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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Withdrawn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
Nastech Pharmaceutical Company, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteopenia focused on measuring osteoporosis, osteopenia, bone mineral density, teriparatide

Eligibility Criteria

undefined - 89 Years (Child, Adult, Older Adult)FemaleDoes not accept healthy volunteers

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

    First Posted
    February 19, 2008
    Last Updated
    March 11, 2008
    Sponsor
    Nastech Pharmaceutical Company, Inc.
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    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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