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A Study to Evaluate DCR-PHXC in Children and Adults With Primary Hyperoxaluria Type 1 and Primary Hyperoxaluria Type 2

A Phase 2 Placebo-Controlled, Double-Blind, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of DCR-PHXC Solution for Injection (Subcutaneous Use) in Patients With Primary Hyperoxaluria

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03847909
Acronym
PHYOX2
Enrollment
35
Registered
2019-02-20
Start date
2019-10-28
Completion date
2021-06-29
Last updated
2024-05-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Genetic Disease, Kidney Diseases, Primary Hyperoxaluria Type 1 (PH1), Primary Hyperoxaluria Type 2 (PH2), Urologic Diseases

Keywords

PH1, PH2, Primary Hyperoxaluria, RNAi, RNAi therapeutic, GalNAc, LDHA gene, LDH, siRNA

Brief summary

The purpose of this study is to evaluate the efficacy and safety of DCR-PHXC in Children and Adults with Primary Hyperoxaluria Type 1 (PH1) and Primary Hyperoxaluria Type 2 (PH2)

Interventions

Multiple fixed doses of DCR-PHXC by subcutaneous (SC) injection

DRUGSterile Normal Saline (0.9% NaCl)

Sterile Normal Saline (0.9% NaCl) for subcutaneous (SC) injection, administered at same injection volume as DCR-PHXC, to serve as placebo

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
6 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Capable and willing to provide written informed consent or assent * Documented diagnosis of PH1 or PH2, confirmed by genotyping * Must meet the 24 hour urine oxalate excretion requirements * Less than 20% variation between the two 24-hour urinary creatinine excretion values derived from the two 24-hour urine collections in the screening period * Estimated GFR at screening ≥ 30 mL/min normalized to 1.73 m2 BSA Key

Exclusion criteria

* Renal or hepatic transplantation (prior or planned within the study period) * Currently on dialysis or anticipated requirement for dialysis during the study period * Plasma oxalate \>30 µmol/L * Documented evidence of clinical manifestations of systemic oxalosis (including pre-existing retinal, heart, or skin calcifications, or history of severe bone pain, pathological fractures, or bone deformations) * Use of an RNA interference (RNAi) drug within the last 6 months * Participation in any clinical study in which you received an investigational medicinal product (IMP) within 4 months before Screening * Liver function test (LFT) abnormalities: Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) \>1.5 times upper limit of normal (ULN) for age and gender * Inability or unwillingness to comply with study procedures

Design outcomes

Primary

MeasureTime frameDescription
AUC From Day 90 To Day 180, Based on Percent Change From Baseline in 24-Hour UoxFrom Day 90 to 180The AUC of 24-hour urinary oxalate (Uox) from Day 90 to Day 180, based on percent change from baseline, was compared between the active treatment group and placebo group. A multiple imputation approach was used to handle missing Uox data and then calculate the AUC.

Secondary

MeasureTime frameDescription
Percent Change From Baseline to Day 180 in the Summed Surface Area of Kidney StonesBaseline, Day 180Percent change from baseline to Day 180 in the summed surface area measured in millimetre square (mm\^2) of kidney stones is presented.
Percent Change From Baseline to Day 180 in the Number of Kidney StonesBaseline, Day 180Percent change from baseline to Day 180 in the number of kidney stones is presented.
Percent Change From Baseline to Day 180 in Plasma Oxalate (For Adults Only)Baseline, Day 180Percent change from baseline to Day 180 in plasma oxalate (for adults only) is presented.
Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Day 180Baseline, Day 180Monthly rate of eGFR change is presented. eGFR was calculated using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and creatinine-based equation.
Number of Treatment Emergent Adverse Events (TEAEs) And Serious Treatment Emergent Adverse Events (TEAEs)From Baseline up to Day 180Number of TEAEs and TESAEs are presented. An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalisation, results in persistent disability/incapacity or is a congenital anomaly/birth defect. TEAE was defined as any AE with an onset date/time on or after administration (including any partial administration) of the first dose of study intervention and through the study completion date from the end of study case report form (CRF).
Change From Baseline in Electrocardiogram (ECG): Heart RateBaseline, Day 180Change from baseline in heart rate is presented.
Change From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalBaseline, Day 180Change from baseline in PR interval, QRS duration, QT interval, QTcB interval, QTcF interval and RR interval is presented.
Number of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationBaseline up to Day 180Number of participants who had most abnormal post-baseline shift in physical examination are presented. Physical examination shifts were categories into 4 categories: 1) missing; 2) normal; 3) abnormal-not clinically significant (NCS) and 4) abnormal-clinically significant (CS). Each category was presented according body systems including: 1) eyes, ears, nose and throat; 2) chest/respiratory; 3) heart/cardiovascular; 4) gastrointestinal/liver; 5) musculoskeletal/extremities; 6) dermatological/skin; 7) thyroid/neck; 8) lymph nodes; 9) neurological.
Change From Baseline in Vital Signs: HeightBaseline, Day 180Change from baseline to Day 180 in height is presented.
Change From Baseline in Vital Signs: WeightBaseline, Day 180Change from baseline to Day 180 in weight is presented.
Change From Baseline in Vital Signs: Body Mass Index (BMI)Baseline, Day 180Change from baseline to Day 180 in BMI is presented.
Change From Baseline in Vital Signs: Oral Body TemperatureBaseline, Day 180Change from baseline to Day 180 in oral body temperature is presented.
Change From Baseline in Vital Signs: Heart RateBaseline, Day 180Change from baseline to Day 180 in heart rate is presented.
Change From Baseline in Vital Signs: Respiratory RateBaseline, Day 180Change from baseline to Day 180 in respiratory rate is presented.
Change From Baseline in Vital Signs: Systolic and Diastolic Blood PressureBaseline, Day 180Change from baseline to Day 180 in systolic and diastolic blood pressure is presented.
Change From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseBaseline, Day 180Change from baseline to Day 180 in alanine aminotransferase, aspartate aminotransferase, glutamate dehydrogenase, gamma glutamyl transferase, alkaline phosphatase, lactate dehydrogenase and creatine kinase are presented.
Change From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineBaseline, Day 180Change from baseline to Day 180 in bilirubin, direct bilirubin and creatinine are presented.
Percentage of Participants Whose 24-hour Uox Values Normalized or Near-normalized on at Least 2 Consecutive VisitsFrom Day 90 to 180Percentage of participants whose 24-hour Uox values normalized or near-normalized on at least 2 consecutive visits are presented. Normalization of Uox was defined as less than (\<) 0.46 millimole per 24 hours (mmol/24 hours) and near normalization was defined as greater than or equal to (\>=) 0.46 to \< 0.60 mmol/24 hours (values adjusted per 1.73 square meter \[1.73 m\^2\] body surface area \[BSA\] in participants aged \<18 years).
Change From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaBaseline, Day 180Change from baseline to Day 180 in sodium, chloride, potassium and urea are presented.
Change From Baseline in Clinical Chemistry Laboratory Tests: Vitamin B6Baseline, Day 180Change from baseline to Day 180 in vitamin B6 is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: ErythrocytesBaseline, Day 180Change from baseline to Day 180 in erythrocytes is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Hemoglobin and Erythrocytes Mean Corpuscular Hemoglobin ConcentrationBaseline, Day 180Change from baseline to Day 180 in hemoglobin and erythrocytes mean corpuscular hemoglobin concentration are presented.
Change From Baseline in Clinical Hematology Laboratory Tests: HematocritBaseline, Day 180Change from baseline to Day 180 in hematocrit is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes (Ery.) Mean Corpuscular Volume and Mean Platelet VolumeBaseline, Day 180Change from baseline to Day 180 in ery. mean corpuscular volume and mean platelet volume are presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes Mean Corpuscular HemoglobinBaseline, Day 180Change from baseline to Day 180 in erythrocytes mean corpuscular hemoglobin is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsBaseline, Day 180Change from baseline to Day 180 in reticulocytes, platelets, leukocytes, lymphocytes, monocytes, eosinophils, basophils, neutrophils are presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Lymphocytes/LeukocytesBaseline, Day 180Change from baseline to Day 180 in lymphocytes/leukocytes is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Monocytes/LeukocytesBaseline, Day 180Change from baseline to Day 180 in monocytes/leukocytes is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Eosinophils/LeukocyteBaseline, Day 180Change from baseline to Day 180 in eosinophils/leukocytes is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Basophils/LeukocytesBaseline, Day 180Change from baseline to Day 180 in basophils/leukocytes is presented.
Change From Baseline in Clinical Hematology Laboratory Tests: Neutrophils/LeukocytesBaseline, Day 180Change from baseline to Day 180 in neutrophils/leukocytes is presented.
Change From Baseline in Clinical Urinalysis Laboratory Tests: Specific GravityBaseline, Day 180Change from baseline to Day 180 in urine specific gravity is presented.
Change From Baseline in Clinical Urinalysis Laboratory Tests: pHBaseline, Day 180Change from baseline to Day 180 in urine pH is presented.
Maximum Observed Plasma Concentration (Cmax) of DCR-PHXCFor adults: Day 1 and 30: predose, 5, 15, and 30 minutes and 1, 2, 4, 6, 10, and 12 hours (hrs) postdose; Day 150: predose, 2, 6, and 12 hours postdose For adolescents: Days 1 and 30: predose, 30 minutes and 2 and 10 hours postdoseThe Cmax was defined as the maximum observed plasma concentration during a dosing interval. Data for this endpoint is reported only for adults and adolescent participants from PK population.
Area Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXCFor adults: Day 1 and 30: predose, 5, 15, and 30 minutes and 1, 2, 4, 6, 10, and 12 hours postdose; Day 150: predose, 2, 6, and 12 hours postdose For adolescents: Days 1 and 30: predose, 30 minutes and 2 and 10 hours postdoseAUC0-last was defined as the area under the curve from time of administration to the last measurable concentration. Data for this endpoint is reported only for adults and adolescent participants from PK population.
Change From Baseline in Clinical Chemistry Laboratory Tests: Protein, AlbuminBaseline, Day 180Change from baseline to Day 180 in protein and albumin are presented.

Countries

Australia, Canada, France, Germany, Israel, Italy, Japan, Lebanon, Netherlands, New Zealand, Poland, Romania, Spain, United Kingdom, United States

Participant flow

Recruitment details

The study was conducted at 19 sites in France, Spain, Italy, Netherlands, Germany, United Kingdom, Australia, United States, Canada, Lebanon, and Japan.

Pre-assignment details

A total of 57 participants were screened, of which 35 participants were randomized: 23 to DCR-PHXC and 12 to placebo. All 35 randomized participants received at least one dose of study drug.

Participants by arm

ArmCount
DCR-PHXC
Participants aged \>=12 years weighing \>=50 kg received nedosiran 170 mg (160 mg/mL FAE); participants \>=12 years weighing \<50 kg received 136 mg (128 mg FAE); and participants 6-11 years received 3.5 mg/kg (3.3 mg/kg FAE) not exceeding 136 mg, SC injection into the abdomen or thigh on Days 1, 30, 60, 90, 120 and 150.
23
Placebo
Participants received the equivalent volume of nedosiran matching placebo SC injection into the abdomen or thigh on Days 1, 30, 60, 90, 120 and 150.
12
Total35

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject11

Baseline characteristics

CharacteristicDCR-PHXCPlaceboTotal
Age, Continuous23.7 years
STANDARD_DEVIATION 11.95
23.6 years
STANDARD_DEVIATION 11.48
23.7 years
STANDARD_DEVIATION 11.62
Age, Customized
Between 12 to 17 years
6 Participants4 Participants10 Participants
Age, Customized
Between 18 to 64 years
14 Participants6 Participants20 Participants
Age, Customized
Between 2 to 11 years
3 Participants2 Participants5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants0 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants11 Participants30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants1 Participants3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
6 Participants0 Participants6 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants1 Participants3 Participants
Race (NIH/OMB)
White
15 Participants10 Participants25 Participants
Sex: Female, Male
Female
12 Participants6 Participants18 Participants
Sex: Female, Male
Male
11 Participants6 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 12
other
Total, other adverse events
16 / 2310 / 12
serious
Total, serious adverse events
1 / 232 / 12

Outcome results

Primary

AUC From Day 90 To Day 180, Based on Percent Change From Baseline in 24-Hour Uox

The AUC of 24-hour urinary oxalate (Uox) from Day 90 to Day 180, based on percent change from baseline, was compared between the active treatment group and placebo group. A multiple imputation approach was used to handle missing Uox data and then calculate the AUC.

Time frame: From Day 90 to 180

Population: MITT population included all participants in the ITT population who had at least one efficacy assessment after the Day 90 dosing visit, where the ITT population included all participants who were randomized and had at least one post-baseline efficacy assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DCR-PHXCAUC From Day 90 To Day 180, Based on Percent Change From Baseline in 24-Hour Uox3507.4 Percent change in 24-hour Uox AUCStandard Error 788.49
PlaceboAUC From Day 90 To Day 180, Based on Percent Change From Baseline in 24-Hour Uox-1664.4 Percent change in 24-hour Uox AUCStandard Error 1189.96
p-value: <0.000195% CI: [2929.3, 7414.2]ANCOVA
Secondary

Area Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXC

AUC0-last was defined as the area under the curve from time of administration to the last measurable concentration. Data for this endpoint is reported only for adults and adolescent participants from PK population.

Time frame: For adults: Day 1 and 30: predose, 5, 15, and 30 minutes and 1, 2, 4, 6, 10, and 12 hours postdose; Day 150: predose, 2, 6, and 12 hours postdose For adolescents: Days 1 and 30: predose, 30 minutes and 2 and 10 hours postdose

Population: The PK population included all participants in the safety population without major dosing violations, where safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data and number analysed signifies participants with available data for each specified category.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
DCR-PHXCArea Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXCDay 112500 hours*nanograms per millilitre (h*ng/mL)Geometric Coefficient of Variation 29.3
DCR-PHXCArea Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXCDay 3012800 hours*nanograms per millilitre (h*ng/mL)Geometric Coefficient of Variation 38.4
DCR-PHXCArea Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXCDay 1506100 hours*nanograms per millilitre (h*ng/mL)Geometric Coefficient of Variation 46.2
PlaceboArea Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXCDay 16450 hours*nanograms per millilitre (h*ng/mL)Geometric Coefficient of Variation 54.5
PlaceboArea Under the Curve From Time of Administration to the Last Measurable Concentration (AUC0-last) of of DCR-PHXCDay 306400 hours*nanograms per millilitre (h*ng/mL)Geometric Coefficient of Variation 45.1
Secondary

Change From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine Kinase

Change from baseline to Day 180 in alanine aminotransferase, aspartate aminotransferase, glutamate dehydrogenase, gamma glutamyl transferase, alkaline phosphatase, lactate dehydrogenase and creatine kinase are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data and number analysed signifies participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseGlutamate dehydrogenase-0.15 Units per litre (U/L)Standard Deviation 1.913
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseAlkaline phosphatase3.0 Units per litre (U/L)Standard Deviation 29.11
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseAspartate aminotransferase-0.2 Units per litre (U/L)Standard Deviation 4.95
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseLactate dehydrogenase4.1 Units per litre (U/L)Standard Deviation 20.51
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseGamma glutamyl transferase2.7 Units per litre (U/L)Standard Deviation 4.12
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseCreatine kinase7.5 Units per litre (U/L)Standard Deviation 59.28
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseAlanine aminotransferase1.0 Units per litre (U/L)Standard Deviation 8.59
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseCreatine kinase-34.1 Units per litre (U/L)Standard Deviation 160.46
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseAlanine aminotransferase-1.1 Units per litre (U/L)Standard Deviation 4.59
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseAspartate aminotransferase-1.3 Units per litre (U/L)Standard Deviation 4.73
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseGlutamate dehydrogenase-0.38 Units per litre (U/L)Standard Deviation 1.064
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseGamma glutamyl transferase-0.2 Units per litre (U/L)Standard Deviation 3.03
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseAlkaline phosphatase-16.8 Units per litre (U/L)Standard Deviation 41.78
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Alanine Aminotransferase, Aspartate Aminotransferase, Glutamate Dehydrogenase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Lactate Dehydrogenase and Creatine KinaseLactate dehydrogenase1.0 Units per litre (U/L)Standard Deviation 20.72
Secondary

Change From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and Creatinine

Change from baseline to Day 180 in bilirubin, direct bilirubin and creatinine are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data and number analysed signifies participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineBilirubin1.0 micromoles per litre (umol/L)Standard Deviation 3.18
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineDirect bilirubin0.1 micromoles per litre (umol/L)Standard Deviation 1.32
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineCreatinine-1.2 micromoles per litre (umol/L)Standard Deviation 10.81
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineBilirubin0.4 micromoles per litre (umol/L)Standard Deviation 1.8
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineDirect bilirubin0.1 micromoles per litre (umol/L)Standard Deviation 0.32
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Bilirubin, Direct Bilirubin and CreatinineCreatinine4.3 micromoles per litre (umol/L)Standard Deviation 11.02
Secondary

Change From Baseline in Clinical Chemistry Laboratory Tests: Protein, Albumin

Change from baseline to Day 180 in protein and albumin are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Protein, AlbuminProtein0.4 grams per litre (g/L)Standard Deviation 4.47
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Protein, AlbuminAlbumin0.5 grams per litre (g/L)Standard Deviation 3.22
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Protein, AlbuminProtein1.5 grams per litre (g/L)Standard Deviation 6.27
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Protein, AlbuminAlbumin1.2 grams per litre (g/L)Standard Deviation 3.63
Secondary

Change From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and Urea

Change from baseline to Day 180 in sodium, chloride, potassium and urea are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data and number analysed signifies participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaSodium0.4 millimoles per litre (mmol/L)Standard Deviation 2.44
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaChloride0.6 millimoles per litre (mmol/L)Standard Deviation 3.3
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaPotassium-0.04 millimoles per litre (mmol/L)Standard Deviation 0.425
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaUrea0.01 millimoles per litre (mmol/L)Standard Deviation 0.895
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaUrea0.40 millimoles per litre (mmol/L)Standard Deviation 1.197
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaSodium0.2 millimoles per litre (mmol/L)Standard Deviation 3.03
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaPotassium0.05 millimoles per litre (mmol/L)Standard Deviation 0.36
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Sodium, Chloride, Potassium and UreaChloride-0.4 millimoles per litre (mmol/L)Standard Deviation 4.08
Secondary

Change From Baseline in Clinical Chemistry Laboratory Tests: Vitamin B6

Change from baseline to Day 180 in vitamin B6 is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Chemistry Laboratory Tests: Vitamin B634.60 nanomoles per litre (nmol/L)Standard Deviation 99.278
PlaceboChange From Baseline in Clinical Chemistry Laboratory Tests: Vitamin B6-215.73 nanomoles per litre (nmol/L)Standard Deviation 337.775
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Basophils/Leukocytes

Change from baseline to Day 180 in basophils/leukocytes is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Basophils/Leukocytes0.0 Percentage of basophils/leukocytesStandard Deviation 0.77
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Basophils/Leukocytes0.1 Percentage of basophils/leukocytesStandard Deviation 0.74
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Eosinophils/Leukocyte

Change from baseline to Day 180 in eosinophils/leukocytes is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Eosinophils/Leukocyte0.4 Percentage of eosinophils/leukocytesStandard Deviation 1.56
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Eosinophils/Leukocyte0.9 Percentage of eosinophils/leukocytesStandard Deviation 1.66
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes

Change from baseline to Day 180 in erythrocytes is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes-0.04 10^12 cells per literStandard Deviation 0.365
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes0.02 10^12 cells per literStandard Deviation 0.23
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes (Ery.) Mean Corpuscular Volume and Mean Platelet Volume

Change from baseline to Day 180 in ery. mean corpuscular volume and mean platelet volume are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes (Ery.) Mean Corpuscular Volume and Mean Platelet VolumeEry. mean corpuscular volume0.0 femtoliter (fL)Standard Deviation 2.31
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes (Ery.) Mean Corpuscular Volume and Mean Platelet VolumeMean platelet volume-0.03 femtoliter (fL)Standard Deviation 0.864
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes (Ery.) Mean Corpuscular Volume and Mean Platelet VolumeEry. mean corpuscular volume1.1 femtoliter (fL)Standard Deviation 3.57
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes (Ery.) Mean Corpuscular Volume and Mean Platelet VolumeMean platelet volume0.61 femtoliter (fL)Standard Deviation 0.547
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes Mean Corpuscular Hemoglobin

Change from baseline to Day 180 in erythrocytes mean corpuscular hemoglobin is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes Mean Corpuscular Hemoglobin-0.1 picogram (pg)Standard Deviation 1.37
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Erythrocytes Mean Corpuscular Hemoglobin-0.1 picogram (pg)Standard Deviation 0.99
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Hematocrit

Change from baseline to Day 180 in hematocrit is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Hematocrit-0.004 Litre/litre (L/L)Standard Deviation 0.0271
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Hematocrit0.006 Litre/litre (L/L)Standard Deviation 0.0288
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Hemoglobin and Erythrocytes Mean Corpuscular Hemoglobin Concentration

Change from baseline to Day 180 in hemoglobin and erythrocytes mean corpuscular hemoglobin concentration are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Hemoglobin and Erythrocytes Mean Corpuscular Hemoglobin ConcentrationHemoglobin-1.7 gram per litre (g/L)Standard Deviation 8.9
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Hemoglobin and Erythrocytes Mean Corpuscular Hemoglobin ConcentrationEry. mean corpuscular hemoglobin concentration1.5 gram per litre (g/L)Standard Deviation 15.1
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Hemoglobin and Erythrocytes Mean Corpuscular Hemoglobin ConcentrationHemoglobin0.1 gram per litre (g/L)Standard Deviation 6.62
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Hemoglobin and Erythrocytes Mean Corpuscular Hemoglobin ConcentrationEry. mean corpuscular hemoglobin concentration-4.8 gram per litre (g/L)Standard Deviation 10.8
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Lymphocytes/Leukocytes

Change from baseline to Day 180 in lymphocytes/leukocytes is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Lymphocytes/Leukocytes-1.3 Percentage of lymphocytes/leukocytesStandard Deviation 10.26
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Lymphocytes/Leukocytes5.1 Percentage of lymphocytes/leukocytesStandard Deviation 10.21
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Monocytes/Leukocytes

Change from baseline to Day 180 in monocytes/leukocytes is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Monocytes/Leukocytes1.0 Percentage of monocytes/leukocytesStandard Deviation 2.04
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Monocytes/Leukocytes0.9 Percentage of monocytes/leukocytesStandard Deviation 2.51
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Neutrophils/Leukocytes

Change from baseline to Day 180 in neutrophils/leukocytes is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Neutrophils/Leukocytes-0.3 Percentage of neutrophils/leukocytesStandard Deviation 11.45
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Neutrophils/Leukocytes-7.1 Percentage of neutrophils/leukocytesStandard Deviation 13.14
Secondary

Change From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, Neutrophils

Change from baseline to Day 180 in reticulocytes, platelets, leukocytes, lymphocytes, monocytes, eosinophils, basophils, neutrophils are presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data and number analysed signifies participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsReticulocytes0.2 10^12 cells per literStandard Deviation 30.08
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsPlatelets-11.4 10^12 cells per literStandard Deviation 54.5
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsLeukocytes0.18 10^12 cells per literStandard Deviation 1.573
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsLymphocytes-0.03 10^12 cells per literStandard Deviation 0.621
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsMonocytes0.07 10^12 cells per literStandard Deviation 0.085
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsEosinophils0.03 10^12 cells per literStandard Deviation 0.072
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsBasophils0.01 10^12 cells per literStandard Deviation 0.062
DCR-PHXCChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsNeutrophils0.14 10^12 cells per literStandard Deviation 1.195
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsNeutrophils-1.07 10^12 cells per literStandard Deviation 1.7
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsReticulocytes-23.1 10^12 cells per literStandard Deviation 32.21
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsMonocytes-0.02 10^12 cells per literStandard Deviation 0.103
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsPlatelets2.3 10^12 cells per literStandard Deviation 53.3
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsBasophils-0.04 10^12 cells per literStandard Deviation 0.097
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsLeukocytes-1.03 10^12 cells per literStandard Deviation 1.931
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsEosinophils0.04 10^12 cells per literStandard Deviation 0.126
PlaceboChange From Baseline in Clinical Hematology Laboratory Tests: Reticulocytes, Platelets, Leukocytes, Lymphocytes, Monocytes, Eosinophils, Basophils, NeutrophilsLymphocytes0.06 10^12 cells per literStandard Deviation 0.331
Secondary

Change From Baseline in Clinical Urinalysis Laboratory Tests: pH

Change from baseline to Day 180 in urine pH is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Urinalysis Laboratory Tests: pH0.29 pHStandard Deviation 1.067
PlaceboChange From Baseline in Clinical Urinalysis Laboratory Tests: pH-0.10 pHStandard Deviation 0.738
Secondary

Change From Baseline in Clinical Urinalysis Laboratory Tests: Specific Gravity

Change from baseline to Day 180 in urine specific gravity is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Clinical Urinalysis Laboratory Tests: Specific Gravity0.0000 gram per millilitre (g/mL)Standard Deviation 0.00872
PlaceboChange From Baseline in Clinical Urinalysis Laboratory Tests: Specific Gravity-0.0008 gram per millilitre (g/mL)Standard Deviation 0.0048
Secondary

Change From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR Interval

Change from baseline in PR interval, QRS duration, QT interval, QTcB interval, QTcF interval and RR interval is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQTcB interval-0.8 milliseconds (msec)Standard Deviation 15.6
DCR-PHXCChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQRS duration1.3 milliseconds (msec)Standard Deviation 6.01
DCR-PHXCChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQTcF interval-1.1 milliseconds (msec)Standard Deviation 15.8
DCR-PHXCChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalPR interval-0.5 milliseconds (msec)Standard Deviation 13.92
DCR-PHXCChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalRR interval-7.6 milliseconds (msec)Standard Deviation 99.35
DCR-PHXCChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQT interval-2.4 milliseconds (msec)Standard Deviation 23.73
PlaceboChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalRR interval17.8 milliseconds (msec)Standard Deviation 109.73
PlaceboChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalPR interval1.3 milliseconds (msec)Standard Deviation 8.14
PlaceboChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQRS duration-1.5 milliseconds (msec)Standard Deviation 7.53
PlaceboChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQTcB interval-0.7 milliseconds (msec)Standard Deviation 17.31
PlaceboChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQTcF interval1.2 milliseconds (msec)Standard Deviation 15.59
PlaceboChange From Baseline in ECG: PR Interval, QRS Duration, QT Interval, QTcB Interval, QTcF Interval and RR IntervalQT interval4.0 milliseconds (msec)Standard Deviation 22.97
Secondary

Change From Baseline in Electrocardiogram (ECG): Heart Rate

Change from baseline in heart rate is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Electrocardiogram (ECG): Heart Rate0.4 beats per minute (beats/min)Standard Deviation 8.36
PlaceboChange From Baseline in Electrocardiogram (ECG): Heart Rate-1.8 beats per minute (beats/min)Standard Deviation 9.18
Secondary

Change From Baseline in Vital Signs: Body Mass Index (BMI)

Change from baseline to Day 180 in BMI is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Body Mass Index (BMI)0.23 Kilograms per square meter (kg/m^2)Standard Deviation 1.175
PlaceboChange From Baseline in Vital Signs: Body Mass Index (BMI)0.14 Kilograms per square meter (kg/m^2)Standard Deviation 1.293
Secondary

Change From Baseline in Vital Signs: Heart Rate

Change from baseline to Day 180 in heart rate is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Heart Rate0.8 beats/minuteStandard Deviation 10.64
PlaceboChange From Baseline in Vital Signs: Heart Rate-3.1 beats/minuteStandard Deviation 6.35
Secondary

Change From Baseline in Vital Signs: Height

Change from baseline to Day 180 in height is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Height0.70 centimetres (cm)Standard Deviation 2.383
PlaceboChange From Baseline in Vital Signs: Height1.08 centimetres (cm)Standard Deviation 1.446
Secondary

Change From Baseline in Vital Signs: Oral Body Temperature

Change from baseline to Day 180 in oral body temperature is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Oral Body Temperature0.01 Degree Celsius (C)Standard Deviation 0.399
PlaceboChange From Baseline in Vital Signs: Oral Body Temperature0.05 Degree Celsius (C)Standard Deviation 0.446
Secondary

Change From Baseline in Vital Signs: Respiratory Rate

Change from baseline to Day 180 in respiratory rate is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Respiratory Rate-0.2 Breaths per minuteStandard Deviation 3.02
PlaceboChange From Baseline in Vital Signs: Respiratory Rate-1.1 Breaths per minuteStandard Deviation 5
Secondary

Change From Baseline in Vital Signs: Systolic and Diastolic Blood Pressure

Change from baseline to Day 180 in systolic and diastolic blood pressure is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Systolic and Diastolic Blood PressureSystolic blood pressure-2.0 millimetres of mercury (mmHg)Standard Deviation 13.64
DCR-PHXCChange From Baseline in Vital Signs: Systolic and Diastolic Blood PressureDiastolic blood pressure0.8 millimetres of mercury (mmHg)Standard Deviation 9.2
PlaceboChange From Baseline in Vital Signs: Systolic and Diastolic Blood PressureSystolic blood pressure-3.0 millimetres of mercury (mmHg)Standard Deviation 9.82
PlaceboChange From Baseline in Vital Signs: Systolic and Diastolic Blood PressureDiastolic blood pressure-2.6 millimetres of mercury (mmHg)Standard Deviation 11.84
Secondary

Change From Baseline in Vital Signs: Weight

Change from baseline to Day 180 in weight is presented.

Time frame: Baseline, Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCChange From Baseline in Vital Signs: Weight1.134 kilogramsStandard Deviation 3.4794
PlaceboChange From Baseline in Vital Signs: Weight1.350 kilogramsStandard Deviation 3.433
Secondary

Maximum Observed Plasma Concentration (Cmax) of DCR-PHXC

The Cmax was defined as the maximum observed plasma concentration during a dosing interval. Data for this endpoint is reported only for adults and adolescent participants from PK population.

Time frame: For adults: Day 1 and 30: predose, 5, 15, and 30 minutes and 1, 2, 4, 6, 10, and 12 hours (hrs) postdose; Day 150: predose, 2, 6, and 12 hours postdose For adolescents: Days 1 and 30: predose, 30 minutes and 2 and 10 hours postdose

Population: The Pharmacokinetic (PK) population included all participants in the safety population without major dosing violations, where safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention. Number of participants analysed signifies participants with available data and number analysed signifies participants with available data for each specified category.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
DCR-PHXCMaximum Observed Plasma Concentration (Cmax) of DCR-PHXCDay 150648 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 55.5
DCR-PHXCMaximum Observed Plasma Concentration (Cmax) of DCR-PHXCDay 1778 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 35.7
DCR-PHXCMaximum Observed Plasma Concentration (Cmax) of DCR-PHXCDay 30774 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 46.1
PlaceboMaximum Observed Plasma Concentration (Cmax) of DCR-PHXCDay 1363 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 76.7
PlaceboMaximum Observed Plasma Concentration (Cmax) of DCR-PHXCDay 30350 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 48.6
Secondary

Number of Participants With Most Abnormal Post-Baseline Shift in Physical Examination

Number of participants who had most abnormal post-baseline shift in physical examination are presented. Physical examination shifts were categories into 4 categories: 1) missing; 2) normal; 3) abnormal-not clinically significant (NCS) and 4) abnormal-clinically significant (CS). Each category was presented according body systems including: 1) eyes, ears, nose and throat; 2) chest/respiratory; 3) heart/cardiovascular; 4) gastrointestinal/liver; 5) musculoskeletal/extremities; 6) dermatological/skin; 7) thyroid/neck; 8) lymph nodes; 9) neurological.

Time frame: Baseline up to Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularmissing0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatnormal21 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatabnormal-NCS1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatabnormal-CS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratorymissing0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratorynormal23 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratoryabnormal-NCS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratoryabnormal-CS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatmissing1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularnormal22 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularabnormal-NCS1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularabnormal-CS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/livermissing0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/livernormal22 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/liverabnormal-NCS1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/liverabnormal-CS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesmissing1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesnormal22 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesabnormal-NCS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesabnormal-CS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinmissing0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinnormal18 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinabnormal-NCS4 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinabnormal-CS1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/neckmissing1 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/necknormal22 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/neckabnormal-NCS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/neckabnormal-CS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesmissing0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesnormal23 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesabnormal-NCS0 Participants
DCR-PHXCNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatmissing1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesmissing1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatnormal11 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/neckmissing1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatabnormal-NCS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesnormal10 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationEyes, ears, nose and throatabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesmissing1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratorymissing0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesabnormal-NCS1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratorynormal12 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/necknormal10 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratoryabnormal-NCS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationMusculoskeletal/extremitiesabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationChest/respiratoryabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesabnormal-NCS1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularmissing0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinmissing0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularnormal12 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/neckabnormal-NCS1 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularabnormal-NCS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinnormal8 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationHeart/cardiovascularabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationLymph nodesnormal10 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/livermissing0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinabnormal-NCS4 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/livernormal8 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationThyroid/neckabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/liverabnormal-NCS4 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationDermatological/skinabnormal-CS0 Participants
PlaceboNumber of Participants With Most Abnormal Post-Baseline Shift in Physical ExaminationGastrointestinal/liverabnormal-CS0 Participants
Secondary

Number of Treatment Emergent Adverse Events (TEAEs) And Serious Treatment Emergent Adverse Events (TEAEs)

Number of TEAEs and TESAEs are presented. An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalisation, results in persistent disability/incapacity or is a congenital anomaly/birth defect. TEAE was defined as any AE with an onset date/time on or after administration (including any partial administration) of the first dose of study intervention and through the study completion date from the end of study case report form (CRF).

Time frame: From Baseline up to Day 180

Population: The safety population included all participants randomly assigned to study intervention and who took at least 1 partial or full dose of study intervention.

ArmMeasureGroupValue (NUMBER)
DCR-PHXCNumber of Treatment Emergent Adverse Events (TEAEs) And Serious Treatment Emergent Adverse Events (TEAEs)TEAEs101 Events
DCR-PHXCNumber of Treatment Emergent Adverse Events (TEAEs) And Serious Treatment Emergent Adverse Events (TEAEs)Serious TEAEs1 Events
PlaceboNumber of Treatment Emergent Adverse Events (TEAEs) And Serious Treatment Emergent Adverse Events (TEAEs)TEAEs54 Events
PlaceboNumber of Treatment Emergent Adverse Events (TEAEs) And Serious Treatment Emergent Adverse Events (TEAEs)Serious TEAEs3 Events
Secondary

Percentage of Participants Whose 24-hour Uox Values Normalized or Near-normalized on at Least 2 Consecutive Visits

Percentage of participants whose 24-hour Uox values normalized or near-normalized on at least 2 consecutive visits are presented. Normalization of Uox was defined as less than (\<) 0.46 millimole per 24 hours (mmol/24 hours) and near normalization was defined as greater than or equal to (\>=) 0.46 to \< 0.60 mmol/24 hours (values adjusted per 1.73 square meter \[1.73 m\^2\] body surface area \[BSA\] in participants aged \<18 years).

Time frame: From Day 90 to 180

Population: Modified Intent-to-treat population (MITT) included all participants in the intent-to-treat (ITT) population who had at least one efficacy assessment after the Day 90 dosing visit where ITT population included all participants who were randomized and had at least one post-baseline efficacy assessment.

ArmMeasureValue (NUMBER)
DCR-PHXCPercentage of Participants Whose 24-hour Uox Values Normalized or Near-normalized on at Least 2 Consecutive Visits50 Percentage of participants
PlaceboPercentage of Participants Whose 24-hour Uox Values Normalized or Near-normalized on at Least 2 Consecutive Visits0 Percentage of participants
Secondary

Percent Change From Baseline to Day 180 in Plasma Oxalate (For Adults Only)

Percent change from baseline to Day 180 in plasma oxalate (for adults only) is presented.

Time frame: Baseline, Day 180

Population: Analysis population included all adult participants from ITT population who were randomised and had at least one post-baseline efficacy assessment. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEDIAN)
DCR-PHXCPercent Change From Baseline to Day 180 in Plasma Oxalate (For Adults Only)-25.00 Percent change in plasma oxalate
PlaceboPercent Change From Baseline to Day 180 in Plasma Oxalate (For Adults Only)-0.00 Percent change in plasma oxalate
Secondary

Percent Change From Baseline to Day 180 in the Number of Kidney Stones

Percent change from baseline to Day 180 in the number of kidney stones is presented.

Time frame: Baseline, Day 180

Population: The ITT population included all participants who were randomised and had at least one post-baseline efficacy assessment. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEDIAN)
DCR-PHXCPercent Change From Baseline to Day 180 in the Number of Kidney Stones0.00 Percent change in kidney stone numbers
PlaceboPercent Change From Baseline to Day 180 in the Number of Kidney Stones0.00 Percent change in kidney stone numbers
Secondary

Percent Change From Baseline to Day 180 in the Summed Surface Area of Kidney Stones

Percent change from baseline to Day 180 in the summed surface area measured in millimetre square (mm\^2) of kidney stones is presented.

Time frame: Baseline, Day 180

Population: The ITT population included all participants who were randomised and had at least one post-baseline efficacy assessment. Number of participants analysed signifies participants with available data.

ArmMeasureValue (MEDIAN)
DCR-PHXCPercent Change From Baseline to Day 180 in the Summed Surface Area of Kidney Stones-2.13 Percent change in summed surface area
PlaceboPercent Change From Baseline to Day 180 in the Summed Surface Area of Kidney Stones21.77 Percent change in summed surface area
Secondary

Rate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Day 180

Monthly rate of eGFR change is presented. eGFR was calculated using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and creatinine-based equation.

Time frame: Baseline, Day 180

Population: The ITT population included all participants who were randomised and had at least one post-baseline efficacy assessment.

ArmMeasureValue (MEAN)Dispersion
DCR-PHXCRate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Day 1800.3533 mL/minute/1.73 m^2Standard Error 0.3961
PlaceboRate of Change in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Day 1801.1008 mL/minute/1.73 m^2Standard Error 0.54849

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026