPERIMENTALA single dose of 0.3 mg/kg lumasiran will be administered SC.
Part A: SAD: Lumasiran 1.0 mg/kgEXPERIMENTALA single dose of 1.0 mg/kg lumasiran will be administered SC.
Part A: SAD: Lumasiran 3.0 mg/kgEXPERIMENTALA single dose of 3.0 mg/kg lumasiran will be administered SC.
Part A: SAD: Lumasiran 6.0 mg/kgEXPERIMENTALA single dose of 6.0 mg/kg lumasiran will be administered SC.
Part B: MAD: PlaceboPLACEBO_COMPARATORParticipants with primary hyperoxaluria type 1 (PH1) will be treated with placebo matching one of the lumasiran dosages in the lumasiran arms (one placebo participant for each lumasiran arm). At Day 85 these placebo treated participants will cross over to their respective Part B lumasiran arms in the Part B: MAD Study Day 85-End of Study Period and will then be treated with lumasiran. The estimated total time on study was up to 546 days.
Part B: MAD: Lumasiran 1.0 mg/kg qMEXPERIMENTALParticipants with PH1 will be treated with 1.0 mg/kg lumasiran SC once monthly (qM) on Days 1, 29 and 57. The estimated total time on study is up to 546 days. One participant from the Part B: MAD: Placebo arm will cross over to this lumasiran arm at Day 85. For this participant treatment with lumasiran starts at Day 85.
Part B: MAD: Lumasiran 3.0 mg/kg qMEXPERIMENTALParticipants with PH1 will be treated with 3.0 mg/kg lumasiran SC qM on Days 1, 29 and 57. The estimated total time on study is up to 546 days. One participant from the Part B: MAD: Placebo arm will cross over to this lumasiran arm at Day 85. For this participant treatment with lumasiran starts at Day 85.
Part B: MAD: Lumasiran 3.0 mg/kg q3MEXPERIMENTALParticipants with PH1 will be treated with 3.0 mg/kg lumasiran SC once every three months (q3M) on Days 1 and 85. The estimated total time on study is up to 546 days. One participant from the Part B: MAD: Placebo arm will cross over to this lumasiran arm at Day 85. For this participant treatment with lumasiran starts at Day 85.
Interventions
NameTypeDescription
PlaceboDRUGPlacebo by SC injection
LumasiranDRUGLumasiran by SC injection
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Eligibility Criteria
Age Range6 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Willing to provide written informed consent or assent and to comply with study requirements * Confirmation of PH1 disease * Meet the 24 hour urine oxalate excretion requirements * If taking Vitamin B6 (pyridoxine), must have been on stable regimen for at least 90 days Exclusi...

Countries:United StatesFranceGermanyIsraelNetherlandsSwitzerlandUnited Arab EmiratesUnited Kingdom
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