MedPath

A Study of Monthly Risedronate for Osteoporosis

Phase 3
Completed
Conditions
Postmenopausal Osteoporosis
Interventions
Registration Number
NCT00247273
Lead Sponsor
Warner Chilcott
Brief Summary

The purpose of this trial is to study the efficacy of a single-dose monthly dosing regimen as compared to the standard daily dosing regimen of risedronate 5 mg daily.

Detailed Description

The comparator arms of this risedronate study are 150 mg monthly and 5 mg daily.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1294
Inclusion Criteria
  • Female: 50 years of age or older
  • >5 years since last menses natural or surgical
  • have lumbar spine BMD (bone mineral density) more that 2.5 standard deviations (SD) below the young adult mean, or have 1-spine BMD more than 2.0 SD below the young adult female mean value and also have at least one prevalent vertebral body fracture
Exclusion Criteria
  • history of uncontrolled hyperparathyroidism, hyperthyroidism, osteomalacia
  • BMI (body mass index) >32 kg/m^2
  • use of medications within 3 months of starting study drug that impact bone metabolism such as glucocorticoids, estrogens, calcitonin, calcitriol, other bisphosphonates and parathyroid hormone
  • hypocalcemia or hypercalcemia of any cause
  • markedly abnormal clinical laboratory measurements that are assessed as clinically significant by the investigator

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2risedronate150 mg risedronate taken once a month for 2 years
1risedronate5 mg risedronate, once daily for 2 years
Primary Outcome Measures
NameTimeMethod
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at Month 12-Endpoint in Women With Postmenopausal Osteoporosis, Primary Efficacy PopulationBaseline to Month 12 - Endpoint

BMD assessed using dual-energy x-ray absorptiometry (DXA) using Hologic or Lunar equipment. LOCF - last observation carried forward (Last post-baseline measurement available to Month 12).

Secondary Outcome Measures
NameTimeMethod
Percent Change From Baseline in Serum CTX at Month 24, ITT PopulationBaseline to Month 24

Assayed by electrochemiluminescent immunoassay.

Change From Baseline in Lumbar Spine BMD at Month 24, ITT PopulationBaseline to Month 24

BMD assessed using dual-energy x-ray absorptiometry (DXA) using Hologic or Lunar equipment.

Change From Baseline in Urine Type-1 Collagen Cross-linked-N-telopeptide Corrected for Creatinine Clearance (NTX/Cr) at Month 6, ITT PopulationBaseline to Month 6

Assayed by ELISA (enzyme-linked immunosorbent assay) for NTX and colorimetric assay for creatinine. Patient collected second urine voided between 6 and 9 am from day of clinic visit and day before clinic visit at Months 3, 6, 12 \& 24. nmol BCE / mmol Creatinine = nanomoles bone collagen equivalents / millimoles Creatinine

Percent Change From Baseline in Urine NTX/Cr at Month 6, ITT PopulationBaseline to Month 6

Assayed by ELISA (enzyme-linked immunosorbent assay) for NTX and colorimetric assay for creatinine. Patient collected second urine voided between 6 and 9 am from day of clinic visit and day before clinic visit at Months 3, 6, 12 \& 24.

Change From Baseline in Urine NTX/Cr at Month 24, ITT PopulationBaseline to Month 24

Assayed by ELISA (enzyme-linked immunosorbent assay) for NTX and colorimetric assay for creatinine. Patient collected second urine voided between 6 and 9 am from day of clinic visit and day before clinic visit at Months 3, 6, 12 \& 24.

Change From Baseline in Serum Type-1 Collagen Cross-linked C-telopeptide (CTX) at Month 6, ITT PopulationBaseline to Month 6

ng / mL = nanograms / milliliter. Assayed by electrochemiluminescent immunoassay.

Number of Participants With New Vertebral Fracture at Month 12, ITT PopulationBaseline to Month 12

At least 1 new fractured vertebra

Percent Change From Baseline in Lumbar Spine BMD at Month 24-Endpoint, Endpoint Population (Month 24)Baseline to Month 24 - Endpoint

BMD assessed using dual-energy x-ray absorptiometry (DXA) using Hologic or Lunar equipment. LOCF - last observation carried forward (Last post-baseline measurement available to Month 24).

Percent Change From Baseline in Urine NTX/Cr at Month 24, ITT PopulationBaseline to Month 24

Assayed by ELISA (enzyme-linked immunosorbent assay) for NTX and colorimetric assay for creatinine. Patient collected second urine voided between 6 and 9 am from day of clinic visit and day before clinic visit at Months 3, 6, 12 \& 24.

Percent Change From Baseline in Serum CTX at Month 6, ITT PopulationBaseline to Month 6

Assayed by electrochemiluminescent immunoassay.

Percent Change From Baseline in Serum BAP at Month 24, ITT PopulationBaseline to Month 24

Assayed by ELISA (enzyme-linked immunosorbent assay)

Percent Change From Baseline in Lumbar Spine BMD at Month 12, ITT PopulationBaseline to Month 12

BMD assessed using dual-energy x-ray absorptiometry (DXA) using Hologic or Lunar equipment.

Change From Baseline in Lumbar Spine BMD at Month 12, ITT PopulationBaseline to Month 12

BMD assessed using dual-energy x-ray absorptiometry (DXA) using Hologic or Lunar equipment.

Change From Baseline in Serum CTX at Month 24, ITT PopulationBaseline to Month 24

Assayed by electrochemiluminescent immunoassay.

Change From Baseline in Serum Bone-specific Alkaline Phosphatase (BAP) at Month 6, ITT PopulationBaseline to Month 6

ug / L = micrograms per liter, Assayed by ELISA (enzyme-linked immunosorbent assay)

Change From Baseline in Serum BAP at Month 24, ITT PopulationBaseline to Month 24

Assayed by ELISA (enzyme-linked immunosorbent assay)

Percent Change From Baseline in Lumbar Spine BMD at Month 24, ITT PopulationBaseline to Month 24

BMD assessed using dual-energy x-ray absorptiometry (DXA) using Hologic or Lunar equipment.

Percent Change From Baseline in Serum BAP at Month 6, ITT PopulationBaseline to Month 6

Assayed by ELISA (enzyme-linked immunosorbent assay)

Number of Participants With New Vertebral Fracture at Month 24, ITT PopulationBaseline to Month 24

At least 1 new fractured vertebra

Trial Locations

Locations (1)

Research Site

🇪🇸

Madrid, Spain

© Copyright 2025. All Rights Reserved by MedPath