12 Participants NeededMy employer runs this trial

PTH-IA for Metaphyseal Chondrodysplasia

AM
OJ
Overseen ByOlivia J de Jong, C.R.N.P.
Age: Any Age
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: National Institute of Dental and Craniofacial Research (NIDCR)
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called PTH-IA for individuals with Jansen's Metaphyseal Chondrodysplasia (JMC), a rare disorder affecting bone growth that can lead to short stature, frequent fractures, and other complications. The trial aims to determine if PTH-IA can safely improve symptoms and quality of life for those with JMC, who currently lack approved treatment options. It seeks participants who have experienced severe growth issues and frequent bone problems due to specific genetic changes in the PTH1R gene. As a Phase 1/Phase 2 trial, this research focuses on understanding how PTH-IA works in people and measuring its effectiveness in an initial, smaller group, offering participants a chance to be among the first to potentially benefit from this new treatment.

Do I have to stop taking my current medications?

The trial requires that you stop taking certain medications before participating. Specifically, you must not have used bisphosphonates within 6 months, denosumab within 3 months, or thiazides within 4 weeks of screening.

Is there any evidence suggesting that PTH-IA is likely to be safe for humans?

Research has shown that PTH-IA, a new treatment for Jansen's Metaphyseal Chondrodysplasia (JMC), has been tested in mice and lab-grown cells. These studies found that PTH-IA can reduce the abnormal cell signals associated with the disorder. Regarding safety, earlier studies tested different doses to assess patient tolerance. So far, results suggest that patients have tolerated it well, with no serious side effects reported.

Since PTH-IA is in the early stages of clinical trials, it is still undergoing tests to ensure safety for humans. While initial results are encouraging, more information will emerge as trials continue. Importantly, the treatment targets a specific cause of JMC, which may enhance its safety and effectiveness for this condition.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for metaphyseal chondrodysplasia, which often focus on managing symptoms and skeletal abnormalities, PTH-IA directly targets the underlying bone growth issues. PTH-IA is unique because it acts as a synthetic form of parathyroid hormone, which plays a critical role in bone development and remodeling. Researchers are excited about PTH-IA because it has the potential to not only improve bone density but also promote healthier bone structure, offering a more comprehensive approach to managing the condition compared to current options.

What evidence suggests that PTH-IA might be an effective treatment for JMC?

Research has shown that PTH-IA, a new treatment tested in this trial, could benefit people with Jansen's Metaphyseal Chondrodysplasia (JMC). This condition disrupts bone growth and can lead to serious health issues. In studies with mice, PTH-IA improved bone strength and length, potentially leading to better growth and fewer fractures. It corrects the faulty signals in the body that cause problems in JMC. Although these findings are preliminary, they suggest PTH-IA could be a promising treatment for this rare disease.23456

Who Is on the Research Team?

AM

Alison M Boyce, M.D.

Principal Investigator

National Institute of Dental and Craniofacial Research (NIDCR)

Are You a Good Fit for This Trial?

This trial is for people with Jansen's Metaphyseal Chondrodysplasia who have a specific genetic mutation (PTH1R). Adults and children as young as 3 years old can join if they meet weight requirements, agree to use reliable birth control, and provide consent.

Inclusion Criteria

I have a specific inherited PTHIR gene mutation.
I use a highly effective hormonal birth control method.
I do not have sex at all as my usual lifestyle.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment Period 1

Participants receive multiple ascending doses of PTH-IA administered subcutaneously twice a day to evaluate safety and pharmacokinetics in adults

104 days
Frequent visits for dose escalation and monitoring

Treatment Period 2

Participants, including children, receive multiple ascending doses of PTH-IA to evaluate safety, pharmacokinetics, and effect on serum PTH levels

28 weeks
Regular visits for monitoring and assessments

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • PTH-IA

Trial Overview

The study is testing PTH-IA, a new drug designed to block the overactive parathyroid hormone receptor in people with JMC. The goal is to see if it safely improves symptoms and prevents complications related to this rare bone disorder.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Treatment with PTH-IAExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Institute of Dental and Craniofacial Research (NIDCR)

Lead Sponsor

Trials
312
Recruited
853,000+

Citations

Safety and Efficacy of PTH-IA - MedPath

In vivo studies confirm that inverse agonist ligands may be effective in treating JMC. This study involves the use of PTH-IA, a 30-amino acid ...

PTH1R-Related Jansen Metaphyseal Chondrodysplasia - NCBI

An Investigational New Drug approval was granted to a Phase I/II study evaluating the safety and efficacy of PTH-IA, which is expected to start ...

A mouse model of Jansen's metaphyseal ...

... PTH(1-84) measurements 5h after PTH-IA injection. Injection of the PTH-IA resulted in a significant increase in serum PTH levels in WT as well as T410R mice.

Development of a PTH Receptor Inverse Agonist (PTH-IA) ...

PTH-IA, an inverse agonist at the PTHR1, was tested in a mouse model of JMC and found to significantly improve bone histology, limb length, and ...

PTH-IA for Metaphyseal Chondrodysplasia

In vivo studies confirm that inverse agonist ligands may be effective in treating JMC. This study involves the use of PTH-IA, a 30-amino acid PTH inverse ...

Study Details | NCT07541209 | Safety and Efficacy of PTH-IA

Jansen s Metaphyseal Chondrodysplasia (JMC) is a very rare disorder with only approximately 30 people known to have the disease worldwide.