A Phase 3 interventional study of Denosumab and Placebo for risendronate in Steroid-induced Osteopor, Glucocorticoid-induced Ostepor, sponsored by Amgen. Completed at 99 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-07-27.
Sponsored by Amgen · Phase 3, Interventional, and Treatment
This is a 2-year study to evaluate the effect of denosumab versus risedronate in adults with glucocorticoid-induced osteoporosis.
Amgen is the lead sponsor of 1,015 studies on the registry; 49 are open to participants now.
Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Men and women 18 years of age or older who have been taking glucocorticoid treatment. Men and women who are less than 50 years of age must have had a fracture as an adult to be eligible. Men and women who are 50 years of age or older who have been taking glucocorticoids must meet protocol-specific BMD criteria.
Exclusion Criteria:
Use of agents affecting bone metabolism, use of more than one biologic agent for inflammatory disease, history of bone disease (except osteoporosis), low vitamin D level (one can enter the trial after vitamin D levels are corrected), abnormalities of blood calcium, an underactive or overactive thyroid condition that is not treated and stable, Addison's disease, any abnormality of the parathyroid glands (the glands that control blood calcium), currently pregnant or planning a pregnancy, currently breast feeding, and other criteria may apply.
Participants received 60 mg denosumab by subcutaneous injection on day 1 and at months 6, 12, and 18. Participants also received placebo to risedronate orally once a day for 24 months.
Drug: Denosumab · Drug: Placebo for risendronate
Participants received 5 mg risedronate orally once a day for 24 months and placebo to densumab by subcutaneous injection on day 1 and at months 6, 12, and 18.
Drug: Risendronate · Drug: Placebo for denosumab
Administered by subcutaneous injection once every 6 months
Also known as: Prolia®
Administered orally once a day
Administered orally once a day
Also known as: Actonel, Atelvia
Administered by subcutaneous injection once every 6 months
Percent Change From Baseline in Lumbar Spine Bone Mineral Density at Month 12 (Non-inferiority Analysis)
Bone mineral density at the lumbar spine was measured by dual-energy x-ray absorptiometry (DXA).
Time frame: Baseline and month 12
Percent Change From Baseline in Lumbar Spine Bone Mineral Density at Month 12 (Superiority Analysis)
Bone mineral density at the lumbar spine was measured by dual-energy x-ray absorptiometry (DXA).
Time frame: Baseline and month 12
Percent Change From Baseline in Total Hip Bone Mineral Density at Month 12
Bone mineral density at the total hip was measured by dual-energy x-ray absorptiometry (DXA).
Time frame: Baseline and month 12
Percent Change From Baseline in Lumbar Spine Bone Mineral Density at Month 24
Bone mineral density at the lumbar spine was measured by dual-energy x-ray absorptiometry (DXA).
Time frame: Baseline and month 24
Percent Change From Baseline in Total Hip Bone Mineral Density at Month 24
Bone mineral density at the total hip was measured by dual-energy x-ray absorptiometry (DXA).
Time frame: Baseline and month 24
Participants were enrolled at 79 centers in Europe, North America, Latin America, and Korea from 28 March 2012 to 30 June 2015. Participants who had been taking glucocorticoids for at least 3 months were classed as glucocorticoid continuing; those who were taking glucocorticoids for less than 3 months were classed as glucocorticoid initiating.
| Milestone | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing |
|---|---|---|---|---|
| Started | 145 | 145 | 252 | 253 |
| Received study drug | 140 | 142 | 246 | 251 |
| Completed | 117 | 109 | 178 | 186 |
| Not completed | 28 | 36 | 74 | 67 |
| Withdrew: Withdrawal by subject | 15 | 20 | 34 | 34 |
| Withdrew: Adverse event | 7 | 7 | 9 | 12 |
| Withdrew: Lost to follow-up | 1 | 3 | 13 | 5 |
| Withdrew: Death | 3 | 2 | 8 | 9 |
| Withdrew: Noncompliance | 1 | 2 | 4 | 3 |
| Withdrew: Administrative decision | 1 | 1 | 1 | 0 |
| Withdrew: Protocol deviation | 0 | 1 | 0 | 1 |
| Withdrew: Requirement for alternative therapy | 0 | 0 | 1 | 1 |
| Withdrew: Other | 0 | 0 | 4 | 2 |
Bone mineral density at the lumbar spine was measured by dual-energy x-ray absorptiometry (DXA).
| percent change | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing |
|---|---|---|---|---|
| Percent Change From Baseline in Lumbar Spine Bone Mineral Density at Month 12 (Non-inferiority Analysis) | 0.8 (0.2 to 1.5) | 3.8 (3.1 to 4.5) | 2.3 (1.7 to 2.9) | 4.4 (3.8 to 5.0) |
Bone mineral density at the lumbar spine was measured by dual-energy x-ray absorptiometry (DXA).
| percent change | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing |
|---|---|---|---|---|
| Percent Change From Baseline in Lumbar Spine Bone Mineral Density at Month 12 (Superiority Analysis) | 0.8 (0.2 to 1.5) | 3.8 (3.1 to 4.5) | 2.3 (1.7 to 2.9) | 4.4 (3.8 to 5.0) |
Bone mineral density at the total hip was measured by dual-energy x-ray absorptiometry (DXA).
| percent change | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing |
|---|---|---|---|---|
| Percent Change From Baseline in Total Hip Bone Mineral Density at Month 12 | 0.2 (-0.2 to 0.7) | 1.7 (1.2 to 2.2) | 0.6 (0.2 to 1.0) | 2.1 (1.7 to 2.5) |
Bone mineral density at the lumbar spine was measured by dual-energy x-ray absorptiometry (DXA).
| percent change | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing |
|---|---|---|---|---|
| Percent Change From Baseline in Lumbar Spine Bone Mineral Density at Month 24 | 1.7 (0.8 to 2.7) | 6.2 (5.3 to 7.2) | 3.2 (2.3 to 4.1) | 6.4 (5.5 to 7.2) |
Bone mineral density at the total hip was measured by dual-energy x-ray absorptiometry (DXA).
| percent change | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing |
|---|---|---|---|---|
| Percent Change From Baseline in Total Hip Bone Mineral Density at Month 24 | -0.0 (-0.6 to 0.6) | 3.1 (2.4 to 3.7) | 0.5 (-0.1 to 1.0) | 2.9 (2.4 to 3.5) |
Collected over 24 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Risedronate | 9/385 (2.3%) | 98/385 (25.5%) | 76/385 (19.7%) |
| Denosumab | 13/394 (3.3%) | 92/394 (23.4%) | 77/394 (19.5%) |
| Event | Risedronate | Denosumab |
|---|---|---|
| PneumoniaInfections and infestations | 8/385 | 7/394 |
| OsteoarthritisMusculoskeletal and connective tissue disorders | 5/385 | 2/394 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 5/385 | 0/394 |
| Back painMusculoskeletal and connective tissue disorders | 3/385 | 1/394 |
| Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders | 3/385 | 1/394 |
| Cardiac failureCardiac disorders | 0/385 | 3/394 |
| Femur fractureInjury, poisoning and procedural complications | 0/385 | 3/394 |
| Cerebrovascular accidentNervous system disorders | 1/385 | 3/394 |
| Transient ischaemic attackNervous system disorders | 1/385 | 3/394 |
| AnaemiaBlood and lymphatic system disorders | 2/385 | 1/394 |
| Event | Risedronate | Denosumab |
|---|---|---|
| ArthralgiaMusculoskeletal and connective tissue disorders | 33/385 | 23/394 |
| Back painMusculoskeletal and connective tissue disorders | 21/385 | 24/394 |
| HypertensionVascular disorders | 15/385 | 21/394 |
| Viral upper respiratory tract infectionInfections and infestations | 19/385 | 20/394 |
| Age, Continuous(years) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| Mean | 64.4 ± 10.0 | 67.5 ± 10.1 | 61.3 ± 11.1 | 61.5 ± 11.6 | 63.1 ± 11.1 |
| Age, Customized(Participants) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| < 50 years | 5 | 2 | 26 | 33 | 66 |
| 50 - 64 years | 75 | 55 | 130 | 114 | 374 |
| 65 - 74 years | 38 | 50 | 62 | 73 | 223 |
| ≥ 75 years | 27 | 38 | 34 | 33 | 132 |
| Sex: Female, Male(Participants) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| Female | 93 | 93 | 185 | 185 | 556 |
| Male | 52 | 52 | 67 | 68 | 239 |
| Ethnicity (NIH/OMB)(Participants) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 18 | 20 | 54 | 43 | 135 |
| Not Hispanic or Latino | 127 | 125 | 198 | 210 | 660 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| White | 123 | 122 | 223 | 230 | 698 |
| Other | 11 | 12 | 11 | 13 | 47 |
| Asian | 9 | 9 | 12 | 6 | 36 |
| Black or African American | 2 | 2 | 4 | 4 | 12 |
| American Indian or Alaska Native | 0 | 0 | 1 | 0 | 1 |
| Multiple | 0 | 0 | 1 | 0 | 1 |
| Menopausal Status(Participants) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| Premenopause | 7 | 10 | 25 | 24 | 66 |
| Postmenopause | 83 | 82 | 157 | 159 | 481 |
| Unknown | 3 | 1 | 3 | 2 | 9 |
| Lumbar Spine Bone Mineral Density (BMD) T-score(T-score) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| Glucocorticoid-initiating Subpopulation | -1.06 ± 1.57 | -0.92 ± 1.86 | — | — | -0.99 ± 1.72 |
| Glucocorticoid-continuing Subpopulation | — | — | -1.96 ± 1.38 | -1.92 ± 1.38 | -1.94 ± 1.38 |
| Total Hip BMD T-score(T-score) | Risedronate: Glucocorticoid-initiating | Denosumab: Glucocorticoid-initiating | Risedronate: Glucocorticoid-continuing | Denosumab: Glucocorticoid-continuing | Total |
|---|---|---|---|---|---|
| Glucocorticoid-initiating Subpopulation | -0.98 ± 1.07 | -1.14 ± 1.00 | — | — | -1.06 ± 1.04 |
| Glucocorticoid-continuing Subpopulation | — | — | -1.56 ± 0.96 | -1.66 ± 0.96 | -1.61 ± 0.96 |
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