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Palopegteriparatide is a synthetic parathyroid hormone analog used for the treatment of hypoparathyroidism in adults. It is a prodrug consisting of PTH(1-34) conjugated to a methoxy polyethylene glycol (mPEG) carrier via a proprietary TransCon linker, which allows for sustained release and continuous systemic exposure to active PTH. Upon subcutaneous administration, the drug releases active PTH(1-34), mimicking endogenous parathyroid hormone secretion and maintaining stable calcium levels in the body. Palopegteriparatide reduces renal calcium excretion and eliminates the need for supplemental active vitamin D or calcium in many patients. The mechanism of action involves agonism at the parathyroid hormone/parathyroid hormone-related peptide receptor. The drug was first approved by the EMA in November 2023 and by the FDA in August 2024 for use under the brand name Yorvipath. Ascendis Pharma is the developer and manufacturer.
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