Number of Participants With Treatment Emergent Adverse Event (TEAE) and Treatment Emergent Serious Adverse Event (TESAE)
| Group | Value (Participants) |
|---|---|
| rhPTH (1-84) | 13 |
Trial · Interventional
CompletedPhase 3Results postedRegistry dataUnited States
1 trial · 1 completed · 1 with posted results
A Open-label Study Investigating the Safety and Tolerability of NPSP558, a Recombinant Human Parathyroid Hormone (rhPTH [1-84]), for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study (RACE)
NCT012973096 Apr 2011 to 8 Jun 2018
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
This study is a long-term, open-label study using NPSP558 for the treatment of adult patients with Hypoparathyroidism.
Experimental
NPSP558
titration of 25, 50, 75 or 100 μg
Outcomes the sponsor listed as primary.
Number of Participants With Treatment Emergent Adverse Event (TEAE) and Treatment Emergent Serious Adverse Event (TESAE)
Time frame · From start of study drug administration up to follow-up (82 months)
SAE is an adverse event (AE) that results in death, life threatening, persistent or significant incapacity or substantial disruption of ability to conduct normal life functions, hospitalization or prolongation of existing hospitalization, congenital anomaly or birth defect, important medical events that may not result in death, be life threatening, or require hospitalization. An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical or medicinal product. Treatment emergent adverse events (TEAEs) were defined as AEs whose onset occurs, severity worsens or intensity increases after receiving the study medication of this study and \<= 30 days after last dose of study drug.
Number of Responders With Calcium Source at Week 52
Time frame · Week 52
A responder was defined as a participant who met all of the following 3 criteria at each (1) a greater than (\>) 50% reduction from baseline or less than (\<) 500 milligram (mg) of daily calcium supplementation. (2) a \>50% reduction from baseline or \<0.25 microgram (mcg) of daily calcitriol supplementation. (3) an albumin-corrected total serum calcium concentration that was normalized or maintained compared to the baseline greater than or equal to (\>=) 1.875 millimoles per liter (mmol/L) and not exceeding the Upper Limit of Normal (ULN) values (2.15 to 2.55 mmol/L). End of Treatment (EOT) was defined as the last determination of response or last available measurement during the treatment period. Number of responders with calcium source for citrate and carbonate at week 52 was reported here.
Number of Responders With Calcium Source at End Of Treatment (EOT) (Up to 82 Months)
Time frame · EOT (up to 82 months)
A responder was defined as a participant who met all of the following 3 criteria at each (1) a greater than (\>) 50% reduction from baseline or less than (\<) 500 milligram (mg) of daily calcium supplementation. (2) a \>50% reduction from baseline or \<0.25 microgram (mcg) of daily calcitriol supplementation. (3) an albumin-corrected total serum calcium concentration that was normalized or maintained compared to the baseline greater than or equal to (\>=) 1.875 millimoles per liter (mmol/L) and not exceeding the Upper Limit of Normal (ULN) values (2.15 to 2.55 mmol/L). End of Treatment (EOT) was defined as the last determination of response or last available measurement during the treatment period. Number of responders with calcium source for citrate and carbonate at EOT was reported here.
Percent Change From Baseline in Oral Calcium Supplementation at Week 52 and EOT (Up to 82 Months)
Time frame · Baseline, Week 52 and EOT (up to 82 months)
Percent change from baseline of oral calcium supplementation were reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Percent Change From Baseline in Oral Calcitriol Supplementation at Week 52 and EOT (Up to 82 Months)
Time frame · Baseline, Week 52 and EOT (up to 82 months)
Percent change from baseline of oral calcitriol supplementation were reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Percent Change From Baseline in Albumin Corrected Total Serum Calcium (ACSC) at EOT (Up to 82 Months)
Time frame · Baseline, EOT (up to 82 months)
Percent change in ACSC was reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Change From Baseline in 24-Hour Urine Calcium Excretion Through EOT (Up to 82 Months)
Time frame · Baseline, EOT (up to 82 months)
Change in 24 hour urine calcium excretion was reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Change From Baseline in 24-hour Urine Calcium Excretion in Participants Who Used Calcium-Sparing Diuretics Through EOT (Up to 82 Months)
Time frame · Baseline, EOT (up to 82 months)
Change from baseline in urinary calcium concentration in participants who used at least one calcium-sparing diuretics and participants who not used calcium-sparing diuretics were reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Change From Baseline in Serum Calcium Concentration in Participants Who Used and Calcium Sparing Diuretics at EOT (Upto 82 Months)
Time frame · Baseline, EOT (upto 82 months)
Change in serum calcium concentration of the number of participants who used at least one calcium-sparing diuretics and not used calcium sparing diuretics were reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Change From Baseline in Serum Phosphate at Month 72 and EOT (Upto 82 Months)
Time frame · Baseline, Month 72, EOT (upto 82 months)
Change of serum phosphate from baseline were reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Number of Participants Who Maintained a Calcium Phosphate Product in A Normal Range at EOT (Up to 82 Months)
Time frame · EOT (up to 82 months)
The normal range of calcium phosphate product is defined as \<= 4.441 millimoles square per liter square (mmol\^2/L\^2).
Change From Baseline in Bone Turnover Markers at EOT (Up to 82 Months)
Time frame · Baseline, EOT (up to 82 months)
Bone Turnover Markers such as bone specific alkaline phosphatase (BSAP), serum procollagen type 1 amino-terminal propeptide (P1NP) , osteocalcin were reported in particpiants. EOT was defined as the last determination of response or last available measurement during the treatment period.
Change From Baseline in Serum Carboxy Terminal Telopeptide of Type I Collagen (s-CTx) Bone Turnover Marker at EOT (Up to 82 Months)
Time frame · Baseline, EOT (up to 82 months)
Change form baseline in bone turnover marker (s-CTx)was reported. EOT was defined as the last determination of response or last available measurement during the treatment period.
Change From Baseline in Bone Mineral Density (BMD) at Week 52 and EOT (Up to 82 Months)
Time frame · Baseline, Week 52 and EOT (up to 82 months)
Change from baseline in BMD of lumbar spine (L1-L4), hip-total, hip-trochanter, hip-intertrochanter, hip-ward's triangle, hip-femoral neck, distal one third radius at Week 52 then every 12 months until EOT were assessed by dual-energy X-ray absorptiometry \[DXA\] and Z-score. EOT was defined as the last determination of response or last available measurement during the treatment period.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (Participants) |
|---|---|
| rhPTH (1-84) | 13 |
| Group | Value (Participants) |
|---|---|
| rhPTH (1-84) | 7 |
| Group | Value (Participants) |
|---|---|
| rhPTH (1-84) | 7 |
| Group | Value (% change of oral calcium supplementation) | Spread |
|---|---|---|
| rhPTH (1-84) | -68.7 | 34.07 |
| Group | Value (%changeoforal calcitriol supplementation) | Spread |
|---|---|---|
| rhPTH (1-84) | -72.024 | 44.6232 |
| Group | Value (Percent change in ACSC) | Spread |
|---|---|---|
| rhPTH (1-84) | -0.03 | 0.190 |
| Group | Value (Millimoles per day (mmol/day)) | Spread |
|---|---|---|
| rhPTH (1-84) | 8.92 | 5.009 |
| Group | Value (Millimoles per day (mmol/day)) | Spread |
|---|---|---|
| rhPTH (1-84) | -4.07 | 6.000 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| rhPTH(1-84)Participants received rhPTH (1-84) subcutaneous injection with a starting dose of 25 or 50 microgram (mcg) once daily with dose adjusted by the investigator with upwards in increments of 25 mcg up to 100 mcg daily, with the goal to achieve or maintain total serum calcium levels in the range of 8.0 to 9.0 milligrams per deciliter (mg/dL). | 2 / 49 | 13 / 49 | 48 / 49 |
Each cell reads participants affected / participants at risk, as the registry posted them.
Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works
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Chen et al. 2020The Journal of clinical endocrinology and metabolismcited by 28
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Mannstadt et al. 2019The Journal of clinical endocrinology and metabolismcited by 53
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