A Study to Test the Effects and Safety of Palopegteriparatide in Adolescents With Long-term Hypoparathyroidism
A Phase 3, Multicenter, Open-Label Single-Arm Clinical Trial to Assess the Safety, Tolerability, Pharmacokinetics, and Efficacy of Palopegteriparatide Administered Subcutaneously Daily in the Adolescent Population (12 Years to Less Than 18 Years of Age) With Chronic Hypoparathyroidism
1 other identifier
interventional
12
2 countries
3
Brief Summary
This trial will enroll adolescents between ages of ≥12 and \<18 years with clinically diagnosed hypoparathyroidism . The purpose of the study is to see how well treatment with once-daily palopegteriparatide works and how safe it is. At least 12 participants will receive palopegteriparatide for 234 weeks. This trial will be conducted in Europe.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Apr 2026
Longer than P75 for phase_3
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 22, 2026
CompletedFirst Submitted
Initial submission to the registry
June 23, 2026
CompletedFirst Posted
Study publicly available on registry
July 16, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 1, 2031
July 28, 2026
July 1, 2026
1.3 years
June 23, 2026
July 27, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of participants meeting the multicomponent efficacy endpoint at Week 26
The multi-component endpoint is the percentage of participants who met the following criteria at Week 26: 1) albumin-adjusted serum calcium within the normal range ; 2) independence from active vitamin D, and 3) independence from therapeutic doses of calcium
26 weeks
Secondary Outcomes (13)
Percentage of participants meeting the multicomponent efficacy endpoint through Week 234
234 weeks
Serum biochemistries
234 weeks
Serum biochemistries
234 weeks
Serum biochemistries
234 weeks
Renal calcifications
234 weeks
- +8 more secondary outcomes
Study Arms (1)
Palopegteriparatide, once daily
EXPERIMENTALParticipants will receive palopegteriparatide by subcutaneous injection for 234 weeks
Interventions
Subcutaneous injection for 234 weeks
Eligibility Criteria
You may qualify if:
- \. Males and females, 12 to less than 18 years of age
- \. Participants with postsurgical chronic hypoparathyroidism, or auto-immune, genetic, or idiopathic hypoparathyroidism for at least 26 weeks
- \. Normal levels of serum 25(OH) vitamin D and magnesium
- \. Estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73
- \. Able to perform daily subcutaneous self-injections of palopegteriparatide (or have a caregiver to perform injections)
- \. Body mass index (BMI) Z-score greater than -2 SDS and below + 3 SDS
- \. Written, signed informed consent
You may not qualify if:
- \. Impaired responsiveness to PTH which is characterized as PTH-resistance, with elevated PTH levels in the setting of hypocalcemia
- \. Any disease that might affect calcium metabolism or calcium-phosphate homeostasis or PTH levels other than hypoparathyroidism, such as active hyperthyroidism
- \. Use of loop diuretics, phosphate binders (other than calcium supplements), digoxin, lithium, methotrexate, biotin \>30 µg/day, or systemic corticosteroids (other than as replacement therapy). Short course use of steroids (≤2 weeks/year) equivalent to prednisone ≤60 mg/day is permitted
- \. Use of thiazide diuretic
- \. Use of PTH-like drugs
- \. Use of other drugs known to influence calcium and bone metabolism, such as calcitonin, fluoride tablets (\>0.5 mg/day), strontium, or cinacalcet hydrochloride, within 12 weeks prior to Screening
- \. Use of osteoporosis therapies known to influence calcium and bone metabolism, i.e., bisphosphonate (oral or intravenous \[IV\]), denosumab, raloxifene, or romosozumab therapies within 2 years prior to Screening
- \. Non-hypocalcemic seizure disorder with occurrence of a seizure within 26 weeks prior to Screening
- \. Increased risk for osteosarcoma
- \. Female participants who are pregnant, intend to become pregnant, or are lactating
- \. Diagnosed drug or alcohol dependence within 3 years prior to Screening
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Ascendis Pharma Investigational Site
Bron, 69500, France
Ascendis Pharma Investigational Site
Le Kremlin-Bicêtre, 94270, France
Ascendis Pharma Investigational Site
Lodz, 93-338, Poland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Medical Director, MD
Ascendis Pharma A/S
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 23, 2026
First Posted
July 16, 2026
Study Start
April 22, 2026
Primary Completion (Estimated)
August 1, 2027
Study Completion (Estimated)
August 1, 2031
Last Updated
July 28, 2026
Record last verified: 2026-07