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ArticleKidney international reports2024

Efficacy and Safety of Lumasiran in Patients With Primary Hyperoxaluria Type 1: Results from a Phase III Clinical Trial.

Jeffrey M Saland, John C Lieske, Jaap W Groothoff, Yaacov Frishberg, Hadas Shasha-Lavsky, Daniella Magen, Shabbir H Moochhala, Eva Simkova, Martin Coenen, Wesley Hayes and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03681184 (ILLUMINATE-A), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03681184 phase3completednot on this map

ILLUMINATE-A: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study With an Extended Dosing Period to Evaluate the Efficacy and Safety of Lumasiran in Children and Adults With Primary Hyperoxaluria Type 1

TypeinterventionalSponsorAlnylam PharmaceuticalsRan2018 to 2024Enrolled39ConditionsPrimary Hyperoxaluria Type 1 (PH1)ArmsPlacebo, Lumasiran
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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
  3. Review
  4. Review
  5. Review
  6. Article
  7. Controlled access to lumasiran in primary hyperoxaluria type 1: evaluation of a new access route for orphan drugs in the Netherlands.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  8. RNA Therapies in Cardio-Kidney-Metabolic Syndrome: Advancing Disease Management.Journal of cardiovascular translational research · 2025
    Review
  9. Hyperoxaluria: Diagnosis and Treatment.The Urologic clinics of North America · 2025
    Review
  10. Article
  11. Efficacy and safety ofIndian journal of urology : IJU : journal of the Urological Society of India
    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

15 authors.

Jeffrey M SalandJack and Lucy Clark Department of Pediatrics, Mount Sinai Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
John C LieskeDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota, USA.
Jaap W GroothoffDepartment of Pediatric Nephrology, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Yaacov FrishbergDivision of Pediatric Nephrology, Shaare Zedek Medical Center, Jerusalem, Israel.
Hadas Shasha-LavskyPediatric Nephrology Unit, Galilee Medical Center, Nahariya, Israel.
Daniella MagenPediatric Nephrology Institute, Rambam Health Care Campus, Haifa, Israel.
Shabbir H Moochhala11UCL Department of Renal Medicine, Royal Free Hospital, London, UK.
Eva SimkovaNephrology - Medical Affairs, Al Jalila Children's Hospital, Dubai, United Arab Emirates.
Martin CoenenInstitute of Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany.
Wesley HayesDepartment of Paediatric Nephrology, Great Ormond Street Hospital, London, UK.
Julien HoganPediatric Nephrology Department, Hôpital Robert-Debré, Paris, France.
Anne-Laure Sellier-LeclercHôpital Femme Mère Enfant en Centre d'Investigation Clinique INSERM, Hospices Civils de Lyon, Bron, France.
Richard WilleyAlnylam Pharmaceuticals, Cambridge, Massachusetts, USA.
John M GansnerAlnylam Pharmaceuticals, Cambridge, Massachusetts, USA.
Sally-Anne HultonDepartment of Nephrology, Birmingham Women's and Children's Hospital, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Patients with primary hyperoxaluria type 1 (PH1), a genetic disorder associated with hepatic oxalate overproduction, frequently experience recurrent kidney stones and worsening kidney function. Lumasiran is indicated for the treatment of PH1 to lower urinary and plasma oxalate (POx). Methods: ILLUMINATE-A (NCT03681184) is a phase III trial in patients aged ≥6 years with PH1 and estimated glomerular filtration rate (eGFR) ≥30 ml/min per 1.73 m Results: Of 39 patients enrolled, 24 of 26 (lumasiran/lumasiran group) and 13 of 13 (placebo/lumasiran group) entered and continue in the extension period. At month 36, in the lumasiran/lumasiran group (36 months of lumasiran treatment) and placebo/lumasiran group (30 months of lumasiran treatment), mean 24-hour urinary oxalate (UOx) reductions from baseline were 63% and 58%, respectively; 76% and 92% of patients reached a 24-hour UOx excretion ≤1.5× the upper limit of normal (ULN). eGFR remained stable. Kidney stone event rates decreased from 2.31 (95% confidence interval: 1.88-2.84) per person-year (PY) during the 12 months before consent to 0.60 (0.46-0.77) per PY during lumasiran treatment. Medullary nephrocalcinosis generally remained stable or improved; approximately one-third of patients (both groups) improved to complete resolution. The most common lumasiran-related adverse events (AEs) were mild, transient injection-site reactions. Conclusion: In patients with PH1, longer-term lumasiran treatment led to sustained reduction in UOx excretion, with an acceptable safety profile and encouraging clinical outcomes.See for Video Abstract.

Indexed as

lumasiranoxalateprimary hyperoxaluria type 1rare diseaserenalRNA interference

Identifiers

PMID39081738
PMCPMC11284403

What OpenQuestion holds

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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.