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NPSP558

Phase 3

Hypoparathyroidism | Small molecule | Endocrine |Takeda Pharmaceutical Company Limited|Last Updated: Jun 11, 2021

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment241

FDA Designations

No designations recorded

Clinical trial landscape

NPSP558 · 4 trials · 1 indication

Phase 3 4
NCT01455181A Study to Investigate the Safety and Tolerability of NPSP558, for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study in HungaryHypoparathyroidism
COMPLETED24 Analytics
NCT01297309A Open-label Study Investigating the Safety and Tolerability of NPSP558, a Recombinant Human Parathyroid Hormone (rhPTH [1-84]), for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study (RACE)Hypoparathyroidism
COMPLETED51 Analytics
NCT01268098Study of Safety and Efficacy of a rhPTH[1-84] of Fixed Doses of 25 and 50 mcg in Adults With Hypoparathyroidism (RELAY)Hypoparathyroidism
COMPLETED42 Analytics
NCT00732615Use of NPSP558 in the Treatment of HypoparathyroidismHypoparathyroidism
COMPLETED124 Analytics
PHASE3COMPLETED
A Study to Investigate the Safety and Tolerability of NPSP558, for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study in Hungary
HypoparathyroidismUnlock trial analytics
PHASE3COMPLETED
A Open-label Study Investigating the Safety and Tolerability of NPSP558, a Recombinant Human Parathyroid Hormone (rhPTH [1-84]), for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study (RACE)
HypoparathyroidismUnlock trial analytics
PHASE3COMPLETED
Study of Safety and Efficacy of a rhPTH[1-84] of Fixed Doses of 25 and 50 mcg in Adults With Hypoparathyroidism (RELAY)
HypoparathyroidismUnlock trial analytics
PHASE3COMPLETED
Use of NPSP558 in the Treatment of Hypoparathyroidism
HypoparathyroidismUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Subjects Who Achieved the Primary Triple Endpoint at Week 24, Based on Investigator Prescribed Data.
24 Weeks

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.

Number of Participants With Treatment Emergent Adverse Event (TEAE) and Treatment Emergent Serious Adverse Event (TESAE)
From start of study drug administration up to follow-up (82 months)

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.

Number of Responders With Calcium Source at Week 52
Week 52

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.

Number of Responders With Calcium Source at End Of Treatment (EOT) (Up to 82 Months)
EOT (up to 82 months)

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.

Percentage of Subjects Who Achieved the Primary Triple Endpoint at Week 8, Based on Investigator Prescribed Data.
8 Weeks

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 Percentage of Subjects Who Met the Triple Efficacy Endpoint Criteria at Week 24.
Week 24 of dosing

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.

Secondary Endpoints

Mean Percentage Changes From Baseline in Active Vitamin D Dosages at Each Visit
24 Weeks
Mean Percentage Changes From Baseline in Oral Calcium at Each Visit
24 Weeks
Proportion of Patients Achieving the Primary Endpoint at Each Visit
24 Weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NPSP558EXPERIMENTAL -
25 µg doseEXPERIMENTAL25 µg
50 µg doseEXPERIMENTAL50 µg
PlaceboPLACEBO_COMPARATORSterile water for injection
50, 75, 100 mcg NPSP558EXPERIMENTALInitial dose of 50mcg, to be titrated up to 75mcg and then 100mcg dependent upon response

Interventions

NameTypeDescription
NPSP558DRUG50, 75, 100 μg
PlaceboDRUGPlacebo for subcutaneous injection
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites3

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...

Countries:HungaryUnited StatesBelgiumCanadaDenmarkFranceItalyUnited Kingdom
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Frequently asked questions about NPSP558

What is NPSP558 used for?

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.

Who makes NPSP558?

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.

What phase is NPSP558 in?

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.

What clinical trials is NPSP558 in?

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.

Is NPSP558 the same as rhPTH[1-84]?

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.