ClinicalTrials.gg
Active, not recruitingNCT05972551Updated May 27, 2026

Study to Evaluate Efficacy and Safety of Romosozumab Compared With Bisphosphonates in Children and Adolescents With Osteogenesis Imperfecta

A Phase 3 interventional study of Romosozumab and Bisphosphonate in Osteogenesis Imperfecta, sponsored by Amgen. Active, not recruiting at 65 sites in 18 countries. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by Amgen · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
111
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
01

Study summary

The primary objective of this study is to evaluate the effect of romosozumab treatment for 12-months compared with bisphosphonate(s) on the number of clinical fractures at 12-months; the number of any fractures at 12-months and change in lumbar spine bone mineral density (BMD) Z-score at 6-months.

02

Conditions studied

  • Osteogenesis Imperfecta

Keywords

  • Osteogenesis Imperfecta
  • Romosozumab
  • EVENITY®
  • Bisphosphonates
03

In context

Osteogenesis Imperfecta

84 studies on the registry are indexed under Osteogenesis Imperfecta; 20 are open to participants now.

This study's enrollment of 111 is above the median of 28 across 60 interventional studies indexed under Osteogenesis Imperfecta.

Browse Osteogenesis Imperfecta studies →

Lead sponsor

Amgen is the lead sponsor of 1,047 studies on the registry; 52 are open to participants now.

Of its 246 completed or terminated interventional studies of FDA-regulated products, 166 (67%) have results posted.

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

04

Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant has provided /assent prior to initiation of any study specific activities/procedures.

OR

  • Participant's legally authorized representative has provided informed consent when the participant is legally too young to provide informed consent and the participant has provided written assent based on local regulations and/or guidelines prior to any study-specific activities/procedures being initiated.
  • Ambulatory male and female children and adolescents, age 5 to \<18 years, including ambulatory with assistance as defined in the pediatric osteogenesis imperfecta (OI) population.
  • Clinical diagnosis of OI, defined as clinical history consistent with type I, III, or IV OI as determined by presence of expected phenotype (examples include: facial shape, voice, blue sclera, dentinogenesis imperfecta, typical radiographic features, fracture pattern) and lack of additional features unrelated to type I, III, or IV OI (eg, blindness, mental retardation, neuropathy, and craniosynostosis).

    o If familial, also must be autosomal dominant.

  • Meets at least one of the following:

    • 3 or more fractures within the previous 2 years, or
    • 1 or more nonvertebral fracture(s) within the previous 2 years and at least 1 prevalent vertebral fracture, or
    • 2 or more prevalent vertebral fractures.

Exclusion criteria

Exclusion Criteria:

Disease Related

  • History of an electrophoresis pattern inconsistent with type I, III or IV OI.
  • History of known mutation in a gene other than collagen type I alpha 1/collagen type I alpha 2 (COL1A1/COL1A2) causing OI or other metabolic bone disease.
  • History of congenital dislocation of the radial head, interosseous membrane calcification, or exuberant callus formation.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
111 participants (actual)

Study arms

  • Experimental
    Romosozumab

    Participants will receive romosozumab once a month (QM) for 12 months.

    Drug: Romosozumab

  • Active comparator
    Standard of Care Bisphosphonate

    Participants will receive bisphosphonates per local standard of care treatment regimens, as determined by the investigator for 12 months.

    Drug: Bisphosphonate

Interventions

  • Subcutaneous (SC) injection

    Also known as: EVENITY®

  • Administration determined by investigator according to the local standard of care

06

What researchers measure

Primary outcomes

  1. Number of Clinical Fractures

    Clinical fractures include clinical vertebral fractures and nonvertebral fractures.

    Time frame: 12 months

  2. Number of Any Fractures

    Fractures include new and worsening vertebral compression fractures, whether clinically silent or manifest, and nonvertebral fractures.

    Time frame: 12 months

  3. Change from Baseline in Lumbar Spine BMD Z-score at 12 Months, as assessed by DXA

    Time frame: Baseline and 12 months

Secondary outcomes

  1. Change from Baseline in lumbar spine BMD Z-score at 6 months and 12 months, as assessed by DXA

    Time frame: Baseline, 6 months, and 12 months

  2. Change from Baseline in Total Hip BMD Z-score at 6 Months and at 12 Months, as assessed by DXA

    Time frame: Baseline, 6 months, and 12 months

  3. Change from Baseline in Femoral Neck BMD Z-score at 6 Months and at 12 Months, as assessed by DXA

    Time frame: Baseline, 6 months, and 12 months

  4. Number of Participants with Any Fractures

    Time frame: 12 months

  5. Number of Participants with Clinical Fractures

    Time frame: 12 months

  6. Number of Participants with New or Worsening Vertebral Fractures

    Time frame: 12 months

  7. Number of Participants with Nonvertebral Fractures

    Time frame: 12 months

  8. Number of Participants with Long Bone Fractures

    Time frame: 12 months

  9. Number of New or Worsening Vertebral Fractures

    Time frame: 12 months

  10. Number of Nonvertebral Fractures

    Time frame: 12 months

  11. Number of Long Bone Fractures

    Time frame: 12 months

  12. Change from Baseline in Child Health Questionnaire - Parent Version (CHQ-PF-50) Physical Summary Score

    The CHQ-PF-50 measures how a child's condition affects their ability to function in daily life. The CHQ-PF-50 measures 50 items in the following domains: physical functioning, role/social limitations - physical, general health perceptions, bodily pain/discomfort, family activities, role/social limitations - emotional/behavioral, parent impact - time, parent impact - emotion, self-esteem, mental health, behavior, family cohesion, change in health. Each item is rated on a scale from "without any difficulty" to "unable to do". Total scores for each item are transformed to 0 - 100 scale, with lower scores indicating worse health states. Higher change from baseline scores indicate better or more positive health states.

    Time frame: Baseline and 12 months

  13. Change from Baseline in Childhood Health Assessment Questionnaire (CHAQ) Disability Score

    The CHAQ measures how a child's condition affects their ability to function in daily life. The CHAQ measures 50 items in the following domains: physical functioning, role/social limitations - physical, general health perceptions, bodily pain/discomfort, family activities, role/social limitations emotional/behavioral, self-esteem, mental health, behavior, family cohesion, change in health. Each item is rated on a scale from "without any difficulty" to "unable to do". Total scores for each item are transformed to 0 - 100 scale, with lower scores indicating worse health states. Higher change from baseline scores indicate better or more positive health states.

    Time frame: Baseline and 12 months

  14. Change from Baseline in the Wong-Baker Faces Pain Rating Scale

    The Wong-Baker Faces Pain Rating Scale is a horizontal pain scale that consists of six hand-drawn faces that range from a smiling "no hurt" face with a score of 0 to a crying "hurts worst" face with a score of 10. Greater change from baseline scores indicate greater pain experienced by the participant.

    Time frame: Baseline and 12 months

  15. Serum Concentration of Romosozumab

    Time frame: Day 1 to Month 12

  16. Number of Participants who Experience Treatment-emergent Adverse Events (TEAEs) at 12 Months

    Any clinically signification change from baseline in laboratory values and vital signs after first dose will be recorded as a TEAE.

    Time frame: 12 months

  17. Number of Participants who Experience TEAEs from Month 12 to Month 15

    Any clinically signification change from baseline in laboratory values and vital signs after first dose will be recorded as a TEAE.

    Time frame: Month 12 to Month 15

  18. Number of Participants with Anti-drug Antibodies (ADA) to Romosozumab

    Time frame: Up to 15 months

  19. Number of Participants who Experience TEAEs at 15 Months

    Any clinically signification change from baseline in laboratory values and vital signs after first dose will be recorded as a TEAE.

    Time frame: 15 months

  20. Number of Participants with a Narrowing from Baseline to 6 Months in the Intracranial Nerve Tract in the Cranium and Vault of the Skull

    Measured in a subset of participants who receive cranial nerve computerized tomography (CT) scans.

    Time frame: Baseline and 6 months

  21. Number of Participants with a Narrowing from Baseline to 12 Months in the Intracranial Nerve Tract in the Cranium and Vault of the Skull

    Measured in a subset of participants who receive cranial nerve CT scans.

    Time frame: Baseline and 12 months

07

Study locations

65 sites
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.

Access criteria: Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.

Data sharing details ↗ · www.amgen.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2024 (actual). Primary completion is estimated for May 2027, 36 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 24, 2023
First posted
Aug 2, 2023
StartActual
Apr 22, 2024
Primary completionEst.
May 4, 2027
CompletionEst.
Jul 30, 2027
Last update
May 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05972551
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Aug 2, 2023
Start date
Apr 22, 2024
Primary completion
May 4, 2027 (estimated)
Completion
Jul 30, 2027 (estimated)
Last update
May 27, 2026

Study contacts

MD
study director · Amgen

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Romosozumab

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