Significant and Sustained Improvements in Renal Function Reported for Adults with Chronic Hypoparathyroidism Treated with TransCon™ PTH (Palopegteriparatide): 2-year Results from Phase 3 PaTHway Trial
“This unparalleled data showing sustained, clinically meaningful improvements in kidney function in these patients reinforce the potential for TransCon PTH to address concerns about soft-tissue calcifications and decreased kidney function associated with conventional therapy,” said
The post-hoc analysis examined the impact of treatment with TransCon PTH on renal function using estimated glomerular filtration rate (eGFR) through Week 104 (n=76) of PaTHway, a Phase 3 double-blind, placebo-controlled trial of 82 dosed adults with chronic hypoparathyroidism randomized 3:1 (TransCon PTH:placebo; both arms initially co-administered with conventional therapy of active vitamin D and oral calcium), with a 26-week blinded period followed by an ongoing 156-week open-label extension period. Across both treatment arms, TransCon PTH treatment resulted in a mean eGFR increase of 8.9 mL/min/1.73m2 (p<0.0001) from baseline at Week 52, sustained at Week 104 with a mean change from baseline of 9.0 mL/min/1.73m2 (p<0.0001). Treatment was generally well-tolerated, with no new safety signals.
eGFR* Change from Baseline by Study Arm | |||||||
Baseline | Week 26 | Week 52 | Week 104 | ||||
Study Arm | eGFR (mL/min/1.73m2) |
N |
Mean (p value) |
N |
Mean (p value) |
N |
Mean (p value) |
TransCon PTH / TransCon PTH |
eGFR < 60 | 19 | +11.4 (p=0.0002) |
19 | +11.5 (p=0.0003) |
18 | +13.4 (p<0.0001) |
eGFR ≥ 60 | 41 | +6.3 (p=0.0002) |
40 | +8.2 (p<0.0001) |
40 | +6.9 (p<0.0001) |
|
All | 60 | +7.9 (p<0.0001) |
59 | +9.3 (p<0.0001) |
58 | +8.9 (p<0.0001) |
|
Placebo (first 26 weeks) / TransCon PTH** |
eGFR < 60 | 4 | +0.05 (p=0.9877) |
4 | +11.7 (p=0.0018) |
4 | +15.6 (p=0.0067) |
eGFR ≥ 60 | 15 | -2.4 (p=0.3280) |
15 | +6.5 (p=0.0199) |
14 | +7.6 (p=0.0121) |
|
All | 19 | -1.9 (p=0.3468) |
19 | +7.6 (p=0.0014) |
18 | +9.4 (p=0.0006) |
*eGFR (an assessment of kidney filtering capacity) was calculated by the trial’s central lab using the Modification of Diet in
**Patients in the placebo arm switched to TransCon PTH following the Week 26 visit.
TransCon PTH treatment was associated with clinically meaningful increases (≥ 5 mL/min/1.73 m2) in eGFR within 26 weeks that were sustained through Week 104 of PaTHway:
Proportion of Participants (%) with ≥ 5 and ≥ 10 mL/min/1.73 m2 Increases in eGFR from Baseline through Week 104* | ||||||
eGFR Change from Baseline | All Participants | |||||
TransCon PTH / TransCon PTH (n=61) |
Placebo (first 26 weeks) / TransCon PTH** (n=21) |
|||||
Week 26 | Week 52 | Week 104 | Week 26 | Week 52 | Week 104 | |
PTH | PTH | PTH | Placebo | Switch to PTH | Switch to PTH | |
> 5 mL/min/1.73 m2 | 57% | 64% | 61% | 24% | 52% | 62% |
> 10 mL/min/1.73 m2 | 43% | 43% | 46% | 10% | 39% | 38% |
eGFR Change from Baseline | Participants with Baseline eGFR < 60 mL/min/1.73 m2 | |||||
TransCon PTH / TransCon PTH (n=19) |
Placebo (first 26 weeks) / TransCon PTH** (n=4) |
|||||
Week 26 | Week 52 | Week 104 | Week 26 | Week 52 | Week 104 | |
PTH | PTH | PTH | Placebo | Switch to PTH | Switch to PTH | |
> 5 mL/min/1.73 m2 | 74% | 68% | 74% | 25% | 100% | 100% |
> 10 mL/min/1.73 m2 | 47% | 42% | 53% | 0% | 75% | 75% |
*Percentages were calculated based on all participants. Patients who did not have an eGFR assessment at the visit were still included in the denominator.
**Patients in the placebo arm switched to TransCon PTH following the Week 26 visit.
Highlights from this ECE oral presentation will be made available on the Investor & News section of the Ascendis Pharma website at https://investors.ascendispharma.com.
About Hypoparathyroidism
Hypoparathyroidism is an endocrine disease caused by insufficient levels of PTH, the primary regulator of calcium and phosphate balance in the body, acting directly on bone and kidneys and indirectly on the intestines. Individuals with hypoparathyroidism may experience a range of severe and potentially life-threatening short-term and long-term complications, including neuromuscular irritability, renal complications, extra-skeletal calcifications, and cognitive impairment. Post-surgical hypoparathyroidism accounts for the majority of cases (70-80%), while other etiologies include autoimmune and idiopathic causes.
About TransCon PTH
TransCon PTH (palopegteriparatide) is a prodrug of parathyroid hormone (PTH 1-34) administered once daily, designed to provide parathyroid hormone levels within the normal physiological range across the 24-hour dosing period. TransCon PTH was granted marketing authorization under the brand name YORVIPATH® by the European Commission (EC) and the European Economic Area (EEA) in November 2023 and the United Kingdom’s
About
Forward-Looking Statements
This press release contains forward-looking statements that involve substantial risks and uncertainties. All statements, other than statements of historical facts, included in this press release regarding Ascendis’ future operations, plans and objectives of management are forward-looking statements. Examples of such statements include, but are not limited to, statements relating to (i) the potential for TransCon PTH to address concerns about soft-tissue calcifications and decreased kidney function associated with conventional therapy, (ii) TransCon PTH’s PDUFA date of
Ascendis,
Investor Contacts: Tim Lee Ascendis Pharma +1 (650) 374-6343 tle@ascendispharma.com ir@ascendispharma.com |
Media Contact: +1 (650) 709-8875 media@ascendispharma.com |
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Patti Bank ICR Westwicke +1 (415) 513-1284 patti.bank@westwicke.com |
Source: Ascendis Pharma