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A Study of Bonviva (Ibandronate) and Alendronate on Renal Function in Postmenopausal Women With Osteoporosis at High Risk for Renal Disease.

Phase 4
Completed
Conditions
Post-Menopausal Osteoporosis
Interventions
Registration Number
NCT00503113
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This 3 arm study will evaluate renal safety after administration of an intravenous (iv) injection or infusion of Bonviva, compared to oral alendronate, in patients with postmenopausal osteoporosis, at increased risk of renal disease. Patients will be randomized to receive Bonviva 3mg intravenous (iv) by a) injection or b) infusion once every 3 months, or alendronate 70mg per oral (po) weekly. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
801
Inclusion Criteria
  • female patients, >=60 years of age;
  • >=5 years postmenopausal;
  • confirmed osteoporosis, at increased risk for renal disease.
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Exclusion Criteria
  • inability to stand or sit upright for 30 minutes;
  • hypersensitivity to bisphosphonates;
  • malignant disease (other than successfully resected basal cell cancer) within previous 10 years, or breast cancer diagnosed within previous 20 years;
  • previous administration of an i.v. bisphosphonate;
  • oral bisphosphonate treatment other than study medication within 30 days prior to the baseline dosing visit and during the study;
  • history of major upper gastrointestinal disease.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2ibandronate [Bonviva/Boniva]-
1ibandronate [Bonviva/Boniva]-
3Alendronate-
Primary Outcome Measures
NameTimeMethod
Absolute Change From Baseline in Actual Glomerular Filtration Rate (GFR) (Using Abbreviated Modification of Diet in Renal Disease [MDRD] Formula)Baseline and 9 months

The primary parameter of the study was the change (mL/min) from baseline in actual GFR (abbreviated MDRD formula using the patients' actual body surface area) after 9 months (or 40 weeks) of treatment.

Secondary Outcome Measures
NameTimeMethod
Absolute Change From Baseline in Actual GFR (Using Cockcroft-Gault [CG] Formula)Baseline and 9 months

Change (mL/min) from baseline in actual GFR (using Cockcroft-Gault \[CG\] formula) after 9 months (or 40 weeks) of treatment.

Relative Change From Baseline in Actual GFR (Using Abbreviated MDRD Formula)Baseline and 9 months

Change (mL/min) from baseline in actual GFR (abbreviated MDRD formula using the patient's actual body surface area) after 9 months (or 40 weeks) of treatment.

Relative Change From Baseline in Actual GFR (Using CG Formula)Baseline and 9 months

Change (mL/min) from baseline in actual GFR (CG formula using the patient's actual body surface area) after 9 months (or 40 weeks) of treatment.

Absolute Change From Baseline in Mean Serum Creatinine.Baseline and 9 months
Relative Change From Baseline in Mean Serum Creatinine.Baseline and 9 months
Absolute Change From Baseline in Urine Albumin-to-Creatinine Ratio.Baseline and 9 months
Relative Change From Baseline in Urine Albumin-to-Creatinine Ratio.Baseline and 9 months

The relative change from baseline in this case is positively skewed (while the absolute change is not) and the means tends to more positive values.

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