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Study to Evaluate the Safety and Efficacy of BA058 (Abaloparatide) for Prevention of Fracture in Postmenopausal Women (ACTIVE)

Primary Purpose

Osteoporosis, Postmenopausal Osteoporosis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Placebo
BA058 80 mcg
teriparatide
Sponsored by
Radius Health, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis focused on measuring BA058, abaloparatide, Abaloparatide-SC, osteoporosis, postmenopausal, bone loss, ACTIVE, fracture

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy ambulatory postmenopausal (≥ 5 years) women from 50 to 85 years of age (inclusive) with a diagnosis of osteoporosis
  • The women are to have a bone mineral density (BMD) T score ≤ -2.5 and > -5.0 at the lumbar spine or hip (femoral neck) by dual energy x-ray absorptiometry (DXA) and radiological evidence of 2 or more mild or one or more moderate lumbar or thoracic vertebral fractures, or history of low trauma forearm, humerus, sacral, pelvic, hip, femoral, or tibial fracture within the past 5 years. Postmenopausal women older than 65 who meet the above fracture criteria but have a T score ≤ -2.0 and > -5.0 may be enrolled. Women older than 65 who do not meet the fracture criteria may also be enrolled if their T score is ≤ -3.0 and > -5.0
  • Normal physical exam, vital signs, electrocardiogram (ECG) and medical history
  • Laboratory tests within the normal range including serum calcium, PTH(1-84), serum phosphorus and alkaline phosphatase

Exclusion Criteria:

  • History of more than 4 mild or moderate spine fractures or any severe fracture
  • Abnormality of the spine or hip that would prohibit assessment of bone mineral density (BMD)
  • Unexplained elevation of serum alkaline phosphatase, history of bone disorders (such as Paget's disease) or a diagnosis of cancer within the last 5 years (with the exception of basal cell or squamous cancer of the skin)
  • History of thyroid, parathyroid, or adrenal disorders, or malabsorptive syndromes or any chronic or recurrent diseases or disturbances that would interfere with the interpretation of study data or compromise the safety of the patient
  • Prior treatment with parathyroid hormone (PTH) or parathyroid hormone-related peptid (PTHrP)
  • Prior treatment with bisphosphonates, fluoride, or strontium within the past five years or treatment with androgens, anabolic steroids, corticosteroids or selective estrogen receptor modulators within the past 12 months (except hormone replacement therapy)
  • Prior treatment with an investigational drug within the past 12 months
  • History of nephrolithiasis or urolithiasis within the past five years, or history of osteosarcoma at any time

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Active Comparator

Arm Label

Placebo

BA058 80 mcg (abaloparatide)

teriparatide

Arm Description

Placebo identical in appearance to BA058 study drug

Blinded until after randomization, then open-label

Outcomes

Primary Outcome Measures

Number of Participants With New Vertebral Fractures at 18 Months

Secondary Outcome Measures

Percent Change in Bone Mineral Density (BMD) of Lumbar Spine From Baseline to 18 Months
Percent Change in Bone Mineral Density (BMD) of Total Hip From Baseline to Month 18
Percent Change in Bone Mineral Density (BMD) of Femoral Neck From Baseline to Month 18
Number of Participants With Non-vertebral Fractures at 18 Months
Number of Treatment-Emergent Adverse Events Associated With Hypercalcemia at 18 Months

Full Information

First Posted
April 26, 2011
Last Updated
January 10, 2017
Sponsor
Radius Health, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01343004
Brief Title
Study to Evaluate the Safety and Efficacy of BA058 (Abaloparatide) for Prevention of Fracture in Postmenopausal Women
Acronym
ACTIVE
Official Title
A Randomized, Double-blind, Placebo-Controlled, Comparative Multicenter Phase 3 Study to Evaluate the Safety and Efficacy of BA058 (Abaloparatide) for Injection for Prevention of Fracture in Ambulatory Postmenopausal Women With Severe Osteoporosis and at Risk of Fracture
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
October 2014 (Actual)
Study Completion Date
October 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Radius Health, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether BA058 (abaloparatide), a parathyroid hormone-related peptide, is effective in preventing fractures in postmenopausal women with severe osteoporosis who are at risk of fractures.
Detailed Description
This is a randomized, double-blind, placebo-controlled, comparative Phase 3, multicenter international study to evaluate the efficacy and safety of BA058 (abaloparatide) 80 µg in the prevention of fracture in otherwise healthy ambulatory postmenopausal women with severe osteoporosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis, Postmenopausal Osteoporosis
Keywords
BA058, abaloparatide, Abaloparatide-SC, osteoporosis, postmenopausal, bone loss, ACTIVE, fracture

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2463 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo identical in appearance to BA058 study drug
Arm Title
BA058 80 mcg (abaloparatide)
Arm Type
Experimental
Arm Title
teriparatide
Arm Type
Active Comparator
Arm Description
Blinded until after randomization, then open-label
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo 0 mcg subcutaneous daily
Intervention Type
Drug
Intervention Name(s)
BA058 80 mcg
Other Intervention Name(s)
abaloparatide, Abaloparatide-SC
Intervention Description
BA058 80 mcg subcutaneous daily
Intervention Type
Drug
Intervention Name(s)
teriparatide
Other Intervention Name(s)
Forteo, Forsteo
Intervention Description
teriparatide 20 mcg subcutaneous daily
Primary Outcome Measure Information:
Title
Number of Participants With New Vertebral Fractures at 18 Months
Time Frame
18 months
Secondary Outcome Measure Information:
Title
Percent Change in Bone Mineral Density (BMD) of Lumbar Spine From Baseline to 18 Months
Time Frame
Basline and 18 months
Title
Percent Change in Bone Mineral Density (BMD) of Total Hip From Baseline to Month 18
Time Frame
Baseline and 18 months
Title
Percent Change in Bone Mineral Density (BMD) of Femoral Neck From Baseline to Month 18
Time Frame
Baseline and 18 months
Title
Number of Participants With Non-vertebral Fractures at 18 Months
Time Frame
18 months
Title
Number of Treatment-Emergent Adverse Events Associated With Hypercalcemia at 18 Months
Time Frame
18 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy ambulatory postmenopausal (≥ 5 years) women from 50 to 85 years of age (inclusive) with a diagnosis of osteoporosis The women are to have a bone mineral density (BMD) T score ≤ -2.5 and > -5.0 at the lumbar spine or hip (femoral neck) by dual energy x-ray absorptiometry (DXA) and radiological evidence of 2 or more mild or one or more moderate lumbar or thoracic vertebral fractures, or history of low trauma forearm, humerus, sacral, pelvic, hip, femoral, or tibial fracture within the past 5 years. Postmenopausal women older than 65 who meet the above fracture criteria but have a T score ≤ -2.0 and > -5.0 may be enrolled. Women older than 65 who do not meet the fracture criteria may also be enrolled if their T score is ≤ -3.0 and > -5.0 Normal physical exam, vital signs, electrocardiogram (ECG) and medical history Laboratory tests within the normal range including serum calcium, PTH(1-84), serum phosphorus and alkaline phosphatase Exclusion Criteria: History of more than 4 mild or moderate spine fractures or any severe fracture Abnormality of the spine or hip that would prohibit assessment of bone mineral density (BMD) Unexplained elevation of serum alkaline phosphatase, history of bone disorders (such as Paget's disease) or a diagnosis of cancer within the last 5 years (with the exception of basal cell or squamous cancer of the skin) History of thyroid, parathyroid, or adrenal disorders, or malabsorptive syndromes or any chronic or recurrent diseases or disturbances that would interfere with the interpretation of study data or compromise the safety of the patient Prior treatment with parathyroid hormone (PTH) or parathyroid hormone-related peptid (PTHrP) Prior treatment with bisphosphonates, fluoride, or strontium within the past five years or treatment with androgens, anabolic steroids, corticosteroids or selective estrogen receptor modulators within the past 12 months (except hormone replacement therapy) Prior treatment with an investigational drug within the past 12 months History of nephrolithiasis or urolithiasis within the past five years, or history of osteosarcoma at any time
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Radius Health, Inc.
Organizational Affiliation
Radius Health, Inc.
Official's Role
Study Director
Facility Information:
City
Lakewood
State/Province
Colorado
Country
United States
City
Miami
State/Province
Florida
Country
United States
City
N. Miami
State/Province
Florida
Country
United States
City
Atlanta
State/Province
Georgia
Country
United States
City
Bethesda
State/Province
Maryland
Country
United States
City
Buenos Aires
Country
Argentina
City
Brasilia
Country
Brazil
City
Curitiba
Country
Brazil
City
Rio de Janeiro
Country
Brazil
City
Sao Paolo
Country
Brazil
City
Vitoria
Country
Brazil
City
Brno
Country
Czech Republic
City
Pardubice
Country
Czech Republic
City
Prague
Country
Czech Republic
City
Aalborg
Country
Denmark
City
Ballerup
Country
Denmark
City
Vejle
Country
Denmark
City
Tallinn
Country
Estonia
City
Tartu
Country
Estonia
City
Hong Kong
Country
Hong Kong
City
Vilnius
Country
Lithuania
City
Bialystok
Country
Poland
City
Katowice
Country
Poland
City
Kielce
Country
Poland
City
Lodz
Country
Poland
City
Warszaw
Country
Poland
City
Zgierz
Country
Poland
City
Bucharest
Country
Romania

12. IPD Sharing Statement

Citations:
PubMed Identifier
34231877
Citation
Hara T, Hijikata Y, Matsubara Y, Watanabe N. Pharmacological interventions versus placebo, no treatment or usual care for osteoporosis in people with chronic kidney disease stages 3-5D. Cochrane Database Syst Rev. 2021 Jul 7;7(7):CD013424. doi: 10.1002/14651858.CD013424.pub2.
Results Reference
derived
PubMed Identifier
32658264
Citation
Cosman F, Peterson LR, Towler DA, Mitlak B, Wang Y, Cummings SR. Cardiovascular Safety of Abaloparatide in Postmenopausal Women With Osteoporosis: Analysis From the ACTIVE Phase 3 Trial. J Clin Endocrinol Metab. 2020 Nov 1;105(11):3384-95. doi: 10.1210/clinem/dgaa450.
Results Reference
derived
PubMed Identifier
32513495
Citation
Saag KG, Williams SA, Wang Y, Weiss RJ, Cauley JA. Effect of Abaloparatide on Bone Mineral Density and Fracture Incidence in a Subset of Younger Postmenopausal Women with Osteoporosis at High Risk for Fracture. Clin Ther. 2020 Jun;42(6):1099-1107.e1. doi: 10.1016/j.clinthera.2020.04.012. Epub 2020 Jun 6. Erratum In: Clin Ther. 2020 Oct;42(10):2117.
Results Reference
derived
PubMed Identifier
31674644
Citation
Leder BZ, Mitlak B, Hu MY, Hattersley G, Bockman RS. Effect of Abaloparatide vs Alendronate on Fracture Risk Reduction in Postmenopausal Women With Osteoporosis. J Clin Endocrinol Metab. 2020 Mar 1;105(3):938-43. doi: 10.1210/clinem/dgz162. Erratum In: J Clin Endocrinol Metab. 2020 Aug 1;105(8):
Results Reference
derived
PubMed Identifier
31411768
Citation
Leder BZ, Zapalowski C, Hu MY, Hattersley G, Lane NE, Singer AJ, Dore RK. Fracture and Bone Mineral Density Response by Baseline Risk in Patients Treated With Abaloparatide Followed by Alendronate: Results From the Phase 3 ACTIVExtend Trial. J Bone Miner Res. 2019 Dec;34(12):2213-2219. doi: 10.1002/jbmr.3848. Epub 2019 Sep 11.
Results Reference
derived
PubMed Identifier
27826127
Citation
Moreira CA, Fitzpatrick LA, Wang Y, Recker RR. Effects of abaloparatide-SC (BA058) on bone histology and histomorphometry: The ACTIVE phase 3 trial. Bone. 2017 Apr;97:314-319. doi: 10.1016/j.bone.2016.11.004. Epub 2016 Nov 5.
Results Reference
derived
PubMed Identifier
27612281
Citation
Cosman F, Hattersley G, Hu MY, Williams GC, Fitzpatrick LA, Black DM. Effects of Abaloparatide-SC on Fractures and Bone Mineral Density in Subgroups of Postmenopausal Women With Osteoporosis and Varying Baseline Risk Factors. J Bone Miner Res. 2017 Jan;32(1):17-23. doi: 10.1002/jbmr.2991. Epub 2016 Sep 28.
Results Reference
derived
PubMed Identifier
27533157
Citation
Miller PD, Hattersley G, Riis BJ, Williams GC, Lau E, Russo LA, Alexandersen P, Zerbini CA, Hu MY, Harris AG, Fitzpatrick LA, Cosman F, Christiansen C; ACTIVE Study Investigators. Effect of Abaloparatide vs Placebo on New Vertebral Fractures in Postmenopausal Women With Osteoporosis: A Randomized Clinical Trial. JAMA. 2016 Aug 16;316(7):722-33. doi: 10.1001/jama.2016.11136. Erratum In: JAMA. 2017 Jan 24;317(4):442.
Results Reference
derived

Learn more about this trial

Study to Evaluate the Safety and Efficacy of BA058 (Abaloparatide) for Prevention of Fracture in Postmenopausal Women

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