CClinicalTrials.gg
CompletedNCT00165698Updated Jul 22, 2014Results posted

Efficacy and Safety Study on Menatetrenone in the Treatment of Postmenopausal Osteoporosis Women

A Phase 3 interventional study of menatetranone and alfacalcidol in Postmenopausal Osteoporosis, sponsored by Eisai Co., Ltd.. Completed at 5 sites in China. Open to female participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2014-07-22.

Sponsored by Eisai Co., Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
45 Years to 75 Years
Sex
Female
01

Study summary

To determine the effect and safety of menatetrenone on treatment of postmenopausal osteoporosis comparing with alfacalcidol.

02

Conditions studied

  • Postmenopausal Osteoporosis

Keywords

  • Postmenopausal
  • osteoporosis
03

In context

Osteoporosis

1,640 studies on the registry are indexed under Osteoporosis; 212 are open to participants now.

This study's enrollment of 240 is above the median of 95 across 1,133 interventional studies indexed under Osteoporosis.

Browse Osteoporosis studies →

Lead sponsor

Eisai Co., Ltd. is the lead sponsor of 149 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
Female

Inclusion criteria

  • Postmenopausal women with menopause duration more than 5 years and with age between 45-75 years old (menopausal age ≥40), or if hysterectomy operated before natural menopause, the age of women between 60-75 years old.
  • Subject with BMD (L2-4 or neck of femur) being more than 2 Standard Deviation (SD) below the young female adult mean (According to the standard of each center)
  • BMI between 18 kg/m2-30 kg/m2.
  • The anatomic structure of lumbar spine must be available for Dual-energy X-ray Absorptiometry (DEXA) examination, patient with serious scoliosis, bone trauma or sequela after orthopedics surgery, which makes BMD measurement difficult, should be excluded
  • Subject who have given informed consent prior to participation in the trial and who undertake to comply with the protocol.

Exclusion criteria

Exclusion Criteria

  • Subject with conditions that are considered to effect osteoporosis, such as clear definite diabetes mellitus, rheumatoid arthritis, rheumatoid arthritis, hyperparathyroidism or other bone metabolic diseases.
  • Subjects who have received treatment with active-type vitamin D3 preparation, other vitamin D preparations (>1000IU per day), calcitonin, corticosteroid hormone, androgen, estrogen, other hormone, vitamin K preparation, in the 3 months prior to inanition of this study; Subjects who have received treatment with bisphosphonate preparation or Sodium Fluoride in the 1 year prior to inanition of this study; Subjects who have received treatment with Selective Estrogen Receptor Modulator (SERM) in the 6 months prior to inanition of this study
  • Concurrent serious renal disease, hepatic disease, uncontrolled hypertension (≥150/100mmHg), symptomatic ischemic heart disease, cerebral infarction or arteriosclerosis obliterans.
  • Cancer history within 5 years.
  • Subjects who take antacid containing aluminum in the preparation, warfarin or thrombolytic agents.
  • Subject with any known abnormality in laboratory tests, which is deemed to be clinically significant by the investigator, which include:
  • Serum alkaline phosphatace (ALP) > upper normal limit 10% (calculated according to the range of normal values of each center);
  • Glutamic Oxalacetic Transaminase (AST)/ Glutamic Pyruvic Transaminase (ALT) > upper normal limit 50%(calculated according to the range of normal values of each center);
  • Serum creatinine >1.5mg/dL (133μmol/L);
  • Blood-fasting sugar ≥ 7mmol/L (126mg/L)
  • Inability of subject to return for scheduled visits or to comply with any other aspect of the protocol.
  • Subject who, in the opinion of the investigator, are poor medical candidates or pose any other risk for therapy with an investigational drug.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
240 participants (actual)

Study arms

  • Active comparator
    1

    Drug: menatetranone

  • Active comparator
    2

    Drug: alfacalcidol

Interventions

  • Drugmenatetranone

    15 mg three times a day orally for 12 months

  • Drugalfacalcidol

    0.25 μg twice a day orally for 12 months

06

What researchers measure

Primary outcomes

  1. Bone Mineral Density BMD (Percentage) Change in Lumber Spine After 12 Months

    Time frame: Baseline and 12 months

  2. Bone Mineral Density BMD (Percentage) Change in Collum Femoris After 12 Months

    Time frame: Baseline and 12 months

  3. Bone Mineral Density BMD (Percentage) Change in Trochiter After 12 Months

    Time frame: Baseline and 12 months

Secondary outcomes

  1. Bone Mineral Content BMC (Percentage) Change in Lumber Spine After 12 Months

    Time frame: Baseline and 12 months

  2. Bone Mineral Content BMC (Percentage) Change in Collum Femoris After 12 Months

    Time frame: Baseline and 12 months

  3. Bone Biomarker Osteocalcin (OC) Percentage Change After 12 Months

    Time frame: Baseline and 12 months

  4. Bone Biomarker Undercarboxylated Osteocalcin (UCOC) Percentage Change After 12 Months

    Time frame: Baseline and 12 months

  5. Bone Biomarker Undercarboxylated Osteocalcin/Osteocalcin (UCOC/OC) Percentage Change After 12 Months

    Time frame: Baseline and 12 months

  6. New Fracture and Fall

    Time frame: 12 months

  7. Height (Meter)

    Time frame: Baseline and 12 months

07

Results

Posted Aug 11, 2011

Participant flow

Participant flow — Overall Study
MilestoneMenatetrenoneAlfacalcidol
Started120120
Completed112105
Not completed815
Withdrew: Adverse event210
Withdrew: Lost to follow-up22
Withdrew: Withdrawal by subject21
Withdrew: Protocol violation10
Withdrew: Not taken/lost the medicine12

Outcome measures

PrimaryBone Mineral Density BMD (Percentage) Change in Lumber Spine After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of BMD
Bone Mineral Density BMD (Percentage) Change in Lumber Spine After 12 Months
percentage of BMDMenatetrenoneAlfacalcidol
Bone Mineral Density BMD (Percentage) Change in Lumber Spine After 12 Months1.22 (-5.35 to 14.14)2.17 (-15.13 to 38.23)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · Symbols rank sum test · p = 0.26
PrimaryBone Mineral Density BMD (Percentage) Change in Collum Femoris After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of BMD
Bone Mineral Density BMD (Percentage) Change in Collum Femoris After 12 Months
percentage of BMDMenatetrenoneAlfacalcidol
Bone Mineral Density BMD (Percentage) Change in Collum Femoris After 12 Months0.76 (-18.51 to 19.46)0.00 (-15.84 to 13.80)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · Symbols rank sum test · p = 0.19
PrimaryBone Mineral Density BMD (Percentage) Change in Trochiter After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of BMD
Bone Mineral Density BMD (Percentage) Change in Trochiter After 12 Months
percentage of BMDMenatetrenoneAlfacalcidol
Bone Mineral Density BMD (Percentage) Change in Trochiter After 12 Months2.66 (-31.69 to 87.34)1.76 (-38.60 to 74.76)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · Symbols rank sum test · p = 0.31
SecondaryBone Mineral Content BMC (Percentage) Change in Lumber Spine After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of BMC
Bone Mineral Content BMC (Percentage) Change in Lumber Spine After 12 Months
percentage of BMCMenatetrenoneAlfacalcidol
Bone Mineral Content BMC (Percentage) Change in Lumber Spine After 12 Months2.39 (-9.97 to 21.59)2.81 (-16.88 to 19.84)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · symbols rank sum test · p = 0.869
SecondaryBone Mineral Content BMC (Percentage) Change in Collum Femoris After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of BMC
Bone Mineral Content BMC (Percentage) Change in Collum Femoris After 12 Months
percentage of BMCMenatetrenoneAlfacalcidol
Bone Mineral Content BMC (Percentage) Change in Collum Femoris After 12 Months1.58 (-12.50 to 29.63)0.95 (-21.24 to 15.71)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · symbols rank sum test · p = 0.174
SecondaryBone Biomarker Osteocalcin (OC) Percentage Change After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of OC
Bone Biomarker Osteocalcin (OC) Percentage Change After 12 Months
percentage of OCMenatetrenoneAlfacalcidol
Bone Biomarker Osteocalcin (OC) Percentage Change After 12 Months-38.67 (-67.26 to 1.33)-25.77 (-65.66 to 57.48)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · symbols rank sum test · p = 0.000
SecondaryBone Biomarker Undercarboxylated Osteocalcin (UCOC) Percentage Change After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of UCOC
Bone Biomarker Undercarboxylated Osteocalcin (UCOC) Percentage Change After 12 Months
percentage of UCOCMenatetrenoneAlfacalcidol
Bone Biomarker Undercarboxylated Osteocalcin (UCOC) Percentage Change After 12 Months-82.27 (-97.27 to 676.60)-34.83 (-92.07 to 950.00)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · symbols rank sum test · p = 0.000
SecondaryBone Biomarker Undercarboxylated Osteocalcin/Osteocalcin (UCOC/OC) Percentage Change After 12 Months
Time frame:
Baseline and 12 months
Reported as:
Median · percentage of UCOC/OC
Bone Biomarker Undercarboxylated Osteocalcin/Osteocalcin (UCOC/OC) Percentage Change After 12 Months
percentage of UCOC/OCMenatetrenoneAlfacalcidol
Bone Biomarker Undercarboxylated Osteocalcin/Osteocalcin (UCOC/OC) Percentage Change After 12 Months-70.64 (-94.49 to 1185.50)-8.47 (-85.68 to 610.61)
Statistical analysis
  • Menatetrenone vs Alfacalcidol · symbols rank sum test · p = 0.000
SecondaryNew Fracture and Fall
Time frame:
12 months
Reported as:
Number · participants
New Fracture and Fall
participantsMenatetrenoneAlfacalcidol
fracture24
fall1310
SecondaryHeight (Meter)
Time frame:
Baseline and 12 months
Reported as:
Mean · meters
Height (Meter)
metersMenatetrenoneAlfacalcidol
Baseline1.54 ± 0.051.55 ± 0.05
At 12 months1.54 ± 0.061.55 ± 0.05

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Menatetrenone—8/117 (6.8%)81/117 (69.2%)
Alfacalcidol—6/118 (5.1%)74/118 (62.7%)
Most frequent serious events
Showing 10 of 15
Most frequent serious events
EventMenatetrenoneAlfacalcidol
Bone fractureMusculoskeletal and connective tissue disorders2/1170/118
Coronary artery diseaseCardiac disorders2/1170/118
Skin damageSkin and subcutaneous tissue disorders1/1170/118
Tendon damageMusculoskeletal and connective tissue disorders1/1170/118
NTTEndocrine disorders1/1170/118
GoiterEndocrine disorders1/1171/118
Chest distressCardiac disorders1/1170/118
AnginaCardiac disorders1/1170/118
ArrhythmiaCardiac disorders1/1170/118
Uterus resectionSurgical and medical procedures1/1170/118
Most frequent other events
Showing 10 of 12
Most frequent other events
EventMenatetrenoneAlfacalcidol
Gastrointestinal disordersGastrointestinal disorders37/11732/118
Respiratory abnormalitiesRespiratory, thoracic and mediastinal disorders24/11735/118
OthersGeneral disorders27/11725/118
Musculoskeletal system abnormalitiesMusculoskeletal and connective tissue disorders20/11718/118
Abnormal Cardiovascular systemCardiac disorders16/11710/118
Urinary system abnormalitiesRenal and urinary disorders12/11712/118
Central and peripheral nervous system abnormalitiesNervous system disorders10/1179/118
Heart rate and rhythm disordersCardiac disorders9/1178/118
Metabolism and nutrition disordersMetabolism and nutrition disorders8/1173/118
Systemic anomaliesGeneral disorders8/1176/118

Baseline characteristics

Age, Continuous
Age, Continuous(years)MenatetrenoneAlfacalcidolTotal
Mean64.6 ± 6.164.2 ± 6.364.4 ± 6.2
Sex: Female, Male
Sex: Female, Male(Participants)MenatetrenoneAlfacalcidolTotal
Female112108220
Male000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)MenatetrenoneAlfacalcidolTotal
Asian112108220
Region of Enrollment
Region of Enrollment(participants)MenatetrenoneAlfacalcidolTotal
China112108220
08

Study locations

5 sites
  • Beijing Hospital
    Beijing, China
  • Chinese PLA General Hospital
    Beijing, China
  • Peking Union Medical College Hospital
    Beijing, China
  • Hua Dong Hospital
    Shanghai, China
  • The Sixth People's Hospital affiliated to Shanghai Jiaopong University
    Shanghai, China
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00165698
Lead sponsor
Eisai Co., Ltd.
First posted
Sep 14, 2005
Start date
May 2005
Primary completion
Jan 2007
Completion
Jul 2007
Results posted
Aug 11, 2011
Last update
Jul 22, 2014

Study contacts

Hong Di
study director · Eisai China Inc.
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2014. 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