Hoppe B. An update on primary hyperoxaluria. Nat Rev Nephrol 2010; 8:467−475. doi: 10.1038/nrneph.2012.113
Cochat P, Rumsby G. Primary hyperoxaluria. N Engl J Med 2013; 369:649−658. doi: 10.1056/NEJMra1301564
US National Library of Medicine. OXLUMO - lumasiran injection, solution. DailyMed (Alnylam Pharmaceuticals, Inc.). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=16985a31-f5e4-4557-9266-fc78d4bc5055#section-8.1
Alnylam Pharmaceuticals. A Study to Evaluate Lumasiran in Children and Adults with Primary Hyperoxaluria Type 1 (ILLUMINATE-A). ClinicalTrials.gov: NCT03681184. https://clinicaltrials.gov/ct2/show/results/NCT03681184?view=results
US Food and Drug Administration. FDA Approves First Drug to Treat Rare Metabolic Disorder. November 23, 2020. https://www.fda.gov/news-events/press-announcements/fda-approves-first-drug-treat-rare-metabolic-disorder
In November 2020, the US Food and Drug Administration (FDA) approved lumasiran (brand name “Oxlumo”), the first medical therapy specifically for the management of primary hyperoxaluria type 1 (PH1), a rare and life-threatening disease that often progresses to kidney failure. This announcement may represent a breakthrough, not only in the treatment of PH1 but also in drug development for a host of rare kidney diseases.
PH1 is caused by a congenital defect in the hepatic enzyme alanine glyoxylate aminotransferase, resulting in a failure to metabolize glyoxylate to glycine and the toxic accumulation of oxalate. The buildup of unmetabolized oxalate leads