Evidence map›Paper›PMID 35913563›Full record

Trial reportPediatric nephrology (Berlin, Germany)2023

Efficacy and safety of lumasiran for infants and young children with primary hyperoxaluria type 1: 12-month analysis of the phase 3 ILLUMINATE-B trial.

Wesley Hayes, David J Sas, Daniella Magen, Hadas Shasha-Lavsky, Mini Michael, Anne-Laure Sellier-Leclerc, Julien Hogan, Taylor Ngo, Marianne T Sweetser, John M Gansner and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03905694 (ILLUMINATE-B), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03905694 phase3completednot on this map

ILLUMINATE-B: An Open-Label Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Lumasiran in Infants and Young Children With Primary Hyperoxaluria Type 1

TypeinterventionalSponsorAlnylam PharmaceuticalsRan2019 to 2024Enrolled18ConditionsPrimary Hyperoxaluria, Primary Hyperoxaluria Type 1 (PH1)ArmsLumasiran
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 44 citations in OpenAlex.

  1. Final Results of the ILLUMINATE-A Phase 3 Clinical Trial of Lumasiran for Primary Hyperoxaluria 1.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. RNA Therapies in Cardio-Kidney-Metabolic Syndrome: Advancing Disease Management.Journal of cardiovascular translational research · 2025
    Review
  8. Observational
  9. Article
  10. Recent Update on siRNA Therapeutics.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Diagnosis and management of primary hyperoxalurias: best practices.Pediatric nephrology (Berlin, Germany) · 2024
    Review
  16. Article
  17. Infant primary hyperoxaluria type 1Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 4 countries.

Wesley HayesDepartment of Paediatric Nephrology, Great Ormond Street Hospital, London, UK. Wesley.Hayes@gosh.nhs.uk.ORCID 0000-0002-8091-6945
David J SasDivision of Pediatric Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Daniella MagenPediatric Nephrology Institute, Rambam Health Care Campus, Haifa, Israel.
Hadas Shasha-LavskyPaediatric Nephrology Unit, Galilee Medical Center, Nahariya, Israel.
Mini MichaelDivision of Nephrology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Anne-Laure Sellier-LeclercHôpital Femme Mère Enfant and Centre d'Investigation Clinique Inserm, Hospices Civils de Lyon, ERKnet, Bron, France.
Julien HoganPediatric Nephrology Department, Hopital Robert-Debré, APHP, Paris, France.
Taylor NgoAlnylam Pharmaceuticals, Cambridge, MA, USA.
Marianne T SweetserAlnylam Pharmaceuticals, Cambridge, MA, USA.
John M GansnerAlnylam Pharmaceuticals, Cambridge, MA, USA.
Tracy L McGregorAlnylam Pharmaceuticals, Cambridge, MA, USA.
Yaacov FrishbergDivision of Pediatric Nephrology, Shaare Zedek Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Alnylam Pharmaceuticals (United States) · USAssistance Publique – Hôpitaux de Paris · FRBaylor College of Medicine · USGreat Ormond Street Hospital · GBHebrew University of Jerusalem · ILInserm · FRMayo Clinic · USRambam Health Care Campus · ILWestern Galilee Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary hyperoxaluria type 1 (PH1) is a rare genetic disease that causes progressive kidney damage and systemic oxalosis due to hepatic overproduction of oxalate. Lumasiran demonstrated efficacy and safety in the 6-month primary analysis period of the phase 3, multinational, open-label, single-arm ILLUMINATE-B study of infants and children < 6 years old with PH1 (ClinicalTrials.gov: NCT03905694 (4/1/2019); EudraCT: 2018-004,014-17 (10/12/2018)). Outcomes in the ILLUMINATE-B extension period (EP) for patients who completed ≥ 12 months on study are reported here.

methodsOf the 18 patients enrolled in the 6-month primary analysis period, all entered the EP and completed ≥ 6 additional months of lumasiran treatment (median (range) duration of total exposure, 17.8 (12.7-20.5) months).

resultsLumasiran treatment was previously reported to reduce spot urinary oxalate:creatinine ratio by 72% at month 6, which was maintained at 72% at month 12; mean month 12 reductions in prespecified weight subgroups were 89%, 68%, and 71% for patients weighing < 10 kg, 10 to < 20 kg, and ≥ 20 kg, respectively. The mean reduction from baseline in plasma oxalate level was reported to be 32% at month 6, and this improved to 47% at month 12. Additional improvements were also seen in nephrocalcinosis grade, and kidney stone event rates remained low. The most common lumasiran-related adverse events were mild, transient injection-site reactions (3 patients (17%)).

conclusionsLumasiran treatment provided sustained reductions in urinary and plasma oxalate through month 12 across all weight subgroups, with an acceptable safety profile, in infants and young children with PH1. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

Hyperoxaluria, PrimaryKidney CalculiChildChild, PreschoolHumansInfantOxalatesRNA, Small InterferinglumasiranOxalatesRNA, Small InterferingHyperoxaluria, PrimaryInfantNephrocalcinosisRNA interference, Lumasiran

Identifiers

PMID35913563
PMCPMC9925547
OpenAlexW4289223991

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.