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. 2022 Sep 21;5(11):1007–1016. doi: 10.1021/acsptsci.2c00110

Table 1. Summary of the Clinical Trials of Nedosiran (DCR-PHXC).

phase clinicaltrials.gov identifier recruitment status actual or estimated enrollment type of study summary of major findings
1 PHYOX1, NCT03392896 completed 11/19/2019 25 normal healthy volunteers; 18 PH1 or PH2 patients placebo-controlled, single-blind, single-center study to evaluate the safety, pharmacokinetics, and tolerability; open-label multicenter study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single ascending doses no significant drug related ADRs were observed; the most common ADRs were mild to moderate injection site reactions that were resolved spontaneously; four patients experienced severe ADRs that were not considered treatment-related and have since resolved
1 PHYOX4, NCT04555486 completed 09/07/2021 6 PH3 patients placebo-controlled, double-blind, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of a single dose primary end point was met with nedosiran, demonstrating a good safety profile in patients with PH3; all ADRs reported were mild, with the most common being back pain; the secondary end point was not met; however, all patients showed decreased levels of UOx compared to baseline levels, demonstrating the efficacy of nedosiran
2 PHYOX2, NCT03847909 completed 06/29/2021 35 PH1 or PH2 patients placebo-controlled, double-blind, multicenter study to evaluate the efficacy, safety, and tolerability the primary end point was met with patients who received nedosiran having a 57.5% greater daily reduction in UOx compared to placebo; the secondary end point was also met with 50% of the patients given nedosiran achieving and maintaining a normal or near-normal UOx level compared to placebo; nedosiran was generally well tolerated, with the most common ADRs being injection site reactions that resolved spontaneously; three patients who received nedosiran reported kidney stones
2 PHYOX7, NCT04580420 estimated completion 05/2025 12 PH1 or PH2 patients with severe renal impairment with or without dialysis open-label study to evaluate the safety and efficacy not reported yet
2 PHYOX8, NCT05001269 estimated completion 12/2022 10 HP1 or HP2 pediatric patients from birth to 5 years and relatively intact renal function open-label multicenter study to evaluate the safety, pharmacokinetics, and efficacy not reported yet
3 PHYOX3, NCT04042402 estimated completion 12/2023 50 PH1 or PH2 patients from the previous phase I and II studies open-label roll-over study to evaluate the long-term safety and efficacy an interim data report shows that nedosiran is generally well tolerated, and there have been no serious adverse events thus far; all participants who have received nedosiran achieved normal or near-normal UOx by day 180