Study of ALLN-177 in Patients Aged 12 Years or Older With Enteric or Primary Hyperoxaluria and Hyperoxalemia

Phase 2, multi-center, open label, single arm study to evaluate the effect and safety of
ALLN-177 in adult and pediatric patients aged 12 and older with enteric hyperoxaluria and
hyperoxalemia or primary hyperoxaluria .

Approximately 15-20 evaluable subjects are planned to be enrolled in the study. Eligible
subjects will administer ALLN-177 with each meal/snack 5 times per day for 12 consecutive
weeks.

Inclusion Criteria:

1. Signed a informed consent form or an assent

2. Aged 12 or older with body weight ≥ 35kg

3. History of primary hyperoxaluria or enteric hyperoxaluria associated with a known
underlying enteric disorder associated with malabsorption (e.g., bariatric surgery,
Crohn's disease, short bowel syndrome, or other malabsorption syndrome)

4. Urinary oxalate ≥ 40mg/24h (normalized for body surface area in children) at Screening
in patients with eGFR >15 mL/min/1.73m2

5. In patients with enteric hyperoxaluria, eGFR < 45mL/min/1.73m2 at Screening

6. In patients with enteric hyperoxaluria, plasma oxalate > 5µmol/L at Screening

7. Patients on dialysis, must be stable for greater than 3 months

Exclusion Criteria:

1. Unable or unwilling to discontinue Vitamin C supplementation