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CompletedNCT02176382DATA-HDUpdated Feb 9, 2021Results posted

Denosumab and Teriparatide Study (DATA-HD and DATA-EX)

A Phase 4 interventional study of denosumab and teriparatide 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 2021-02-09.

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

Phase
Phase 4
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
45 Years and older
Sex
Female
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Study summary

The aim of the study is to assess the effect of an antiresorptive medication in combination with standard dose or alternate dose teriparatide. The study extension will evaluate the effect of one-dose of zoledronic acid after the teriparatide/denosumab combination.

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Conditions studied

  • Postmenopausal Osteoporosis
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In context

Osteoporosis

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

This study's enrollment of 76 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.

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Who can participate

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

Inclusion criteria

  • women aged 45+
  • postmenopausal
  • osteoporotic with high risk of fracture

Exclusion criteria

Exclusion Criteria:

  • no significant previous use of bone health modifying treatments
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Study design

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

Study arms

  • Active comparator
    Standard dose teriparatide

    teriparatide daily subcutaneous injection (months 0-9) plus denosumab subcutaneous injection every 6 months (months 3-15) followed by zoledronic acid at month 15

    Drug: denosumab · Drug: teriparatide · Drug: Zoledronic acid

  • Active comparator
    High dose teriparatide

    teriparatide alternate dose daily subcutaneous injection (months 0-9) plus denosumab subcutaneous injection every 6 months (months 3-15) followed by zoledronic acid at month 15

    Drug: denosumab · Drug: teriparatide · Drug: Zoledronic acid

Interventions

  • Drugdenosumab

    denosumab subcutaneous injection

    Also known as: Prolia

  • Drugteriparatide

    teriparatide daily subcutaneous injection

    Also known as: Forteo

  • DrugZoledronic acid

    zoledronic acid infusion

    Also known as: Reclast

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What researchers measure

Primary outcomes

  1. Percent Change From Baseline in Spine Bone Mineral Density by Dual X-ray Absorptiometry (DXA)

    Time frame: Baseline and 42 months

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Results

Posted Jan 22, 2021

Participant flow

DATA-HD Study
Participant flow — DATA-HD Study
MilestoneStandard Dose TeriparatideHigh Dose Teriparatide
Started3937
Completed3129
Not completed88
DATA-HD Extension
Participant flow — DATA-HD Extension
MilestoneStandard Dose TeriparatideHigh Dose Teriparatide
Started2726
Completed2626
Not completed10

Outcome measures

PrimaryPercent Change From Baseline in Spine Bone Mineral Density by Dual X-ray Absorptiometry (DXA)
Time frame:
Baseline and 42 months
Reported as:
Mean · percent change in BMD
Percent Change From Baseline in Spine Bone Mineral Density by Dual X-ray Absorptiometry (DXA)
percent change in BMDStandard Dose TeriparatideHigh Dose Teriparatide
Percent Change From Baseline in Spine Bone Mineral Density by Dual X-ray Absorptiometry (DXA)7.69 ± 4.6612.70 ± 5.54

Adverse events

Collected over 3.5 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard Dose Teriparatide0/39 (0%)9/39 (23.1%)0/39 (0%)
High Dose Teriparatide0/37 (0%)2/37 (5.4%)2/37 (5.4%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventStandard Dose TeriparatideHigh Dose Teriparatide
wrist fractureMusculoskeletal and connective tissue disorders2/391/37
breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)2/390/37
anal cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/391/37
clavicle fractureMusculoskeletal and connective tissue disorders1/390/37
fibula avulsion fractureMusculoskeletal and connective tissue disorders1/390/37
humeral fractureMusculoskeletal and connective tissue disorders1/390/37
kidney cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/390/37
pancreatitisEndocrine disorders1/390/37
rib fractureMusculoskeletal and connective tissue disorders1/390/37
shoulder dislocationMusculoskeletal and connective tissue disorders1/390/37
Most frequent other events
Most frequent other events
EventStandard Dose TeriparatideHigh Dose Teriparatide
back painMusculoskeletal and connective tissue disorders0/392/37

Baseline characteristics

Includes all subjects who completed at least 1 post-baseline visit.

Age, Continuous
Age, Continuous(years)Standard Dose TeriparatideHigh Dose TeriparatideTotal
Mean65.9 ± 7.067.0 ± 7.366.4 ± 7.1
Sex: Female, Male
Sex: Female, Male(Participants)Standard Dose TeriparatideHigh Dose TeriparatideTotal
Female353469
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Standard Dose TeriparatideHigh Dose TeriparatideTotal
Hispanic or Latino112
Not Hispanic or Latino343367
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Standard Dose TeriparatideHigh Dose TeriparatideTotal
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American202
White333366
More than one race000
Unknown or Not Reported000
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Study locations

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

References and documents

Publications

  • Ramchand SK, David NL, Leder BZ, Tsai JN. Bone Mineral Density Response With Denosumab in Combination With Standard or High-Dose Teriparatide: The DATA-HD RCT. J Clin Endocrinol Metab. 2020 Mar 1;105(3):890-7. doi: 10.1210/clinem/dgz163. PubMed 31674641 ↗
  • Ramchand SK, David NL, Lee H, Bruce M, Bouxsein ML, Leder BZ, Tsai JN. Effects of Combination Denosumab and High-Dose Teriparatide Administration on Bone Microarchitecture and Estimated Strength: The DATA-HD HR-pQCT Study. J Bone Miner Res. 2021 Jan;36(1):41-51. doi: 10.1002/jbmr.4161. Epub 2020 Sep 19. PubMed 32790196 ↗
  • Tsai JN, Lee H, David NL, Eastell R, Leder BZ. Combination denosumab and high dose teriparatide for postmenopausal osteoporosis (DATA-HD): a randomised, controlled phase 4 trial. Lancet Diabetes Endocrinol. 2019 Oct;7(10):767-775. doi: 10.1016/S2213-8587(19)30255-4. Epub 2019 Aug 22. PubMed 31447409 ↗

Study documents

  • Protocol and statistical analysis plan · Sep 25, 2019

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02176382
Lead sponsor
Massachusetts General Hospital
Responsible party
Benjamin Leder, MD (Principal Investigator, Massachusetts General Hospital) — Principal investigator
First posted
Jun 27, 2014
Start date
Aug 2014
Primary completion
Feb 2020
Completion
Feb 2020
Results posted
Jan 22, 2021
Last update
Feb 9, 2021

Study contacts

Benjamin Leder, MD
principal investigator · Massachusetts General Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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