Evaluate the safety, tolerability, and efficacy of 28 days of treatment with ALLN-177 for reducing urinary oxalate excretion in patients with secondary hyperoxaluria and kidney stones.
This is a multicenter, randomized, double-blind, placebo controlled study to evaluate the efficacy of ALLN 177 compared with placebo in reducing the urinary excretion of oxalate in subjects with secondary hyperoxaluria and kidney stones. ALLN-177 is an orally administered form of oxalate decarboxylase. The goal of therapy with ALLN-177 is to reduce urinary oxalate excretion by decreasing the absorption of oxalate from the gastrointestinal tract. Eligible subjects will be randomized to 28 days of treatment with ALLN-177 (7,500 units) or placebo three times daily with meals. Urinary oxalate excretion will be assessed by 24-hr urine collections throughout the study. The study allows for approximately 66 subjects. The number of enrolled subjects may be increased to a maximum of 100 following an interim analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
66
Mayo Clinica Arizona
Pheonix, Arizona, United States
Mean change in urinary oxalate excretion (mg/24h)
Time frame: 28 days
Percent change in urinary oxalate excretion
Time frame: 28 days
≥ 7.5 mg/24 hr decrease in urinary oxalate
Time frame: 28 days
≥ 10 mg/24 hr decrease in urinary oxalate
Time frame: 28 days
Mean change in urinary supersaturation of calcium oxalate
Time frame: 28 days
Time-weighted average urinary oxalate excretion (mg/24h)
Time frame: 28 days
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