Summary

Eligibility
for people ages 18-80 (full criteria)
Location
at Torrance, California and other locations
Dates
study started
completion around

Description

Summary

This study is investigating the safety and efficacy of eneboparatide (AZP-3601) in patients with chronic hypoparathyroidism (cHP).

During the first 24 weeks of the trial, participants will be randomized to receive eneboparatide or placebo. Study treatment is blinded: patients and doctors will not know which group each patient has been randomized to. All patients will start with a fixed dose of study treatment (eneboparatide or placebo), administered subcutaneously with a pre-filled pen. Study treatment will be individually titrated.

After completion of the first 24 weeks, patients will be treated in the open label extension part of the study for 28 weeks. During this phase, all patients (including patients that were in the placebo group) will receive eneboparatide.

Official Title

A Phase 3 Multicenter, Randomized, Placebo-controlled, Double-blind Study to Evaluate the Efficacy and Safety of Eneboparatide (AZP-3601), a Parathyroid Hormone Receptor Agonist, in Patients With Chronic Hypoparathyroidism (CALYPSO)

Keywords

Chronic Hypoparathyroidism, Endocrine System Diseases, Parathyroid Diseases, Hypoparathyroidism, eneboparatide

Eligibility

You can join if…

Open to people ages 18-80

  1. Males and Females, 18-80 years of age
  2. Patients with cHP for ≥12 months at the time of screening
  3. Two paired measurements of showing low parathyroid hormone (PTH) and serum calcium either below normal or within normal under standard of care
  4. Requirement for therapy with calcitriol ≥0.5 mcg per day or alphacalcidol ≥1 mcg per day, and requirement for supplemental oral calcium treatment ≥1000 mg per day over and above patient's dietary calcium intake at Day 1 visit
  5. Successful completion of the Optimization period based on two consecutive measurements of albumin-adjusted serum calcium at least 1 week apart within the range of 7.8 to 9.0 mg/dL and with no more than 25% of change in the daily dose of any of active vitamin D and oral calcium supplements between the two measurements
  6. Thyroid-stimulating hormone (TSH) within the lower limit of normal and 1.5-fold of the upper limit of normal at screening; if on suppressive therapy for a history of thyroid cancer, TSH level must be ≥0.2 mIU/mL and thyroid medication should be stable for at least 6 weeks prior to treatment
  7. Prior to start of treatment:
    • Magnesium level within laboratory normal limits
    • 25(OH) vitamin D levels of 30-70 ng/mL (75-175 nmol/L)
  8. eGFR ≥30 mL/min/1.73m² during screening
  9. Able to perform daily subcutaneous self-injections of study drug (or have a designee to perform injections) via a pre-filled injection pen

    10. Female patients of non-childbearing potential or using an effective method of

    contraception throughout the study. Women of childbearing potential should have a negative pregnancy test.

    11. Able and willing to provide written and signed informed consent in accordance with GCP

You CAN'T join if...

  1. Mental incapacity, unwillingness, or language barriers precluding adequate understanding or cooperation
  2. Clinically significant abnormal values at screening for hematology, clinical chemistry, coagulation or urinalysis
  3. Abnormal arterial pressure at screening, defined as (1) systolic blood pressure <100 mmHg, or (2) systolic blood pressure >150 mmHg, and/or diastolic blood pressure >100 mmHg.
  4. Heart rate at rest outside the range of 50-100 beats/minute at screening
  5. Clinically significant abnormal standard 12-lead electrocardiogram indicative of severe cardiac disease
  6. Known history of autosomal-dominant hypocalcemia or known pseudohypoparathyroidism (impaired responsiveness to PTH)
  7. Any current disease (other than hypoparathyroidism) that might affect calcium metabolism, calcium-phosphate homeostasis or PTH levels
  8. Patients with increased risk for osteosarcoma
  9. Current uncontrolled active disease processes that may adversely affect gastrointestinal absorption

    10. History of cerebrovascular accident within 6 months prior to screening 11. History of active uncontrolled malignancy over the past 2 years at time of screening 12. History of any other cancer other than thyroid cancer (except basal cell skin cancer

    or squamous cell skin cancer) who have not been disease-free for a period of at least 2 years at the time of screening

    13. Acute gout <2 months prior to screening 14. Dependent on parenteral calcium infusions to maintain calcium homeostasis 15. Use of medications such as loop and thiazide diuretics, raloxifene hydrochloride,

    lithium, methotrexate, cardiac glycosides or systemic corticosteroids within 4 weeks prior to start of treatment

    16. Previous treatment with PTH/parathyroid hormone-related protein-like drugs, including

    PTH(1-84) and PTH(1-34) within 3 months of screening

    17. Use of other drugs known to influence calcium and bone metabolism within 4 weeks of

    screening

    18. Use of oral bisphosphonates within 6 months of screening or intravenous bisphosphonate

    within 12 months of screening

    19. Use of denosumab within 18 months of screening 20. Seizure disorder/epilepsy with history of a seizure within 6 months of screening 21. History of symptomatic urinary tract calculi within 3 months of screening 22. Irradiation to the skeleton within 2 years of screening 23. Pregnant or breastfeeding female patients 24. Participation in any other interventional study in which the patient received an

    investigational drug or device within 2 months or within 5 times the half-life of the investigational drug (whichever comes first) prior to screening

    25. Any disease or condition that, in the opinion of the investigator, may require

    treatment or make the subject unlikely to fully complete the trial, or any condition that presents undue risk from the study treatment or procedures, including treated malignancies that are likely to recur within the approximate duration of the trial

    26. Any other reason that in the opinion of the investigator would prevent the subject

    from completing participation or following the trial schedule

    27. Known allergy or sensitivity to PTH or any of the excipients

Locations

  • Harbor UCLA Medical Center Endocrinology accepting new patients
    Torrance California 90502 United States
  • Northern Nevada Endocrinology accepting new patients
    Reno Nevada 89511 United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Amolyt Pharma
ID
NCT05778071
Phase
Phase 3 research study
Study Type
Interventional
Participants
Expecting 165 study participants
Last Updated