Study to Evaluate Effect of Intranasal Teriparatide on Bone Mineral Density in Postmenopausal Women With Low BMD
Primary Purpose
Osteopenia, Osteoporosis
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Teriparatide
Teriparatide Nasal Spray
Teriparatide Nasal Spray
Teriparatide Nasal Spray
Teriparatide Nasal Spray
Sponsored by
About this trial
This is an interventional treatment trial for Osteopenia focused on measuring osteoporosis, osteopenia, bone mineral density, teriparatide
Eligibility Criteria
Inclusion Criteria:
- Postmenopausal Female patients up to 89 years, inclusive;
- BMI ≤ 35 kg/m2, inclusive;
- In good health, determined by medical history and physical examination, as well as normal 12-lead ECG and vital signs;
- Females will be non-pregnant, non-lactating, and either post-menopausal for at least 1 year, surgically sterile (including tubal ligation, hysterectomy) for at least 3 months, until 30 days following Study Completion be willing to use an approved method of contraception;
- Have a minimum of two evaluable non-fractured lumbar vertebrae.
- Have low bone mineral density defined as having a T-score ≤ -2.0 as determined by DXA scan at either the lumbar spine (L1-L4) or total hip
Exclusion Criteria:
- Serious Medical Condition
- History of diseases which affect bone metabolism other than postmenopausal osteoporosis such as Paget's disease, any secondary causes of osteoporosis, hypoparathyroidism, or hyperparathyroidism
- Have a history of cancer within the past 5 years, except for basal cell carcinoma
- Have hypocalcemia or hypercalcemia from any cause or have a recent history of kidney stones or pre-existing hypercalciuria;
- Have used any of the mostly commonly prescribed osteoporosis medications within 3 months of starting the investigational product, or for more than 1 month at any time within 6 months prior to starting investigational product.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Active Comparator
Experimental
Experimental
Experimental
Experimental
Arm Label
1
2
3
4
5
Arm Description
Outcomes
Primary Outcome Measures
Change in bone mineral density of the lumbar spine from baseline to 24 weeks post treatment.
Secondary Outcome Measures
Change in bone mineral density from baseline to 12 weeks post treatment
Safety, including hypercalcemia and nasal effects
Change from baseline in bone markers PINP and CTX from baseline to 4, 12 and 24 weeks post treatment
Full Information
NCT ID
NCT00624481
First Posted
February 19, 2008
Last Updated
March 11, 2008
Sponsor
Nastech Pharmaceutical Company, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT00624481
Brief Title
Study to Evaluate Effect of Intranasal Teriparatide on Bone Mineral Density in Postmenopausal Women With Low BMD
Official Title
A Phase 2, 24-Week, Multicenter, Randomized, Parallel-Group, Dose-Ranging Study To Evaluate The Effect Of Teriparatide Nasal Spray On Bone Mineral Density In Postmenopausal Women With Low Bone Mineral Density
Study Type
Interventional
2. Study Status
Record Verification Date
March 2008
Overall Recruitment Status
Withdrawn
Study Start Date
March 2008 (undefined)
Primary Completion Date
April 2009 (Anticipated)
Study Completion Date
April 2009 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
Nastech Pharmaceutical Company, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is being conducted to compare the effect of increasing nasal teriparatide dosing on percent change in Bone Mineral Density (BMD) of the lumbar spine after 24 weeks of therapy in postmenopausal women with low bone mineral density.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteopenia, Osteoporosis
Keywords
osteoporosis, osteopenia, bone mineral density, teriparatide
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
350 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Active Comparator
Arm Title
2
Arm Type
Experimental
Arm Title
3
Arm Type
Experimental
Arm Title
4
Arm Type
Experimental
Arm Title
5
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Teriparatide
Other Intervention Name(s)
Forteo
Intervention Description
20ug subcutaneous injection daily for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Teriparatide Nasal Spray
Intervention Description
teriparatide intranasally daily for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Teriparatide Nasal Spray
Intervention Description
teriparatide intranasally daily for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Teriparatide Nasal Spray
Intervention Description
teriparatide intranasally daily for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Teriparatide Nasal Spray
Intervention Description
teriparatide intranasally daily for 24 weeks
Primary Outcome Measure Information:
Title
Change in bone mineral density of the lumbar spine from baseline to 24 weeks post treatment.
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Change in bone mineral density from baseline to 12 weeks post treatment
Time Frame
12 weeks
Title
Safety, including hypercalcemia and nasal effects
Time Frame
24 weeks
Title
Change from baseline in bone markers PINP and CTX from baseline to 4, 12 and 24 weeks post treatment
Time Frame
4, 12 and 24 weeks
10. Eligibility
Sex
Female
Maximum Age & Unit of Time
89 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Postmenopausal Female patients up to 89 years, inclusive;
BMI ≤ 35 kg/m2, inclusive;
In good health, determined by medical history and physical examination, as well as normal 12-lead ECG and vital signs;
Females will be non-pregnant, non-lactating, and either post-menopausal for at least 1 year, surgically sterile (including tubal ligation, hysterectomy) for at least 3 months, until 30 days following Study Completion be willing to use an approved method of contraception;
Have a minimum of two evaluable non-fractured lumbar vertebrae.
Have low bone mineral density defined as having a T-score ≤ -2.0 as determined by DXA scan at either the lumbar spine (L1-L4) or total hip
Exclusion Criteria:
Serious Medical Condition
History of diseases which affect bone metabolism other than postmenopausal osteoporosis such as Paget's disease, any secondary causes of osteoporosis, hypoparathyroidism, or hyperparathyroidism
Have a history of cancer within the past 5 years, except for basal cell carcinoma
Have hypocalcemia or hypercalcemia from any cause or have a recent history of kidney stones or pre-existing hypercalciuria;
Have used any of the mostly commonly prescribed osteoporosis medications within 3 months of starting the investigational product, or for more than 1 month at any time within 6 months prior to starting investigational product.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gordon Brandt, MD
Organizational Affiliation
Nastech Pharmaceutical Company, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Study to Evaluate Effect of Intranasal Teriparatide on Bone Mineral Density in Postmenopausal Women With Low BMD
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