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Parent, pivotal study (OC5-DB-02) did not meet primary endpoint. No safety concerns for early termination.
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Open label extension study of Oxabact OC5 in patients with primary hyperoxaluria
OC5-OL-02 (ePHex-OLE) is a 2 year, open-label, extension study to evaluate the long-term efficacy and safety of Oxabact OC5 for patients with primary hyperoxaluria who completed treatment in the parent double-blind, placebo-controlled study OC5-DB-02 (ePHex).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oxabact OC5 capsules | Experimental | Oxabact OC5 - Oxalobacter formigenes Strain HC-1 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oxabact OC5 - Oxalobacter formigenes Strain HC-1 | Biological | Live, commensal bacteria |
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| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Kidney Function (eGFR) After 12 and 24 Months of Open-label Oxabact Treatment | Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study. | 104 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Plasma Oxalate Concentration | Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gesa Schalk, MD | KindernierenZentrum, Bonn, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University Hospital | Nashville | Tennessee | 37232 | United States | ||
| Centre Hospitalier Universitaire de Liège |
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| ID | Title | Description |
|---|---|---|
| FG000 | Oxabact OC5 Capsules; OC5 in ePHex | Oxabact OC5 - Oxalobacter formigenes Strain HC-1: Live, commensal bacteria was received in both the Core study OC-DB-02 (ePHex) and this open label extension |
| FG001 | Oxabact OC5 Capsules; Placebo in ePHex |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 6, 2020 | Sep 14, 2021 |
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Open-label study in which all patients will receive Oxabact OC5
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| Up to 104 weeks |
| Liège |
| Belgium |
| Kindernierenzentrum Bonn | Bonn | 53127 | Germany |
| Hospital Vall d'Hebron | Barcelona | Spain |
| Hédi Chaker University Hospital | Sfax | 3000 | Tunisia |
| Sahloul University Hospital | Sousse | 4054 | Tunisia |
| Charles Nicolle University Hospital | Tunis | 1008 | Tunisia |
| Royal Free Hospital | London | NW3 2QG | United Kingdom |
Placebo in the Core study OC-DB-02; and Oxabact OC5 - Oxalobacter formigenes Strain HC-1: Live, commensal bacteria in this open label extension |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Oxabact OC5 Capsules; OC5 in ePHex | Oxabact OC5 - Oxalobacter formigenes Strain HC-1 Oxabact OC5 - Oxalobacter formigenes Strain HC-1: Live, commensal bacteria |
| BG001 | Oxabact OC5 Capsules; Placebo in ePHex | Oxabact OC5 - Oxalobacter formigenes Strain HC-1 Oxabact OC5 - Oxalobacter formigenes Strain HC-1: Live, commensal bacteria |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Primary hyperoxaluria diagnosis | Primary Hyperoxaluria is the result of rare genetic mutations. The three main types of primary hyperoxaluria are the result of different gene deficiencies. Primary Hyperoxaluria Type I is the result of mutations in the AGXT gene (alanine-glyoxylate aminotransferase) Primary Hyperoxaluria Type II is the result of mutations in the GRHPR gene (glyoxylate reductase-hydroxypyruvate reductase) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Kidney Function (eGFR) After 12 and 24 Months of Open-label Oxabact Treatment | Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study. | Patients with at least one efficacy measurement in the open-label period | Posted | Mean | Standard Deviation | mL/min/1.73 m2 | 104 weeks |
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| Secondary | Change From Baseline in Plasma Oxalate Concentration | Change in eGFR measured as mL/min/1.73m2. Baseline values are from the period before treatment with Oxabact. For the patients treated with Oxabact in the double-blind study, baseline is prior to treatment in that study. For patients who were treated with placebo in the double-blind study, baseline values are from the extension study, which was 48 to 52 weeks in the double-blind study. | Patients with at least one post-baseline plasma oxalate measurement | Posted | Mean | Standard Deviation | μmol/L | Up to 104 weeks |
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Open label extension up to 24 months of treatment
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Oxabact OC5 Capsules; OC5 in ePHex | Oxabact OC5 - Oxalobacter formigenes Strain HC-1 Oxabact OC5 - Oxalobacter formigenes Strain HC-1: Live, commensal bacteria | 0 | 11 | 3 | 11 | 7 | 11 |
| EG001 | Oxabact OC5 Capsules; Placeob in ePHex | Oxabact OC5 - Oxalobacter formigenes Strain HC-1 Oxabact OC5 - Oxalobacter formigenes Strain HC-1: Live, commensal bacteria | 0 | 11 | 1 | 11 | 8 | 11 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nephrolithiasis | Renal and urinary disorders | MedDRA 23.1 | Systematic Assessment |
| |
| Renal colic | Renal and urinary disorders | MedDRA 23.1 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 23.1 | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA 23.1 | Systematic Assessment |
| |
| Pyelonephritis acute | Infections and infestations | MedDRA 23.1 | Systematic Assessment |
| |
| Burns second degree | Injury, poisoning and procedural complications | MedDRA 23.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COVID-19 | Infections and infestations | MedDRA 23.1 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 23.1 | Systematic Assessment |
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| Pharyngotonsillitis | Infections and infestations | MedDRA 23.1 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 23.1 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 23.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 23.1 | Systematic Assessment |
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| Nephrolithiasis | Renal and urinary disorders | MedDRA 23.1 | Systematic Assessment |
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| Calculus urinary | Renal and urinary disorders | MedDRA 23.1 | Systematic Assessment |
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| Renal colic | Renal and urinary disorders | MedDRA 23.1 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 23.1 | Systematic Assessment |
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| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA 23.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 23.1 | Systematic Assessment |
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| Eosinophil count increased | Investigations | MedDRA 23.1 | Systematic Assessment |
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| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 23.1 | Systematic Assessment |
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The investigator may not publish the results of their cohort of subjects until the full study has been submitted for publication. They may not submit for publication or present the results of this study without allowing OxThera 30 days in which to review and comment on the pre-publication manuscript. The investigator may not submit the results of the study for publication without the prior consent of OxThera, unless the review period has passed and there has been no reaction from the sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Operating Officer | OxThera | 0046 86600223 | elisabeth.lindner@oxthera.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 25, 2021 | Sep 14, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D006960 | Hyperoxaluria, Primary |
| ID | Term |
|---|---|
| D006959 | Hyperoxaluria |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002239 | Carbohydrate Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| >=65 years |
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| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| United Kingdom |
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| Germany |
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| Spain |
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| Tunisia |
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| United States |
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| PH Type II |
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