Comparative Efficacy and Safety Study of RGB-14-P and Prolia® in Women With Postmenopausal Osteoporosis
Postmenopausal Osteoporosis
About this trial
This is an interventional treatment trial for Postmenopausal Osteoporosis focused on measuring Biosimilars, Prolia®
Eligibility Criteria
Inclusion Criteria:
- Participant is an ambulatory postmenopausal woman, diagnosed with osteoporosis, able to walk, and not bedridden
- Participant has an absolute BMD consistent with T score ≤ 2.5 and ≥ 4.0 at the lumbar spine as measured by dual-energy X-ray absorptiometry (DXA) during the Screening Period and at least 2 lumbar vertebrae (from L1 to L4) must be evaluable by DXA
- Participant has body weight ≥ 50 and ≤ 90 kg at the Screening Period
Participants must meet the following criteria to be enrolled in the Transition Period:
- Have been enrolled, received both doses of the test drug, and completed the scheduled Main Period (up to Week 52) of the RGB-14-101 study
Exclusion Criteria:
- Participant has a history and/or presence of a severe or more than two moderate vertebral fractures as determined by central reading of lateral spine X-ray during the Screening Period
- Participant has a history and/or presence of hip fracture
- Participant has a history and/or presence of atypical femur fracture
- Participant presents with an active healing fracture
- Participant has a bilateral hip replacement (unilateral is allowed if the other hip is evaluable with DXA)
- Participant has a vitamin D deficiency
- Participant has hypocalcaemia or hypercalcemia at the Screening Period
- Participant has a history and/or presence of bone metastases, renal osteodystrophy, osteomyelitis, any metabolic, endocrine or traumatic bone disease
- Participant has a current uncontrolled status of hypothyroidism or hyperthyroidism
- Participant has a history (within 5 years prior to Screening) and/or current hypoparathyroidism or hyperparathyroidism
- Participant has malignancy within 5 years before Screening
- Participant has a history and/or presence of significant cardiac disease
- Participant has a known intolerance or malabsorption of calcium or vitamin D supplements
- Participant shows contraindications to denosumab therapy (e.g., hypocalcaemia), or calcium or vitamin D supplementation before starting test drug administration
- Participant has a latex allergy
- Participant has a history and/or presence of ONJ or risk factors for ONJ such as invasive dental procedures
- Participant has history and/or presence of osteonecrosis of the external auditory canal
- Participant requiring ongoing use of any osteoporosis treatment
- Participant has previously received denosumab or biosimilar denosumab
- Participant has weight or girth measurements which may preclude accurate DXA measurements
- Participant has an active infection, including, but not limited to severe acute respiratory syndrome coronavirus-2, hepatis B, hepatitis C and human immunodeficiency virus infections during the Screening Period
Sites / Locations
- Global Health Research Center
- Miami Clinical Research
- iResearch Atlanta, LLC
- Excel Clinical Research - Internal Medicine
- Medical Center Hera EOOD - Rheumatology Office
- Medical Center Medconsult Pleven
- UMHAT Kaspela
- DKC "Sveti Georgi"
- UMHAT Kaspela (Endocrinology/metabolic disease)
- UMHAT Pulmed - Reumathology
- UMHAT Plovdiv
- Medical Center - Teodora EOOD
- Medical Center Excelsior
- "DCC XVII-Sofia" EOOD
- APAVAR Lekarna
- FN Hradec Kralove
- Klatovska nemocnice, a.s.
- Fakultni nemocnice Plzen
- Affidea Praha s.r.o.
- Revmatologicky ustav
- Fakultni nemocnice v Motole
- BAZM KKH EOK Szt Ferenc Tagkh
- Debreceni Egyetem Klinikai Kozpont
- Qualiclinic Kft.
- Semmelweis Egyetem
- Pest Megyei Flor Ferenc Korhaz
- Csongrad Megyei Dr Bugyi Istvan Korhaz
- IRCCS Policlinico San Matteo, Università degli studi di Pavi
- Azienda Ospedaliera di Perugia - Ospedale Santa Maria della
- Azienda Ospedaliero Universitaria Integrata Verona
- Zespol Poradni Specjalistycznych REUMED, Filia nr 1 Wallenroda
- Lubelskie Centrum Diagnostyczne
- Barbara Rewerska Diamond Clin.
- Centralny Szpital Kliniczny MSWiA w Warszawie
- Nasz Lekarz Osrodek Badan Klinicznych
- ClinicMed Daniluk, Nowak Sp. J
- Komisja Bioetyczna przy OIL w Bialymstoku
- Nasz Lekarz Osrodek Badan Klinicznych
- Centrum Medyczne Pratia Gdynia
- Centrum Medyczne Pratia Katowice
- Centrum Medyczne Plejady
- Oswiecimskie Centrum Badan Klinicznych
- RCMed Oddzial Sochaczew
- RCMed
- Medycyna Kliniczna
- RCMed Oddział Warszawa
- Centrum Medyczne Reuma Park
- H. Ntra. Sra. de la Esperanza
- Corporacio Sanitaria Parc Tauli de Sabadell - Servicio de reumatologia
- Complejo Hospitalario Universitario A Coruña
- Hospital de La Santa Creu i Sant Pau
- Centro Medico Instituto Palacios
- Clinica Gaias Santiago
- Medychnyi tsentr tovarystva z obmezhenoyu vidpovidalnistyu "Medbud-Klinik"
- Derzhavna ustanova "Instytut herontolohii imeni D.F. Chebotarova Natsionalnoi akademii medychnykh nauk Ukrainy
- Vinnytska oblasna klinichna likarnia im. M.I. Pyrohova
- Naukovo-doslidnyi instytut reabilitatsii osib z invalidnistiu (navchalno-naukovo-likuvalnyi kompleks) Vinnytskoho natsionalnoho medychnoho universytetu im. M.I. Pyrohova
- Kyivska klinichna likarnia na zaliznychnomu transporti #2 filii "Tsentr okhorony zdoroviya" AT "Ukrayinska Zaliznytsia"
- Med tsentr TOV "Tsentr simeinoi medytsyny plius"
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Active Comparator
Experimental
Active Comparator
Experimental
RGB-14-P (Main period)
Prolia® (Main period)
RGB-14-P (Transition period)
Prolia® (Transition period)
RGB-14-P (Continued till transition period)
Randomized participants will receive subcutaneous (SC) injection of RGB-14-P, on Day 1 of Treatment periods 1 and 2.
Randomized participants will receive SC injection of Prolia®, on Day 1 of Treatment periods 1 and 2.
Re-randomized participants will receive SC injection of RGB-14-P, on Day 1 of Treatment period 3.
Re-randomized participants will receive SC injection of Prolia®, on Day 1 of Treatment period 3.
Randomized participants will continue to receive SC injection of RGB-14-P from the main period till Day 1 of Treatment period 3.