New drug aims to fix calcium levels in rare genetic disease
NCT ID NCT05680818
First seen Jun 27, 2026 · Last updated Jul 30, 2026 · Updated 2 times
Summary
This study tests a new drug called encaleret against usual treatments for people with a rare genetic condition called autosomal dominant hypocalcemia type 1 (ADH1), which causes low blood calcium and high urine calcium. About 67 participants will receive either encaleret or standard care to see if the drug can safely bring both blood and urine calcium into normal ranges. The goal is to better control the disease, not cure it.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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67 people
The number who actually took part.
- Started
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Jan 2023
- Expected to finish
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Aug 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Participants must have a documented pathogenic or likely pathogenic activating variant, or variant of uncertain significance, of the calcium sensing receptor (CASR) gene associated with biochemical findings of hypoparathyroidism. 2. Participants must have a documented history of symptoms or signs of ADH1. 3. Participants 16 to \<18 years old must have closed growth plates on hand radiograph. 4. Participants treated with thiazide diuretics must discontinue thiazides for at least 14 days prior to SoC Optimization Visit 1 through Week 24 (Period 3). When the thiazide is being used as an antihypertensive, alternative therapy will be prescribed by the Investigator as needed. 5. Participants treated with phosphate binders (other than calcium salts) must discontinue the phosphate binders at least one day prior to the SoC Optimization Visit 1. 6. Participants treated with magnesium or potassium supplements must be willing to discontinue such treatment prior to the first dose of encaleret. 7. Participants treated with potassium-sparing diuretics must be willing to discontinue such treatment prior to the first dose of encaleret. 8. Participants must meet SoC Optimization criteria as defined in the protocol. Key Exclusion Criteria: 1. History of hypocalcemic seizure within the past 3 months preceding Screening. 2. History of thyroid or parathyroid surgery. 3. History of renal transplantation. 4. Pregnant or nursing (lactating) women, where pregnancy is confirmed by a positive beta-human chorionic gonadotropin (β-hCG) laboratory test. 5. History of treatment with parathyroid hormone (PTH) 1-84 or 1-34 within the 2 months preceding Screening and requiring SoC doses exceeding \>1.2× their pre-PTH treatment total daily doses or bone turnover markers, Collagen cross-linked C-telopeptide (CTx )and Procollagen type 1 N-propeptide (P1NP), \> upper limit of normal for sex, age (men only) and menopausal status (women only). 6. Blood 25-OH Vitamin D level \<25 nanograms (ng)/milliliter (mL). 7. Estimated glomerular filtration rate (eGFR) \<30 mL/minute/1.73 m\^2 using chronic kidney disease-EPI creatinine equation refit without the race variable (chronic kidney disease-EPI creatinine equation refit without the race variable \[CKD-EPIcr\_R\]) (for participants \<18 years old the Bedside Schwartz equation should be used). 8. Participants with positive Hepatitis B surface antigen (HBsAg), Hepatitis A immunoglobulin M (IgM), or human immunodeficiency virus (HIV) viral serology test at the Screening Visit. Participants who are in complete remission from Hepatitis C virus (HCV) as evidenced by sensitive assay ≥12 weeks after completion of HCV therapy may participate in the study. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aarhus University Hospital
Aarhus, 8200, Denmark
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Bone Research & Education Centre
Oakville, Ontario, L6M 1M1, Canada
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CHU Bicetre
Le Kremlin-Bicêtre, Le Kremlin-Bicêtre, 94270, France
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Columbia University Irving Medical Center
New York, New York, 10032, United States
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Eramus MC
Rotterdam, 3015 AA, Netherlands
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Fondazione Policlinico Universitario Campus Bio-Medico
Roma, 00128, Italy
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Freeman Hospital
Newcastle upon Tyne, NE7 7DN, United Kingdom
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Houston Methodist Hospital
Houston, Texas, 77030, United States
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Hôpital Edouard Herriot - HCL
Lyon, 69003, France
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IRCCS Ospedale San Raffaele
Milan, 20132, Italy
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Indiana University Health University Hospital
Indianapolis, Indiana, 46202, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic - Rochester
Rochester, Minnesota, 55905, United States
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NIH
Bethesda, Maryland, 20892, United States
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Norfolk and Norwich University Hospital
Norwich, NR4 7UY, United Kingdom
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Ohio State University Medical Center
Columbus, Ohio, 43203, United States
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Physicians East
Greenville, North Carolina, 27834, United States
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Royal Brisbane and Women's Hospital
Herston, Queensland, 4029, Australia
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Royal North Shore Hospital
Saint Leonards, New South Wales, 2065, Australia
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The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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The University of Tokyo Hospital
Tokyo, 113-8655, Japan
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UCSF Benioff Children's Hospital, Oakland
Oakland, California, 94609, United States
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University Hospital of Pisa
Pisa, 56124, Italy
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Vseobecna fakultni nemocnice v Praze
New Town, 128 08, Czechia
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Other studies related to the condition(s) this trial covers.