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AZP-3601 SAD and MAD Study in Healthy Subjects and Subjects With Hypoparathyroidism

Primary Purpose

Chronic Hypoparathyroidism

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
AZP-3601
Placebo
Sponsored by
Amolyt Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hypoparathyroidism

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Main inclusion criteria

  • Part A: healthy male volunteers aged 18 to 60 years inclusive with a Body mass index of 19 to 28 kg/m2
  • Part B: healthy male and female volunteers (non-child bearing potential) aged 18 to 60 years inclusive with a Body mass index of 19 to 28 kg/m2
  • Part C:

    1. Male and female patients aged 18 to 75 years inclusive
    2. History of cHP for ≥12 months at the time of screening with documentation of two measurements of serum calcium and parathyroid hormone (PTH).
    3. Requirement for therapy with calcitriol ≥0.25 μg per day or alphacalcidol ≥0.50 μg per day (both are active vitamin D supplements), and requirement for supplemental oral calcium treatment ≥1000 mg per day over and above normal dietary calcium intake at baseline assessments.

Main exclusion criteria

  • Parts A and B:

    1. Clinically significant abnormal lab values, as judged by the investigator
    2. Using tobacco products with 3 months prior to first drug administration
    3. History of alcohol abuse or drug addiction
  • Part C

    1. Known history of autosomal-dominant hypocalcemia (ADH resulting from gain-of-function calcium-sensing receptor [CaSR] or GNA11 mutations) or pseudohypoparathyroidism (impaired responsiveness to PTH)
    2. Any current disease that might affect calcium metabolism or calcium phosphate homeostasis other than HP
    3. Use of medications such as loop and thiazide diuretics, raloxifene hydrochloride, lithium, methotrexate, cardiac glycosides (e.g., digoxin or digitoxin) or systemic corticosteroids within 4 weeks prior to start of treatment.
    4. Previous treatment with PTH-like drugs, including PTH(1-84), PTH(1-34), or abaloparatide, within 3 months prior to screening.

Sites / Locations

  • Amolyt Pharma Investigational Site Hungary
  • PRA-EDS

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

AZP-3601

Placebo (Parts A and B)

Arm Description

s.c. administration once daily

s.c. administration once daily

Outcomes

Primary Outcome Measures

Treatment Emergent Adverse Events (TEAEs)
Number of TEAEs as assessed by medDRA

Secondary Outcome Measures

Plasma concentration of AZP-3601
Serum calcium
Serum phosphorus
s-CTx
serum carboxy-terminal telopeptide of type I collagen (bone turnover biomarker)
P1NP
serum procollagen type 1 amino-terminal propeptide (bone turnover biomarker)
Daily dose of oral calcium and active vitamin D (Part C)

Full Information

First Posted
January 7, 2022
Last Updated
September 23, 2022
Sponsor
Amolyt Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT05239221
Brief Title
AZP-3601 SAD and MAD Study in Healthy Subjects and Subjects With Hypoparathyroidism
Official Title
A Single and Multiple Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZP-3601, a Synthetic Parathyroid Hormone Analog, in Healthy Subjects and in Subjects With Hypoparathyroidism
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
September 7, 2020 (Actual)
Primary Completion Date
August 23, 2022 (Actual)
Study Completion Date
August 23, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amolyt Pharma

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is investigating the safety, tolerability, pharmacodynamics and pharmacokinetics of AZP-3601 following single and repeated administration in both healthy volunteers and patients with chronic hypoparathyroidism (cHP) The protocol includes 3 parts: Part A: first-in-human single ascending dose (SAD) study in healthy volunteers Part B: multiple ascending dose (MAD) study with 2 weeks of treatment in healthy volunteers Part C: open-label MAD study with a total treatment duration of 3 months in patients with cHP.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Part C is open label
Allocation
Randomized
Enrollment
132 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AZP-3601
Arm Type
Experimental
Arm Description
s.c. administration once daily
Arm Title
Placebo (Parts A and B)
Arm Type
Placebo Comparator
Arm Description
s.c. administration once daily
Intervention Type
Drug
Intervention Name(s)
AZP-3601
Intervention Description
Lyophilized powder of AZP-3601 to be reconstituted with water for injection before injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Saline solution visually matching active medication
Primary Outcome Measure Information:
Title
Treatment Emergent Adverse Events (TEAEs)
Description
Number of TEAEs as assessed by medDRA
Time Frame
up to 2 weeks (Parts A and B), up to 3 months (Part C)
Secondary Outcome Measure Information:
Title
Plasma concentration of AZP-3601
Time Frame
Day 1 (all Parts), Day 14 (Parts B and C), Day 28 (Part C)
Title
Serum calcium
Time Frame
up to 2 weeks (Parts A and B), up to 3 months (Part C)
Title
Serum phosphorus
Time Frame
up to 2 weeks (Parts A and B), up to 3 months (Part C)
Title
s-CTx
Description
serum carboxy-terminal telopeptide of type I collagen (bone turnover biomarker)
Time Frame
up to 2 weeks (Part B), up to 3 months (Part C)
Title
P1NP
Description
serum procollagen type 1 amino-terminal propeptide (bone turnover biomarker)
Time Frame
up to 2 weeks (Part B), up to 3 months (Part C)
Title
Daily dose of oral calcium and active vitamin D (Part C)
Time Frame
up to 3 months (Part C)
Other Pre-specified Outcome Measures:
Title
Urinary Calcium levels
Description
Levels of urinary calcium
Time Frame
up to 2 weeks (Parts A and B), up to 3 months (Part C)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Main inclusion criteria Part A: healthy male volunteers aged 18 to 60 years inclusive with a Body mass index of 19 to 28 kg/m2 Part B: healthy male and female volunteers (non-child bearing potential) aged 18 to 60 years inclusive with a Body mass index of 19 to 28 kg/m2 Part C: Male and female patients aged 18 to 75 years inclusive History of cHP for ≥12 months at the time of screening with documentation of two measurements of serum calcium and parathyroid hormone (PTH). Requirement for therapy with calcitriol ≥0.25 μg per day or alphacalcidol ≥0.50 μg per day (both are active vitamin D supplements), and requirement for supplemental oral calcium treatment ≥1000 mg per day over and above normal dietary calcium intake at baseline assessments. Main exclusion criteria Parts A and B: Clinically significant abnormal lab values, as judged by the investigator Using tobacco products with 3 months prior to first drug administration History of alcohol abuse or drug addiction Part C Known history of autosomal-dominant hypocalcemia (ADH resulting from gain-of-function calcium-sensing receptor [CaSR] or GNA11 mutations) or pseudohypoparathyroidism (impaired responsiveness to PTH) Any current disease that might affect calcium metabolism or calcium phosphate homeostasis other than HP Use of medications such as loop and thiazide diuretics, raloxifene hydrochloride, lithium, methotrexate, cardiac glycosides (e.g., digoxin or digitoxin) or systemic corticosteroids within 4 weeks prior to start of treatment. Previous treatment with PTH-like drugs, including PTH(1-84), PTH(1-34), or abaloparatide, within 3 months prior to screening.
Facility Information:
Facility Name
Amolyt Pharma Investigational Site Hungary
City
Budapest
Country
Hungary
Facility Name
PRA-EDS
City
Groningen
ZIP/Postal Code
9728
Country
Netherlands

12. IPD Sharing Statement

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AZP-3601 SAD and MAD Study in Healthy Subjects and Subjects With Hypoparathyroidism

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