Trial Outcomes & Findings for Study of XP-8121 For the Treatment of Adult Subjects With Hypothyroidism (NCT NCT05823012)

NCT ID: NCT05823012

Last Updated: 2025-07-03

Results Overview

Geometric mean ratio of the weekly dose of XP-8121 to the daily dose of oral levothyroxine (aka dose conversion factor), where the XP-8121 dose corresponds to the administration immediately preceding collection of blood TSH used to determine normalization at the end of Maintenance Period. The dose conversion factor was assessed by comparing the natural log-transformed final XP-8121 dose in μg that maintained normalized TSH throughout the Maintenance Period to the natural log-transformed daily oral levothyroxine dose the participant was taking before the study, using a linear mixed effects model with treatment as the fixed effect and subject as the random effect. Geometric least square means (LSMs) were calculated by exponentiating the LSM from the ANOVA. The geometric mean ratio and the corresponding 90% CI was found by exponentiating the differences of log-transformed LSM and 90% confidence interval (CI) of the difference.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

46 participants

Primary outcome timeframe

Day 29 of the Maintenance Period

Results posted on

2025-07-03

Participant Flow

Participants were recruited over an approximate 7.5 month period at medical research centers with experience in hypothyroidism.

A total of 140 potential participants were screened, 46 participants were enrolled, and 94 potential participants were screen failures. The most common reasons for screen failure were fT4 and TSH outside of the normal range as required by the eligibility criteria.

Participant milestones

Participant milestones
Measure
XP-8121
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Titration Period
STARTED
46
Titration Period
COMPLETED
42
Titration Period
NOT COMPLETED
4
Maintenance Period
STARTED
42
Maintenance Period
COMPLETED
39
Maintenance Period
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
XP-8121
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Titration Period
Adverse Event
1
Titration Period
Inability to Achieve a tolerable replacement dosage
3
Maintenance Period
Adverse Event
1
Maintenance Period
Inability to achieve a tolerable replacement dosage
1
Maintenance Period
Inability to achieve an adequate replacement dosage
1

Baseline Characteristics

Study of XP-8121 For the Treatment of Adult Subjects With Hypothyroidism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Age, Continuous
54.5 years
n=5 Participants
Sex: Female, Male
Female
37 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
44 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Baseline Body Mass Index
29.50 kg/m^2
n=5 Participants
Primary Hypothyroidism History
46 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Brand
Synthroid
9 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Brand
Other Brand or Generic
37 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
50 micrograms
14 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
75 micrograms
12 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
88 micrograms
3 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
100 micrograms
8 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
112 micrograms
3 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
125 micrograms
3 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
150 micrograms
2 Participants
n=5 Participants
Prior Daily Oral Levothyroxine Dose
175 micrograms
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 29 of the Maintenance Period

Population: The Completer Population used for this analysis is defined as all participants who completed the Maintenance Period and exhibited normalized TSH throughout the Maintenance Period while on a stable dose of XP-8121 for approximately 6 weeks. Participants with a reduced dose at any point during the Maintenance Period were not included in the Completer Population.

Geometric mean ratio of the weekly dose of XP-8121 to the daily dose of oral levothyroxine (aka dose conversion factor), where the XP-8121 dose corresponds to the administration immediately preceding collection of blood TSH used to determine normalization at the end of Maintenance Period. The dose conversion factor was assessed by comparing the natural log-transformed final XP-8121 dose in μg that maintained normalized TSH throughout the Maintenance Period to the natural log-transformed daily oral levothyroxine dose the participant was taking before the study, using a linear mixed effects model with treatment as the fixed effect and subject as the random effect. Geometric least square means (LSMs) were calculated by exponentiating the LSM from the ANOVA. The geometric mean ratio and the corresponding 90% CI was found by exponentiating the differences of log-transformed LSM and 90% confidence interval (CI) of the difference.

Outcome measures

Outcome measures
Measure
XP-8121
n=23 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Dose Conversion Factor
4.24 Ratio
Interval 4.06 to 4.42

PRIMARY outcome

Timeframe: Week 1 Dosing in Titration Period through Day 22 Dosing in Maintenance Period

Population: The number of participants at each timepoint is dependent on the number of participants dosed at each timepoint. The number of participants decreases in association with study withdrawal, with the exception of the reduction in the number of participants in Titration Periods Week 7 and Week 8 due to the number of participants that transitioned to the Maintenance Period after dosing at Week 6.

The Modified Draize Scale assessment of erythema and edema was conducted 30 (+/-5) minutes after each dosing. The Modified Draize Scale is a 5-point scale: 0-none, 1-very slight, 2-slight, 3-moderate, 4-severe.

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 1 Dosing · 0 - None
43 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 1 Dosing · 1 - Very Slight
3 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 1 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 1 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 1 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 2 Dosing · 0 - None
41 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 2 Dosing · 1 - Very Slight
2 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 2 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 2 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 2 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 3 Dosing · 0 - None
41 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 3 Dosing · 1 - Very Slight
2 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 3 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 3 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 3 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 4 Dosing · 0 - None
37 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 4 Dosing · 1 - Very Slight
5 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 4 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 4 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 4 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 5 Dosing · 0 - None
38 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 5 Dosing · 1 - Very Slight
4 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 5 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 5 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 5 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 6 Dosing · 0 - None
38 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 6 Dosing · 1 - Very Slight
3 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 6 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 6 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 6 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 7 Dosing · 0 - None
12 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 7 Dosing · 1 - Very Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 7 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 7 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 7 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 8 Dosing · 0 - None
12 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 8 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 8 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 8 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Titration Period: Week 8 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 1 Dosing · 0 - None
40 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 1 Dosing · 1 - Very Slight
2 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 1 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 1 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 1 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 8 Dosing · 0 - None
40 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 8 Dosing · 1 - Very Slight
2 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 8 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 8 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 8 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 15 Dosing · 0 - None
39 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 15 Dosing · 1 - Very Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 15 Dosing · 2 - Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 15 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 15 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 22 Dosing · 0 - None
37 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 22 Dosing · 1 - Very Slight
2 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 22 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 22 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Erythema
Maintenance Period: Day 22 Dosing · 4 - Severe
0 Participants

PRIMARY outcome

Timeframe: Week 1 Dosing in Titration Period through Day 22 Dosing in Maintenance Period

Population: The number of participants at each timepoint is dependent on the number of participants dosed at each timepoint. The number of participants decreases in association with study withdrawal, with the exception of the reduction in the number of participants in Titration Periods Week 7 and Week 8 due to the number of participants that transitioned to the Maintenance Period after dosing at Week 6.

The Modified Draize Scale assessment of erythema and edema was conducted 30 (+/-5) minutes after each dosing. The Modified Draize Scale is a 5-point scale: 0-none, 1-very slight, 2-slight, 3-moderate, 4-severe.

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 1 Dosing · 0 - None
44 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 1 Dosing · 1 - Very Slight
2 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 1 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 1 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 1 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 2 Dosing · 0 - None
43 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 2 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 2 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 2 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 2 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 3 Dosing · 0 - None
43 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 3 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 3 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 3 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 3 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 4 Dosing · 0 - None
41 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 4 Dosing · 1 - Very Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 4 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 4 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 4 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 5 Dosing · 0 - None
42 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 5 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 5 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 5 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 5 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 6 Dosing · 0 - None
41 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 6 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 6 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 6 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 6 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 7 Dosing · 0 - None
11 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 7 Dosing · 1 - Very Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 7 Dosing · 2 - Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 7 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 7 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 8 Dosing · 0 - None
12 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 8 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 8 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 8 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Titration Period: Week 8 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 1 Dosing · 0 - None
42 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 1 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 1 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 1 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 1 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 8 Dosing · 0 - None
42 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 8 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 8 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 8 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 8 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 15 Dosing · 0 - None
40 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 15 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 15 Dosing · 2 - Slight
1 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 15 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 15 Dosing · 4 - Severe
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 22 Dosing · 0 - None
39 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 22 Dosing · 1 - Very Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 22 Dosing · 2 - Slight
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 22 Dosing · 3 - Moderate
0 Participants
Tolerability Assessment: Modified Draize Scale - Edema
Maintenance Period: Day 22 Dosing · 4 - Severe
0 Participants

PRIMARY outcome

Timeframe: Week 1 dosing in the Titration Period through Day 22 dosing in the Maintenance Period

Population: The number of participants at each timepoint is dependent on the number of participants dosed at each timepoint. The number of participants decreases in association with study withdrawal, with the exception of the reduction in the number of participants in Titration Periods Week 7 and Week 8 due to the number of participants that transitioned to the Maintenance Period after dosing at Week 6.

Injection site discomfort was assessed by each participant at 10 (+/-2) minutes post-injection.

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 1 Dosing · Yes
14 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 1 Dosing · No
32 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 2 Dosing · Yes
9 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 2 Dosing · No
34 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 3 Dosing · Yes
12 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 3 Dosing · No
31 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 4 Dosing · Yes
10 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 4 Dosing · No
32 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 5 Dosing · Yes
12 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 5 Dosing · No
30 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 6 Dosing · Yes
9 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 6 Dosing · No
32 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 7 Dosing · Yes
6 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 7 Dosing · No
7 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 8 Dosing · Yes
2 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Titration Period: Week 8 Dosing · No
10 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 1 Dosing · Yes
13 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 1 Dosing · No
29 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 8 Dosing · Yes
12 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 8 Dosing · No
30 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 15 Dosing · Yes
8 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 15 Dosing · No
33 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 22 Dosing · Yes
6 Participants
Tolerability Assessments: Injection Site Discomfort Evaluation
Maintenance Period: Day 22 Dosing · No
33 Participants

SECONDARY outcome

Timeframe: Day 29 of the Maintenance Period

Proportion of participants enrolled with normalized TSH throughout the Maintenance Period

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
n=42 Participants
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Proportion of Participants With Normalized TSH Throughout the Maintenance Period
27 Participants
27 Participants

SECONDARY outcome

Timeframe: Day 29 of the Maintenance Period

Proportion of participants enrolled with normalized TSH at the end of the Maintenance Period.

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
n=42 Participants
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Proportion of Participants With Normalized TSH at End of Maintenance Period
31 Participants
31 Participants

SECONDARY outcome

Timeframe: Up to Day 29 of the Maintenance Period

Population: The number of participants at each timepoint is dependent on the number of participants dosed at each timepoint. The overall number follows the decrease associated with study withdrawal, with the exception of the reduction in the number of participants in Titration Periods Week 7 and Week 8 due to the number of participants that transitioned to the Maintenance Period after dosing at Week 6.

Thyroid hormone concentrations (total thyroxine, free protein-unbound thyroxine (fT4), and TSH) following the first dose of XP-8121 during the Titration Period and Maintenance Periods

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Baseline
103.68 nmol/L
Standard Deviation 27.278
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 2 Dosing
88.17 nmol/L
Standard Deviation 23.019
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 3 Dosing
89.68 nmol/L
Standard Deviation 23.019
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 4 Dosing
92.44 nmol/L
Standard Deviation 24.104
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 5 Dosing
94.26 nmol/L
Standard Deviation 22.059
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 6 Dosing
97.38 nmol/L
Standard Deviation 22.056
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 7 Dosing
90.29 nmol/L
Standard Deviation 18.867
Thyroid Hormone Concentrations: Total Thyroxine
Titration Period: Week 8 Dosing
88.58 nmol/L
Standard Deviation 25.032
Thyroid Hormone Concentrations: Total Thyroxine
Maintenance Period: Day 1 Dosing (Baseline)
103.45 nmol/L
Standard Deviation 24.970
Thyroid Hormone Concentrations: Total Thyroxine
Maintenance Period: Day 8 Dosing
102.24 nmol/L
Standard Deviation 23.704
Thyroid Hormone Concentrations: Total Thyroxine
Maintenance Period: Day 15 Dosing
103.35 nmol/L
Standard Deviation 23.508
Thyroid Hormone Concentrations: Total Thyroxine
Maintenance Period: Day 22 Dosing
104.67 nmol/L
Standard Deviation 19.389
Thyroid Hormone Concentrations: Total Thyroxine
Maintenance Period: Day 29
101.97 nmol/L
Standard Deviation 24.532

SECONDARY outcome

Timeframe: Up to Day 29 of the Maintenance Period

Population: The number of participants at each timepoint is dependent on the number of participants dosed at each timepoint. The overall number follows the decrease associated with study withdrawal, with the exception of the reduction in the number of participants in Titration Periods Week 7 and Week 8 due to the number of participants that transitioned to the Maintenance Period after dosing at Week 6.

Thyroid hormone concentrations (total thyroxine, free protein-unbound thyroxine (fT4), and TSH) following the first dose of XP-8121 during the Titration Period and Maintenance Periods

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Baseline
14.60 pmol/L
Standard Deviation 2.713
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 2 Dosing
12.09 pmol/L
Standard Deviation 2.209
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 3 Dosing
11.69 pmol/L
Standard Deviation 2.494
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 4 Dosing
12.47 pmol/L
Standard Deviation 2.668
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 5 Dosing
12.84 pmol/L
Standard Deviation 2.417
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 6 Dosing
12.88 pmol/L
Standard Deviation 1.977
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 7 Dosing
12.32 pmol/L
Standard Deviation 1.814
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Titration Period: Week 8 Dosing
13.26 pmol/L
Standard Deviation 1.840
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Maintenance Period: Day 1 Dosing (Baseline)
14.50 pmol/L
Standard Deviation 2.411
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Maintenance Period: Day 8 Dosing
14.36 pmol/L
Standard Deviation 2.319
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Maintenance Period: Day 15 Dosing
14.24 pmol/L
Standard Deviation 2.147
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Maintenance Period: Day 22 Dosing
14.27 pmol/L
Standard Deviation 1.917
Thyroid Hormone Concentrations: Free Thyroxine (fT4)
Maintenance Period: Day 29
14.14 pmol/L
Standard Deviation 1.796

SECONDARY outcome

Timeframe: Up to Day 29 of the Maintenance Period

Population: The number of participants at each timepoint is dependent on the number of participants dosed at each timepoint. The overall number follows the decrease associated with study withdrawal, with the exception of the reduction in the number of participants in Titration Periods Week 7 and Week 8 due to the number of participants that transitioned to the Maintenance Period after dosing at Week 6.

Thyroid hormone concentrations (total thyroxine, free protein-unbound thyroxine (fT4), and TSH) following the first dose of XP-8121 during the Titration Period and Maintenance Periods

Outcome measures

Outcome measures
Measure
XP-8121
n=46 Participants
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection).
Participants Who Entered the Maintenance Period
All participants who received XP-8121 (100 to 1500 μg subcutaneous injection), completed the Titration Period, and entered the Maintenance Period.
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Baseline
1.958 mIU/L
Standard Deviation 1.0778
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 2 Dosing
3.942 mIU/L
Standard Deviation 2.8299
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 3 Dosing
6.534 mIU/L
Standard Deviation 8.2589
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 4 Dosing
6.162 mIU/L
Standard Deviation 8.8632
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 5 Dosing
6.397 mIU/L
Standard Deviation 9.8016
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 6 Dosing
5.506 mIU/L
Standard Deviation 7.1427
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 7 Dosing
8.326 mIU/L
Standard Deviation 8.5120
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Titration Period: Week 8 Dosing
5.752 mIU/L
Standard Deviation 5.3967
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Maintenance Period: Day 1 Dosing (Baseline)
2.967 mIU/L
Standard Deviation 2.1827
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Maintenance Period: Day 8 Dosing
2.920 mIU/L
Standard Deviation 2.7009
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Maintenance Period: Day 15 Dosing
2.739 mIU/L
Standard Deviation 2.8858
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Maintenance Period: Day 22 Dosing
2.494 mIU/L
Standard Deviation 2.0766
Thyroid Hormone Concentrations: Thyroid Stimulating Hormone (TSH)
Maintenance Period: Day 29
2.493 mIU/L
Standard Deviation 1.5087

Adverse Events

Titration Period

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Maintenance Period

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Overall

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Titration Period
n=46 participants at risk
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection) during the Titration Period.
Maintenance Period
n=42 participants at risk
All participants who received at least 1 dose of XP-8121 (100 to 1500 μg subcutaneous injection) during the Maintenance Period. Includes only includes those participants that completed the Titration Period and entered the Maintenance Period.
Overall
n=46 participants at risk
Includes all participants that received XP-8121 (100 to 1500 μg subcutaneous injection) in both Titration and Maintenance Treatment Periods.
General disorders
Fatigue
21.7%
10/46 • Number of events 12 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
0.00%
0/42 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
21.7%
10/46 • Number of events 12 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
General disorders
Injection site pain
6.5%
3/46 • Number of events 4 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
4.8%
2/42 • Number of events 2 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
10.9%
5/46 • Number of events 6 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
General disorders
Temperature intolerance
4.3%
2/46 • Number of events 3 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
0.00%
0/42 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
4.3%
2/46 • Number of events 3 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
Infections and infestations
Urinary tract infection
6.5%
3/46 • Number of events 3 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
0.00%
0/42 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
6.5%
3/46 • Number of events 3 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
Investigations
Weight increased
2.2%
1/46 • Number of events 1 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
2.4%
1/42 • Number of events 1 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
4.3%
2/46 • Number of events 2 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
Nervous system disorders
Headache
8.7%
4/46 • Number of events 5 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
0.00%
0/42 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
8.7%
4/46 • Number of events 5 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
Psychiatric disorders
Anxiety
2.2%
1/46 • Number of events 1 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
2.4%
1/42 • Number of events 1 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
4.3%
2/46 • Number of events 2 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
Skin and subcutaneous tissue disorders
Ecchymosis
2.2%
1/46 • Number of events 5 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
2.4%
1/42 • Number of events 1 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
4.3%
2/46 • Number of events 6 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
Skin and subcutaneous tissue disorders
Pruritis
4.3%
2/46 • Number of events 2 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
0.00%
0/42 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely
4.3%
2/46 • Number of events 2 • From Screening through the End of Maintenance Visit (Day 29) or up to 14 (+/-2 days) after last dose of XP-8121 for participants who withdrew prematurely

Additional Information

Valentina Conoscenti, MD

Xeris Pharmaceuticals, Inc.

Phone: 1-877-XERIS-37

Results disclosure agreements

  • Principal investigator is a sponsor employee The publication policy allows the Sponsor to submit a multi-center publication within 18-month period after the study is completed at all institutions. If it is not submitted within such 18-month period, an individual PI may furnish the Sponsor with a copy of any proposed publication or release at least 90 days in advance of the proposed submission or presentation. The Sponsor may review such proposed publication or release and may request a delay in publication of up to an additional 90 days.
  • Publication restrictions are in place

Restriction type: OTHER