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TransCon PTH

Phase 3

Hypoparathyroidism | Small molecule | Endocrine |Ascendis Pharma A/S|Last Updated: Feb 9, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment143
FDA Designations
PRIORITY_REVIEW
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04701203A Trial Investigating the Safety, Tolerability and Efficacy of TransCon PTH Administered Daily in Adults With HypoparathyroidismPHASE3 COMPLETED 84Feb 16, 2021Jan 21, 2025Feb 9, 202621 United States, Canada +5
NCT04009291A Trial Investigating the Safety, Tolerability and Efficacy of TransCon PTH in Adults With HypoparathyroidismPHASE2 COMPLETED 59Aug 27, 2019Apr 17, 2025May 8, 202515 United States, Canada +4
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Study Endpoints
Primary Endpoints
Efficacy - Primary Endpoint During the Blinded Period
26 weeks

The primary endpoint was a multi-component endpoint that included the percentage of participants who met the following criteria at 26 weeks of blinded treatment: 1) albumin-adjusted serum calcium measured within 4 weeks prior to and on Week 26 visit within the normal range (8.3 to 10.6 mg/dL), and 2) independence from active vitamin D within 4 weeks prior to Week 26 visit (i.e., all daily standing dose of active vitamin D equal to zero AND use of PRN ≤7 days during the 4 weeks), and 3) independence from therapeutic doses of calcium within 4 weeks prior to Week 26 visit (i.e., average daily standing dose of elemental calcium ≤600 mg AND use of PRN doses on ≤7 days during the 4 weeks), and 4) no increase in prescribed study drug within 4 weeks prior to Week 26 visit.

Secondary Endpoints
Change From Baseline to Week 26 in HPES Symptom - Physical Domain Score
26 weeks
Change From Baseline to Week 26 in HPES Symptom - Cognitive Domain Score
26 weeks
Change From Baseline to Week 26 in HPES Impact - Physical Functioning Domain Score
26 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TransCon PTHEXPERIMENTALTransCon PTH at a starting dose of 18 mcg delivered once daily by subcutaneous injection and titrated to an optimal dose
PlaceboPLACEBO_COMPARATORPlacebo for TransCon PTH delivered once daily by subcutaneous injection
TransCon PTH 15 mcgEXPERIMENTALTransCon PTH 15 mcg delivered once daily by subcutaneous injection
TransCon PTH 18 mcgEXPERIMENTALTransCon PTH 18 mcg delivered once daily by subcutaneous injection
TransCon PTH 21 mcgEXPERIMENTALTransCon PTH 21 mcg delivered once daily by subcutaneous injection
Open-Label Extension PeriodEXPERIMENTALSubjects who complete the four-week blinded period are assigned to open-label treatment with TransCon PTH for up to 262 weeks, with up to an initial 14 weeks of TransCon PTH titration and standard of care optimization, followed by approximately 248 weeks of individualized dosing.
Interventions
NameTypeDescription
TransCon PTHCOMBINATION_PRODUCTTransCon PTH drug product is supplied as a solution with a concentration of 0.3 mg PTH(1-34)/mL in a single-patient-use prefilled pen intended for subcutaneous injection.
PlaceboCOMBINATION_PRODUCTPlacebo is supplied as a solution containing the formulation buffer for TransCon PTH in a single-patient-use prefilled pen intended for subcutaneous injection.
Placebo for TransCon PTHCOMBINATION_PRODUCTPlacebo is supplied as a clear solution containing the formulation buffer for TransCon PTH in a pre-filled pen intended for subcutaneous injection.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: 1. Males and females, ≥18 years of age 2. Subjects with postsurgical chronic HP, or auto-immune, genetic, or idiopathic HP for at least 26 weeks. Diagnosis of HP is established based on historic hypocalcemia in the setting of inappropriately low serum PTH levels 3. Requirement f...

Countries:United StatesCanadaDenmarkGermanyHungaryItalyNorway
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