parathyroid hormone
Trade name: Natpara
Approved
Jan 23, 2015
Parathyroid hormone (PTH) is an 84-amino acid peptide that regulates the function of osteoblasts and osteocytes and is secreted by the parathyroid gland in response to changes in the concentration of extracellular calcium. Parathyroid hormone is approved under the brand name NATPARA as an adjunct to calcium and vitamin D to control hypocalcemia in patients with hypoparathyroidism. It is also available for treatment of postmenopausal osteoporosis in many European countries. Parathyroid hormone is an activator of parathyroid hormone 2 receptor. In addition, was shown, that downregulation of Notch in osteoblasts and osteocytes may represent a mechanism contributing to the anabolic effects of parathyroid hormone in bone. — NCATS
Clinical trial activity
56 trials · 49 clinical orgs · 2 marketing orgs
Earliest trial started Sep 1, 1987 (NCT00005006)
Timeline
1980s
- Jan 1, 1987
Earliest Phase 2 Sponsor(trial)
1990s
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2000
Earliest Phase 1 Sponsor(trial)
- Aug 31, 2007
Orphan Drug Designation
2010s
- Jan 23, 2015
Earliest FDA Approval
- Jan 23, 2015
NPS Pharma — Marketing Organization
- Jan 23, 2015
Takeda — NDA Secondary Org
- Jan 24, 2015
NPS Pharma — First NDA Organization
- Jan 24, 2015
NPS Pharma — NDA Organization
Indications
Studied for
- Anemia, Aplastic · Phase 2
- Back Pain · Phase 4
- Bone Diseases, Endocrine · Phase 1
- Disease · Phase 1/Phase 2
- Endocrine System Diseases · Phase 3
- Fractures, Bone · Phase 1/Phase 2
- Healthy Volunteers · Phase 1
- Hodgkin Disease · Phase 2
- Hyperparathyroidism · Phase 1
- Hypocalcemia · Early Phase 1
- Hypoparathyroidism · Phase 4
- Hypothyroidism · Phase 3
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 2
- Leukemia, Myeloid, Acute · Phase 2
- Lymphoma · Phase 2
- Neoplasms · Phase 1
- Osteopetrosis · Phase 1
- Osteoporosis · Phase 4
- Osteoporosis, Postmenopausal · Phase 2
- Parathyroid Diseases · Phase 3
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Primary Myelofibrosis · Phase 2
- Psoriasis · Phase 1/Phase 2
- Shoulder Fractures · Phase 4
- Sternum · Phase 3
Mechanism of action
- Parathyroid hormone receptorAGONIST
PTH1R agonist
- Parathyroid hormoneSupplementation
PTH supplementation
Approval history
- approvedJan 23, 2015
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaParathyroid hormone ↗
- NCATSN19A0T0E5J ↗
- ChEMBLCHEMBL2108078 ↗
Also known as
- alx1-11
- alx1-11
- alx1-11
- hpth
- hpth
- hpth(1-84)
- hpth(1-84)
- human parathyroid hormone
- human recombinant parathyroid hormone
- ly333334
- natpara
- natpara
- npsp558
- parathormone
- parathormone
- parathormone
- parathormone (human recombinant)
- parathyrin
- parathyrin
- parathyrin
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone
- parathyroid hormone 1-34
- parathyroid hormone 1-34
- parathyroid hormone (1-84)
- parathyroid hormone (1-84)
- parathyroid hormone 1-84
- parathyroid hormone 1-84
- parathyroid hormone (1-84) human recombinant
- parathyroid hormone, human
- parathyroid hormone (rdna)
- parathyroid hormone (rdna)
- parathyroid horomone
- paroidin
- preotact
- preotact
- preotact
- pth
- pth
- pth (1-84)
- pth (1-84)
- pth(1-84)
- pth(1-84)
- pth protein, human
- rhpth
- rhpth
- rhpth (1-84)
- rhpth(1-84)
- rpth
- rpth(1-84)
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05965167 | Phase 1/Phase 2 (Phase 2) | May 11, 2023 | Entera Bio Ltd. |
| NCT05164614 | Phase 1 | Mar 1, 2022 | RANI Therapeutics |
| NCT05137730 | Phase 1 | Nov 29, 2021 | Takeda |
| NCT05387070 | Phase 3 | Jul 28, 2021 | Peking University, Visen Pharmaceuticals |
| NCT04701203 | Phase 3 | Feb 16, 2021 | Ascendis Pharma, Inc. |
| NCT03878953 | Phase 3 | Aug 28, 2019 | Shire |
| NCT04009291 | Phase 2 | Jul 31, 2019 | Ascendis Pharma, Inc. |
| NCT03720886 | Phase 1/Phase 2 (Phase 2) | Oct 1, 2018 | Chinese Academy of Medical Sciences, Shenzhen Salubris Pharmaceuticals Co., Ltd. |
| NCT03364738 | Phase 3 | Sep 28, 2018 | Shire |
| NCT03516773 | Phase 2 | Jun 17, 2018 | Entera Bio Ltd., Hebrew University |
| NCT03324880 | Phase 4 | Nov 27, 2017 | Shire |
| NCT03150108 | Phase 1 | May 16, 2017 | Shire |
| NCT02781844 | Phase 1 | Mar 11, 2017 | Shire |
| NCT02910466 | Phase 4 | Oct 1, 2016 | Shire |
| NCT02986607 | Early Phase 1 (Phase 1) | Mar 1, 2016 | University of Bergen |
| NCT02478879 | Phase 1 | Jun 1, 2015 | Covance, Zosano Pharma Inc. |
| NCT01333267 | Phase 1 | Jan 1, 2015 | University of Pittsburgh |
| NCT02249780 | N/A | Sep 1, 2014 | University of Geneva |
| NCT02152228 | Phase 2 | Jul 1, 2014 | Entera Bio Ltd., Technion University |
| NCT01466829 | Phase 3 | Oct 1, 2012 | Aarhus University, Takeda |
Organizations
Research & Development (49)
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| NPS Pharma | For profit | MKTG | Jan 23, 2015 |
| NPS Pharma | For profit | NDA | Jan 24, 2015 |
| Takeda | For profit | NDA2 | Jan 23, 2015 |