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A Study to Evaluate and Compare Alendronate and Risedronate on Bone Mineral Density in Women With Postmenopausal Osteoporosis (MK-0217-211) (FACT)

Primary Purpose

Postmenopausal Osteoporosis

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Alendronate
Risedronate 35 mg
Elemental Calcium
Vitamin D
Risendronate placebo
Alendronate placebo
Sponsored by
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postmenopausal Osteoporosis

Eligibility Criteria

25 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Women with postmenopausal osteoporosis Exclusion Criteria: Bilateral hip replacements Esophageal abnormalities Metabolic bone disease (example - Vitamin D deficiency) Medications that would affect the breakdown or build-up of bone turnover

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Alendronate 70 mg

    Risendronate 35 mg

    Arm Description

    Alendronate sodium, 70 mg, orally once weekly for up to 24 months

    Risendronate, 35 mg, orally once weekly for up to 24 months

    Outcomes

    Primary Outcome Measures

    Mean percent change from baseline in hip trochanter bone mineral density (BMD) at 12 months
    Mean percent change from baseline in hip trochanter BMD at 24 months

    Secondary Outcome Measures

    Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 12 months
    Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 24 months
    Change from baseline in biochemical markers of bone turnover at 12 months
    Change from baseline in biochemical markers of bone turnover at 24 months
    Percent responders (>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 12 months
    Percent responders ((>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 24 months
    Number of participants who experienced one or more adverse events (AE)
    Number of participants who discontinued study medication due to an AE

    Full Information

    First Posted
    September 21, 2004
    Last Updated
    February 1, 2022
    Sponsor
    Organon and Co
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00092014
    Brief Title
    A Study to Evaluate and Compare Alendronate and Risedronate on Bone Mineral Density in Women With Postmenopausal Osteoporosis (MK-0217-211)
    Acronym
    FACT
    Official Title
    A 12-Month Extension to: A Randomized, Double-Blind, Double-Dummy, Parallel-Group, Multicenter Study to Evaluate and Compare the Effects of Once Weekly Alendronate and Risedronate on Bone Mineral Density in Postmenopausal Women With Osteoporosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    September 1, 2002 (Actual)
    Primary Completion Date
    April 1, 2004 (Actual)
    Study Completion Date
    April 1, 2004 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Organon and Co

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study is to evaluate and compare the effects of Alendronate and Risedronate to treat women with postmenopausal osteoporosis. The primary hypothesis for this study is that in postmenopausal women with osteoporosis, treatment with oral alendronate 70 mg once weekly will produce a mean percent increase from baseline in hip trochanter bone mineral density (BMD) at 12 and 24 months which is greater than that observed with oral risedronate 35 mg once weekly.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Postmenopausal Osteoporosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    1053 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Alendronate 70 mg
    Arm Type
    Experimental
    Arm Description
    Alendronate sodium, 70 mg, orally once weekly for up to 24 months
    Arm Title
    Risendronate 35 mg
    Arm Type
    Active Comparator
    Arm Description
    Risendronate, 35 mg, orally once weekly for up to 24 months
    Intervention Type
    Drug
    Intervention Name(s)
    Alendronate
    Other Intervention Name(s)
    MK-0217, FOSAMAX®
    Intervention Description
    Alendronate sodium, 70 mg, once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
    Intervention Type
    Drug
    Intervention Name(s)
    Risedronate 35 mg
    Other Intervention Name(s)
    Actonel®, Atelvia®
    Intervention Description
    Risendronate, 35 mg, once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Elemental Calcium
    Intervention Description
    Elemental calcium at least 1,000 mg daily (diet plus supplements). Medications were taken fasting which was maintained for 30 minutes postdose.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Vitamin D
    Intervention Description
    Vitamin D at least 400 international units daily (diet plus supplements). Medications were taken fasting which was maintained for 30 minutes postdose.
    Intervention Type
    Drug
    Intervention Name(s)
    Risendronate placebo
    Intervention Description
    Risendronate placebo was taken once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
    Intervention Type
    Drug
    Intervention Name(s)
    Alendronate placebo
    Intervention Description
    Alendronate placebo was taken once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
    Primary Outcome Measure Information:
    Title
    Mean percent change from baseline in hip trochanter bone mineral density (BMD) at 12 months
    Time Frame
    Baseline and 12 months
    Title
    Mean percent change from baseline in hip trochanter BMD at 24 months
    Time Frame
    Baseline and 24 months
    Secondary Outcome Measure Information:
    Title
    Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 12 months
    Time Frame
    Baseline and 12 months
    Title
    Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 24 months
    Time Frame
    Baseline and 24 months
    Title
    Change from baseline in biochemical markers of bone turnover at 12 months
    Time Frame
    Baseline and 12 months
    Title
    Change from baseline in biochemical markers of bone turnover at 24 months
    Time Frame
    Baseline and 24 months
    Title
    Percent responders (>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 12 months
    Time Frame
    12 months
    Title
    Percent responders ((>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 24 months
    Time Frame
    24 months
    Title
    Number of participants who experienced one or more adverse events (AE)
    Time Frame
    Up to 24 months
    Title
    Number of participants who discontinued study medication due to an AE
    Time Frame
    Up to 24 months

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    25 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Women with postmenopausal osteoporosis Exclusion Criteria: Bilateral hip replacements Esophageal abnormalities Metabolic bone disease (example - Vitamin D deficiency) Medications that would affect the breakdown or build-up of bone turnover
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    15619680
    Citation
    Rosen CJ, Hochberg MC, Bonnick SL, McClung M, Miller P, Broy S, Kagan R, Chen E, Petruschke RA, Thompson DE, de Papp AE; Fosamax Actonel Comparison Trial Investigators. Treatment with once-weekly alendronate 70 mg compared with once-weekly risedronate 35 mg in women with postmenopausal osteoporosis: a randomized double-blind study. J Bone Miner Res. 2005 Jan;20(1):141-51. doi: 10.1359/JBMR.040920. Epub 2004 Sep 29.
    Results Reference
    background
    PubMed Identifier
    15706659
    Citation
    Sebba AI, Bonnick SL, Kagan R, Thompson DE, Skalky CS, Chen E, de Papp AE; Fosamax Actonel Comparison Trial investigators. Response to therapy with once-weekly alendronate 70 mg compared to once-weekly risedronate 35 mg in the treatment of postmenopausal osteoporosis. Curr Med Res Opin. 2004 Dec;20(12):2031-41. doi: 10.1185/030079904x16768. Erratum In: Curr Med Res Opin. 2005 Feb;21(2):325.
    Results Reference
    background
    PubMed Identifier
    16636120
    Citation
    Bonnick S, Saag KG, Kiel DP, McClung M, Hochberg M, Burnett SM, Sebba A, Kagan R, Chen E, Thompson DE, de Papp AE. Comparison of weekly treatment of postmenopausal osteoporosis with alendronate versus risedronate over two years. J Clin Endocrinol Metab. 2006 Jul;91(7):2631-7. doi: 10.1210/jc.2005-2602. Epub 2006 Apr 24. Erratum In: J Clin Endocrinol Metab. 2007 Aug;92(8):3032.
    Results Reference
    background
    PubMed Identifier
    19141590
    Citation
    Burnett-Bowie SM, Saag K, Sebba A, de Papp AE, Chen E, Rosenberg E, Greenspan SL. Prediction of changes in bone mineral density in postmenopausal women treated with once-weekly bisphosphonates. J Clin Endocrinol Metab. 2009 Apr;94(4):1097-103. doi: 10.1210/jc.2008-1122. Epub 2009 Jan 13.
    Results Reference
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    Available IPD and Supporting Information:
    Available IPD/Information Type
    CSR Synopsis
    Available IPD/Information URL
    http://www.merck.com/clinical-trials/policies-perspectives.html

    Learn more about this trial

    A Study to Evaluate and Compare Alendronate and Risedronate on Bone Mineral Density in Women With Postmenopausal Osteoporosis (MK-0217-211)

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