Trial Outcomes & Findings for Hydroxyproline Influence on Oxalate Metabolism (NCT NCT02038543)

NCT ID: NCT02038543

Last Updated: 2017-07-02

Results Overview

The overall contribution of hydroxyproline catabolism to urinary oxalate (UOx) and glycolate (UGlc) excretion is determined by the excess mole percent enrichment of urine with 13C2-oxalate and glycolate corrected for the fraction of labelled \[15N,13C5\]-Hyp that is circulating in the plasma.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

22 participants

Primary outcome timeframe

Participants will be followed for the duration of study infusion and observation, an average of 24 hours.

Results posted on

2017-07-02

Participant Flow

Subjects were enrolled at Mayo Clinic in Rochester, Minnesota.

Participant milestones

Participant milestones
Measure
PH Type 1
In primary hyperoxaluria type 1, kidney stones typically begin to appear anytime from childhood to early adulthood, and end stage renal disease (ESRD) can develop at any age.
PH Type 2
Primary hyperoxaluria type 2 is similar to type 1, but end stage renal disease (ESRD) develops later in life.
PH Type 3
In primary hyperoxaluria type 3, affected individuals often develop kidney stones in early childhood, but few cases of this type have been described so additional signs and symptoms of this type are unclear.
PH Type Non 1,2,3
Subjects who presented with overproduction of oxalate, leading to recurrent kidney and bladder stones, but are not identified as primary hyperoxaluria (PH) types 1, 2, or 3.
Overall Study
STARTED
7
4
8
3
Overall Study
COMPLETED
7
4
8
1
Overall Study
NOT COMPLETED
0
0
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
PH Type 1
In primary hyperoxaluria type 1, kidney stones typically begin to appear anytime from childhood to early adulthood, and end stage renal disease (ESRD) can develop at any age.
PH Type 2
Primary hyperoxaluria type 2 is similar to type 1, but end stage renal disease (ESRD) develops later in life.
PH Type 3
In primary hyperoxaluria type 3, affected individuals often develop kidney stones in early childhood, but few cases of this type have been described so additional signs and symptoms of this type are unclear.
PH Type Non 1,2,3
Subjects who presented with overproduction of oxalate, leading to recurrent kidney and bladder stones, but are not identified as primary hyperoxaluria (PH) types 1, 2, or 3.
Overall Study
Screen Failure
0
0
0
1
Overall Study
Withdrawal by Subject
0
0
0
1

Baseline Characteristics

Hydroxyproline Influence on Oxalate Metabolism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PH Type 1
n=7 Participants
In primary hyperoxaluria type 1, kidney stones typically begin to appear anytime from childhood to early adulthood, and end stage renal disease (ESRD) can develop at any age.
PH Type 2
n=4 Participants
Primary hyperoxaluria type 2 is similar to type 1, but end stage renal disease (ESRD) develops later in life.
PH Type 3
n=8 Participants
In primary hyperoxaluria type 3, affected individuals often develop kidney stones in early childhood, but few cases of this type have been described so additional signs and symptoms of this type are unclear.
PH Type Non 1,2,3
n=3 Participants
Subjects who presented with overproduction of oxalate, leading to recurrent kidney and bladder stones, but are not identified a PH types 1, 2, or 3.
Total
n=22 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
3 Participants
n=4 Participants
20 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
8 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
0 Participants
n=7 Participants
8 Participants
n=5 Participants
2 Participants
n=4 Participants
14 Participants
n=21 Participants
Region of Enrollment
United States
7 participants
n=5 Participants
4 participants
n=7 Participants
8 participants
n=5 Participants
3 participants
n=4 Participants
22 participants
n=21 Participants

PRIMARY outcome

Timeframe: Participants will be followed for the duration of study infusion and observation, an average of 24 hours.

Population: 2 subjects from the PH Type Non 1,2,3 withdrew from the study. Subjects with PH Type Non 1,2,3 were not included in the analysis as only 1 subject completed the study.

The overall contribution of hydroxyproline catabolism to urinary oxalate (UOx) and glycolate (UGlc) excretion is determined by the excess mole percent enrichment of urine with 13C2-oxalate and glycolate corrected for the fraction of labelled \[15N,13C5\]-Hyp that is circulating in the plasma.

Outcome measures

Outcome measures
Measure
PH Type 1
n=7 Participants
In primary hyperoxaluria type 1, kidney stones typically begin to appear anytime from childhood to early adulthood, and end stage renal disease (ESRD) can develop at any age.
PH Type 2
n=4 Participants
Primary hyperoxaluria type 2 is similar to type 1, but end stage renal disease (ESRD) develops later in life.
PH Type 3
n=8 Participants
In primary hyperoxaluria type 3, affected individuals often develop kidney stones in early childhood, but few cases of this type have been described so additional signs and symptoms of this type are unclear.
PH Type Non 1,2,3
Subjects who presented with overproduction of oxalate, leading to recurrent kidney and bladder stones, but are not identified as PH types 1, 2, or 3.
Mean Percent Conversion of Hydroxyproline (Hyp) to Urinary Oxalate (UOx)
12.8 percent converted
Standard Error 4.7
32.9 percent converted
Standard Error 8.0
14.8 percent converted
Standard Error 1.8

SECONDARY outcome

Timeframe: Participants will be followed for the duration of the study infusion and observations, an average of 24 hours

Population: 2 subjects from the PH Type Non 1,2,3 withdrew from the study. Subjects with PH Type Non 1,2,3 were not included in the analysis as only 1 subject completed the study.

The overall contribution of Hyp catabolism to urinary oxalate (UOx) and glycolate (UGlc) excretion is determined by the excess mole percent enrichment of urine with 13C2-oxalate and glycolate corrected for the fraction of labelled \[15N,13C5\]-Hyp that is circulating in the plasma.

Outcome measures

Outcome measures
Measure
PH Type 1
n=7 Participants
In primary hyperoxaluria type 1, kidney stones typically begin to appear anytime from childhood to early adulthood, and end stage renal disease (ESRD) can develop at any age.
PH Type 2
n=4 Participants
Primary hyperoxaluria type 2 is similar to type 1, but end stage renal disease (ESRD) develops later in life.
PH Type 3
n=8 Participants
In primary hyperoxaluria type 3, affected individuals often develop kidney stones in early childhood, but few cases of this type have been described so additional signs and symptoms of this type are unclear.
PH Type Non 1,2,3
Subjects who presented with overproduction of oxalate, leading to recurrent kidney and bladder stones, but are not identified as PH types 1, 2, or 3.
Mean Percent Conversion of Hydroxyproline (Hyp) to Urinary Glycolate (UGIc)
16.3 percent converted
Standard Error 4.0
1.4 percent converted
Standard Error 0.4
2.5 percent converted
Standard Error 1.3

Adverse Events

PH Type 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PH Type 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PH Type 3

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PH Type Non 1,2,3

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. John C. Lieske

Mayo Clinic

Phone: 507-284-2064

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place