ClinicalTrials.gg
RecruitingNCT05793853SHINEUpdated Dec 16, 2025

Hypoparathyroidism Natural History Study

An observational study in Hypoparathyroidism, sponsored by Columbia University. Recruiting at 1 site in United States. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by Columbia University · Observational

From the registry’s dates

  • Started Aug 2022; still recruiting 4 years 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
106
Ages
18 Years to 100 Years
Sex
All
01

Study summary

This is a prospective three-year natural history study of adults with hypoparathyroidism. The goal is to monitor patients with hypoparathyroidism to define end-organ damage in the context of the disease.

The study objectives are to:

  1. Build a prospective cohort of patients to study HPT-associated end-organ damage.
  2. Determine end-organ physiologic consequences of HPT.
  3. Elucidate determinants of HPT-associated end-organ damage.

Funding Source - FDA OOPD

Read the detailed description

The goal of this study is to prospectively collect data on the natural history of hypoparathyroidism (HPT). This will enable longitudinal data collection of complications in this disease, specifically defining the epidemiology of end-organ complications of HPT that are related to high calcification propensity. It will also determine relationships between calcification burden and end-organ disease severity and progression risk and assess the utility of traditional and novel biomarkers of mineral and bone metabolism on disease diagnosis and monitoring. These data will inform future investigations on the development, study, and implementation of HPT end-organ disease modifying strategies and impact clinical practice in hypoparathyroidism.

02

Conditions studied

  • Hypoparathyroidism

Browse trials for

03

In context

Hypoparathyroidism

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

This study's planned enrollment of 106 is below the median of 147 across 48 observational studies indexed under Hypoparathyroidism.

Browse Hypoparathyroidism studies →

Lead sponsor

Columbia University is the lead sponsor of 1,136 studies on the registry; 195 are open to participants now.

Of its 180 completed or terminated interventional studies of FDA-regulated products, 148 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Male or female ≥18 years of age with all hypoparathyroidism sub-types. Healthy male and female controls.

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

  • An understanding, ability and willingness to fully comply with study procedures and restrictions.
  • Ability to voluntarily provide written, signed and dated as applicable to participate in the study.
  • Male or female ≥18 years of age with HPT. All HPT sub-types are eligible, including surgical (HPT-S) and nonsurgical (HPT-NS) HPT: , genetic (including but not limited to: DiGeorge syndrome, autoimmune polyendocrine syndrome type 1, hypoparathyroidism sensorineural deafness and renal disease syndrome, Kearns-Sayre syndrome, mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes [MELAS] syndrome, mitochondrial trifunctional protein [MTP] deficiency syndrome, Kenny-Caffey syndrome, Sanjad-Sakati syndrome, autosomal dominant hypocalcemia), infiltrative (granulomatous), mineral deposition (copper, iron), , radiation and idiopathic HPT.
  • Diagnosis of HPT established based on historic hypocalcemia in the setting of inappropriately low serum PTH levels on two occasions.
  • All treatment regimens are permitted, including but not limited to conventional management with calcium (e.g. calcium citrate, calcium carbonate, etc), active vitamin D (calcitriol, alfacalcidol), parent vitamin D, magnesium, phosphate binders and thiazides. Use of PTH-like drugs are permitted.

Exclusion criteria

Exclusion Criteria:

  • Functional HPT
  • Transient HPT
  • Pseudohypoparathyroidism
  • Pregnancy
Terms in these criteria, in plain language(3)

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
106 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Hypoparathyroidism Subjects

    Patients who have the disease hypoparathyroidism, who are being followed to monitor various aspects of the disease over time. No interventions.

  • Control Subjects

    Healthy individuals to be followed to compare to hypoparathyroidism patients

06

What researchers measure

Primary outcomes

  1. Kidney function

    blood test for changes in eGFR (in mL/min/1.73m\^2)

    Time frame: baseline, 6, 12, 18, 24, 30, 36 Months

Secondary outcomes

  1. Kidney calcification

    Changes in kidney calcification and stones will be assessed by abdominal CT in an optional imaging sub group. Results will be assessed and reported by a clinician.

    Time frame: Baseline and 36 Months

  2. Brain calcification

    Changes in brain calcification will be assessed by head CT in an optional imaging sub-group. Results will be assessed and reported by a clinician.

    Time frame: Baseline and 36 Months

  3. Vascular calcification

    Changes in vascular calcification will be assessed by leg arterial calcifications on high resolution quantitative computed tomography in all, and aortic calcifications on abdominal CT and vertebral fracture assessment by DXA in optional imaging sub-group

    Time frame: Baseline and 36 Months

  4. Bone mineral density

    Changes in dual energy X-ray absorptiometry will be assessed in an optional imaging sub-group

    Time frame: Baseline and 36 Months

  5. Bone microarchitecture and bone strength

    Changes in high resolution peripheral quantitative computed tomography will be assessed

    Time frame: Baseline and 36 Months

  6. Cardiac function

    Changes in EKG will be assessed

    Time frame: Baseline and 36 Months

  7. Transcriptomic signaling for calcification

    Changes in microRNA will be assessed

    Time frame: Baseline and 36 Months

  8. Biomarkers blood

    Changes in complete metabolic panel to see changes with eGFR (including albumin-corrected serum calcium), PTH, phosphorus, magnesium, 25(OH)D, 25(OH)D2, TSH, FT4.

    Time frame: baseline, 6, 12, 18, 24, 30, 36 Months

  9. Biomarkers urine

    24 hour urine will be collected for changes in calcium, creatinine, total volume and protein

    Time frame: baseline, 6, 12, 18, 24, 30, 36 Months

  10. Dietary Intake

    Food frequency questionnaires will be administered to measure changes in calcium, phosphorus, vitamin D, and sodium intake

    Time frame: baseline, 12, 24 and 36 Months

  11. Cognitive Function

    Changes in cognitive function will be assessed by NIH Toolbox®; Letter Fluency by the Controlled Oral Word Association Test with the letters FAS; Sematic Fluency by Animal Fluency; List Learning and Memory by the Hopkins Verbal Learning Test; subjective cognitive function by FACT-Cog

    Time frame: baseline, 12, 24 and 36 Months

  12. Neurologic Tests of Motor Function

    Repeated Chair Stand (RCS) test will be administered to see how many times a patient can sit in and stand from a chair in 30 seconds and "Timed Up and Go" Test will measure how many seconds it takes for a patient to walk to assess changes in motor function

    Time frame: baseline, 12, 24 and 36 Months

  13. Quality of Life Through Self-Reported Questionnaires

    Quality of life will be assessed by SF-36, FACIT-IF (self-reported fatigue), PGI-S and PGI-I (patient global impression of severity and impact), Hospital Anxiety and Depression Scale (HADS) and the HPT Symptom Diary and changes will be tracked through visits

    Time frame: baseline, 12, 24 and 36 Months

  14. Calcioprotein Maturation Time

    Will be obtained through blood collection and measured in minutes and changes will be tracked through visits

    Time frame: Baseline and 36 months

  15. Sclerostin

    Will be obtained through blood collection and measured in pmol/L and changes will be tracked through visits

    Time frame: Baseline and 36 months

  16. FGF23

    Will be obtained through blood collection and measured in pg/mL and changes will be tracked through visits

    Time frame: Baseline and 36 months

07

Study locations

1 of 1 sites recruiting
  • Columbia University Medical Center - Harkness Pavillion
    New York, New York 10032, United States
    Recruiting
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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

Started Aug 2022 (actual). Primary completion is estimated for Dec 2026, 52 months after the start.

Of 25 observational studies under Hypoparathyroidism, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 122. This study's planned 52 months is above that.

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

Registered
Dec 23, 2022
First posted
Mar 31, 2023
StartActual
Aug 25, 2022
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Dec 16, 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 Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05793853
Responsible party
Mishaela Rubin (Professor of Medicine, Columbia University) — Principal investigator
First posted
Mar 31, 2023
Start date
Aug 25, 2022
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Dec 16, 2025

Study contacts

Noelle Texeira
Contact
ngt2115@cumc.columbia.edu
212-305-2801
Aastha Mehta
Contact
am5724@cumc.columbia.edu
212-342-0132
Mishaela Rubin, MD
principal investigator · Columbia University

Oversight

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

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