Evidence map›Paper›PMID 41780637›Full record

Trial reportMolecular metabolism2026

Discovery and characterization of canvuparatide, a once-weekly parathyroid hormone analog for the treatment of hypoparathyroidism.

Fa Zhang, Diego Perez-Tilve, Matthew R Allen, Corinne E Metzger, Michael A Dorato, Mary Jane Geiger, Richard D DiMarchi

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Molecular metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05158335 (A Phase 1, Randomized, Double Blind, Placebo Controlled, Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study of Single and Multiple Ascending Doses of MBX 2109 in Healthy Participants), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05158335 phase1completednot on this map

A Phase 1, Randomized, Double Blind, Placebo Controlled, Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study of Single and Multiple Ascending Doses of MBX 2109 in Healthy Participants

TypeinterventionalSponsorMBX BiosciencesRan2021 to 2023Enrolled76ConditionsHealthyArmsMBX 2109 (Part A), MBX 2109 (Part B), Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Fa ZhangDepartment of Chemistry, Indiana University, Bloomington, IN, 47405, USA.
Diego Perez-TilveDepartment of Pharmacology, Physiology, and Neurobiology, University of Cincinnati College of Medicine, Cincinnati, OH, 45267, USA.
Matthew R AllenDepartment of Anatomy, Cell Biology, and Physiology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Corinne E MetzgerDepartment of Anatomy, Cell Biology, and Physiology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Michael A DoratoMBX Biosciences, Carmel, IN, 46032, USA.
Mary Jane GeigerMBX Biosciences, Carmel, IN, 46032, USA.
Richard D DiMarchiDepartment of Chemistry, Indiana University, Bloomington, IN, 47405, USA; MBX Biosciences, Carmel, IN, 46032, USA. Electronic address: rdimarch@iu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypoparathyroidism is a rare endocrine disorder characterized by hypocalcemia, hyperphosphatemia, and low or undetectable levels of parathyroid hormone (PTH). Advanced treatments that precisely maintain blood calcium levels within the normal range to improve disease symptoms and outcomes are needed. Canvuparatide (formerly known as MBX 2109) is a once-weekly investigational PTH analog that undergoes a controlled-release conversion to a biologically active peptide through an intramolecular cyclization reaction controlled by temperature and pH. Here we demonstrate the biologically active PTH analog, derived from the canvuparatide prodrug, stimulated dose-dependent accumulation of cyclic AMP to a similar degree and selectivity as a synthetic form of the human PTH(1-34) peptide in human cells overexpressing the PTH type 1 receptor. In healthy rats treated with canvuparatide at 4-40 nmol/kg/day for 28 days and healthy cynomolgus monkeys treated with single doses of canvuparatide 3.75-7.5 nmol/kg, prodrug and active peptide concentrations increased dose proportionally and correlated with increases in serum calcium concentrations. In parathyroidectomized rats, canvuparatide treatment at 10-40 nmol/kg normalized serum calcium levels and increased bone formation in a dose-proportional manner. In a phase 1, randomized, placebo-controlled study (NCT05158335), single subcutaneously administered doses of canvuparatide (50-600 μg) were well tolerated in healthy volunteers. Pharmacokinetic clinical profiles displayed geometric mean t

Indexed as

HypoparathyroidismParathyroid HormoneAnimalsCalciumCyclic AMPFemaleHumansMacaca fascicularisMaleProdrugsRatsRats, Sprague-DawleyCalciumCyclic AMPParathyroid HormoneProdrugsCanvuparatideHypocalcemiaHypoparathyroidismMBX 2109Parathyroid hormone analogParathyroid-related disorders

Identifiers

PMID41780637
PMCPMC13049543

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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.