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CompletedNCT01455181REPEATUpdated Jun 11, 2021Results posted

A Study to Investigate the Safety and Tolerability of NPSP558, for the Treatment of Adults With Hypoparathyroidism - A Clinical Extension Study in Hungary

A Phase 3 interventional study of NPSP558 in Hypoparathyroidism, sponsored by Shire. Completed at 3 sites in Hungary. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-06-11.

Sponsored by Shire · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study is designed to evaluate the effect of 6-months of treatment with NPSP558 in reducing requirements for supplemental oral calcium and active vitamin D, while maintaining stable total serum calcium levels in adult subjects with hypoparathyroidism.

Read the detailed description

Subjects either must have previously completed NPSP558 Study CL1-11-040 (REPLACE) including 24 weeks of active therapy and 4 weeks of follow-up to Week 28 prior to enrolling in this study or have enrolled in REPLACE and dropped out during optimization, but currently meet inclusion/exclusion criteria for REPLACE.

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Conditions studied

  • Hypoparathyroidism

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Keywords

  • PTH 1-84
  • Hypoparathyroidism
  • NPSP558
  • Parathyroid Hormone 1-84
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In context

Hypoparathyroidism

120 studies on the registry are indexed under Hypoparathyroidism; 29 are open to participants now.

This study's enrollment of 24 is below the median of 52 across 71 interventional studies indexed under Hypoparathyroidism.

Browse Hypoparathyroidism studies →

Lead sponsor

Shire is the lead sponsor of 346 studies on the registry; 2 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 47 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

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, OR Enrolled in REPLACE and dropped out during optimization, but currently meet inclusion/exclusion criteria for REPLACE
  3. Able to perform daily SC self-injections of study medication (or have a designee perform injection) via a multidose injection pen into the thigh
  4. Willingness and ability to understand and comply with the protocol
  5. Women who are: (1) postmenopausal defined as 12 months amenorrhea with appropriate serum follicle stimulating hormone (FSH) levels (> 40 IU/L); (2) surgically sterilized; OR (3) of childbearing potential with a negative pregnancy test at screening and who consent to use two acceptable methods of contraception for the duration of the study, with pregnancy testing at every scheduled visit during the treatment period . Female partners (who are of childbearing potential) of male study patients must also use acceptable forms of contraception during their partner's participation

Exclusion criteria

Exclusion Criteria:

Patients who meet any of the following exclusion criteria at baseline (Visit 1) are not eligible for enrollment in this study:

  1. Any condition that, in the investigator's opinion after consultation with the sponsor, would preclude the safe use of NPSP558
  2. Any disease or condition in the opinion of the investigator that has a high probability of precluding the patient from completing the study or where the patient cannot or will not appropriately comply with study requirements
  3. Pregnant or lactating woman
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    NPSP558

    Drug: NPSP558

Interventions

  • DrugNPSP558

    50, 75, 100 μg

    Also known as: REPEAT

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What researchers measure

Primary outcomes

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

    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.

    Time frame: 24 Weeks

Secondary outcomes

  1. Mean Percentage Changes From Baseline in Active Vitamin D Dosages at Each Visit

    Time frame: 24 Weeks

  2. Mean Percentage Changes From Baseline in Oral Calcium at Each Visit

    Time frame: 24 Weeks

  3. Proportion of Patients Achieving the Primary Endpoint at Each Visit

    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.

    Time frame: 24 Weeks

  4. Mean Change From Baseline in 24-hour Urine Calcium Excretion

    Time frame: 24 Weeks

07

Results

Posted Mar 6, 2015

Participant flow

24 Subjects were enrolled between 8/2011 to 5/2012 at 3 Clinical sites in Hungary.

Participant flow — Overall Study
MilestoneNPSP558
Started24
Completed24
Not completed0

Outcome measures

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

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.

Time frame:
24 Weeks
Reported as:
Number · percentage of participants
Percentage of Subjects Who Achieved the Primary Triple Endpoint at Week 24, Based on Investigator Prescribed Data.
percentage of participantsNPSP558
Percentage of Subjects Who Achieved the Primary Triple Endpoint at Week 24, Based on Investigator Prescribed Data.75.0 (53.3 to 90.2)
SecondaryMean Percentage Changes From Baseline in Active Vitamin D Dosages at Each Visit
Time frame:
24 Weeks
Reported as:
Mean · percentage of change
Mean Percentage Changes From Baseline in Active Vitamin D Dosages at Each Visit
percentage of changeNPSP558
Week 2-47.08 ± 31.566
Week 4-80.38 ± 16.688
Week 8-96.70 ± 7.865
Week 16-96.18 ± 11.521
Week 24-97.92 ± 10.206
SecondaryMean Percentage Changes From Baseline in Oral Calcium at Each Visit
Time frame:
24 Weeks
Reported as:
Mean · percentage of change
Mean Percentage Changes From Baseline in Oral Calcium at Each Visit
percentage of changeNPSP558
Week 2-8.3 ± 36.20
Week 4-46.4 ± 35.57
Week 8-71.5 ± 33.14
Week 16-71.7 ± 38.60
Week 24-76.0 ± 40.48
SecondaryProportion of Patients Achieving the Primary Endpoint at Each Visit

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.

Time frame:
24 Weeks
Reported as:
Number · percentage of participants
Proportion of Patients Achieving the Primary Endpoint at Each Visit
percentage of participantsNPSP558
Week 220.8
Week 450.0
Week 870.8
Week 1683.3
Week 2483.3
SecondaryMean Change From Baseline in 24-hour Urine Calcium Excretion
Time frame:
24 Weeks
Reported as:
Mean · mg/24 hour
Mean Change From Baseline in 24-hour Urine Calcium Excretion
mg/24 hourNPSP558
Week 8-64.58 ± 188.42
Week 24-51.53 ± 183.41

Adverse events

Collected over 24 Weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NPSP558—0/24 (0%)22/24 (91.7%)
Most frequent other events
Showing 10 of 17
Most frequent other events
EventNPSP558
HypoaesthesiaNervous system disorders12/24
Muscle spasmsMusculoskeletal and connective tissue disorders6/24
Vitamin D decreasedInvestigations6/24
HypercalcaemiaMetabolism and nutrition disorders5/24
HeadacheNervous system disorders4/24
HypocalcaemiaMetabolism and nutrition disorders4/24
FatigueGeneral disorders4/24
TetanyMetabolism and nutrition disorders3/24
ArthralgiaMusculoskeletal and connective tissue disorders3/24
Hypoaesthesia oralGastrointestinal disorders3/24

Baseline characteristics

Age, Customized
Age, Customized(Participants)NPSP558
< 45 years6
45 to 64 years17
≥ 65 years1
Sex: Female, Male
Sex: Female, Male(Participants)NPSP558
Female21
Male3
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)NPSP558
Hispanic or Latino0
Not Hispanic or Latino24
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NPSP558
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White24
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)NPSP558
Hungary24
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Study locations

3 sites
  • Semmelweis University Medical School
    Budapest, Hungary
  • University of Pécs, School of Medicine
    Pécs, Hungary
  • University of Szeged
    Szeged, Hungary
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References and documents

Publications

  • Lakatos P, Bajnok L, Lagast H, Valkusz Z. AN OPEN-LABEL EXTENSION STUDY OF PARATHYROID HORMONE RHPTH(1-84) IN ADULTS WITH HYPOPARATHYROIDISM. Endocr Pract. 2016 May;22(5):523-32. doi: 10.4158/EP15936.OR. Epub 2015 Dec 18. PubMed 26684150 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01455181
Lead sponsor
Shire
Responsible party
Sponsor
First posted
Oct 19, 2011
Start date
Aug 19, 2011
Primary completion
Apr 26, 2012
Completion
Apr 26, 2012
Results posted
Mar 6, 2015
Last update
Jun 11, 2021

Study contacts

Study Director
study director · Takeda

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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