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CTAP101

Phase 4

Chronic Kidney Disease | Small molecule | Endocrine |Opko Health Inc.|Trials Updated: Aug 20, 2026

CTAP101 development status

Highest phase Phase 4 (NCT03588884)
Phase scored for OPKPhase 3
Registered trials 4 across 1 sponsor since Jul 2018

CTAP101 target and mechanism

Molecular targetcalcifediol
ModalitySmall molecule

Also known as CTAP101 Capsules, Calcifediol Oral Capsule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials5
Total Enrollment466

FDA Designations

No designations recorded

CTAP101 clinical trials

CTAP101 · 5 trials · 14 indications

Phase 3 1Phase 2 1Phase 1 3
NCT02282813Extension Study of CTAP101-CL-3001 or CTAP101-CL-3002Chronic Kidney Disease
COMPLETED298 Analytics
PHASE3COMPLETED
Extension Study of CTAP101-CL-3001 or CTAP101-CL-3002
Chronic Kidney DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants in the Intent to Treat Population With a Mean Reduction in Plasma Intact Parathyroid Hormone (iPTH) of >/= 30% From Baseline Values at End of Treatment (EOT)
up to 6 months

Number of subjects in the intent to treat population with a mean reduction in plasma intact parathyroid hormone (iPTH) of \>/= 30% from pretreatment baseline values at end of treatment (EOT), classified as responders

Apparent clearance (CL/F)
Up to 14 weeks

To determine the CL/F of CTAP101 Capsules during and after repeated dosing

Volume of distribution (Vd/F)
Up to 14 weeks

To determine the Vd/F of CTAP101 Capsules during and after repeated dosing

Terminal elimination half-life (t1/2)
Up to 14 weeks

To determine the t1/2 of CTAP101 Capsules during and after repeated dosing

Incidence of treatment emergent adverse events (TEAE)
Up to 14 weeks

TEAEs will be graded as mild, moderate, severe.

Number of participants with treatment-related AEs as assessed by industry standards
8 weeks

Incidence of AEs will be summarized by arm for all treatment-emergent AEs. Number and percent of participants with AEs will be summarized by system organ class and preferred term and presented overall and by arm.

Change in baseline of peak plasma concentration
8 weeks

Baseline finding will be measured against the different time points collected

Change in mean total of the different components of calcifediol
8 weeks

Descriptive statistics will be calculated for PD assessment in the per protocol population.

Effect of repeated, escalating doses of CTAP101 on serum calcium and plasma iPTH levels
up to 52 weeks
Effect of repeated, escalating daily doses of CTAP101 on serum calcifediol
up to 52 weeks
Safety and tolerability of CTAP101
up to 52 weeks

Measured by the number of participants with treatment related adverse events and abnormal physical examinations, vital signs, clinical laboratory tests (hematology, coagulation, and clinical chemistry, urine calcium, albumin and creatinine), and 12-lead ECG.

To assess the PK and bioavailability of CTAP101 in Stage 3 and 4 CKD subjects with vitamin D insufficiency and SHPT
from 3 to 0 hours prior to dosing until 42 days post dosing

Secondary Endpoints

Number of Participants in the Per Protocol Population With Mean Reduction in Plasma Intact Parathyroid Hormone (iPTH) of >/= 30% From Baseline Values at End of Treatment (EOT)
up to 6 months
Number of Participants in the Intent to Treat Population With Normal Serum 25-hydroxyvitamin D at End of Treatment (EOT)
up to 6 months
Number of Participants in the Per Protocol Population With NormalSerum 25-hydroxyvitamin D at End of Treatment (EOT)
up to 6 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CTAP101 Capsules aloneEXPERIMENTALCTAP101 Capsules 30 or 60 mcg daily for up to 26 weeks
CTAP101 Capsules +calcitriolEXPERIMENTALCTAP101 Capsules 60 mcg +calcitriol daily for 14 weeks
CTAP101 Capsules +doxercalciferolEXPERIMENTALCTAP101 Capsules 60 mcg +doxercalciferol daily for 14 weeks
CTAP101 Capsules +paricalcitolEXPERIMENTALCTAP101 Capsules 60 mcg +paricalcitol daily for 14 weeks
Cohort 1 - Group AEXPERIMENTAL30 mcg CTAP101 Capsules
Cohort 1 - Group BEXPERIMENTAL30 mcg or 60 mcg CTAP101 Capsules
CTAP101 Capsules 450mcg/weekly fastedEXPERIMENTAL -
CTAP101 Capsules 900mcg/weekly fastedEXPERIMENTAL -
CTAP101 Capsules 1800mcg/weekly fastedEXPERIMENTAL -
CTAP101 Capsules 900mcg/weekly fedEXPERIMENTAL -
CTAP101 CapsulesEXPERIMENTALCTAP101 Capsules daily
Low Dose CTAP101 CapsulesEXPERIMENTALCTAP101 Capsules, 450 mcg dose
High Dose CTAP101 CapsulesEXPERIMENTALCTAP101 Capsules, 900 mcg dose
CTAP101 InjectionEXPERIMENTALIV injection, 448 mcg dose

Interventions

NameTypeDescription
CTAP101 CapsulesDRUGAt week 12, eligible subjects will continue to take 1-2 capsules (30 mcg each capsule) CTAP101 daily
CalcitriolDRUGAt week 12, eligible subjects will be randomized to also take calcitriol 0.25 mcg dose one capsule daily
DoxercalciferolDRUGAt week 12, eligible subjects will be randomized to also take doxercalciferol 0.5 mcg one capsule daily
ParicalcitolDRUGAt week 12, eligible subjects will be randomized to also take paricalcitol 1 mcg one capsule daily
CTAP101DRUGCapsules
CTAP101 InjectionDRUGsingle IV injection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Completed either of the phase 3 double-blind, placebo-controlled studies, CTAP101-CL-3001 or CTAP101-CL-3002 * Taking no more than 1000 mg/day of elemental Ca and willing/able to remain on this dose for the duration of the study * Taking no more than 1600 IU/dose vitamin D (er...

Countries:United States
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Recent Changes (Last 90 Days)

LOWAug 20, 2026NCT07494045Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 20, 2026NCT07494045Status: NOT_YET_RECRUITING → RECRUITING

Frequently asked questions about CTAP101

What is CTAP101?

CTAP101 is an investigational small molecule developed by Opko Health Inc. (ticker OPK). It is being studied in chronic kidney disease, vitamin D insufficiency, and certain cancers, including breast and prostate cancer. CTAP101 is also known as CTAP101 Capsules. It remains in clinical development and has not been approved by the FDA.

What is CTAP101 used for?

CTAP101 is being studied for vitamin D insufficiency and secondary hyperparathyroidism in chronic kidney disease, including CKD Stage 3, and for bone complications in patients with breast or prostate cancer receiving denosumab or zoledronic acid. These uses are investigational and have not been approved.

What does CTAP101 target?

CTAP101 targets calcifediol, the circulating form of vitamin D. As a small molecule, it is designed to deliver calcifediol to raise vitamin D levels and manage secondary hyperparathyroidism in chronic kidney disease and related conditions. Its clinical benefit is still being evaluated in trials.

Who makes CTAP101?

CTAP101 is developed by Opko Health Inc., which trades under the ticker OPK. The company sponsors the clinical program studying CTAP101 Capsules across chronic kidney disease, vitamin D insufficiency, and oncology-related bone complications.

What phase is CTAP101 in?

CTAP101 is in Phase 1 development overall, though individual studies have been conducted in Phase 2 and Phase 3. It is investigational and has not been approved by the FDA. A Phase 2 pediatric study, NCT07494045, is currently recruiting, while several earlier trials have been completed.

What clinical trials is CTAP101 in?

CTAP101 trials include NCT07494045, a recruiting Phase 2 pharmacokinetic and safety study in pediatric participants with CKD Stage 3 or 4 and secondary hyperparathyroidism, and NCT03660800, a completed Phase 1 study in healthy Japanese and non-Japanese subjects. Completed studies also include NCT02282813 and NCT02274623.

Is CTAP101 the same as CTAP101 Capsules?

Yes, CTAP101 Capsules is another name for CTAP101. Both refer to the same investigational extended-release calcifediol product developed by Opko Health Inc. (ticker OPK) for chronic kidney disease, vitamin D insufficiency, and related conditions.