Renal

Primary Hyperoxaluria

Also known as PH, PH1/PH2/PH3, AGXT deficiency hyperoxaluria

Primary hyperoxaluria is a group of rare autosomal recessive disorders of glyoxylate metabolism causing overproduction of oxalate, leading to recurrent calcium oxalate nephrolithiasis, nephrocalcinosis, and progressive renal failure. Type 1

ORPHA:416 ↗Gene AGXTGene GRHPRGene HOGA1Prevalence Approximately 1–3 per millionOnset Variable; infancy to adulthood depending on subtype

12

studies recruiting now

as of 7 Sept 2026

54

studies registered in total

as of 7 Sept 2026

6

countries with a recruiting site

as of 7 Sept 2026

20 Aug 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 12 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

Keep watching

Get an email when a new Primary Hyperoxaluria study opens.

One email a day at most. Unsubscribe with one click.

Used only for these alerts. Privacy.

Support

Patient organisations

Oxalosis and Hyperoxaluria FoundationPatient association
Visit website ↗

Registry: OHF Patient Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Primary Hyperoxaluria

Primary hyperoxaluria is a group of rare autosomal recessive disorders of glyoxylate metabolism causing overproduction of oxalate, leading to recurrent calcium oxalate nephrolithiasis, nephrocalcinosis, and progressive renal failure. Type 1 (AGXT deficiency) is the most severe and common form, frequently resulting in systemic oxalosis when the kidney fails and oxalate deposits in bones, eyes, and heart. Lumasiran (siRNA targeting LDHA) has been approved for PH1, representing a significant therapeutic advance.

Common clinical features

Recurrent calcium oxalate kidney stones from early ageNephrocalcinosisProgressive chronic kidney diseaseSystemic oxalosis (bones, eyes, heart, skin in advanced disease)HaematuriaUrinary tract infections secondary to stone burdenAnaemia and bone pain (systemic oxalosis)

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

2 approved treatments and 6 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: LumasiranApproved: Nedosiran Sodium (Rivfloza)
Phase 3Reloxaliase
Phase 3Losartan
Phase 3Lisinopril Anhydrous
Phase 2Stiripentol (Diacomit)
Phase 2Betaine (Amversio)
Phase 1/2Leucine

Before you apply

Things trial teams commonly ask about for Primary Hyperoxaluria. Not eligibility rules; those are set by each study.

  • Subtype classification (PH1, PH2, or PH3) by genetic testing is critical as approved therapies and trial eligibility differ by subtype; confirm the causative gene before applying.
  • 24-hour urinary oxalate excretion is the primary pharmacodynamic endpoint in most trials; establish a reliable baseline with repeated measurements under controlled dietary conditions.
  • Trials for PH1 gene therapy or RNA interference may require a minimum eGFR threshold to ensure adequate drug clearance; check renal function eligibility carefully.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).