CClinicalTrials.gg
CompletedNCT00131469OIUpdated Apr 24, 2019Results posted

Study of Teriparatide (FORTEO) to Treat Adults With Osteogenesis Imperfecta

A Phase 4 interventional study of Teriparatide (FORTEO) and Placebos in Osteogenesis Imperfecta, sponsored by Oregon Health and Science University. Completed at 3 sites in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2019-04-24.

Sponsored by Oregon Health and Science University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
79
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The purpose of this study is to determine the effectiveness of teriparatide (FORTEO), which is human parathyroid hormone 1-34, for increasing bone mass and improving bone structure in adults affected with Osteogenesis Imperfecta (OI).

Read the detailed description

The purpose of this study is to determine the effectiveness of teriparatide (FORTEO), which is human parathyroid hormone 1-34, for increasing bone mass and improving bone structure in adults affected with Osteogenesis Imperfecta (OI). Osteogenesis imperfecta is an inherited disorder of type I collagen, a major component of bones, and is characterized by multiple fractures and deformities. OI affects approximately 1-2 of every 10,000 individuals. Virtually all of the studies of potential treatments for OI have evaluated the effects of medications only on children with OI. There is no cure for osteogenesis imperfecta and there is no established medical therapy for adults with the disorder. There are very limited data concerning the usefulness of parathyroid hormone therapy in OI. An effective anabolic therapy for the treatment of adult patients with OI could be a valuable asset to the affected patients. In this study, the working hypothesis is that individuals affected with OI who are treated with Forteo will experience increased spine and hip bone mineral density and an increase in bone strength. Although Forteo is not expected to change the defect in the collagen produced, but is postulated to increase the quantity of bone formed and improve bone strength.

This will be a placebo controlled, double blinded trial; half the patients will receive Forteo 20 ug/day SQ. Adult patients (age at least 18 yrs) with OI will be enrolled for a treatment duration of 18 months. Blood, urine, and bone density/strength tests will be done during the study to assess efficacy and safety.

02

Conditions studied

  • Osteogenesis Imperfecta

Keywords

  • Osteogenesis Imperfecta
  • Brittle Bone Disease
  • Fragility Fractures
03

In context

Osteogenesis Imperfecta

85 studies on the registry are indexed under Osteogenesis Imperfecta; 20 are open to participants now.

This study's enrollment of 79 is above the median of 26 across 59 interventional studies indexed under Osteogenesis Imperfecta.

Browse Osteogenesis Imperfecta studies →

Lead sponsor

Oregon Health and Science University is the lead sponsor of 676 studies on the registry; 136 are open to participants now.

Of its 49 completed or terminated interventional studies of FDA-regulated products, 36 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Previous established diagnosis of Osteogenesis Imperfecta AND
  • > 2 previous adult fractures, AND/OR
  • BMD at lumbar spine, femoral neck or total hip T score \< -2.0

Exclusion criteria

Exclusion Criteria:

  • Open epiphyses.
  • History of external beam radiation to the skeleton.
  • Pagets disease.
  • Bone metastases or skeletal malignancies.
  • Total lifetime exposure to any antiresorptive medication \< 90 days (Primary Inclusion).
  • Treatment with any antiresorptive medication 12 months proceeding enrollment - (Secondary Inclusion).
  • Women with OI who are pregnant or unwilling to use 1 form of contraception.
  • Vitamin D insufficiency (25-hydroxyvitamin D \<15ng/ml)
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
79 participants (actual)

Study arms

  • Active comparator
    Teriparatide (FORTEO)

    Once daily SQ administration of Teriparatide (FORTEO) 20 ug for 18 months

    Drug: Teriparatide (FORTEO)

  • Placebo comparator
    Placebo

    Daily SQ placebo for 18 months

    Drug: Placebos

Interventions

  • DrugTeriparatide (FORTEO)

    Teriparatide (FORTEO) 20mcg, subcutaneous injection, once daily

    Also known as: FORTEO

  • DrugPlacebos
06

What researchers measure

Primary outcomes

  1. Spine Bone Mineral Density (BMD)

    bone density by dual energy xray absorptiometry

    Time frame: baseline and 18 months

Secondary outcomes

  1. Total Hip BMD

    bone density by dual energy xray absorptiometry

    Time frame: baseline and 18 months

07

Results

Posted Apr 24, 2019

Participant flow

Participant flow — Overall Study
MilestoneTeriparatide (FORTEO)Placebo
Started3840
Completed2927
Not completed913
Withdrew: Withdrawal by subject34
Withdrew: Protocol violation31
Withdrew: Death01
Withdrew: Lost to follow-up01
Withdrew: Scan not analyzable36

Outcome measures

PrimarySpine Bone Mineral Density (BMD)

bone density by dual energy xray absorptiometry

Time frame:
baseline and 18 months
Reported as:
Mean · percentage of change in g/cm2
Spine Bone Mineral Density (BMD)
percentage of change in g/cm2Teriparatide (FORTEO)Placebo
Spine Bone Mineral Density (BMD)6.1 ± 1.52.8 ± 1.3
SecondaryTotal Hip BMD

bone density by dual energy xray absorptiometry

Time frame:
baseline and 18 months
Reported as:
Mean · percentage of change in g/cm2
Total Hip BMD
percentage of change in g/cm2Teriparatide (FORTEO)Placebo
Total Hip BMD2.6 ± 2-2.4 ± 1.8

Adverse events

Collected over 18 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Teriparatide (FORTEO)0/38 (0%)0/38 (0%)0/38 (0%)
Placebo1/40 (2.5%)0/40 (0%)0/40 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Teriparatide (FORTEO)PlaceboTotal
Mean40.8 ± 12.941.2 ± 10.141 ± 11.5
Sex: Female, Male
Sex: Female, Male(Participants)Teriparatide (FORTEO)PlaceboTotal
Female222446
Male161632
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Teriparatide (FORTEO)PlaceboTotal
Count of participants——0
08

Study locations

3 sites
  • Kennedy Krieger Institute
    Baltimore, Maryland 21205, United States
  • Oregon Health & Science University
    Portland, Oregon 97239-3098, United States
  • Baylor College of Medicine, Department of Molecular and Human Gentics
    Houston, Texas 77030, United States
09

References and documents

Publications

  • Orwoll ES, Shapiro J, Veith S, Wang Y, Lapidus J, Vanek C, Reeder JL, Keaveny TM, Lee DC, Mullins MA, Nagamani SC, Lee B. Evaluation of teriparatide treatment in adults with osteogenesis imperfecta. J Clin Invest. 2014 Feb;124(2):491-8. doi: 10.1172/JCI71101. Epub 2014 Jan 27. PubMed 24463451 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00131469
Lead sponsor
Oregon Health and Science University
Collaborators
Eli Lilly and Company, Osteogenesis Imperfecta Foundation, National Institutes of Health (NIH), National Center for Research Resources (NCRR)
Responsible party
Eric Orwoll, MD (Professor Of Medicine, Oregon Health and Science University) — Principal investigator
First posted
Aug 18, 2005
Start date
Jun 2005
Primary completion
Jan 2011
Completion
Jan 2011
Results posted
Apr 24, 2019
Last update
Apr 24, 2019

Study contacts

Eric S Orwoll, M.D.
principal investigator · Oregon Health and Science University
Jay Shapiro, M.D.
principal investigator · Hugo W. Moser Research Institute at Kennedy Krieger, Inc.
Brendan Lee, M.D., PhD
principal investigator · Balor College of Medicine
Sandra Veith, CRA
principal investigator · Oregon Health and Science University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion