ClinicalTrials.gg
Active, not recruitingNCT06531941Updated Oct 7, 2026

Extension Study to Evaluate the Long-Term Safety and Tolerability of MBX 2109 in Patients With Hypoparathyroidism

A Phase 2 interventional study of 400 µg of MBX 2109 once-weekly by subcutaneous injection and 200-1600 µg of MBX 2109 once-weekly by subcutaneous injection in Hypoparathyroidism, sponsored by MBX Biosciences. Active, not recruiting at 23 sites in 3 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by MBX Biosciences · Phase 2, Interventional, and Treatment

Updated Oct 7, 2026Primary completion movedStudy completion moved+2 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the long-term safety and tolerability of MBX 2109 in patients with hypoparathyroidism who completed the 12-week treatment period in the Phase 2 study, MBX-2H1002.

Read the detailed description

This study is to investigate the long-term safety and tolerability of MBX 2109 administered once weekly to patients with hypoparathyroidism. Additionally, the ability of MBX 2109 to maintain serum calcium levels within the normal range without the need for active vitamin D and to reduce elemental calcium supplements to ≤600 mg/day.

02

Conditions studied

  • Hypoparathyroidism

Keywords

  • Hypoparathyroid
  • Hypopara
  • Thyroid
  • MBX 2109
03

In context

Hypoparathyroidism

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

This study's enrollment of 60 is above the median of 50 across 77 interventional studies indexed under Hypoparathyroidism.

Browse Hypoparathyroidism studies →

Lead sponsor

MBX Biosciences is the lead sponsor of 8 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) 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
No

Eligibility criteria

Key Inclusion Criteria:

  1. Must have completed the Week 12 Visit in MBX-2H1002 Study.
  2. Is an adult ≥18 years of age at the time of the Screening visit of this extension study.
  3. Has a diagnosis of one of the following types of hypoparathyroidism for at least 26 weeks prior to the

    Screening visit:

    1. Postsurgical chronic hypoparathyroidism
    2. Idiopathic hypoparathyroidism
    3. hypoparathyroidism
  4. Can comprehend and is willing to sign an form (ICF), and abide by the study restrictions, study visits, and procedures.
  5. In the opinion of the investigator, must be able to successfully demonstrate reconstitution and self-administration of study drug.
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    400 µg once-weekly by subcutaneous injection

    Drug: 400 µg of MBX 2109 once-weekly by subcutaneous injection

  • Experimental
    200-1600 µg once-weekly by subcutaneous injection

    Drug: 200-1600 µg of MBX 2109 once-weekly by subcutaneous injection

Interventions

  • Drug400 µg of MBX 2109 once-weekly by subcutaneous injection

    Supplied as 1.5 mg per vial, to be reconstituted in 1.4 mL water for injection (diluent) to a concentration of 1.0 mg/mL. Patients who received Placebo in the Phase 2 MBX-2H1002 study, will initiate treatment with 400 µg subcutaneous MBX 2109 once-weekly

  • Drug200-1600 µg of MBX 2109 once-weekly by subcutaneous injection

    Supplied as 1.5 mg per vial, to be reconstituted in 1.4 mL water for injection (diluent) to a concentration of 1.0 mg/mL. Patients treated with MBX 2109 in the Phase 2 MBX-2H1002 study will continue at the screening visit in the extension study on the same dose they were receiving at the Week 11 Visit in Study MBX-2H1002. The maximum allowed dose is 1600 μg weekly administered subcutaneously in the abdomen, rotating injection sites. Doses of MBX 2109 study drug greater than 1000 μg will be administered subcutaneously in two separate, equal injections.

06

What researchers measure

Primary outcomes

  1. To evaluate the long-term safety and tolerability of weekly MBX 2109 in patients with hypoparathyroidism.

    Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).

    Time frame: 104 weeks

07

Study locations

23 sites
  • MBX Biosciences Investigational Site
    Miami, Florida 33033, United States
  • MBX Biosciences Investigational Site
    Macon, Georgia 31210, United States
  • MBX Biosciences Investigational Site
    Jackson, Mississippi 39202, United States
  • MBX Biosciences Investigational Site
    St Louis, Missouri 63110, United States
  • MBX Biosciences Investigational Site
    Las Vegas, Nevada 89148, United States
  • MBX Biosciences Investigational Site
    Reno, Nevada 89511, United States
  • MBX Biosciences Investigational Site
    Albany, New York 12203, United States
  • MBX Biosciences Investigational Site
    New York, New York 10032, United States
  • MBX Biosciences Investigational Site
    The Bronx, New York 10467, United States
  • MBX Biosciences Investigational Site
    Columbus, Ohio 43201, United States
  • MBX Biosciences Investigational Site
    Dallas, Texas 75208, United States
  • MBX Biosciences Investigational Site
    El Paso, Texas 79935, United States
  • MBX Biosciences Investigational Site
    Fort Worth, Texas 76132, United States
  • MBX Biosciences Investigational Site
    Round Rock, Texas 78681, United States
  • MBX Biosciences Investigational Site
    San Antonio, Texas 78231, United States
  • MBX Biosciences Investigational Site
    Weslaco, Texas 78596, United States
  • MBX Biosciences Investigational Site
    Madison, Wisconsin 53705, United States
  • MBX Biosciences Investigational Site
    Ciudad Autonoma de Buenos Aires, Buenos Aires C1012AAR, Argentina
  • MBX Biosciences Investigational Site
    Ciudad Autonoma de Buenos Aires, Buenos Aires C1425AGC, Argentina
  • MBX Biosciences Investigational Site
    Córdoba, Córdoba Province X5000AAW, Argentina
  • MBX Biosciences Investigational Site
    Córdoba, Río Cuarto X5800AEV, Argentina
  • MBX Biosciences Investigational Site
    San Miguel de Tucumán, Tucumán Province T4000IEH, Argentina
  • MBX Biosciences Investigational Site
    Samsun, 55270, Turkey (Türkiye)
08

Updates

1 registry update since Sep 25, 2026
Sites
2 sites added, 2 sites removed
Show 2 added (2 Argentina)
  • MBX Biosciences Investigational Site · Córdoba, Argentina
  • MBX Biosciences Investigational Site · San Miguel de Tucumán, Argentina
Show 2 removed
  • MBX Biosciences Investigational Site · Córdoba, Argentina
  • MBX Biosciences Investigational Site · San Miguel de Tucumán, Argentina
Oct 7, 2026
Primary completion
May 27, 2027→May 2028
Oct 7, 2026
Study completion
May 27, 2027→May 2028
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    2 sites added, 2 sites removed
    Show 2 added (2 Argentina)
    • MBX Biosciences Investigational Site · Córdoba, Argentina
    • MBX Biosciences Investigational Site · San Miguel de Tucumán, Argentina
    Show 2 removed
    • MBX Biosciences Investigational Site · Córdoba, Argentina
    • MBX Biosciences Investigational Site · San Miguel de Tucumán, Argentina
    Primary completion May 27, 2027→May 2028
    Study completion May 27, 2027→May 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06531941
Lead sponsor
MBX Biosciences
Responsible party
Sponsor
First posted
Aug 1, 2024
Start date
Oct 31, 2024
Primary completion
May 2028 (estimated)
Completion
May 2028 (estimated)
Last update
Oct 7, 2026

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 Oct 2026. You cannot join it, but the record below documents what was studied.

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