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A Pilot Study to Assess the Safety and Efficacy of Oral PTH (1-34) in the Treatment of Hypoparathyroidism

Primary Purpose

Hypoparathyroidism

Status
Completed
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
EnteraBio's Oral Parathyroid Hormone (1-34)
Sponsored by
Entera Bio Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypoparathyroidism

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Confirmed diagnosis of primary hypoparathyroidism for more than 1 year.
  • Currently taking >1.0 grams of Calcium/day with a correlate alpha D3 dose.
  • 25(OH)D levels ≥ 20 ng/ml.
  • Signed informed consent.
  • BMI 18 - 30 kg/m2, inclusive.
  • Full blood count should be within the reference range as per WHO criteria. Minor abnormalities will be assessed by the Principle Investigator and after discussion with sponsor patients may still be entered if these are felt to be of "no clinical importance". Abnormalities due to hypoparathyroidism related are acceptable and will not constitute exclusion.
  • Patients with significant liver function impairment (liver enzymes above x3 the upper limit of normal range as per WHO criteria) will be excluded.
  • Subjects able to adhere to the visit schedule and protocol requirements.

Exclusion Criteria:

  • Haemoglobin <12 g/dL (females)/ <13gm/dL (males) [lower limit of reference range 12-15 & 13-17]
  • Impaired renal function
  • impaired liver function; ALT >38 international units per liter (IU/L), or ALP>125 IU/L
  • Significant drug or alcohol abuse as assessed by the Principal Investigator
  • Allergy to soy bean products
  • Presence of kidney or urinary tract stones
  • Concurrent therapy that, in the Investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication.
  • Treatment with any investigational product within the last 30 days, enrollment or intention to enroll in any active study involving the use of investigational devices or drugs.
  • Presence of any other condition or circumstance that, in the judgment of the Investigator, might increase the risk to the patient or decrease the chance of obtaining satisfactory data to achieve the objectives of the study.
  • Active infections
  • Pregnancy or suspected pregnancy. Female subjects must have a negative serum pregnancy test at screening and be willing and able to use a medically acceptable method of birth control (reliable use of oral contraceptive, non-hormonal intrauterine device with condom, or diaphragm with condom, or condom with spermicide) from the screening visit through the study termination visit or declare that they are abstaining from sexual intercourse from the screening visit through the study termination visit or are surgically sterile (have undergone bilateral tubal ligation, bilateral oophorectomy, or hysterectomy) or post-menopausal. Postmenopausal women are defined as women with menstruation cessation for 12 consecutive months prior to signing of the informed consent form.

Sites / Locations

  • Lin Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Oral Parathyroid Hormone (1-34)

Arm Description

Oral administration of EnteraBio's Oral Parathyroid Hormone (1-34)

Outcomes

Primary Outcome Measures

Number of participants with adverse events
safety will be measured by monitoring and recording adverse events related to hyper- and hypocalcemia
Reduction in use of exogenous calcium supplement and/or alpha D3 supplement
Tolerability- The rate of discontinuation of patients' participation in the study due to adverse events
Plasma calcium levels
Peak Plasma Concentration (Cmax)of treatment
To study the pharmacokinetic profile of PTH absorption

Secondary Outcome Measures

The volunteers' compliance to treatment
Compliance to treatment defined as proportion taking >80% study medication (good), 60-80% (satisfactory) and <60% (poor)
Patient quality of life
Patients will report a Quality Of Life (QOL) review

Full Information

First Posted
April 22, 2014
Last Updated
October 6, 2015
Sponsor
Entera Bio Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02152228
Brief Title
A Pilot Study to Assess the Safety and Efficacy of Oral PTH (1-34) in the Treatment of Hypoparathyroidism
Official Title
A Pilot Study to Assess the Safety and Efficacy of Oral PTH (1-34) in the Treatment of Hypoparathyroidism
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
July 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Entera Bio Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an observational, international, open label, pilot study to evaluate the safety, tolerability and efficacy of an oral PTH (1-34) preparation produced by Entera Bio in adult hypoparathyroid volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypoparathyroidism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Oral Parathyroid Hormone (1-34)
Arm Type
Experimental
Arm Description
Oral administration of EnteraBio's Oral Parathyroid Hormone (1-34)
Intervention Type
Drug
Intervention Name(s)
EnteraBio's Oral Parathyroid Hormone (1-34)
Other Intervention Name(s)
Teriparatide
Intervention Description
Oral administration
Primary Outcome Measure Information:
Title
Number of participants with adverse events
Description
safety will be measured by monitoring and recording adverse events related to hyper- and hypocalcemia
Time Frame
up to 17 weeks
Title
Reduction in use of exogenous calcium supplement and/or alpha D3 supplement
Time Frame
up to 17 weeks
Title
Tolerability- The rate of discontinuation of patients' participation in the study due to adverse events
Time Frame
up to 17 weeks
Title
Plasma calcium levels
Time Frame
at baseline and 60 minutes post-dose
Title
Peak Plasma Concentration (Cmax)of treatment
Description
To study the pharmacokinetic profile of PTH absorption
Time Frame
at baseline and time-points post-dose
Secondary Outcome Measure Information:
Title
The volunteers' compliance to treatment
Description
Compliance to treatment defined as proportion taking >80% study medication (good), 60-80% (satisfactory) and <60% (poor)
Time Frame
up to 17 weeks
Title
Patient quality of life
Description
Patients will report a Quality Of Life (QOL) review
Time Frame
up to 17 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed diagnosis of primary hypoparathyroidism for more than 1 year. Currently taking >1.0 grams of Calcium/day with a correlate alpha D3 dose. 25(OH)D levels ≥ 20 ng/ml. Signed informed consent. BMI 18 - 30 kg/m2, inclusive. Full blood count should be within the reference range as per WHO criteria. Minor abnormalities will be assessed by the Principle Investigator and after discussion with sponsor patients may still be entered if these are felt to be of "no clinical importance". Abnormalities due to hypoparathyroidism related are acceptable and will not constitute exclusion. Patients with significant liver function impairment (liver enzymes above x3 the upper limit of normal range as per WHO criteria) will be excluded. Subjects able to adhere to the visit schedule and protocol requirements. Exclusion Criteria: Haemoglobin <12 g/dL (females)/ <13gm/dL (males) [lower limit of reference range 12-15 & 13-17] Impaired renal function impaired liver function; ALT >38 international units per liter (IU/L), or ALP>125 IU/L Significant drug or alcohol abuse as assessed by the Principal Investigator Allergy to soy bean products Presence of kidney or urinary tract stones Concurrent therapy that, in the Investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication. Treatment with any investigational product within the last 30 days, enrollment or intention to enroll in any active study involving the use of investigational devices or drugs. Presence of any other condition or circumstance that, in the judgment of the Investigator, might increase the risk to the patient or decrease the chance of obtaining satisfactory data to achieve the objectives of the study. Active infections Pregnancy or suspected pregnancy. Female subjects must have a negative serum pregnancy test at screening and be willing and able to use a medically acceptable method of birth control (reliable use of oral contraceptive, non-hormonal intrauterine device with condom, or diaphragm with condom, or condom with spermicide) from the screening visit through the study termination visit or declare that they are abstaining from sexual intercourse from the screening visit through the study termination visit or are surgically sterile (have undergone bilateral tubal ligation, bilateral oophorectomy, or hysterectomy) or post-menopausal. Postmenopausal women are defined as women with menstruation cessation for 12 consecutive months prior to signing of the informed consent form.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sophia Ish Shalom, MD
Organizational Affiliation
Rambam Health Care Campus
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lin Medical Center
City
Haifa
ZIP/Postal Code
35152
Country
Israel

12. IPD Sharing Statement

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A Pilot Study to Assess the Safety and Efficacy of Oral PTH (1-34) in the Treatment of Hypoparathyroidism

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