Evidence map›Paper›PMID 40709359›Full record

ArticleJournal of the Endocrine Society2025

Switch From rhPTH1-84 to TransCon PTH With Individual Dose Adjustment in Adult Hypoparathyroidism-4-Week Results.

Heide Siggelkow, Kim A Peschke, Elena Tsourdi, Lorenz C Hofbauer, Christina M Berr, Stefanie Hahner, Christian Lottspeich, Ralf Schmidmaier, Martina Blaschke

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07299838 (Real-World Data for Effectiveness and Safety of Palopegteriparatide in Patients With Chronic Hypoparathyroidism in Greece), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07299838 completednot on this map

Real-World Data for Effectiveness and Safety of Palopegteriparatide in Patients With Chronic Hypoparathyroidism in Greece

TypeobservationalSponsorNational and Kapodistrian University of AthensRan2024 to 2025Enrolled90ConditionsHypoparathyroidism
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Heide SiggelkowDepartment of Trauma, Orthopedics and Reconstructive Surgery, University Medical Center Göttingen, Göttingen 37075, Germany.ORCID https://orcid.org/0000-0002-8366-8625
Kim A PeschkeDepartment of Trauma, Orthopedics and Reconstructive Surgery, University Medical Center Göttingen, Göttingen 37075, Germany.
Elena TsourdiDivision of Endocrinology and Bone Diseases, Department of Medicine III, University Center for Healthy Aging, Technische Universität Dresden, Dresden 01307, Germany.
Lorenz C HofbauerDivision of Endocrinology and Bone Diseases, Department of Medicine III, University Center for Healthy Aging, Technische Universität Dresden, Dresden 01307, Germany.
Christina M BerrDepartment of Endocrinology, I. Medical Clinic, University Hospital, University of Augsburg, Augsburg 86156, Germany.
Stefanie HahnerDepartment of Medicine I, Division of Endocrinology and Diabetes, University of Würzburg, Würzburg 97080, Germany.
Christian LottspeichDepartment of Medicine IV, LMU University Hospital, LMU Munich 80336, Germany.ORCID https://orcid.org/0000-0002-1770-4392
Ralf SchmidmaierDepartment of Medicine IV, LMU University Hospital, LMU Munich 80336, Germany.
Martina BlaschkeMVZ endokrinologikum Göttingen, Center for Endocrinology, Osteology, Rheumatology, Nulear Medicine and Human Genetics, Göttingen 37075, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Replacement therapy with recombinant human PTH (rhPTH1-84) represents a causal treatment for patients with chronic hypoparathyroidism (HypoPT). Recently, palopegteriparatide (TransCon PTH), a novel long-acting drug with slow release of PTH1-34, was approved by the European Medicines Agency and Food and Drug Administration for treatment of HypoPT. To date, no data exist on the treatment switch from rhPTH1-84 to TransCon PTH. Methods: We retrospectively analyzed clinical data from 40 patients with chronic HypoPT during the switch from rhPTH1-84 to TransCon PTH. Independent of the last prior rhPTH1-84 dose, all patients were started on 18 µg of TransCon PTH as recommended by the manufacturer. TransCon PTH dose adjustments, changes in additional medication, and adverse events were documented during the treatment switch. Results: Within the first month after the treatment switch, 80% (n = 32) of patients needed individual adjustment of their TransCon PTH dose to achieve normocalcemia. Dose reduction (to 9-15 µg) was necessary in 38% (n = 15) and an increase (to 21-27 µg) in 43% (n = 17) of patients. Adjustments occurred predominantly (in 62% cases) according to serum calcium levels, partly dependent on symptoms. The prior applied rhPTH1-84 dose correlated significantly with the adjusted TransCon PTH dose (r = 0.4; Conclusion: We hereby report the first clinical data on switching treatment from rhPTH1-84 to 18 µg TransCon PTH independent of the prior rhPTH1-84 dose. Our data support discrete adaptation of the starting dose depending on the prior rhPTH1-84 dosage.

Indexed as

active vitamin Dchronic hypoparathyroidismhormone therapypalopegteriparatideparathyroid hormonetreatment switch

Identifiers

PMID40709359
PMCPMC12287600

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.