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An Investigation Into the Short Term Effect of APOMINE in Patients With Osteoporosis or Low Bone Mass

Primary Purpose

Osteoporosis

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Apomine
Sponsored by
Genzyme, a Sanofi Company
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis focused on measuring Apomine, Osteoporosis, Bone Mass, Postmenopausal

Eligibility Criteria

45 Years - 75 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: A diagnosis of osteoporosis or low bone mass (T score < or = to -1). Female, 45 to 75 years old (inclusive). Postmenopausal (cessation of menses or oophorectomy) by at least 3 years. Bone mineral density: (BMD) at spine or hip >1 standard deviation below mean for young normals of same sex (T score < or = to -1). Adequate liver function as indicated by a total bilirubin, AST, and ALT being within institutional normal limits. Serum creatinine within institutional normal limits. Signed, written informed consent. Able to comply with study procedures and follow-up examinations. Ionized calcium and 25-hydroxyvitamin D3 must be within institutional normal limits. PTH must be within institutional normal limits. Exclusion Criteria: Known hypersensitivity to study drug or related compounds (e.g., bisphosphonates). Use of any drugs for treatment of osteoporosis in the previous 6 months (e.g., bisphosphonates, hormone-replacement therapy [HRT]). Any chronic or continued use of drugs that are known to affect bone metabolism (e.g., diuretics, glucocorticoids, oral contraceptives). Gallstone diagnosed within the past 5 years or a history of multiple gallstones. Previous significant gastrointestinal surgery (except appendectomy) or gastrointestinal disease. Abnormal thyroid function (by thyroid-stimulating hormone [TSH] assay, normal range 0.5-5.0 U/L). Secondary osteoporosis (e.g., steroid-induced) and/or any other disorder affecting calcium or mineral metabolism. Use of investigational agents within previous 30 days. Patients with existing heart problems (e.g., congestive heart failure, unstable angina, conduction delay). Patients taking calcium channel blockers, beta blockers, digitalis, or antihypertensive agents. Any other concurrent disease or condition that, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

Sites / Locations

Outcomes

Primary Outcome Measures

Osteoporosis/low bone mass subjects treated with 3 levels (25, 50 or 100 mg/day) of Apomine or placebo. Efficacy measured by changes in baseline in: biochemical indicators of bone formation and bone resorption and BMD.

Secondary Outcome Measures

To evaluate the quantitative and qualitative toxicities, as well as limited pharmacokinetics in this population.

Full Information

First Posted
February 16, 2004
Last Updated
February 4, 2014
Sponsor
Genzyme, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT00078026
Brief Title
An Investigation Into the Short Term Effect of APOMINE in Patients With Osteoporosis or Low Bone Mass
Official Title
A Phase I/II Randomized Study of the Short-Term Effects of APOMINE vs Placebo in Postmenopausal Women With Osteoporosis or Low Bone Mass
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Terminated
Study Start Date
August 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2004 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Genzyme, a Sanofi Company

4. Oversight

5. Study Description

Brief Summary
Osteoporosis affects millions of postmenopausal women in the USA. The current approved treatments are all drugs that prevent bone loss and possibly result in small gains in bone mass. Another possible treatment consists of drugs that increase bone formation. There are currently two drugs that stimulate bone formation, sodium fluoride and human parathyroid hormone (hPTH). Neither of these two drugs has been approved by the FDA. APOMINE has shown significant bone formation in animal studies. In this study we plan to test whether APOMINE is able to stimulate new bone formation in women with osteoporosis or low bone mass.
Detailed Description
This study is a randomized, placebo-controlled, double-blind, parallel-group study to investigate the efficacy and safety of administering 3 dose levels of APOMINE at 25, 50, or 100 mg/day or placebo once a day as a capsule to postmenopausal women with low bone mass or osteoporosis. Eligible patients must be women between 45 and 75 years of age, have a diagnosed low bone mineral density or osteoporosis, and be at least 3 years post menopause. The primary endpoint of the study will be changes in bone formation markers (bone alkaline phosphatase and osteocalcin). The secondary endpoint of the study will be changes in bone formation markers (bone alkaline phosphatase, osteocalcin, and P-ICP) and bone resorption markers (serum C-telopeptide, urinary N-telopeptide). Blood samples will be drawn at each study visit to determine these bone markers as well as for normal laboratory tests. Bone mineral density measurements (DEXA) will be performed at the beginning and at the end of the study. Up to 60 subjects will be randomized as a cohort for treatment and treated with 25, 50, or 100 mg/day or placebo (15 subjects per group). All enrolled subjects will receive a daily calcium and Vitamin D supplement.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis
Keywords
Apomine, Osteoporosis, Bone Mass, Postmenopausal

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
60 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Apomine
Primary Outcome Measure Information:
Title
Osteoporosis/low bone mass subjects treated with 3 levels (25, 50 or 100 mg/day) of Apomine or placebo. Efficacy measured by changes in baseline in: biochemical indicators of bone formation and bone resorption and BMD.
Secondary Outcome Measure Information:
Title
To evaluate the quantitative and qualitative toxicities, as well as limited pharmacokinetics in this population.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A diagnosis of osteoporosis or low bone mass (T score < or = to -1). Female, 45 to 75 years old (inclusive). Postmenopausal (cessation of menses or oophorectomy) by at least 3 years. Bone mineral density: (BMD) at spine or hip >1 standard deviation below mean for young normals of same sex (T score < or = to -1). Adequate liver function as indicated by a total bilirubin, AST, and ALT being within institutional normal limits. Serum creatinine within institutional normal limits. Signed, written informed consent. Able to comply with study procedures and follow-up examinations. Ionized calcium and 25-hydroxyvitamin D3 must be within institutional normal limits. PTH must be within institutional normal limits. Exclusion Criteria: Known hypersensitivity to study drug or related compounds (e.g., bisphosphonates). Use of any drugs for treatment of osteoporosis in the previous 6 months (e.g., bisphosphonates, hormone-replacement therapy [HRT]). Any chronic or continued use of drugs that are known to affect bone metabolism (e.g., diuretics, glucocorticoids, oral contraceptives). Gallstone diagnosed within the past 5 years or a history of multiple gallstones. Previous significant gastrointestinal surgery (except appendectomy) or gastrointestinal disease. Abnormal thyroid function (by thyroid-stimulating hormone [TSH] assay, normal range 0.5-5.0 U/L). Secondary osteoporosis (e.g., steroid-induced) and/or any other disorder affecting calcium or mineral metabolism. Use of investigational agents within previous 30 days. Patients with existing heart problems (e.g., congestive heart failure, unstable angina, conduction delay). Patients taking calcium channel blockers, beta blockers, digitalis, or antihypertensive agents. Any other concurrent disease or condition that, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Genzyme, a Sanofi Company
Official's Role
Study Director
Facility Information:
City
Omaha
State/Province
Nebraska
Country
United States
City
West Haverstraw
State/Province
New York
Country
United States

12. IPD Sharing Statement

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An Investigation Into the Short Term Effect of APOMINE in Patients With Osteoporosis or Low Bone Mass

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