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Trial · Interventional

CompletedPhase 3Results postedRegistry data

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)

Overview

Status
Completed
Phase
Phase 3
Enrollment
51 participants (actual)
Sponsor
Shire · Industry
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

United States

Start
6 Apr 2011
Primary completion
8 Jun 2018
Completion
8 Jun 2018
First posted
16 Feb 2011 (estimated)
Last update posted
25 May 2021
Conditions
Hypoparathyroidism

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2012201420162018
  1. Ph 3

    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)

    NCT01297309

    6 Apr 2011 to 8 Jun 2018

Registry summary

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.

Interventions

  • NPSP558Drug

Arms1

  • Experimental

    NPSP558

    titration of 25, 50, 75 or 100 μg

Primary outcomes3

Outcomes the sponsor listed as primary.

  1. 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)

    Registry description

    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.

  2. Number of Responders With Calcium Source at Week 52

    Time frame · Week 52

    Registry description

    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.

  3. Number of Responders With Calcium Source at End Of Treatment (EOT) (Up to 82 Months)

    Time frame · EOT (up to 82 months)

    Registry description

    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.

Secondary outcomes(11)
  1. 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)

    Registry description

    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.

  2. 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)

    Registry description

    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.

  3. 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)

    Registry description

    Percent change in ACSC was reported. EOT was defined as the last determination of response or last available measurement during the treatment period.

  4. Change From Baseline in 24-Hour Urine Calcium Excretion Through EOT (Up to 82 Months)

    Time frame · Baseline, EOT (up to 82 months)

    Registry description

    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.

  5. 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)

    Registry description

    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.

  6. 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)

    Registry description

    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.

  7. Change From Baseline in Serum Phosphate at Month 72 and EOT (Upto 82 Months)

    Time frame · Baseline, Month 72, EOT (upto 82 months)

    Registry description

    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.

  8. 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)

    Registry description

    The normal range of calcium phosphate product is defined as \<= 4.441 millimoles square per liter square (mmol\^2/L\^2).

  9. Change From Baseline in Bone Turnover Markers at EOT (Up to 82 Months)

    Time frame · Baseline, EOT (up to 82 months)

    Registry description

    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.

  10. 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)

    Registry description

    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.

  11. 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)

    Registry description

    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.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeCount of participants· From start of study drug administration up to follow-up (82 months)

Number of Participants With Treatment Emergent Adverse Event (TEAE) and Treatment Emergent Serious Adverse Event (TESAE)

GroupValue (Participants)
rhPTH (1-84)13
Primary outcomeCount of participants· Week 52

Number of Responders With Calcium Source at Week 52

GroupValue (Participants)
rhPTH (1-84)7
Primary outcomeCount of participants· EOT (up to 82 months)

Number of Responders With Calcium Source at End Of Treatment (EOT) (Up to 82 Months)

GroupValue (Participants)
rhPTH (1-84)7
Secondary and other outcome results(5)
Secondary outcomeMean· Baseline, Week 52 and EOT (up to 82 months)

Percent Change From Baseline in Oral Calcium Supplementation at Week 52 and EOT (Up to 82 Months)

GroupValue (% change of oral calcium supplementation)Spread
rhPTH (1-84)-68.734.07
Secondary outcomeMean· Baseline, Week 52 and EOT (up to 82 months)

Percent Change From Baseline in Oral Calcitriol Supplementation at Week 52 and EOT (Up to 82 Months)

GroupValue (%changeoforal calcitriol supplementation)Spread
rhPTH (1-84)-72.02444.6232
Secondary outcomeMean· Baseline, EOT (up to 82 months)

Percent Change From Baseline in Albumin Corrected Total Serum Calcium (ACSC) at EOT (Up to 82 Months)

GroupValue (Percent change in ACSC)Spread
rhPTH (1-84)-0.030.190
Secondary outcomeMean· Baseline, EOT (up to 82 months)

Change From Baseline in 24-Hour Urine Calcium Excretion Through EOT (Up to 82 Months)

GroupValue (Millimoles per day (mmol/day))Spread
rhPTH (1-84)8.925.009
Secondary outcomeMean· Baseline, EOT (up to 82 months)

Change From Baseline in 24-hour Urine Calcium Excretion in Participants Who Used Calcium-Sparing Diuretics Through EOT (Up to 82 Months)

GroupValue (Millimoles per day (mmol/day))Spread
rhPTH (1-84)-4.076.000

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther 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 / 4913 / 4948 / 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

Studies5

Studies that cite this trial.

More studies

5 studies on this page

PubMed tag: none · 2023

The risk of chronic kidney disease development in adult patients with chronic hypoparathyroidism treated with rhPTH(1-84): A retrospective cohort study.

Rejnmark et al. 2023Clinical endocrinologycited by 12

PMID 35974422DOI 10.1111/cen.14813PUB-35974422

Free to read · publisher termsCC BY-NC-ND
Read at source

PubMed tag: none · 2022

Lower Risk of Cardiovascular Events in Adult Patients with Chronic Hypoparathyroidism Treated with rhPTH(1-84): A Retrospective Cohort Study.

Ayodele et al. 2022Advances in therapycited by 6

PMID 35696069PMC9309129DOI 10.1007/s12325-022-02198-yPUB-35696069

Free to read · publisher termsCC BY-NC
Read at source

PubMed tag: none · 2022

Five-Year Estimated Glomerular Filtration Rate in Adults with Chronic Hypoparathyroidism Treated with rhPTH(1-84): A Retrospective Cohort Study.

Ayodele et al. 2022Advances in therapycited by 10

PMID 36018496PMC9525348DOI 10.1007/s12325-022-02292-1PUB-36018496

Free to read · publisher termsCC BY-NC
Read at source

Indexing hint: Observational study · 2020

Five-year Estimated Glomerular Filtration Rate in Patients With Hypoparathyroidism Treated With and Without rhPTH(1-84).

Chen et al. 2020The Journal of clinical endocrinology and metabolismcited by 28

PMID 32738041PMC7470469DOI 10.1210/clinem/dgaa490PUB-32738041

CC BY
Download PDF

PubMed tag: none · 2019

Safety and Efficacy of 5 Years of Treatment With Recombinant Human Parathyroid Hormone in Adults With Hypoparathyroidism.

Mannstadt et al. 2019The Journal of clinical endocrinology and metabolismcited by 53

PMID 31369089PMC6760337DOI 10.1210/jc.2019-01010PUB-31369089

CC BY
Download PDF

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 85 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Previously completed the rhPTH\[1-84\] RELAY study (8 weeks of active therapy) and/or previously completed the rhPTH\[1-84\] REPLACE study (Visit 18). * Able to perform daily SC self-injections of study medication (or have a designee perform injection). * Women who are (1) postmenopausal; (2) surgically sterilized; or, (3) of childbearing potential with a negative pregnancy test and who consent to use two acceptable methods of contraception for the duration of the study. * Males who have female partners of childbearing potential must use two acceptable forms of contraception for the duration of the study. * Serum creatinine \<1.5 mg/dL at enrollment. * Total serum calcium less than or equal to upper limit of normal (ULN) based on local laboratory result prior to enrollment. * Serum 25 hydroxy (OH) vitamin D less than or equal to 1.5 times the ULN within approximately 16 weeks prior to enrollment. Exclusion Criteria: * Any condition that, in the investigator's opinion after consultation with the sponsor, would preclude the safe use of parathyroid hormone (PTH). * Pregnant or lactating women. * Any disease or condition which has a high probability of precluding the subject from completing the study or where the subject cannot or will not appropriately comply with study requirements.

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