ClinicalTrials.gg
Active, not recruitingNCT05778071CALYPSOUpdated Sep 29, 2025

Evaluation of the Safety and Efficacy of Eneboparatide (AZP-3601) in Patients With Chronic Hypoparathyroidism

A Phase 3 interventional study of eneboparatide and Placebo in Chronic Hypoparathyroidism, Endocrine System Diseases and Parathyroid Diseases, sponsored by Alexion Pharmaceuticals, Inc.. Active, not recruiting at 54 sites in 13 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-09-29.

Primary conditionHypoparathyroidismRegistry: Endocrine System DiseasesReclassifiedWhy we changed it
Registry
Endocrine System Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hypoparathyroidism
Why
  1. The study's listed conditions name Hypoparathyroidism, a narrower term within Endocrine System Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Alexion Pharmaceuticals, Inc. (part of AstraZeneca) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 43 studies in Hypoparathyroidism with a site in United States — 8 open to participants now, 12 under way, 5 of them phase 3. Hypoparathyroidism · United States.

Planned enrollment
Largest of 34
165 · median 41
Started
2023
with 2 others
Phase 3
13 of 43
3 open now
Primary completion
2024-11
later than 0 of 11 live
Registered
34th of 43
by date
Lead sponsor
1 of 43
Alexion Pharmaceuticals, Inc.

Among the 43 studies in Hypoparathyroidism with a site in United States, this one has the largest planned enrollment of the 34 interventional ones, is one of 3 that started in 2023, is one of 13 in phase 3, reaches primary completion later than 0 of the 11 other live ones, and was the 34th registered.

By phase

43 studies; the count open now beside each. This study's row is marked.

Phase 3this study13 · 3 open
Observational9 · 4 open
Phase 29 · 0 open
Phase 14 · 0 open
Phase 43 · 0 open
No phase2 · 0 open
Phase 1/22 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 1991; this study’s year is marked. 3 started in 2023.

Size and results

Median enrollment 41 across the 34 interventional studies, 95 across the 9 observational. Of the 29 that completed or were terminated, 22 (76%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 43 studies in Hypoparathyroidism with a site in United States, or all of them as a file.
02

Study summary

This study is investigating the safety and efficacy of eneboparatide (AZP-3601) in patients with chronic hypoparathyroidism (cHP).

During the first 24 weeks of the trial, participants will be randomized to receive eneboparatide or placebo. Study treatment is blinded: patients and doctors will not know which group each patient has been randomized to. All patients will start with a fixed dose of study treatment (eneboparatide or placebo), administered subcutaneously with a pre-filled pen. Study treatment will be individually titrated.

After completion of the first 24 weeks, patients will be treated in the open label extension part of the study for 132 weeks. During this phase, all patients (including patients that were in the placebo group) will receive eneboparatide.

03

Conditions studied

  • Chronic Hypoparathyroidism
  • Endocrine System Diseases
  • Parathyroid Diseases

Browse trials for

Keywords

  • Hypoparathyroidism
04

In context

Hypoparathyroidism Reclassified

128 studies on the registry are indexed under Hypoparathyroidism; 30 are open to participants now.

This study's planned enrollment of 165 is above the median of 50 across 77 interventional studies indexed under Hypoparathyroidism.

Browse Hypoparathyroidism studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 255 studies on the registry; 23 are open to participants now.

Of its 101 completed or terminated interventional studies of FDA-regulated products, 75 (74%) have results posted.

First submitted after Alexion Pharmaceuticals, Inc. became part of AstraZeneca.

Compared within Hypoparathyroidism, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Endocrine System Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Males and Females, 18-80 years of age
  2. Patients with cHP for ≥12 months at the time of screening
  3. Two paired measurements of showing low parathyroid hormone (PTH) and serum calcium either below normal or within normal under standard of care
  4. Requirement for therapy with calcitriol ≥0.5 mcg per day or alphacalcidol ≥1 mcg per day, and requirement for supplemental oral calcium treatment ≥1000 mg per day over and above patient's dietary calcium intake at Day 1 visit
  5. Successful completion of the Optimization period based on two consecutive measurements of albumin-adjusted serum calcium at least 1 week apart within the range of 7.8 to 9.0 mg/dL and with no more than 25% of change in the daily dose of any of active vitamin D and oral calcium supplements between the two measurements
  6. Thyroid-stimulating hormone (TSH) within the lower limit of normal and 1.5-fold of the at screening; if on suppressive therapy for a history of thyroid cancer, TSH level must be ≥0.2 mIU/mL and thyroid medication should be stable for at least 6 weeks prior to treatment
  7. Prior to start of treatment:

    • Magnesium level within laboratory normal limits
    • 25(OH) vitamin D levels of 30-70 ng/mL (75-175 nmol/L)
  8. ≥30 mL/min/1.73m² during screening
  9. Able to perform daily subcutaneous self-injections of study drug (or have a designee to perform injections) via a pre-filled injection pen
  10. Female patients of non- or using an effective method of throughout the study. Women of childbearing potential should have a negative pregnancy test.
  11. Able and willing to provide written and signed in accordance with GCP

Exclusion criteria

Exclusion Criteria:

  1. Mental incapacity, unwillingness, or language barriers precluding adequate understanding or cooperation
  2. abnormal values at screening for hematology, clinical chemistry, coagulation or urinalysis
  3. Abnormal arterial pressure at screening, defined as (1) systolic blood pressure \<100 mmHg, or (2) systolic blood pressure >150 mmHg, and/or diastolic blood pressure >100 mmHg.
  4. Heart rate at rest outside the range of 50-100 beats/minute at screening
  5. Clinically significant abnormal standard 12-lead indicative of severe cardiac disease
  6. Known history of autosomal-dominant hypocalcemia or known pseudohypoparathyroidism (impaired responsiveness to PTH)
  7. Any current disease (other than hypoparathyroidism) that might affect calcium metabolism, calcium-phosphate homeostasis or PTH levels
  8. Patients with increased risk for osteosarcoma
  9. Current uncontrolled active disease processes that may adversely affect gastrointestinal absorption
  10. History of cerebrovascular accident within 6 months prior to screening
  11. History of active uncontrolled over the past 2 years at time of screening
  12. History of any other cancer other than thyroid cancer (except basal cell skin cancer or squamous cell skin cancer) who have not been disease-free for a period of at least 2 years at the time of screening
  13. Acute gout \<2 months prior to screening
  14. Dependent on parenteral calcium infusions to maintain calcium homeostasis
  15. Use of medications such as loop and thiazide diuretics, raloxifene hydrochloride, lithium, methotrexate, cardiac glycosides or systemic within 4 weeks prior to start of treatment
  16. Previous treatment with PTH/parathyroid hormone-related protein-like drugs, including PTH(1-84) and PTH(1-34) within 3 months of screening
  17. Use of other drugs known to influence calcium and bone metabolism within 4 weeks of screening
  18. Use of oral bisphosphonates within 6 months of screening or intravenous bisphosphonate within 12 months of screening
  19. Use of denosumab within 18 months of screening
  20. Seizure disorder/epilepsy with history of a seizure within 6 months of screening
  21. History of symptomatic urinary tract calculi within 3 months of screening
  22. Irradiation to the skeleton within 2 years of screening
  23. Pregnant or breastfeeding female patients
  24. Participation in any other interventional study in which the patient received an drug or device within 2 months or within 5 times the half-life of the investigational drug (whichever comes first) prior to screening
  25. Any disease or condition that, in the opinion of the investigator, may require treatment or make the subject unlikely to fully complete the trial, or any condition that presents undue risk from the study treatment or procedures, including treated malignancies that are likely to recur within the approximate duration of the trial
  26. Any other reason that in the opinion of the investigator would prevent the subject from completing participation or following the trial schedule
  27. Known allergy or sensitivity to PTH or any of the
Terms in these criteria, in plain language(11)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

06

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
165 participants (estimated)

Study arms

  • Experimental
    eneboparatide

    Starting dose of 20 mcg; Administered once daily by subcutaneous injection

    Combination Product: eneboparatide

  • Placebo comparator
    Placebo

    Administered once daily by subcutaneous injection

    Combination Product: Placebo

Interventions

  • Combination producteneboparatide

    Supplied as a solution (concentration of 250 mcg/mL or 500 mcg/mL) in single-patient-use prefilled pens

    Also known as: AZP-3601

  • Combination productPlacebo

    Placebo is supplied as a solution (containing the excipient solution for eneboparatide) in single-patient-use prefilled pens

07

What researchers measure

Primary outcomes

  1. Efficacy - Primary Endpoint

    After 24 weeks of treatment, the proportion of patients in the eneboparatide treatment group vs. placebo: * Achieving complete independence from active vitamin D; * Achieving independence from therapeutic doses of oral calcium (i.e. taking oral elemental calcium supplements ≤600 mg/day); and * With albumin-adjusted serum calcium within the normal range (8.3 to 10.6 mg/dL).

    Time frame: 24 weeks

Secondary outcomes

  1. Hypercalciuria

    Proportion of patients who had hypercalciuria at baseline and normalize 24-hour urinary calcium excretion level (i.e., achieve \<250 mg/24 hours for females or \<300 mg/24 hours for males)

    Time frame: 24 weeks

  2. Change from baseline in the HPT-DD-SE - Physical Domain score

    Change from baseline in patient's symptoms, as assessed by the average weekly HPT-DD-SE physical domain score in the eneboparatide treatment group vs. placebo

    Time frame: 24 weeks

  3. Change from baseline in the HPT-DD-SE - Cognitive Domain score

    Change from baseline in patient's symptoms, as assessed by the average weekly HPT-DD-SE cognitive domain score in the eneboparatide treatment group vs. placebo

    Time frame: 24 weeks

  4. Change from baseline in the HPT-LIQ - Physical Functioning Domain score

    Change from baseline in the HPT-LIQ Physical Functioning domain score, in the eneboparatide treatment group vs. placebo

    Time frame: 24 weeks

  5. Change from baseline in the SF-36 Physical Functioning subscore

    Change from baseline in the SF-36 Physical Functioning subscore in the eneboparatide treatment group vs. placebo

    Time frame: 24 weeks

08

Study locations

54 sites
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2023 to primary completion in Nov 2024, 17 months.

Of 15 phase 3 interventional studies under Hypoparathyroidism, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 86. This study's 17 months is close to that.

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

Registered
Mar 9, 2023
First posted
Mar 21, 2023
StartActual
Jun 7, 2023
Primary completionActual
Nov 15, 2024
CompletionEst.
Jun 16, 2027
Results delay requested
Sep 22, 2025
Last update
Sep 29, 2025
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 Sep 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05778071
Collaborators
Amolyt Pharma
Responsible party
Sponsor
First posted
Mar 21, 2023
Start date
Jun 7, 2023
Primary completion
Nov 15, 2024
Completion
Jun 16, 2027 (estimated)
Last update
Sep 29, 2025

Study contacts

Soraya Allas, MD
study director · Amolyt Pharma

Oversight

Data monitoring committee
Yes
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 Sep 2025. You cannot join it, but the record below documents what was studied.

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