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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03456830
Other study ID # ALLN-177-301
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date May 21, 2018
Est. completion date October 28, 2019

Study information

Verified date February 2020
Source Allena Pharmaceuticals
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the efficacy and safety of ALLN-177 in patients with enteric hyperoxaluria.


Description:

This is a phase 3, multicenter, randomized, double-blind, placebo-controlled study. This study is designed to determine whether treatment with ALLN-177 for 28 days can reduce urinary oxalate excretion in patients with enteric hyperoxaluria and to evaluate the safety of ALLN-177 in this patient population compared to placebo.


Recruitment information / eligibility

Status Completed
Enrollment 115
Est. completion date October 28, 2019
Est. primary completion date September 30, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

1. Provided informed consent

2. Age 18 or older

3. History of hyperoxaluria secondary to a known underlying enteric disorder associated with malabsorption (e.g., bariatric surgery, Crohn's disease, short bowel syndrome, or other malabsorption syndrome)

4. Urinary Oxalate = 50mg/24h

Exclusion Criteria:

1. Acute renal failure or estimated glomerular filtration rate (eGFR) < 30mL/min/1.73 m2

2. Unable or unwilling to discontinue Vitamin C supplementation

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
ALLN-177
ALLN-177 7,500 units (2 capsules), orally, with each meal/snack, 3 to 5 times per day for 28 days
Placebo
Placebo 2 capsules, orally, with each meal/snack, 3 to 5 times per day for 28 days

Locations

Country Name City State
Canada University of Alberta, Division of Urology Edmonton Alberta
Canada Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM) Montréal Quebec
Canada Research center of CHU de Québec - Université Laval (CHUL) Québec Quebec
Canada Toronto Digestive Disease Associates, Inc. Vaughan Ontario
Canada Silverado Research Inc Victoria British Columbia
France CHU de Nancy-Hopital Brabois VandÅ“uvre-lès-Nancy
Germany Charite Universitaetsmedizin Berlin Berlin
Germany Universitaetsklinikum Bonn; Klinik und Poliklinik für Urologie und Kinderurologie Bonn
Germany Universitat Bonn - Zentrum für Kinderheilkunde Bonn
Germany Universitatsklinikum Freiburg, Klinik for Urologie Freiburg
Germany Universitaetsklinikum Leipzig Leipzig
Germany PSHI GmbH; PFÜTZNER Science & Health Institute GmbH Mainz
Germany Universitat Munchen - Großhadern Munich
Italy IRCCS Azienda Ospedaliera Universitaria San Martino IST Genova
Italy ASST di Lecco Lecco
Italy Azienda Socio-Sanitaria Territoriale di Lecco (ASST di Lecco) Lecco
Italy Fondazione Policlinico Universitario A. Gemelli - Universita Cattolica del Sacro Cuore Rome
Spain Hospital Universitari de Girona Doctor Josep Trueta Girona
Spain Complejo Asistencial de León León
Spain Fundacion Jimenez Diaz Madrid
Spain Hospital Universitario Infanta Sofia Madrid
Spain Hospital Universitario Virgen del Rocio Sevilla
United Kingdom The Royal Free Hospital London
United Kingdom Freeman Hospital Newcastle Upon Tyne
United States TROVARE Clinical Research Bakersfield California
United States University of Alabama, Department of Urology Birmingham Alabama
United States Urology Centers of Alabama Birmingham Alabama
United States Massachusetts General Hospital Boston Massachusetts
United States Albert Einstein College of Medicine Montefiore Medical Center Bronx New York
United States University of North Carolina Chapel Hill Chapel Hill North Carolina
United States Edmund J. Lewis and Associates Chicago Illinois
United States Tristate Urologic Services PSI Inc Cincinnati Ohio
United States North Idaho Urology Coeur d'Alene Idaho
United States Houston Nephrology Group Cypress Texas
United States Renal Disease Research Institute Dallas Texas
United States Advanced Urology Institute Daytona Beach Florida
United States Duke University Medical Center Durham North Carolina
United States Chesapeake Urology Hanover Maryland
United States Houston Metro Urology Houston Texas
United States IU Health Physicians Indianapolis Indiana
United States Mayo Clinic - Jacksonville Jacksonville Florida
United States Applied Research Center of Arkansas Little Rock Arkansas
United States Center for Advanced GI (CFAGI) Maitland Florida
United States Idaho Urologic Institue Meridian Idaho
United States South Medical Research Group, Inc. Miami Florida
United States Vanderbilt University Medical Center Nashville Tennessee
United States Columbia University Medical Center New York New York
United States Park Avenue Endocrinology & Nutrition New York New York
United States The Urology Center, P.C. Omaha Nebraska
United States Mayo Clinic Hospital Phoenix Arizona
United States Advanced Urology Centers of New York Plainview New York
United States Maine Nephrology Associates Portland Maine
United States Associated Urologists of North Carolina Raleigh North Carolina
United States Virginia Urology Richmond Virginia
United States Mayo Clinic-Dept. of Nephrology Rochester Minnesota
United States Pen Bay Medical Center Rockport Maine
United States Washington University School of Medicine Saint Louis Missouri
United States University of Utah Salt Lake City Utah
United States Regional Urology Shreveport Louisiana
United States Genito-Urinary Surgeons Toledo Ohio
United States Urological Associates of Southern Arizona Tucson Arizona
United States Urology of Virginia Virginia Beach Virginia
United States Coastal Urology Wilmington North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Allena Pharmaceuticals

Countries where clinical trial is conducted

United States,  Canada,  France,  Germany,  Italy,  Spain,  United Kingdom, 

References & Publications (1)

Langman CB, Grujic D, Pease RM, Easter L, Nezzer J, Margolin A, Brettman L. A Double-Blind, Placebo Controlled, Randomized Phase 1 Cross-Over Study with ALLN-177, an Orally Administered Oxalate Degrading Enzyme. Am J Nephrol. 2016;44(2):150-8. doi: 10.1159/000448766. Epub 2016 Aug 17. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Percent change from baseline in 24-hour urinary oxalate excretion during Weeks 1-4 Efficacy will be assessed based on percent change from baseline to the mean of Weeks 1-4, derived from all 24-hour collections during Weeks 1-4 on treatment 4 weeks
Secondary Proportion of subjects with a = 20% reduction from Baseline in 24-hour urinary oxalate excretion during Weeks 1-4 Efficacy will be assessed based on proportion of subjects with = 20% reduction from baseline to the mean of Weeks 1-4, derived from all 24-hour collections during Weeks 1-4 on treatment 4 weeks
See also
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Recruiting NCT05650112 - Safety and Tolerability of FB-001 in Healthy Adult Volunteers and Adult Subjects With Enteric Hyperoxaluria Phase 1
Recruiting NCT05124886 - Gut Kidney Axis in Enteric Hyperoxaluria N/A
Completed NCT05377112 - Safety, Tolerability, and Pharmacodynamics of SYNB8802v1 in Subjects With History of Gastric Bypass Surgery or Short-bowel Syndrome Early Phase 1
Terminated NCT04909723 - Safety, Tolerability, and Pharmacodynamics of NOV-001 in Adult Subjects Phase 1/Phase 2
Completed NCT03391804 - Study of ALLN-177 in Patients Aged 12 Years or Older With Enteric or Primary Hyperoxaluria and Hyperoxalemia Phase 2
Completed NCT00588120 - Enteric Oxalate Absorption Study in Unclassified Hyperoxaluria Phase 1
Terminated NCT03847090 - Establishing the Safety and Efficacy of Reloxaliase in Patients With Enteric Hyperoxaluria Phase 3