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Phase 3 Clinical Trial of Teriparatide in Japan

Phase 3
Completed
Conditions
Osteoporosis
Interventions
Drug: Placebo
Registration Number
NCT00433160
Lead Sponsor
Eli Lilly and Company
Brief Summary

To evaluate the efficacy of teriparatide based on measurements of bone mineral density at lumbar spine

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
207
Inclusion Criteria
  • Japanese patients diagnosed with osteoporosis
  • Aged 55 or older
  • Patients who are at high risk for fracture
Exclusion Criteria
  • History of metabolic bone disorders other than primary osteoporosis
  • History of malignant neoplasm in the 5 years, with the exception of superficial basal cell carcinoma or squamous cell carcinoma of the skin that has been definitively treated.
  • Severe or chronically disabling conditions other than osteoporosis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo for 52 weeks. After 52 weeks, all patients on placebo can receive 20 micrograms teriparatide for 52 weeks
PlaceboTeriparatidePlacebo for 52 weeks. After 52 weeks, all patients on placebo can receive 20 micrograms teriparatide for 52 weeks
TeriparatideTeriparatide20 micrograms for 104 weeks
Primary Outcome Measures
NameTimeMethod
Percent Change in Bone Mineral Density at Lumbar Spine (L2-L4)Baseline to 52 weeks

Percent change in bone mineral density (BMD) at lumbar spine (L2-L4) from baseline to the last measurement point.

Secondary Outcome Measures
NameTimeMethod
Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4)Baseline to 52 Weeks

Percent change in bone mineral density at lumbar spine (L1-L4) from baseline to the last measurement point.

Percent Change in Bone Mineral Density (BMD) at Total HipBaseline to 52 Weeks

Percent change in bone mineral density (BMD) at total hip from baseline to the last measurement point.

Percent Change in Bone Mineral Density (BMD) at Femoral NeckBaseline to 52 Weeks

Percent change in bone mineral density at femoral neck from baseline to the last measurement point.

Percent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Baseline to Weeks 4, 12, 24, and 52

Percent change in serum procollagen I N-terminal propeptide (PINP) from baseline to the individual visits and last measurement point.

Percent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Baseline to Weeks 4, 12, 24, 52

Percent change in serum bone-specific alkaline phosphatase (BAP) from baseline to the individual visits and last measurement point.

Percent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Baseline to Weeks 4, 12, 24, 52

Percent change in serum type I collagen crosslinked C-telopeptide (CTX) from baseline to the individual visits and last measurement point.

Vertebral Fractures by Central X-ray AssessmentBaseline through 52 weeks

Number of vertebral fractures observed from Visit 1 (study entry) through Visit 19 (Week 52). All new or worsened vertebral fractures were defined as a deterioration of at least one grade in a semiquantitative score by X-ray assessment. Number of subjects with fractures and number of fractured vertebra(e) were counted.

Fractures by Investigators AssessmentBaseline through 52 Weeks

Vertebral and nonvertebral fractures assessed by the investigator or subinvestigator after starting the study treatment. Traumatic fractures were those caused by falling from above standing height or a high velocity (car) accident. Fractures were assessed to be "fragility" if they occurred without trauma.

Back Pain SeverityBaseline, Weeks 12, 24, 36, 52

Severity of back pain at baseline, individual visits and the last measurement point. Back pain was measured on a scale of 1 (none) to 4 (severe).

Percent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in bone mineral density (BMD) at lumbar spine (L2-L4) from baseline to the last measurement point.

Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in bone mineral density at lumbar spine (L1-L4) from baseline to the last measurement point.

Percent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in bone mineral density (BMD) at total hip from baseline to the last measurement point.

Percent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in bone mineral density at femoral neck from baseline to the last measurement point.

Percent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in serum procollagen I N-terminal propeptide (PINP) from baseline to the individual visits and last measurement point.

Percent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in serum bone-specific alkaline phosphatase (BAP) from baseline to the individual visits and last measurement point.

Percent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Percent change in serum type I collagen crosslinked C-telepeptide (CTX) from baseline to the individual visits and last measurement point.

Vertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 WeeksBaseline through 104 Weeks

Number of vertebral fractures observed from Visit 1 (study entry) through 104 weeks. All new or worsened vertebral fractures were defined as a deterioration of at least one grade in a semiquantitative score by X-ray assessment. Number of subjects with fractures and number of fractured vertebra(e) were counted.

Fractures by Investigators Assessment During Entire Study Period of 104 WeeksBaseline Through 104 Weeks

Vertebral and nonvertebral fractures assessed by the investigator or subinvestigator after starting the study treatment. Traumatic fractures were those caused by falling from above standing height or a high velocity (car) accident. Fractures were assessed to be "fragility" if they occurred without trauma.

Back Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 Weeks

Severity of back pain at 76 weeks and 104 weeks. Back pain was measured on a scale of 1 (none) to 4 (severe).

Trial Locations

Locations (1)

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

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Tottori, Japan

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