CClinicalTrials.gg
CompletedNCT01750086Updated Mar 27, 2017Results posted

Acute Effect of Teriparatide With Bisphosphonate or Denosumab on Bone Resorption

A Phase 4 interventional study of Teriparatide 40-mcg subcutaneous injection and Denosumab Injection in Postmenopausal Osteoporosis, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to female participants aged 45 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-03-27.

Sponsored by Massachusetts General Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
45 Years and older
Sex
Female
01

Study summary

The aim of the study is to assess the relative antiresorptive properties of 2 osteoporosis medications when combined with teriparatide.

02

Conditions studied

  • Postmenopausal Osteoporosis

Keywords

  • osteoporosis
  • postmenopausal
  • denosumab
  • teriparatide
  • alendronate
  • Forteo®
  • Prolia®
03

In context

Osteoporosis

1,640 studies on the registry are indexed under Osteoporosis; 212 are open to participants now.

This study's enrollment of 27 is below the median of 95 across 1,133 interventional studies indexed under Osteoporosis.

Browse Osteoporosis studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,536 studies on the registry; 446 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 161 (75%) have results posted.

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

04

Who can participate

Ages eligible
45 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

Must satisfy A and B and C below:

A. Women aged 45+

B. Postmenopausal

C. Osteoporotic with high risk of fracture

Exclusion criteria

Exclusion Criteria:

  • History of significant hepatic, renal, cardiovascular, malignant disease, or conditions with impaired immune system
  • Current alcohol or substance abuse
  • Major psychiatric disorders
  • Abnormal calcium level, elevated PTH, vitamin D deficiency, or anemia
  • Known congenital or acquired bone disease other than osteoporosis
  • Current use or past use in the past 12 months of oral bisphosphonates
  • Current use or use in the past 3 months of estrogens, selective estrogen receptor modulators, or calcitonin
  • Use of oral or parenteral glucocorticoids for more than 14 days in the past 6 months
  • Any current or previous use of strontium or intravenous bisphosphonates
  • Sensitivity to cell-derived drug products or teriparatide
  • Extensive dental work involving dental extraction or dental implant within the past 2 months or in the upcoming 2 months
  • Inability to sit upright for 30 minutes
  • Esophageal abnormalities
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
27 participants (actual)

Study arms

  • Active comparator
    Denosumab 60mg subcutaneous injection

    Each subject will receive one teriparatide 40-mcg subcutaneous injection at each study visit.

    Drug: Teriparatide 40-mcg subcutaneous injection · Drug: Denosumab Injection

  • Active comparator
    Alendronate 70mg weekly x 8 weeks

    Each subject will receive one teriparatide 40-mcg subcutaneous injection at each study visit.

    Drug: Teriparatide 40-mcg subcutaneous injection · Drug: Alendronate Oral Tablet

Interventions

  • DrugTeriparatide 40-mcg subcutaneous injection

    Also known as: Forteo®

  • DrugDenosumab Injection

    One-time Denosumab injection

  • DrugAlendronate Oral Tablet

    weekly alendronate for 8 weeks

06

What researchers measure

Primary outcomes

  1. Bone Turnover Marker (Blood Sample)

    The primary outcome was the between-group difference in the teriparatide-induced change in serum c-telopeptide from baseline to week 8.

    Time frame: 8 weeks

07

Results

Posted Dec 1, 2016

Participant flow

Participant flow — Overall Study
MilestoneDenosumab 60mg Subcutaneous InjectionAlendronate 70mg Weekly x 8 Weeks
Started1314
Completed1213
Not completed11

Outcome measures

PrimaryBone Turnover Marker (Blood Sample)

The primary outcome was the between-group difference in the teriparatide-induced change in serum c-telopeptide from baseline to week 8.

Time frame:
8 weeks
Reported as:
Mean · percentage of change in CTX
Bone Turnover Marker (Blood Sample)
percentage of change in CTXDenosumab 60mg Subcutaneous InjectionAlendronate 70mg Weekly x 8 Weeks
Bone Turnover Marker (Blood Sample)-7 ± 1143 ± 29

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Denosumab 60mg Subcutaneous Injection—1/12 (8.3%)0/12 (0%)
Alendronate 70mg Weekly x 8 Weeks—1/13 (7.7%)0/13 (0%)
Most frequent serious events
Most frequent serious events
EventDenosumab 60mg Subcutaneous InjectionAlendronate 70mg Weekly x 8 Weeks
LightheadednessEndocrine disorders1/120/13
SyncopeEndocrine disorders0/121/13

Baseline characteristics

Age, Continuous
Age, Continuous(years)Denosumab 60mg Subcutaneous InjectionAlendronate 70mg Weekly x 8 WeeksTotal
Mean66 ± 766 ± 866 ± 8
Sex: Female, Male
Sex: Female, Male(Participants)Denosumab 60mg Subcutaneous InjectionAlendronate 70mg Weekly x 8 WeeksTotal
Female121325
Male000
Region of Enrollment
Region of Enrollment(Participants)Denosumab 60mg Subcutaneous InjectionAlendronate 70mg Weekly x 8 WeeksTotal
United States121325
08

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
09

References and documents

Publications

  • Cosman F, Eriksen EF, Recknor C, Miller PD, Guanabens N, Kasperk C, Papanastasiou P, Readie A, Rao H, Gasser JA, Bucci-Rechtweg C, Boonen S. Effects of intravenous zoledronic acid plus subcutaneous teriparatide [rhPTH(1-34)] in postmenopausal osteoporosis. J Bone Miner Res. 2011 Mar;26(3):503-11. doi: 10.1002/jbmr.238. PubMed 20814967 ↗
  • Finkelstein JS, Hayes A, Hunzelman JL, Wyland JJ, Lee H, Neer RM. The effects of parathyroid hormone, alendronate, or both in men with osteoporosis. N Engl J Med. 2003 Sep 25;349(13):1216-26. doi: 10.1056/NEJMoa035725. Epub 2003 Sep 20. PubMed 14500805 ↗
  • Cosman F, Nieves J, Zion M, Woelfert L, Luckey M, Lindsay R. Daily and cyclic parathyroid hormone in women receiving alendronate. N Engl J Med. 2005 Aug 11;353(6):566-75. doi: 10.1056/NEJMoa050157. PubMed 16093465 ↗
  • Kostenuik PJ, Capparelli C, Morony S, Adamu S, Shimamoto G, Shen V, Lacey DL, Dunstan CR. OPG and PTH-(1-34) have additive effects on bone density and mechanical strength in osteopenic ovariectomized rats. Endocrinology. 2001 Oct;142(10):4295-304. doi: 10.1210/endo.142.10.8437. PubMed 11564687 ↗
  • Finkelstein JS, Wyland JJ, Lee H, Neer RM. Effects of teriparatide, alendronate, or both in women with postmenopausal osteoporosis. J Clin Endocrinol Metab. 2010 Apr;95(4):1838-45. doi: 10.1210/jc.2009-1703. Epub 2010 Feb 17. PubMed 20164296 ↗
  • Tsai JN, Zhu Y, Foley K, Lee H, Burnett-Bowie SA, Neer RM, Leder BZ. Comparative Resistance to Teriparatide-Induced Bone Resorption With Denosumab or Alendronate. J Clin Endocrinol Metab. 2015 Jul;100(7):2718-23. doi: 10.1210/jc.2015-1541. Epub 2015 May 1. PubMed 25933031 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01750086
Lead sponsor
Massachusetts General Hospital
Responsible party
Benjamin Leder, MD (Principal Investigator, Massachusetts General Hospital) — Principal investigator
First posted
Dec 17, 2012
Start date
Jan 2013
Primary completion
Apr 2014
Completion
Aug 2014
Results posted
Dec 1, 2016
Last update
Mar 27, 2017

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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