ClinicalTrials.gg
Active, not recruitingNCT05680818CALIBRATEUpdated Jul 29, 2026

Efficacy and Safety of Encaleret Compared to Standard of Care in Participants With ADH1

A Phase 3 interventional study of Encaleret and Standard of Care in Autosomal Dominant Hypocalcemia (ADH), sponsored by Calcilytix Therapeutics, Inc., a BridgeBio company. Active, not recruiting at 25 sites in 10 countries. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by Calcilytix Therapeutics, Inc., a BridgeBio company (part of BridgeBio) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
67
Allocation
Randomized
Ages
16 Years and older
Sex
All
01

Study summary

The primary purpose of the study is to understand the effectiveness, safety, and tolerability of encaleret when compared to standard of care (SoC) treatment in participants with Autosomal Dominant Hypocalcemia Type 1 (ADH1).

02

Conditions studied

  • Autosomal Dominant Hypocalcemia (ADH)

Keywords

  • Autosomal Dominant Hypocalcemia Type 1 (ADH1)
  • Hypocalcemia
  • Musculoskeletal Diseases
  • Muscular Diseases
  • Musculoskeletal Abnormalities
  • Calcium Metabolism Disorders
  • Metabolic Diseases
  • Hypoparathyroidism
  • Hypocalcemic Seizures
  • Hypercalciuria
  • Nephrocalcinosis
  • Nephrolithiasis
  • Calcium Sensing Receptor
  • Encaleret
  • Hypopara
03

In context

Hypocalcemia

98 studies on the registry are indexed under Hypocalcemia; 16 are open to participants now.

This study's enrollment of 67 is below the median of 84 across 66 interventional studies indexed under Hypocalcemia.

Browse Hypocalcemia studies →

Lead sponsor

Calcilytix Therapeutics, Inc., a BridgeBio company is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Participants must have a documented pathogenic or likely pathogenic activating variant, or variant of uncertain significance, of the calcium sensing receptor (CASR) gene associated with biochemical findings of hypoparathyroidism.
  2. Participants must have a documented history of symptoms or signs of ADH1.
  3. Participants 16 to \<18 years old must have closed growth plates on hand radiograph.
  4. Participants treated with thiazide diuretics must discontinue thiazides for at least 14 days prior to SoC Optimization Visit 1 through Week 24 (Period 3). When the thiazide is being used as an antihypertensive, alternative therapy will be prescribed by the Investigator as needed.
  5. Participants treated with phosphate binders (other than calcium salts) must discontinue the phosphate binders at least one day prior to the SoC Optimization Visit 1.
  6. Participants treated with magnesium or potassium supplements must be willing to discontinue such treatment prior to the first dose of encaleret.
  7. Participants treated with potassium-sparing diuretics must be willing to discontinue such treatment prior to the first dose of encaleret.
  8. Participants must meet SoC Optimization criteria as defined in the protocol.

Key Exclusion Criteria:

  1. History of hypocalcemic seizure within the past 3 months preceding Screening.
  2. History of thyroid or parathyroid surgery.
  3. History of renal transplantation.
  4. Pregnant or nursing (lactating) women, where pregnancy is confirmed by a positive beta-human chorionic gonadotropin (β-hCG) laboratory test.
  5. History of treatment with parathyroid hormone (PTH) 1-84 or 1-34 within the 2 months preceding Screening and requiring SoC doses exceeding >1.2× their pre-PTH treatment total daily doses or bone turnover markers, Collagen cross-linked C-telopeptide (CTx )and Procollagen type 1 N-propeptide (P1NP), > for sex, age (men only) and menopausal status (women only).
  6. Blood 25-OH Vitamin D level \<25 nanograms (ng)/milliliter (mL).
  7. Estimated (eGFR) \<30 mL/minute/1.73 m\^2 using chronic kidney disease-EPI creatinine equation refit without the race variable (chronic kidney disease-EPI creatinine equation refit without the race variable [CKD-EPIcr_R]) (for participants \<18 years old the Bedside Schwartz equation should be used).
  8. Participants with positive surface antigen (HBsAg), Hepatitis A immunoglobulin M (IgM), or (HIV) viral serology test at the Screening Visit. Participants who are in complete remission from virus (HCV) as evidenced by sensitive assay ≥12 weeks after completion of HCV therapy may participate in the study.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
67 participants (actual)

Study arms

  • Experimental
    Encaleret

    Participants will receive encaleret at a dose as needed based on calcium levels.

    Drug: Encaleret

  • Other
    Standard of Care (SoC)

    Participants will continue receiving calcium supplements and/or active Vitamin D (calcitriol, alfacalcidol, falecalcitriol, etc.)

    Dietary Supplement: Standard of Care

Interventions

  • Administered as film-coated tablet for oral use

    Also known as: CLTX-305, Encaleret Sulfate

  • Dietary supplementStandard of Care

    Calcium supplements and/or active Vitamin D (calcitriol, alfacalcidol, falecalcitriol, etc.)

06

What researchers measure

Primary outcomes

  1. Number of Responders who Achieve Both Albumin-Corrected Blood Calcium (cCa) and 24-hour Urinary Calcium (UCa) Within the Target Range

    * cCa within 8.3-10.7 mg/dL (2.08-2.68 millimoles per liter \[mmol/L\]) * 24-hr UCa within the reference range (\< 300 mg/day for men \[7.5 mmol/day\], \< 250 mg/day for women \[6.25 mmol/day\])

    Time frame: Up to Week 24

Secondary outcomes

  1. Number of Participants With Intact Parathyroid Hormone (iPTH) Within or Greater than the Reference Range

    Time frame: Up to Week 24

  2. Number of Participants who Achieve Blood Magnesium Within the Reference Range

    Time frame: Up to Week 24

  3. Number of Participants who Achieve Blood Phosphate Within the Reference Range

    Time frame: Up to Week 24

  4. Change From Baseline in Blood 1,25-(OH)2 Vitamin D

    Time frame: Baseline to Week 24

  5. Change From Baseline in cCa

    Time frame: Baseline to Week 24

  6. Change From Baseline in 24-hour UCa

    Time frame: Baseline to Week 24

  7. Change From Baseline in iPTH

    Time frame: Baseline to Week 24

  8. Change From Baseline in Blood Phosphate and Blood Magnesium

    Time frame: Baseline to Week 24

  9. Change From Baseline in Urine Magnesium, Phosphate, Sodium, and Citrate Handling

    Time frame: Baseline to Week 24

  10. Change From Baseline in QT Interval Corrected for Changes in the Heart Rate With Fridericia Formula (QTcF) as Assessed by Electrocardiogram (ECG)

    Time frame: Baseline to Week 24

  11. Change from Baseline in 36-Item Short Form Health Survey (SF-36) Physical Component Score and Mental Component Score and Each of the Sub-Domains

    Time frame: Baseline to Week 24

  12. Number of Participants in the Encaleret Arm Receiving Calcium and/or Vitamin D Supplements

    Time frame: Up to Week 24

  13. Steady State Encaleret Trough Concentration (Ctrough)

    Time frame: Up to Week 24

07

Study locations

25 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2023 to primary completion in Aug 2025, 31 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 12, 2022
First posted
Jan 11, 2023
StartActual
Jan 6, 2023
Primary completionActual
Aug 22, 2025
CompletionEst.
Aug 2029
Results delay requested
Jun 9, 2026
Last update
Jul 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05680818
Responsible party
Sponsor
First posted
Jan 11, 2023
Start date
Jan 6, 2023
Primary completion
Aug 22, 2025
Completion
Aug 2029 (estimated)
Last update
Jul 29, 2026

Study contacts

Calcilytix Medical Director
study director · Calcilytix Therapeutics, Inc., a BridgeBio company

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Encaleret

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