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
About this trial
This is an interventional treatment trial for Postmenopausal Osteoporosis
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
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
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
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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
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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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