Osteoporosis, bone & mineral

rhPTH(1-84) for hypoparathyroidism: a randomized study of patient-reported outcomes

Eur J EndocrinolPublished Randomised controlled trial

Primary result · Change in HypoPT-SD symptom subscale scoreResult — go to the resultDifference in least-squares mean changes −0.53 95% CI −0.90 to −0.15

Authors' conclusion

rhPTH(1-84) alongside conventional therapy improved symptom burden (as measured by the HypoPT-SD) and HRQoL to a greater extent than conventional therapy alone in patients with symptomatic cHypoPT.

Study context

Population
Patients with symptomatic chronic hypoparathyroidism (cHypoPT)randomized
Participants
93 patients
Comparison
rhPTH vs placebo, with conventional therapy
  • rhPTH(1-84)n = 45
  • Placebon = 48reference
Primary endpoint
Change from baseline in Hypoparathyroidism Symptom Diary (HypoPT-SD) symptom subscale score
Follow-up
Week 26
Methodological detailsdouble-blind, placebo-controlled, phase 3b-4
  • Double-blind
  • Placebo-controlled
  • Phase 3b-4

Primary result

Change in HypoPT-SD symptom subscale score · baseline to week 26

Difference in least-squares mean changes

−0.53

95% CI −0.90 to −0.15

P = 0.003

rhPTH(1-84)vs Placebo
difference in least-squares mean changes −0.53 (95% CI −0.90 to −0.15); P = 0.003

As reported in the abstract

Secondary outcomes

Key secondary: change in FACIT-Fatigue and SF-36v2 PCS scores · baseline to week 26

Changes in FACIT-Fatigue and SF-36v2 PCS significantly greater (improved) with rhPTH(1-84) vs placebo

Safety

Safety profile consistent with previous findings; no new safety signals

Original publication

rhPTH(1-84) for hypoparathyroidism: a randomized study of patient-reported outcomes. Eur J Endocrinol. Published 25 July 2025. doi:10.1093/ejendo/lvaf148

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