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CompletedNCT00489918Updated Jul 31, 2018Results posted

Dose Ranging Study - Macroflux Parathyroid Hormone (PTH) in Postmenopausal Women With Osteoporosis

A Phase 2 interventional study of teriparatide and teriparatide in Osteoporosis, sponsored by Zosano Pharma Corporation. Completed. Open to female participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2018-07-31.

Sponsored by Zosano Pharma Corporation · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
50 Years and older
Sex
Female
01

Study summary

A Multi-center study to determine effects of various doses of Macroflux Parathryroid Hormone (PTH) in women with osteoporosis

02

Conditions studied

  • Osteoporosis

Browse trials for

03

Who can participate

Ages eligible
50 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Healthy postmenopausal women age 50 years or older
  • At least three lumbar vertebrae (L1-L4) must be evaluable by dual energy x-ray absorptiometry (DXA) for bone mineral densitometry that is, without fracture or significant degenerative disease, as determined by the central imaging facility
  • Have osteoporosis defined as: Either a T-score of ≤ -2.5 at the lumbar spine, femoral neck, or total hip, AND a T-score of at least \< -1.0 at the lumbar spine; or A T-score of ≤ -2.0 at the lumbar spine, femoral neck, or total hip, AND at least one vertebral fracture;

Exclusion criteria

Exclusion Criteria:

  • Active hepatitis;
  • Active pancreatitis;
  • Unstable cardiac disease;
  • Unstable pulmonary disease;
  • Celiac disease;
  • Hyper- or hypo-parathyroidism;
  • Hyperthyroidism;
  • Cushing's disease;
  • Osteomalacia;
  • Paget's disease;
  • Osteogenesis imperfecta;
  • Known blood disorders;
  • History of kidney stones;
  • Impaired renal function;
  • Autoimmune diseases;
  • Bone metastases or a history of skeletal malignancies;
  • Cancer history that includes any cancer within the previous 5 years, with the exception of squamous or basal cell carcinoma of the skin in which the lesions were fully resected with clear margins described in a written report by a pathologist, and the patient has had no recurrence of lesions for at least 1 year from the time of original resection;
  • Any condition or disease that may interfere with the ability to have or the evaluation of a DXA scan, for example, severe osteoarthritis of the spine, spinal fusion, pedicle screws, history of vertebroplasty, or degenerative disease that results in insufficient number of evaluable lumbar vertebrae, or >1 lumbar vertebral fracture in L1-L4;
  • More than 4 vertebral fractures in T4-L4;
  • Bilateral hip replacements;
  • Use of fluoride (e.g. fluoride therapy for osteoporosis) or strontium at any time;
  • Have received methotrexate or immunomodulatory agents with antiproliferative activity;
  • With known dermatological disorders that would interfere with the study procedures or assessments, or with a history of contact dermatitis;
  • With known allergy or sensitivity to tapes, adhesives, PTH, teriparatide or its analogs, or components of the Macroflux® systems;
  • Who, in the opinion of the investigator, should not participate in the study, or may not be capable of following the study schedule for any reason; and
  • Unwillingness or inability to abide by the requirements of the study.
  • Have received any intravenous (IV) administered bisphosphonates in the past 24 months, or >2 doses of IV administered bisphosphonates total;
  • Use of oral bisphosphonates before randomization, including investigational bisphosphonates, unless: \<6 months of treatment and off for 6 months, or 6-12 months of treatment and off for 2 years, or >12 months of treatment and off for 5 years;
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
165 participants (actual)

Study arms

  • Placebo comparator
    Macroflux® placebo

    Macroflux® placebo patch

    Drug: teriparatide

  • Experimental
    Macroflux® 20 mcg

    Macroflux® 20 mcg patch

    Drug: teriparatide

  • Experimental
    Macroflux® 30 mcg

    Macroflux® 30 mcg patch

    Drug: teriparatide

  • Experimental
    Macroflux® 40 mcg

    Macroflux® 40 mcg patch

    Drug: teriparatide

  • Active comparator
    FORTEO®

    FORTEO® 20 mcg injection

    Drug: teriparatide

Interventions

  • Drugteriparatide

    Macroflux® patch applied to the abdomen for 30 minutes daily

    Also known as: PTH(1-34)

  • Drugteriparatide

    FORTEO® injection administered subcutaneously (SC) either to the abdomen or thigh

    Also known as: FORTEO®

05

What researchers measure

Primary outcomes

  1. Percent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24

    Percent Change in Lumbar Spine Bone Mineral Density (BMD) from Baseline to Week 24

    Time frame: 24 weeks

Secondary outcomes

  1. Percent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 12

    Percent Change in Lumbar Spine Bone Mineral Density from Baseline to Week 12

    Time frame: 12 weeks

  2. Absolute Change in Lumbar Spine BMD: Baseline to Week 12

    Absolute Change in Lumbar Spine BMD from Baseline to Week 12

    Time frame: 12 weeks

  3. Percent Change in Total Hip Bone Mineral Density: Baseline to Week 24

    Percent Change in Total Hip Bone Mineral Density from Baseline to Week 24

    Time frame: 24 Weeks

  4. Percent Change in Femoral Neck BMD: Baseline to Week 24

    Percent Change in Femoral Neck BMD from Baseline to Week 24

    Time frame: 24 Weeks

06

Results

Posted Jul 31, 2018

Participant flow

Participant flow — Overall Study
MilestoneMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Started3334323333
Completed3132283232
Not completed22411
Withdrew: Withdrawal by subject21101
Withdrew: Adverse event01100
Withdrew: Lost to follow-up00110
Withdrew: Physician decision00100

Outcome measures

PrimaryPercent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24

Percent Change in Lumbar Spine Bone Mineral Density (BMD) from Baseline to Week 24

Time frame:
24 weeks
Reported as:
Mean · percent change
Percent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24
percent changeMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Percent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24-0.33 ± 3.4672.96 ± 3.5243.47 ± 3.5754.97 ± 4.1143.55 ± 3.730
SecondaryPercent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 12

Percent Change in Lumbar Spine Bone Mineral Density from Baseline to Week 12

Time frame:
12 weeks
Reported as:
Mean · Percent change
Percent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 12
Percent changeMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Percent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 120.97 ± 3.3121.55 ± 2.6062.04 ± 3.2772.5 ± 2.862.81 ± 2.771
SecondaryAbsolute Change in Lumbar Spine BMD: Baseline to Week 12

Absolute Change in Lumbar Spine BMD from Baseline to Week 12

Time frame:
12 weeks
Reported as:
Mean · g/cm^2
Absolute Change in Lumbar Spine BMD: Baseline to Week 12
g/cm^2Macroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Absolute Change in Lumbar Spine BMD: Baseline to Week 120.007 ± 0.02340.011 ± 0.01910.014 ± 0.02380.017 ± 0.02850.021 ± 0.0201
SecondaryPercent Change in Total Hip Bone Mineral Density: Baseline to Week 24

Percent Change in Total Hip Bone Mineral Density from Baseline to Week 24

Time frame:
24 Weeks
Reported as:
Mean · Percent change
Percent Change in Total Hip Bone Mineral Density: Baseline to Week 24
Percent changeMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Percent Change in Total Hip Bone Mineral Density: Baseline to Week 24-0.634 ± 1.97190.138 ± 2.03860.553 ± 2.36941.331 ± 2.11110.094 ± 2.6194
SecondaryPercent Change in Femoral Neck BMD: Baseline to Week 24

Percent Change in Femoral Neck BMD from Baseline to Week 24

Time frame:
24 Weeks
Reported as:
Mean · Percent change
Percent Change in Femoral Neck BMD: Baseline to Week 24
Percent changeMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Percent Change in Femoral Neck BMD: Baseline to Week 240.172 ± 3.34320.949 ± 3.29750.599 ± 2.61270.750 ± 2.6132-0.012 ± 3.6600

Adverse events

Collected over 24 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Macroflux® Placebo—1/33 (3%)29/33 (87.9%)
Macroflux® 20 mcg—1/34 (2.9%)32/34 (94.1%)
Macroflux® 30 mcg—0/32 (0%)31/32 (96.9%)
Macroflux® 40 mcg—0/33 (0%)30/33 (90.9%)
FORTEO®—0/33 (0%)23/33 (69.7%)
Most frequent serious events
Most frequent serious events
EventMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Subdural hematomaInjury, poisoning and procedural complications1/330/340/320/330/33
dehydrationMetabolism and nutrition disorders0/331/340/320/330/33
Most frequent other events
Showing 10 of 26
Most frequent other events
EventMacroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®
Application site erythemaSkin and subcutaneous tissue disorders13/3313/3415/3213/331/33
Application site bleedingSkin and subcutaneous tissue disorders0/338/3414/321/330/33
Application site discolorationsSkin and subcutaneous tissue disorders3/3311/3411/327/330/33
HypercalcemiaMetabolism and nutrition disorders2/334/340/324/336/33
ArthralgiaMusculoskeletal and connective tissue disorders2/335/343/322/335/33
HeadacheNervous system disorders2/335/344/323/334/33
NasopharyngitisInfections and infestations2/330/341/324/330/33
DiarrhoeaGastrointestinal disorders1/334/342/320/330/33
HypercalciuriaRenal and urinary disorders2/334/342/321/331/33
Application site bruisingSkin and subcutaneous tissue disorders0/332/343/322/330/33

Baseline characteristics

Postmenopausal women with osteoporosis

Age, Continuous
Age, Continuous(years)Macroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®Total
Mean64.8 ± 7.164.1 ± 7.563.6 ± 5.864.6 ± 7.363.2 ± 6.864.06 ± 6.9
Sex: Female, Male
Sex: Female, Male(Participants)Macroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®Total
Female3334323333165
Male000000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Macroflux® PlaceboMacroflux® 20 mcgMacroflux® 30 mcgMacroflux® 40 mcgFORTEO®Total
Caucasian491014845
Hispanic2925221924119
Asian000011
07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Cosman F, Lane NE, Bolognese MA, Zanchetta JR, Garcia-Hernandez PA, Sees K, Matriano JA, Gaumer K, Daddona PE. Effect of transdermal teriparatide administration on bone mineral density in postmenopausal women. J Clin Endocrinol Metab. 2010 Jan;95(1):151-8. doi: 10.1210/jc.2009-0358. Epub 2009 Oct 26. PubMed 19858319 ↗
09

Registry details

Key details

Study ID
NCT00489918
Lead sponsor
Zosano Pharma Corporation
Responsible party
Sponsor
First posted
Jun 21, 2007
Start date
Jun 2007
Primary completion
Apr 2008
Completion
Aug 2008
Results posted
Jul 31, 2018
Last update
Jul 31, 2018

Study contacts

Thorsten von Stein, MD, Ph.D
study director · Zosano Pharma Corporation

Oversight

Data monitoring committee
No
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