A Phase 2 interventional study of LY2541546 and Placebo in Osteoporosis, sponsored by Eli Lilly and Company. Completed at 8 sites in 5 countries. Open to female participants aged 45 Years to 85 Years. Per ClinicalTrials.gov, last updated 2019-09-17.
Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment
The primary objectives of this study include evaluating the dose response of LY2541546 using bone mineral density (BMD) change from baseline as compared to placebo and evaluating the overall safety and tolerability of LY2541546 following multiple subcutaneous administrations in postmenopausal (PMP) women with low BMD. Following the last dose of study drug, participants will be able to participate in a 12 month extension to collect additional safety and efficacy data (no further treatment will be administered during this extension).
1,675 studies on the registry are indexed under Osteoporosis; 211 are open to participants now.
This study's enrollment of 154 is above the median of 95 across 1,152 interventional studies indexed under Osteoporosis.
Browse Osteoporosis studies →Eli Lilly and Company is the lead sponsor of 2,095 studies on the registry; 142 are open to participants now.
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Exclusion Criteria:
LY2541546: 180 milligrams (mg) administered subcutaneously every 4 weeks (Q4W) for 52 weeks. Placebo: administered subcutaneously every alternate 2 weeks from the LY2541546 dose for 52 weeks.
Drug: LY2541546 · Drug: Placebo
LY2541546: 180 milligrams (mg) administered subcutaneously every 2 weeks (Q2W) for 52 weeks.
Drug: LY2541546
LY2541546: 270 milligrams (mg) LY2541546 administered subcutaneously every 2 weeks (Q2W) for 52 weeks.
Drug: LY2541546
LY2541546: 270 milligrams (mg) administered subcutaneously every 12 weeks (Q12W) for 52 weeks. Placebo: administered subcutaneously every alternate 2 weeks from the LY2541546 dose for 52 weeks.
Drug: LY2541546 · Drug: Placebo
Placebo: administered subcutaneously every 2 weeks (Q2W) for 52 weeks.
Drug: Placebo
Administered subcutaneously
Also known as: Blosozumab
Administered subcutaneously
Change From Baseline to 52 Week Endpoint in Lumbar Spine Bone Mineral Density (BMD)
Lumbar spine bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) analysis of covariance. Factors in the model included treatment, time and the interaction of treatment by time as fixed effects, and baseline lumbar spine BMD as a covariate.
Time frame: Baseline, 52 weeks
Change From Baseline to 12, 24, and 64 Weeks in Lumbar Spine Bone Mineral Density (BMD)
Lumbar spine bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) analysis of covariance. Factors in the model included treatment, time and the interaction of treatment by time as fixed effects, and baseline lumbar spine BMD as a covariate
Time frame: Baseline, 12 weeks and 24 weeks and 64 weeks
Change From Baseline to 24, 52, and 64 Weeks in Proximal Femur Bone Mineral Density (BMD)
Femoral neck and total hip bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) analysis of covariance. Factors in the model included treatment, time and the interaction of treatment by time as fixed effects, and baseline BMD as a covariate.
Time frame: Baseline, 24 weeks and 52 weeks and 64 weeks
Change From Baseline to 52 Week Endpoint in Wrist Bone Mineral Density (BMD)
Total radius of the wrist bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a 1-factor analysis of covariance model with treatment group as the main effect and baseline BMD as a covariate.
Time frame: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Bone-specific Alkaline Phosphatase (BSAP)
Time frame: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Serum Type I Collagen Fragment (CTx)
Time frame: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Osteocalcin
Time frame: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Serum N-terminal Extension Propeptide of Type I Collagen (P1NP)
Time frame: Baseline, 52 weeks
| Milestone | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Started | 31 | 30 | 30 | 26 | 37 |
| Received at least one dose of study drug | 31 | 30 | 30 | 25 | 37 |
| Completed | 26 | 29 | 25 | 22 | 34 |
| Not completed | 5 | 1 | 5 | 4 | 3 |
| Withdrew: Adverse event | 0 | 0 | 3 | 2 | 1 |
| Withdrew: Entry criteria not met | 0 | 0 | 1 | 1 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 1 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 4 | 1 | 1 | 1 | 0 |
| Withdrew: Sponsor decision | 0 | 0 | 0 | 0 | 1 |
| Milestone | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Started | 26 | 29 | 25 | 22 | 34 |
| Completed | 26 | 29 | 25 | 22 | 34 |
| Not completed | 0 | 0 | 0 | 0 | 0 |
| Milestone | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Started | 22 | 25 | 23 | 3 | 23 |
| Completed | 21 | 24 | 23 | 3 | 21 |
| Not completed | 1 | 1 | 0 | 0 | 2 |
| Withdrew: Adverse event | 0 | 1 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Sponsor decision | 1 | 0 | 0 | 0 | 0 |
Lumbar spine bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) analysis of covariance. Factors in the model included treatment, time and the interaction of treatment by time as fixed effects, and baseline lumbar spine BMD as a covariate.
| g/cm^2 | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Change From Baseline to 52 Week Endpoint in Lumbar Spine Bone Mineral Density (BMD) | 0.065 (0.048 to 0.082) | 0.115 (0.099 to 0.131) | 0.142 (0.125 to 0.158) | 0.054 (0.036 to 0.073) | -0.011 (-0.026 to 0.004) |
Lumbar spine bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) analysis of covariance. Factors in the model included treatment, time and the interaction of treatment by time as fixed effects, and baseline lumbar spine BMD as a covariate
| g/cm^2 | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Week 12 | 0.028 (0.020 to 0.037) | 0.048 (0.039 to 0.057) | 0.057 (0.048 to 0.065) | 0.039 (0.029 to 0.049) | -0.007 (-0.015 to 0.001) |
| Week 24 | 0.049 (0.037 to 0.061) | 0.083 (0.071 to 0.094) | 0.098 (0.086 to 0.109) | 0.048 (0.035 to 0.061) | -0.006 (-0.016 to 0.004) |
| Week 64 | 0.046 (0.032 to 0.061) | 0.098 (0.083 to 0.112) | 0.135 (0.120 to 0.150) | 0.046 (0.029 to 0.062) | -0.007 (-0.020 to 0.006) |
Femoral neck and total hip bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) analysis of covariance. Factors in the model included treatment, time and the interaction of treatment by time as fixed effects, and baseline BMD as a covariate.
| g/cm^2 | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Femoral Neck BMD Week 24 | 0.010 (0.002 to 0.019) | 0.017 (0.009 to 0.025) | 0.026 (0.018 to 0.034) | 0.002 (-0.007 to 0.011) | 0.002 (-0.005 to 0.009) |
| Total Hip BMD Week 24 | 0.007 (-0.001 to 0.014) | 0.020 (0.013 to 0.027) | 0.031 (0.024 to 0.039) | 0.015 (0.007 to 0.023) | -0.007 (-0.014 to -0.001) |
| Femoral Neck BMD Week 52 | 0.018 (0.010 to 0.026) | 0.025 (0.017 to 0.033) | 0.044 (0.035 to 0.052) | 0.014 (0.005 to 0.024) | 0.003 (-0.005 to 0.010) |
| Total Hip BMD Week 52 | 0.017 (0.008 to 0.025) | 0.032 (0.023 to 0.040) | 0.051 (0.043 to 0.060) | 0.019 (0.009 to 0.029) | -0.004 (-0.012 to 0.003) |
| Femoral Neck BMD Week 64 | 0.016 (0.007 to 0.026) | 0.028 (0.019 to 0.037) | 0.038 (0.029 to 0.048) | 0.013 (0.002 to 0.023) | 0.002 (-0.007 to 0.010) |
| Total Hip BMD Week 64 | 0.011 (0.001 to 0.020) | 0.031 (0.022 to 0.040) | 0.047 (0.038 to 0.056) | 0.021 (0.011 to 0.030) | -0.007 (-0.015 to 0.001) |
Total radius of the wrist bone mineral density (BMD) measured by dual energy x-ray absorptiometry (DXA). Least squares (LS) mean values were determined using a 1-factor analysis of covariance model with treatment group as the main effect and baseline BMD as a covariate.
| g/cm^2 | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Change From Baseline to 52 Week Endpoint in Wrist Bone Mineral Density (BMD) | -0.005 (-0.011 to 0.001) | -0.005 (-0.010 to 0.001) | -0.001 (-0.007 to 0.005) | -0.002 (-0.009 to 0.004) | -0.005 (-0.010 to 0.000) |
| units/liter | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Change From Baseline to 52 Week Endpoint in Bone-specific Alkaline Phosphatase (BSAP) | -6.000 (-12.600 to 0.300) | -2.000 (-10.400 to 4.500) | 1.600 (-4.400 to 9.800) | -3.150 (-10.000 to 2.900) | -3.900 (-11.400 to 4.300) |
| nanograms/milliliter | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Change From Baseline to 52 Week Endpoint in Serum Type I Collagen Fragment (CTx) | -0.014 (-0.116 to 0.079) | -0.088 (-0.191 to 0.030) | -0.038 (-0.199 to -0.009) | -0.022 (-0.076 to 0.029) | 0.037 (-0.076 to 0.129) |
| micrograms/liter | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Change From Baseline to 52 Week Endpoint in Osteocalcin | -2.087 (-3.998 to 2.411) | -0.764 (-7.762 to 3.704) | 0.823 (-3.704 to 5.116) | -3.322 (-5.586 to 4.822) | -2.029 (-6.880 to 2.587) |
| nanograms/milliliter | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Change From Baseline to 52 Week Endpoint in Serum N-terminal Extension Propeptide of Type I Collagen (P1NP) | -12.250 (-19.300 to 1.300) | -4.200 (-27.200 to 6.700) | -1.100 (-12.800 to 10.200) | -16.050 (-21.700 to 0.100) | -5.800 (-11.550 to 5.450) |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 180 mg LY2541546 Q4W + Placebo | — | 4/31 (12.9%) | 30/31 (96.8%) |
| 180 mg LY2541546 Q2W | — | 3/30 (10%) | 28/30 (93.3%) |
| 270 mg LY2541546 Q2W | — | 4/30 (13.3%) | 29/30 (96.7%) |
| 270 mg LY2541546 Q12W + Placebo | — | 1/25 (4%) | 21/25 (84%) |
| Placebo Q2W | — | 2/37 (5.4%) | 34/37 (91.9%) |
| Event | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/31 | 1/30 | 2/30 | 0/25 | 0/37 |
| Cerebral infarctionNervous system disorders | 0/31 | 0/30 | 0/30 | 0/25 | 2/37 |
| Uterine prolapseReproductive system and breast disorders | 0/31 | 0/30 | 0/30 | 1/25 | 0/37 |
| Cardiac failureCardiac disorders | 0/31 | 1/30 | 0/30 | 0/25 | 0/37 |
| Retinal artery occlusionEye disorders | 0/31 | 0/30 | 1/30 | 0/25 | 0/37 |
| PneumoniaInfections and infestations | 0/31 | 1/30 | 0/30 | 0/25 | 0/37 |
| Metastases to boneNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/31 | 1/30 | 0/30 | 0/25 | 0/37 |
| Metastases to lymph nodesNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/31 | 1/30 | 0/30 | 0/25 | 0/37 |
| Spinal cord ischaemiaNervous system disorders | 0/31 | 0/30 | 1/30 | 0/25 | 0/37 |
| Interstitial lung diseaseRespiratory, thoracic and mediastinal disorders | 0/31 | 1/30 | 0/30 | 0/25 | 0/37 |
| Event | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W |
|---|---|---|---|---|---|
| NasopharyngitisInfections and infestations | 16/31 | 8/30 | 11/30 | 7/25 | 12/37 |
| Injection site bruisingGeneral disorders | 1/31 | 3/30 | 2/30 | 6/25 | 3/37 |
| Injection site swellingGeneral disorders | 6/31 | 3/30 | 5/30 | 2/25 | 0/37 |
| Blood 1,25-dihydroxycholecalciferol increasedInvestigations | 6/31 | 4/30 | 4/30 | 2/25 | 5/37 |
| Back painMusculoskeletal and connective tissue disorders | 6/31 | 3/30 | 2/30 | 2/25 | 4/37 |
| DiarrhoeaGastrointestinal disorders | 0/31 | 5/30 | 3/30 | 1/25 | 2/37 |
| Injection site painGeneral disorders | 4/31 | 5/30 | 1/30 | 1/25 | 1/37 |
| Injection site pruritusGeneral disorders | 2/31 | 5/30 | 4/30 | 0/25 | 0/37 |
| ContusionInjury, poisoning and procedural complications | 3/31 | 1/30 | 2/30 | 0/25 | 5/37 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 2/31 | 3/30 | 2/30 | 2/25 | 5/37 |
Participants who received at least one dose of study drug.
| Age, Continuous(years) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| Mean | 66.78 ± 8.98 | 64.17 ± 8.20 | 66.12 ± 7.68 | 63.56 ± 8.02 | 65.17 ± 8.91 | 65.22 ± 8.38 |
| Sex: Female, Male(Participants) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| Female | 31 | 30 | 30 | 25 | 37 | 153 |
| Male | 0 | 0 | 0 | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| Hispanic or Latino | 4 | 4 | 2 | 9 | 8 | 27 |
| Not Hispanic or Latino | 23 | 24 | 26 | 16 | 26 | 115 |
| Unknown or Not Reported | 4 | 2 | 2 | 0 | 3 | 11 |
| Race (NIH/OMB)(Participants) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 14 | 13 | 13 | 11 | 14 | 65 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 1 | 1 |
| White | 17 | 17 | 17 | 14 | 22 | 87 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| United States | 4 | 6 | 5 | 11 | 10 | 36 |
| Estonia | 4 | 3 | 5 | 3 | 4 | 19 |
| Lithuania | 3 | 4 | 4 | 0 | 4 | 15 |
| Denmark | 6 | 4 | 3 | 0 | 5 | 18 |
| Japan | 14 | 13 | 13 | 11 | 14 | 65 |
| Lumbar Spine Bone Mineral Density (Baseline)(grams/square centimeter (g/cm^2)) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| Mean | 0.78 ± 0.09 | 0.78 ± 0.07 | 0.80 ± 0.09 | 0.77 ± 0.09 | 0.78 ± 0.09 | 0.78 ± 0.09 |
| Femoral Neck Bone Mineral Density (Baseline)(g/cm^2) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| Mean | 0.66 ± 0.15 | 0.66 ± 0.15 | 0.69 ± 0.11 | 0.63 ± 0.11 | 0.66 ± 0.17 | 0.66 ± 0.14 |
| Total Hip Bone Mineral Density (Baseline)(grams/square centimeter) | 180 mg LY2541546 Q4W + Placebo | 180 mg LY2541546 Q2W | 270 mg LY2541546 Q2W | 270 mg LY2541546 Q12W + Placebo | Placebo Q2W | Total |
|---|---|---|---|---|---|---|
| Mean | 0.75 ± 0.11 | 0.75 ± 0.13 | 0.77 ± 0.10 | 0.73 ± 0.11 | 0.73 ± 0.14 | 0.75 ± 0.12 |
Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Supporting information: Study protocol, Statistical analysis plan, Clinical study report
Time frame: Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access criteria: A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Data sharing details ↗ · vivli.org
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This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Blosozumab