Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
NPSP558 · 4 trials · 1 indication
A ≥ 50% reduction from baseline in dose of oral calcium or an oral calcium dose of ≤ 500 mg and a ≥ 50% reduction from baseline in dose of oral active vitamin D (calcitriol dose of ≤ 0.25 μg/day or alphacalcidol dose of ≤ 0.50 μg/day) and a total serum calcium concentration that was normalized or maintained compared to the baseline value and did not exceed the ULN of the central laboratory.
SAE is an adverse event (AE) that results in death, life threatening, persistent or significant incapacity or substantial disruption of ability to conduct normal life functions, hospitalization or prolongation of existing hospitalization, congenital anomaly or birth defect, important medical events that may not result in death, be life threatening, or require hospitalization. An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical or medicinal product. Treatment emergent adverse events (TEAEs) were defined as AEs whose onset occurs, severity worsens or intensity increases after receiving the study medication of this study and \<= 30 days after last dose of study drug.
A responder was defined as a participant who met all of the following 3 criteria at each (1) a greater than (\>) 50% reduction from baseline or less than (\<) 500 milligram (mg) of daily calcium supplementation. (2) a \>50% reduction from baseline or \<0.25 microgram (mcg) of daily calcitriol supplementation. (3) an albumin-corrected total serum calcium concentration that was normalized or maintained compared to the baseline greater than or equal to (\>=) 1.875 millimoles per liter (mmol/L) and not exceeding the Upper Limit of Normal (ULN) values (2.15 to 2.55 mmol/L). End of Treatment (EOT) was defined as the last determination of response or last available measurement during the treatment period. Number of responders with calcium source for citrate and carbonate at week 52 was reported here.
A responder was defined as a participant who met all of the following 3 criteria at each (1) a greater than (\>) 50% reduction from baseline or less than (\<) 500 milligram (mg) of daily calcium supplementation. (2) a \>50% reduction from baseline or \<0.25 microgram (mcg) of daily calcitriol supplementation. (3) an albumin-corrected total serum calcium concentration that was normalized or maintained compared to the baseline greater than or equal to (\>=) 1.875 millimoles per liter (mmol/L) and not exceeding the Upper Limit of Normal (ULN) values (2.15 to 2.55 mmol/L). End of Treatment (EOT) was defined as the last determination of response or last available measurement during the treatment period. Number of responders with calcium source for citrate and carbonate at EOT was reported here.
The triple efficacy endpoint criteria were defined as a reduction from baseline in oral calcium to ≤ 500 mg/day, a reduction from baseline in calcitriol dose to ≤ 0.25 µg/day, and an albumin-corrected total serum calcium level between 7.5 mg/dL and the upper limit of the laboratory normal range. The analysis of primary endpoint was based on investigator prescribed data.
The triple efficacy endpoint criteria were defined as at least a 50% reduction from the baseline in oral calcium dose and at least a 50% reduction from the baseline in active vitamin D dose and an albumin-corrected total serum calcium concentration that was maintained or normalized compared to the baseline value (≥ 7.5 mg/dL) and did not exceed the upper limit of the laboratory normal range. The analysis of primary efficacy endpoint was based on investigator prescribed data.
| Arm | Type | Description |
|---|---|---|
| NPSP558 | EXPERIMENTAL | - |
| 25 µg dose | EXPERIMENTAL | 25 µg |
| 50 µg dose | EXPERIMENTAL | 50 µg |
| Placebo | PLACEBO_COMPARATOR | Sterile water for injection |
| 50, 75, 100 mcg NPSP558 | EXPERIMENTAL | Initial dose of 50mcg, to be titrated up to 75mcg and then 100mcg dependent upon response |
| Name | Type | Description |
|---|---|---|
| NPSP558 | DRUG | 50, 75, 100 μg |
| Placebo | DRUG | Placebo for subcutaneous injection |
Inclusion Criteria: Patients who meet all the following inclusion criteria can be enrolled into this study: 1. Signed and dated informed consent form (ICF) before any study-related procedures are performed 2. Previously completed 24 weeks of therapy and 4 weeks of follow-up in the REPLACE study, O...
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| AstraZeneca PLC | AZN | 1 | PHASE3 | eneboparatide |
| Ascendis Pharma A/S | ASND | 3 | PHASE3 | Palopegteriparatide Experimental Arm, Palopegteriparatide Control Arm |
| MBX Biosciences, Inc. | MBX | 1 | PHASE2 | 400 µg of MBX 2109 once-weekly by, 200-1600 µg of MBX 2109 once-weekly by |
NPSP558 is an investigational small molecule being developed for the treatment of hypoparathyroidism, a condition characterized by insufficient parathyroid hormone. It is currently in Phase 3 clinical development and has not been approved by regulatory authorities. The drug is being studied in adults aged 18 years and older.
NPSP558 is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker symbol TAK. The company is conducting Phase 3 clinical trials to evaluate the drug's safety and efficacy in patients with hypoparathyroidism. Takeda is responsible for the drug's clinical development program.
NPSP558 is in Phase 3 clinical development. It is an investigational drug and has not received FDA approval. The Phase 3 program includes four completed trials with a total enrollment of 241 participants, all studying the drug in adults with hypoparathyroidism.
NPSP558 has completed four Phase 3 trials: NCT00732615, NCT01268098, NCT01297309, and NCT01455181. These studies evaluated the drug's safety and efficacy in adults with hypoparathyroidism, including fixed-dose and extension studies. All trials are completed, with no active trials currently ongoing.
NPSP558 is also known as recombinant human parathyroid hormone (rhPTH[1-84]). Clinical trial titles refer to it as NPSP558, a recombinant human parathyroid hormone. This alternative name appears in the RELAY and RACE studies, which investigated fixed doses of 25 and 50 mcg in adults with hypoparathyroidism.