A Study to Investigate the Safety and Tolerability of NPSP558, for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study in Hungary (REPEAT)
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Purpose
This study is designed to evaluate the effect of 6-months of treatment with NPSP558 in reducing requirements for supplemental oral calcium and calcitriol/alphacalcidol, while maintaining stable total serum calcium levels in adult subjects with hypoparathyroidism.
| Condition | Intervention | Phase |
|---|---|---|
|
Hypoparathyroidism |
Drug: NPSP558 |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A 6-Month 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 |
- A ≥ 50% reduction from baseline in dose of oral calcium supplementation or an oral calcium dose of ≤ 500 mg/day [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- A ≥ 50% reduction from baseline in dose of oral calcitriol/alphacalcidol supplementation or an oral calcitriol dose of ≤ 0.25 μg/day or alphacalcidol dose of ≤ 0.50 μg/day [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- A total serum calcium concentration that is normalized or maintained compared to the baseline value and does not exceed the ULN for the central laboratory [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Mean percentage changes from baseline in supplemental oral calcium and supplemental calcitriol or alphacalcidol dosages at each visit [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Proportion of patients achieving the primary endpoint at each visit [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Mean change from baseline in 24-hour urine calcium excretion [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 30 |
| Study Start Date: | August 2011 |
| Estimated Study Completion Date: | May 2012 |
| Estimated Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: NPSP558 |
Drug: NPSP558
50, 75, 100 μg
Other Name: REPEAT
|
Detailed Description:
Subjects either must have previously completed NPSP558 Study CL1-11-040 (REPLACE) including 24 weeks of active therapy and 4 weeks of follow-up to Week 28 prior to enrolling in this study or have enrolled in REPLACE and dropped out during optimization, but currently meet inclusion/exclusion criteria for REPLACE.
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients who meet all the following inclusion criteria can be enrolled into this study:
- Signed and dated informed consent form (ICF) before any study-related procedures are performed
- Previously completed 24 weeks of therapy and 4 weeks of follow-up in the REPLACE study, OR Enrolled in REPLACE and dropped out during optimization, but currently meet inclusion/exclusion criteria for REPLACE
- Able to perform daily SC self-injections of study medication (or have a designee perform injection) via a multidose injection pen into the thigh
- Willingness and ability to understand and comply with the protocol
- Women who are: (1) postmenopausal defined as 12 months amenorrhea with appropriate serum follicle stimulating hormone (FSH) levels (> 40 IU/L); (2) surgically sterilized; OR (3) of childbearing potential with a negative pregnancy test at screening and who consent to use two acceptable methods of contraception for the duration of the study, with pregnancy testing at every scheduled visit during the treatment period . Female partners (who are of childbearing potential) of male study patients must also use acceptable forms of contraception during their partner's participation
Exclusion Criteria:
Patients who meet any of the following exclusion criteria at baseline (Visit 1) are not eligible for enrollment in this study:
- Any condition that, in the investigator's opinion after consultation with the sponsor, would preclude the safe use of NPSP558
- Any disease or condition in the opinion of the investigator that has a high probability of precluding the patient from completing the study or where the patient cannot or will not appropriately comply with study requirements
- Pregnant or lactating woman
Contacts and Locations| Hungary | |
| Semmelweis University Medical School | |
| Budapest, Hungary | |
| University of Pécs, School of Medicine | |
| Pécs, Hungary | |
| University of Szeged | |
| Szeged, Hungary | |
| Study Director: | Hjalmar Lagast, M.D. | NPS Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | NPS Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT01455181 History of Changes |
| Other Study ID Numbers: | PAR-C10-009 |
| Study First Received: | September 15, 2011 |
| Last Updated: | December 16, 2011 |
| Health Authority: | Hungary: Scientific and Medical Research Council Ethics Committee |
Keywords provided by NPS Pharmaceuticals:
|
Hypoparathyroidism NPSP558 Parathyroid Hormone 1-84 PTH 1-84 |
Additional relevant MeSH terms:
|
Hypoparathyroidism Parathyroid Diseases Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013