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
A Multi-center study to determine effects of various doses of Macroflux Parathryroid Hormone (PTH) in women with osteoporosis
Exclusion Criteria:
Macroflux® placebo patch
Drug: teriparatide
Macroflux® 20 mcg patch
Drug: teriparatide
Macroflux® 30 mcg patch
Drug: teriparatide
Macroflux® 40 mcg patch
Drug: teriparatide
FORTEO® 20 mcg injection
Drug: teriparatide
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®
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
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
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
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
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
| Milestone | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Started | 33 | 34 | 32 | 33 | 33 |
| Completed | 31 | 32 | 28 | 32 | 32 |
| Not completed | 2 | 2 | 4 | 1 | 1 |
| Withdrew: Withdrawal by subject | 2 | 1 | 1 | 0 | 1 |
| Withdrew: Adverse event | 0 | 1 | 1 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 1 | 1 | 0 |
| Withdrew: Physician decision | 0 | 0 | 1 | 0 | 0 |
Percent Change in Lumbar Spine Bone Mineral Density (BMD) from Baseline to Week 24
| percent change | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Percent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24 | -0.33 ± 3.467 | 2.96 ± 3.524 | 3.47 ± 3.575 | 4.97 ± 4.114 | 3.55 ± 3.730 |
Percent Change in Lumbar Spine Bone Mineral Density from Baseline to Week 12
| Percent change | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Percent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 12 | 0.97 ± 3.312 | 1.55 ± 2.606 | 2.04 ± 3.277 | 2.5 ± 2.86 | 2.81 ± 2.771 |
Absolute Change in Lumbar Spine BMD from Baseline to Week 12
| g/cm^2 | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Absolute Change in Lumbar Spine BMD: Baseline to Week 12 | 0.007 ± 0.0234 | 0.011 ± 0.0191 | 0.014 ± 0.0238 | 0.017 ± 0.0285 | 0.021 ± 0.0201 |
Percent Change in Total Hip Bone Mineral Density from Baseline to Week 24
| Percent change | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Percent Change in Total Hip Bone Mineral Density: Baseline to Week 24 | -0.634 ± 1.9719 | 0.138 ± 2.0386 | 0.553 ± 2.3694 | 1.331 ± 2.1111 | 0.094 ± 2.6194 |
Percent Change in Femoral Neck BMD from Baseline to Week 24
| Percent change | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Percent Change in Femoral Neck BMD: Baseline to Week 24 | 0.172 ± 3.3432 | 0.949 ± 3.2975 | 0.599 ± 2.6127 | 0.750 ± 2.6132 | -0.012 ± 3.6600 |
Collected over 24 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 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%) |
| Event | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Subdural hematomaInjury, poisoning and procedural complications | 1/33 | 0/34 | 0/32 | 0/33 | 0/33 |
| dehydrationMetabolism and nutrition disorders | 0/33 | 1/34 | 0/32 | 0/33 | 0/33 |
| Event | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® |
|---|---|---|---|---|---|
| Application site erythemaSkin and subcutaneous tissue disorders | 13/33 | 13/34 | 15/32 | 13/33 | 1/33 |
| Application site bleedingSkin and subcutaneous tissue disorders | 0/33 | 8/34 | 14/32 | 1/33 | 0/33 |
| Application site discolorationsSkin and subcutaneous tissue disorders | 3/33 | 11/34 | 11/32 | 7/33 | 0/33 |
| HypercalcemiaMetabolism and nutrition disorders | 2/33 | 4/34 | 0/32 | 4/33 | 6/33 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 2/33 | 5/34 | 3/32 | 2/33 | 5/33 |
| HeadacheNervous system disorders | 2/33 | 5/34 | 4/32 | 3/33 | 4/33 |
| NasopharyngitisInfections and infestations | 2/33 | 0/34 | 1/32 | 4/33 | 0/33 |
| DiarrhoeaGastrointestinal disorders | 1/33 | 4/34 | 2/32 | 0/33 | 0/33 |
| HypercalciuriaRenal and urinary disorders | 2/33 | 4/34 | 2/32 | 1/33 | 1/33 |
| Application site bruisingSkin and subcutaneous tissue disorders | 0/33 | 2/34 | 3/32 | 2/33 | 0/33 |
Postmenopausal women with osteoporosis
| Age, Continuous(years) | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® | Total |
|---|---|---|---|---|---|---|
| Mean | 64.8 ± 7.1 | 64.1 ± 7.5 | 63.6 ± 5.8 | 64.6 ± 7.3 | 63.2 ± 6.8 | 64.06 ± 6.9 |
| Sex: Female, Male(Participants) | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® | Total |
|---|---|---|---|---|---|---|
| Female | 33 | 34 | 32 | 33 | 33 | 165 |
| Male | 0 | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(participants) | Macroflux® Placebo | Macroflux® 20 mcg | Macroflux® 30 mcg | Macroflux® 40 mcg | FORTEO® | Total |
|---|---|---|---|---|---|---|
| Caucasian | 4 | 9 | 10 | 14 | 8 | 45 |
| Hispanic | 29 | 25 | 22 | 19 | 24 | 119 |
| Asian | 0 | 0 | 0 | 0 | 1 | 1 |
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Zosano Pharma Corporation