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Phase 1 Completed N=24 Randomized Treatment

Study of rhPTH(1-84) in Japanese Healthy Subjects Compared With Matched Caucasian Healthy Adult Subjects

Source: ClinicalTrials.gov NCT03150108 ↗
Enrolled (actual)
24
Serious AEs
0.0%
Results posted
Jul 2019
Primary outcomePrimary: Baseline-adjusted Cmax of PTH(1-84) — 295.662; 330.820; 175.468; 99.708 Picogram per milliliter (pg/mL)

Summary

The purpose of this study is to compare how rhPTH(1-84) affects the body between healthy adults of Japanese descent and matched, healthy Caucasian adults.

Outcome Measures

OutcomeResultp-value
PRIMARY
Baseline-adjusted Cmax of PTH(1-84)
295.662; 330.820; 175.468; 99.708
PRIMARY
Baseline-adjusted Tmax of PTH(1-84)
0.415; 1.000; 1.385; 1.240
PRIMARY
Baseline-adjusted AUC(Last) of PTH(1-84) in Plasma
1037.63; 1027.81; 602.06; 255.67
PRIMARY
Baseline-adjusted AUC(0-8) of PTH(1-84) in Plasma
956.63; 1033.62; 554.23; 248.38
PRIMARY
Baseline-adjusted AUC(0-inf) of PTH(1-84) in Plasma
1028.29; 1039.34; 589.25; 249.51
PRIMARY
Baseline- Adjusted % of AUC(0-Inf) Extra of PTH(1-84) in Plasma
1.416; 0.932; 1.555; 3.015
PRIMARY
Baseline-adjusted Lambda_z of PTH(1-84) in Plasma
0.4496; 0.6672; 0.5714; 0.8277
PRIMARY
Baseline-adjusted t1/2 of PTH(1-84) in Plasma
1.390; 1.060; 1.020; 0.950
PRIMARY
Baseline-adjusted CL/F of PTH(1-84) in Plasma
97.25; 96.22; 84.84; 100.18
PRIMARY
Baseline-adjusted Vdz/F of PTH(1-84) in Plasma
216.30; 144.18; 148.50; 121.02
SECONDARY
Original Cmax of PTH(1-84) in Plasma
324.43; 365.52; 206.05; 129.74
SECONDARY
Original Tmax of PTH(1-84)
0.415; 1.000; 1.385; 1.240
SECONDARY
Original AUClast of PTH(1-84) in Plasma
1685.62; 1823.70; 1300.09; 959.49
SECONDARY
AUClast of Albumin-corrected Calcium, Serum Total Calcium and Phosphate Levels After Intake of PTH(1-84)
52.94; 53.22; 52.94; 52.61; 54.21; 54.62
SECONDARY
TEmax After Intake of PTH(1-84) on Albumin-corrected Calcium, Serum Total Calcium and Serum Phosphate Levels
8.000; 8.000; 4.000; 4.000; 8.000; 8.000
SECONDARY
Emax of PTH(1-84) on Albumin-corrected Calcium, Serum Total Calcium and Serum Phosphate Levels
2.287; 2.284; 2.283; 2.282; 2.359; 2.347
SECONDARY
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
4; 6; 1; 3
SECONDARY
Number of Participants With Clinically Significant Changes in Clinical Laboratory Tests Reported as Treatment-emergent Adverse Events (TEAEs)
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Changes in Vital Signs Reported as Treatment-emergent Adverse Events (TEAEs)
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Results Reported as Treatment-emergent Adverse Events (TEAEs)
0; 0; 0; 0
SECONDARY
Number of Participants Who Reported Positive to Anti-Parathyroid Hormone Antibodies
0; 0; 0; 0

Eligibility Criteria

Inclusion Criteria

  • Ability to voluntarily provide written, signed, and dated informed consent as applicable to participate in the study.
  • An understanding, ability, and willingness to fully comply with study procedures and restrictions.
  • Age 18-65 inclusive at the time of consent. The date of signature of the informed consent is defined as the beginning of the screening period. This inclusion criterion will only be assessed at the first screening visit.
  • Subjects must be either:
  • A subject of Japanese descent born in Japan, who has resided outside of Japan for no longer than 5 years and is of Japanese parentage, defined as having 2 Japanese parents, and 4 Japanese grandparents, all born in Japan.
  • A non-hispanic, Caucasian subject who has 2 non-hispanic, Caucasian parents and 4 non-hispanic, Caucasian grandparents.
  • Male or nonpregnant, nonlactating female who agrees to comply with any applicable contraceptive requirements of the protocol or females of nonchildbearing potential.
  • Considered "healthy" by the investigator. Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead electrocardiogram (ECG), hematology, blood chemistry, and urinalysis.
  • Body mass index between 18.5 and 28 kilogram per square meter (kg/m^2), inclusive, with a body weight greater than or equal to (>=) 45 kg (99 pounds [lbs]). This inclusion criterion will only be assessed at the first screening visit.
  • Willing and able to consume standardized meals during the confinement period of the study. All subjects will be required to consume the identical meals on study days when serial pharmacokinetic (PK) and pharmacodynamic (PD) blood samples are collected.
  • A clinical safety laboratory parameter of hemoglobin greater than (>) 11.7 gram per deciliter (g/dl) (females) or 13.1 g/dl (males) and less than ( 39 millimeter of mercury (mmHg) or 89 mmHg or 450 milliseconds (msec) at screening. If QTcF exceeds 450 msec, the ECG should be repeated 2 more times and the average of the 3 QTcF values should be used to determine the subject's eligibility.
  • Positive screen for drugs of abuse at screening or drugs of abuse or alcohol on Day -1.
  • Male subjects who consume more than 21 units of alcohol per week or 3 units per day. Female subjects who consume more than 14 units of alcohol per week or 2 units per day. (1 alcohol unit=1 beer or 1 wine (5 ounce (oz) per 150 milliliter (mL)) or 1 liquor (1.5oz/40 mL) or 0.75 oz alcohol).
  • Positive human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody screen.
  • Use of tobacco in any form (eg, smoking or chewing) or other nicotine-containing products in any form (eg, gum, patch). Ex-users must report that they have stopped using tobacco for at least 30 days prior to receiving the first dose of investigational product.
  • Routine consumption of more than 2 units of caffeine per day or subjects who experience caffeine withdrawal headaches. (1 caffeine unit is contained in the following items: one 6 oz (180 mL) cup of coffee, two 12 oz (360 mL) cans of cola, one 12 oz cup of tea, three 1 oz (85 g) chocolate bars. Decaffeinated coffee, tea, or cola are not considered to contain caffeine).
  • Prior screen failure, randomization, participation, or enrollment in this study or prior exposure to any exogenous PTH, PTH fragments or analogs.
  • Current use of any medication (including over-the-counter, herbal, or homeopathic preparations; with the exception of hormonal replacement therapy or hormonal contraceptives and occasional use of ibuprofen and acetaminophen). Current use is defined as use within 14 days of the first dose of investigational product.
  • History of abnormalities of calcium homeostasis including hyperparathyroidism, hypoparathyroidism, hyperthyroidism, osteoporosis, Cushing's syndrome, hypercalcemia, hypocalcemia, or any
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03150108). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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