Clinical trial NCT00890981: A High-resolution Peripheral Quantitative Computed Tomography Study in Postmenopausal Women Previously Treated With Denosumab
Official title: A HR-pQCT Study in Postmenopausal Women Previously Treated With Denosumab
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Low Bone Mass
Low Bone Mineral Density
Osteoporosis
Postmenopausal Osteoporosis
Lead sponsor: Amgen
Sponsor class: INDUSTRY
First posted: 2009-04-30
Enrollment: 79
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: To evaluate the combined effect of denosumab treatment and discontinuation on cortical thickness at the distal radius by High Resolution-Peripheral Quantitative Computed Tomography (HR-pQCT). Participants randomized to either denosumab or placebo in the 20050179 (NCT00293813) study who completed that study (ie, attended an end of study visit) can be included in this study. At least 12 months should have elapsed since the patient's 20050179 end of study visit.


Eligibility criteria: Inclusion Criteria:

* Ambulatory, postmenopausal women
* Randomized to either denosumab or placebo in the 20050179 (NCT00293813) study and completed that study (ie, attended an end of study visit)
* At least 12 months have elapsed since their end of 20050179 study visit
* Provide signed informed consent

Exclusion Criteria:

* Subjects who failed to receive both doses of denosumab (or SQ \[subcutaneous\] placebo) during the 20050179 study
* Subjects who were randomized to the alendronate arm during the 20050179 study
* Subjects diagnosed with any of the following conditions following completion of the 20050179 study:
* Hyperthyroidism
* Hyperparathyroidism
* Malignancy within the last 5 years (except cervical carcinoma in situ or basal cell carcinoma)
* Any condition that required chronic (greater than three months cumulative and greater than 5 mg/day) glucocorticoid therapy
* Other diseases which affect bone metabolism
* Self-reported alcohol or drug abuse within the previous 12 months
* Any disorder that, in the opinion of the investigator, may compromise the ability of the subject to give written informed consent and/or comply with study procedures
* Received any investigational product other than denosumab in two years before the screening visit.
* Received \> 3 months (or equivalent) of osteoporosis treatment since having completed the 20050179 study.
* Current use of the following osteoporosis agents: bisphosphonates, calcitonin, fluoride, parathyroid hormone analogue, selective estrogen receptor modulators, systemic oral or transdermal estrogen (except vaginal preparations and estrogen creams which are acceptable), strontium or tibolone.
* Currently enrolled in or has not yet completed at least 1 month since ending other investigational device or drug trial(s) (other than Amgen trial 20080287), or subject is receiving other investigational agent(s).

Primary outcomes:
measure: Percent Change From the Parent Study Baseline in Cortical Thickness at the Distal Radius by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
Secondary outcomes:
measure: Percent Change From the Parent Study Baseline in Total Bone Mineral Density (BMD) at the Distal Radius by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change From the Parent Study Baseline in Cortical BMD at the Distal Radius by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change From the Parent Study Baseline in Trabecular BMD at the Distal Radius by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change From the Parent Study Baseline in Cortical Thickness at the Distal Tibia by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change From the Parent Study Baseline in Total BMD at the Distal Tibia by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change From the Parent Study Baseline in Cortical BMD at the Distal Tibia by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change From the Parent Study Baseline in Trabecular BMD at the Distal Tibia by HR-pQCT
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change of Distal 1/3 Radius BMD From the Parent Study Baseline by DXA
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change of Ultradistal Radius BMD From the Parent Study Baseline by DXA
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Percent Change of Total Radius BMD From the Parent Study Baseline by DXA
timeFrame: Baseline of Study 20050179 and Day 1 of this study. Study 20050179 duration was up to 12 months and the median time since completion of Study 20050179 was 32 months.
measure: Actual Value of Serum Type I C-telopeptide
timeFrame: Day 1
measure: Actual Value of Procollagen Type 1 N-terminal Peptide
timeFrame: Day 1
Other outcomes:
Locations:
Study officials:
affiliation: Amgen
name: MD
role: STUDY_DIRECTOR
References:
citation: concept.747 Treatment/discontinuation on wrist.Journal-004521;