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MBX 2109

Phase 3

Hypoparathyroidism | Small Molecules | Endocrine |MBX Biosciences, Inc.|Trials Updated: Oct 29, 2026

MBX 2109 development status

Highest phase Phase 3 (NCT07699471)
Phase scored for MBXPhase 2
Registered trials 3 across 1 sponsor since Jun 2024

MBX 2109 target and mechanism

ModalitySmall Molecules

Also known as MBX 2109 (Part A), Canvuparatide

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment309

FDA Designations

No designations recorded

MBX 2109 clinical trials

MBX 2109 · 4 trials · 2 indications

Phase 3 1Phase 2 2Phase 1 1
NCT07699471A Study to Investigate Canvuparatide Compared With Placebo in Adult Patients With HypoparathyroidismHypoparathyroidism
RECRUITING160 Analytics
PHASE3RECRUITING
A Study to Investigate Canvuparatide Compared With Placebo in Adult Patients With Hypoparathyroidism
HypoparathyroidismUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the effect of pooled weekly doses of canvuparatide on the proportion of responder patients at week 26.
26 Weeks

Responder status is defined as a study participant who meets the following composite criteria: * Independence from active vitamin D * Independence from therapeutic doses of calcium (standing elemental calcium dose of ≤ 600 mg/day) * 2 consecutive albumin-adjusted serum calcium results in the normal range (8.3-10.6 mg/dL) (2.07-2.64 mmol/L) * No increase in study drug

To evaluate the long-term safety and tolerability of weekly MBX 2109 in patients with hypoparathyroidism.
104 weeks

Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).

To evaluate the effect of pooled weekly doses of MBX 2109 on the proportion of responder patients defined by serum calcium levels and treatment with active vitamin D and calcium supplements at Week 12/Visit 15
Week 12

Proportion of patients pooled across MBX 2109 doses meeting the composite criteria at week 12/Visit 15 * Independence from active vitamin D supplements * Oral elemental calcium doses of ≤600 mg/day * Serum albumin-adjusted calcium (AdjCa) values of 8.2 to 10.6 mg/dL

Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-∞)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

Maximum observed concentration (Cmax)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

Area under the plasma concentration-time curve from time 0 to time of last quantifiable sample (AUC0-T)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

Apparent clearance (CL/F) (MBX 2109 only)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

Time to maximum concentration (Tmax)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

Terminal elimination half-life (t1/2)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

Apparent volume of distribution (Vz/F) (MBX 2109 only)
Baseline through Day 36

Assess the plasma pharmacokinetics (PK) of MBX 2109 and MBX 2099 following a single 900 µg subcutaneous (SC) dose

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CanvuparatideACTIVE_COMPARATORCanvuparatide is provided as an integral drug-device combination product (DDC) intended for single-use administration, to deliver 1mL of canvuparatide via a manual SC injection. Dosing is once weekly.
PlaceboPLACEBO_COMPARATORPlacebo is provided as an integral drug-device combination product (DDC) intended for single-use administration, to deliver 1mL of placebo via a manual SC injection. Dosing is once weekly.
400 µg once-weekly by subcutaneous injectionEXPERIMENTAL -
200-1600 µg once-weekly by subcutaneous injectionEXPERIMENTAL -
Starting dose of 400 µg once-weekly by subcutaneous injectionEXPERIMENTAL -
Starting dose of 600 µg once-weekly by subcutaneous injectionEXPERIMENTAL -
Starting dose of 800 µg once-weekly by subcutaneous injectionEXPERIMENTAL -
Placebo - once-weekly by subcutaneous injectionPLACEBO_COMPARATOR -
Single 900 µg dose of MBX 2109EXPERIMENTALA single, 900 µg dose of MBX 2109 will be administered subcutaneously in the abdomen

Interventions

NameTypeDescription
CanvuparatideDRUG• Drug per vial: Each DDC contains 1 vial of lyophilized drug product. The reconstituted strengths are 400 μg/mL, 600 μg/mL, 800 μg/mL, 1000 μg/mL, 1200 μg/mL, 1400 μg/mL, and 1600 μg/mL.
PlaceboOTHER• Drug per vial: Each DDC contains 1 vial of lyophilized drug product. The reconstituted strengths are 400 μg/mL, 600 μg/mL, 800 μg/mL, 1000 μg/mL, 1200 μg/mL, 1400 μg/mL, and 1600 μg/mL.
400 µg of MBX 2109 once-weekly by subcutaneous injectionDRUGSupplied as 1.5 mg per vial, to be reconstituted in 1.4 mL water for injection (diluent) to a concentration of 1.0 mg/mL. Patients who received Placebo in the Phase 2 MBX-2H1002 study, will initiate treatment with 400 µg subcutaneous MBX 2109 once-weekly
200-1600 µg of MBX 2109 once-weekly by subcutaneous injectionDRUGSupplied as 1.5 mg per vial, to be reconstituted in 1.4 mL water for injection (diluent) to a concentration of 1.0 mg/mL. Patients treated with MBX 2109 in the Phase 2 MBX-2H1002 study will continue at the screening visit in the extension study on the same dose they were receiving at the Week 11 Visit in Study MBX-2H1002. The maximum allowed dose is 1600 μg weekly administered subcutaneously in the abdomen, rotating injection sites. Doses of MBX 2109 study drug greater than 1000 μg will be administered subcutaneously in two separate, equal injections.
MBX 2109DRUGSupplied as 1.5 mg per vial reconstituted in 1.4 mL water for injection to a concentration of 1.0 mg/mL
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites22

Key Inclusion Criteria: 1. Is an adult ≥18 years of age. 2. Has a documented diagnosis of post-surgical, chronic HypoPT or genetic, idiopathic, or autoimmune HypoPT for at least 12 months prior to screening. 3. Intact PTH level below the median value of the normal range 4. Minimum requirement for a...

Countries:United StatesCanadaArgentinaTurkey (Türkiye)
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Competitive Landscape -Hypoparathyroidism 9 trials

Recent Changes (Last 90 Days)

LOWOct 29, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 29, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 24, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 24, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 24, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 24, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 20, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 20, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 13, 2026NCT07699471lastUpdatePostDate: changed
LOWOct 13, 2026NCT07699471lastUpdatePostDate: changed
MEDIUMOct 7, 2026NCT06531941primaryCompletionDate: changed
MEDIUMOct 7, 2026NCT06531941primaryCompletionDate: changed
LOWSep 24, 2026NCT07699471startDate: changed
LOWSep 24, 2026NCT07699471startDate: changed
LOWAug 31, 2026NCT07699471lastUpdatePostDate: changed
LOWAug 31, 2026NCT07699471lastUpdatePostDate: changed
LOWAug 27, 2026NCT07699471lastUpdatePostDate: changed
LOWAug 27, 2026NCT07699471lastUpdatePostDate: changed

Frequently asked questions about MBX 2109

What is MBX 2109?

MBX 2109 is an investigational small molecule being developed by MBX Biosciences, Inc. for endocrine conditions. It is under study in hypoparathyroidism and in renal impairment. Development has reached Phase 2, and the program includes a completed Phase 2 trial in hypoparathyroidism and a completed Phase 1 study in renal impairment.

What is MBX 2109 used for?

MBX 2109 is being studied for the treatment of hypoparathyroidism, a condition in which the parathyroid glands do not produce enough parathyroid hormone. It has also been evaluated in adults with renal impairment. These uses are investigational, and the drug has not been established as an approved therapy for either condition.

Who makes MBX 2109?

MBX 2109 is developed by MBX Biosciences, Inc., which trades under the ticker MBX. The company is the sponsor of the clinical program for the drug, including the completed Phase 2 trial in hypoparathyroidism and the completed Phase 1 trial in renal impairment.

What phase is MBX 2109 in?

MBX 2109 is in Phase 2 development. A completed Phase 2 trial evaluated its safety, pharmacokinetics and efficacy in patients with hypoparathyroidism, and a completed Phase 1 study evaluated its safety and pharmacokinetics in adults with normal and impaired renal function. It is an investigational drug and is not approved.

What clinical trials is MBX 2109 in?

MBX 2109 has been studied in two completed trials. NCT06465108 was a Phase 2 trial of safety, pharmacokinetics and efficacy in 64 patients with hypoparathyroidism across the United States, Argentina and Turkey. NCT06496217 was a Phase 1 safety and pharmacokinetics study in 25 adults with normal and impaired renal function in the United States.

Is MBX 2109 the same as MBX 2109 (Part A)?

Yes. MBX 2109 is also referred to as MBX 2109 (Part A), so searches using either name refer to the same investigational small molecule from MBX Biosciences, Inc. The parenthetical label distinguishes a portion of the clinical program rather than a separate drug asset.