MedPath
EMA Approval

Yorvipath

H05AA

甲状旁腺激素及其类似药物

Calcium homeostasis

Palopegteriparatide

Hypoparathyroidism

Basic Information

H05AA

甲状旁腺激素及其类似药物

Calcium homeostasis

Therapeutic indication

Yorvipath is a parathyroid hormone (PTH) replacement therapy indicated for the treatment of adults with chronic hypoparathyroidism

Overview Summary

Yorvipath is a hormone replacement medicine for treating adults with chronic hypoparathyroidism.

In patients with this condition, the parathyroid glands in the neck do not produce enough parathyroid hormone (PTH) which controls the level of calcium in the blood. As a result, patients have low levels of calcium and may experience problems with bones, muscles, the heart, kidneys and other parts of the body.

Hypoparathyroidism is rare, and Yorvipath was designated an ‘orphan medicine’ (a medicine used in rare diseases) on 19 October 2020. Further information on the orphan designation can be found on the EMA website.

Yorvipath contains the active substance palopegteriparatide.

Authorisations (1)

EMEA/H/C/005934

Ascendis Pharma Bone Diseases A/S,Tuborg Boulevard 12,2900 Hellerup,DENMARK

Authorised

November 17, 2023

Active Substances (1)

palopegteriparatide

Documents (12)

Yorvipath : EPAR - Procedural steps taken and scientific information after authorisation (archive)

April 11, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Yorvipath : Orphan Maintenance Assessment Report

December 6, 2023

CHANGES_SINCE_INITIAL_AUTHORISATION

Yorvipath : EPAR - Public assessment report

December 6, 2023

CHANGES_SINCE_INITIAL_AUTHORISATION

Yorvipath : EPAR - Public assessment report

December 6, 2023

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Yorvipath : Orphan Maintenance Assessment Report

December 6, 2023

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Yorvipath : EPAR - Risk management plan

December 6, 2023

RISK_MANAGEMENT_PLAN_SUMMARY

CHMP summary of positive for Yorvipath

September 15, 2023

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

CHMP summary of positive for Yorvipath

September 15, 2023

CHANGES_SINCE_INITIAL_AUTHORISATION

Yorvipath : EPAR - All authorised presentations

December 6, 2023

AUTHORISED_PRESENTATIONS

Yorvipath : EPAR - Procedural steps taken and scientific information after authorisation

June 20, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Yorvipath : EPAR - Product information

December 6, 2023

DRUG_PRODUCT_INFORMATION

Yorvipath : EPAR - Medicine overview

December 6, 2023

OVERVIEW_DOCUMENT

Overview Q&A (7)

Question

How does Yorvipath work?

Answer

The active substance in Yorvipath, palopegteriparatide, is changed in the body into teriparatide, a shortened form of PTH. Teriparatide replaces the missing hormone in patients with hypoparathyroidism, acting through bone tissue and the kidneys to help restore calcium levels.

Question

How is Yorvipath used?

Answer

Yorvipath is given as an injection under the skin using a pre-filled pen. The medicine can only be obtained with a prescription. Treatment should be started and monitored by a doctor or a qualified healthcare professional experienced in the diagnosis and management of patients with chronic hypoparathyroidism.

For more information about using Yorvipath, see the package leaflet or contact your doctor or pharmacist.

Question

What benefits of Yorvipath have been shown in studies?

Answer

One main study involving 84 patients with hypoparathyroidism showed that Yorvipath was effective at keeping blood calcium levels within the normal range, compared with placebo. Around 79% (48 out of 61) of patients given Yorvipath for 26 weeks achieved normal blood calcium levels, no longer needed standard treatments (active vitamin D and high-dose calcium supplements) and were on a stable dose of the medicine. This compared with 5% (1 out of 21) of patients given placebo.

Question

What are the risks associated with Yorvipath?

Answer

For the full list of side effects and restrictions with Yorvipath, see the package leaflet.

The most common side effects with Yorvipath (which may affect more than 1 in 10 people) include injection site reactions, headache and paraesthesia (unusual sensations like pins and needles).

Yorvipath must not be used in patients who have pseudohypoparathyroidism, a condition in which the body does not adequately respond to the parathyroid hormone produced by the body.

Question

Why is Yorvipath authorised in the EU?

Answer

Yorvipath replaces the missing parathyroid hormone in patients with chronic hypoparathyroidism, and the results of the main study showed that most patients given the medicine had blood calcium levels within the normal range and no longer needed therapeutic doses of calcium supplements and active vitamin D to control their disease. In addition, side effects are considered to be manageable.

The European Medicines Agency therefore decided that Yorvipath’s benefits are greater than its risks and it can be authorised for use in the EU.

Question

What measures are being taken to ensure the safe and effective use of Yorvipath?

Answer

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Yorvipath have been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Yorvipath are continuously monitored. Side effects reported with Yorvipath are carefully evaluated and any necessary action taken to protect patients.

Question

Other information about Yorvipath

Answer

Yorvipath received a marketing authorisation valid throughout the EU on 17 November 2023.

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