Pharmacokinetics, Efficacy, and Safety of Encaleret in Pediatric Participants With Autosomal Dominant Hypocalcemia Type 1 (ADH1)

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age0-17
SponsorCalcilytix Therapeutics, Inc., a BridgeBio company

About this trial

The overall objective of this study is to evaluate the pharmacokinetics (PK), efficacy, and safety of encaleret in pediatric participants from birth to 17 years of age with ADH1.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provide written informed consent (if legally permitted), or have written informed consent from a parent/legal guardian and provide assent (where required and as appropriate per local requirements)

Have a documented pathogenic or likely pathogenic activating variant, or variant of uncertain significance of the calcium-sensing receptor (CASR), associated with biochemical findings of hypoparathyroidism at screening or a documented history of hypoparathyroidism as manifested by hypocalcemia and intact parathyroid hormone (PTH) <40 picogram per milliliter (pg/mL) (4.2 picomoles per liter [pmol/L])

Have at least 1 symptom or sign of hypoparathyroidism at screening or a documented history of symptoms or signs of hypoparathyroidism

Be on ADH1 treatment for at least 6 months before screening for cohorts 1 to 3, or for at least 3 months before screening for cohort 4

Disqualifiers

History of thyroid or parathyroid surgery

History of renal transplantation

History of cancer (except thyroid cancer, basal cell skin cancer, or squamous cell skin cancer), skeletal malignancies, bone metastases, irradiation (radiotherapy) to the skeleton, chemotherapy with alkylating agents, Paget disease, fibrous dysplasia, chronic osteomyelitis, bone infarcts, benign bone tumors with curettage and bone grafts, retinoblastoma, or Li-Fraumeni syndrome within 5 years before screening

Received any investigational medicinal product within 30 days or 5 half-lives before Day 1, whichever is longer, or is in follow-up for another interventional clinical study during screening

Trial design

Design model

Sequential

Treatments tested in this trial

  • Encaleret

    Drug

    Oral tablets, age-appropriate pediatric formulation (currently under development).

Treatment groups

28 Participants
are divided into 1 treatment group
Group A: EncaleretExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Period 1: Maximum Plasma Concentration (Cmax) of Encaleret and Metabolites M1, and M3

Time frame
5 days
2

Period 1: Area Under the Plasma Concentration-time Curve (AUC) of Encaleret and Metabolites M1, and M3

Time frame
5 days
3

Period 3: Number of Participants with Albumin-corrected Blood Calcium (cCa) and Urinary Calcium (UCa) Excretion Response

Time frame
Week 25

Secondary outcomes

1

Period 1: Change from Baseline in Blood cCa

Time frame
Baseline up to Day 5
2

Period 1: Change from Baseline in Blood Intact Parathyroid Hormone (iPTH) Concentration

Time frame
Baseline up to Day 5
3

Period 1: Change from Baseline in Blood Phosphate Concentration

Time frame
Baseline up to Day 5
4

Period 1: Change from Baseline in Blood 1,25-(OH)2 Vitamin D Concentration

Time frame
Baseline up to Day 5

Other outcomes

Sponsors and contacts

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