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Encaleret

Phase 3

Autosomal Dominant Hypocalcemia (ADH) | Small molecule | Other |BridgeBio Pharma, Inc.|Last Updated: Oct 31, 2025

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment80
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05680818Efficacy and Safety of Encaleret Compared to Standard of Care in Participants With ADH1PHASE3 ACTIVE NOT_RECRUITING 67Jan 6, 2023Aug 1, 2029Oct 31, 202525 United States, Australia +8
NCT04581629Safety, Tolerability, and Efficacy of Encaleret in Participants With Autosomal Dominant Hypocalcemia (ADH) Type 1PHASE2 COMPLETED 13Sep 20, 2020Sep 7, 2023Nov 19, 20241 United States
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Study Endpoints
Primary Endpoints
Number of Responders who Achieve Both Albumin-Corrected Blood Calcium (cCa) and 24-hour Urinary Calcium (UCa) Within the Target Range
Up to Week 24

* cCa within 8.3-10.7 mg/dL (2.08-2.68 millimoles per liter \[mmol/L\]) * 24-hr UCa within the reference range (\< 300 mg/day for men \[7.5 mmol/day\], \< 250 mg/day for women \[6.25 mmol/day\])

Periods 1, 2 and 3: Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Day 1 up to 16 months

Adverse events (AEs) were defined as any untoward medical occurrence associated with the use of an intervention in humans, whether or not considered intervention-related. Treatment-emergence was defined as any AE(s) regardless of relationship to investigational medicinal product (IMP), that had an onset or worsened in severity on or after the first dose of IMP.

Period 3: Change From Baseline in Albumin-Corrected Blood Calcium Concentrations (cCa)
Baseline, Week 24
Period 3: Rate of Urinary Calcium Excretion
Week 24
Secondary Endpoints
Number of Participants With Intact Parathyroid Hormone (iPTH) Within or Greater than the Reference Range
Up to Week 24
Number of Participants who Achieve Blood Magnesium Within the Reference Range
Up to Week 24
Number of Participants who Achieve Blood Phosphate Within the Reference Range
Up to Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
EncaleretEXPERIMENTALParticipants will receive encaleret at a dose as needed based on calcium levels.
Standard of Care (SoC)OTHERParticipants will continue receiving calcium supplements and/or active Vitamin D (calcitriol, alfacalcidol, falecalcitriol, etc.)
Cohort 1: Ascending + Steady-State DoseEXPERIMENTALPeriod 1: Participants will receive an ascending dose of encaleret once daily for the first 3 days. Participants will then receive an individualized dose of encaleret twice daily for 2 days. Period 2: Participants will receive encaleret twice daily for 5 days at a single dose level based on responses from Period 1. Period 3: After completion of Period 2, participants will be eligible to receive encaleret for an additional 24 weeks. Long-Term Extension (LTE): At the end of the study, participants will also have an option to receive encaleret for up to an additional 2 years.
Cohort 2: Steady-State DoseEXPERIMENTALParticipants will directly be enrolled into Period 2, and receive encaleret twice daily at a dose based on data and responses from Cohort 1 Period 1. Period 2: Participants will receive encaleret twice daily for 5 days. Period 3: After completion of Period 2, participants will be eligible to receive encaleret for an additional 24 weeks. LTE: At the end of the study, participants will also have an option to receive encaleret for up to an additional 2 years.
Interventions
NameTypeDescription
EncaleretDRUGAdministered as film-coated tablet for oral use
Standard of CareDIETARY_SUPPLEMENTCalcium supplements and/or active Vitamin D (calcitriol, alfacalcidol, falecalcitriol, etc.)
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Eligibility Criteria
Age Range16 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites25

Key Inclusion Criteria: 1. Participants must have a documented pathogenic or likely pathogenic activating variant, or variant of uncertain significance, of the calcium sensing receptor (CASR) gene associated with biochemical findings of hypoparathyroidism. 2. Participants must have a documented his...

Countries:United StatesAustraliaCanadaCzechiaDenmarkFranceItalyJapanNetherlandsUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05680818primaryCompletionDate: changed
LOWMay 24, 2026NCT05680818studyFirstPostDate: changed