ClinicalTrials.gg
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

In context

Osteoporosis

1,601 studies on the registry are indexed under Osteoporosis; 209 are open to participants now.

This study's enrollment of 165 is above the median of 88 across 1,084 interventional studies indexed under Osteoporosis.

Browse Osteoporosis studies →

Lead sponsor

Zosano Pharma Corporation is the lead sponsor of 9 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy 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;
  • diseases;
  • Bone or a history of skeletal ;
  • 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 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;
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

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

  • Macroflux® patch applied to the abdomen for 30 minutes daily

    Also known as: PTH(1-34)

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

    Also known as: FORTEO®

06

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

07

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
08

Study locations

No study locations are listed for this record.

09

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 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

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
View the source record on ClinicalTrials.gov ↗

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