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AMG 162 in the Treatment of Bone Loss in Subjects Undergoing Aromatase Inhibitor Therapy for Non-metastatic Breast Cancer

Primary Purpose

Breast Cancer, Low Bone Mineral Density, Osteopenia

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Placebo
AMG 162 / Denosumab
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Breast Cancer, Bone loss associated with Aromatase Inhibitor therapy (AIT) for non-metastatic BC, osteopenia, Low bone density

Eligibility Criteria

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

Histologically or cytologically confirmed adenocarcinoma of the breast Subjects with early stage disease who are estrogen receptor positive and who have completed their treatment pathway (surgery, chemo-therapy, radiation, and/or hormone therapy) and are currently on or will initiate aromatase inhibitor therapy, and are expected to stay on aromatase inhibitor therapy for the duration of the 24-month study All treatment pathway must be completed ≥ 4 weeks prior to study entry, and all acute toxic effect of any above therapy must be resolved to ≤ Grade 1 by National Cancer Institution (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Female > 18 years of age ECOG Performance status 0 and 1 Lumbar spine, total hip or femoral neck BMD equivalent to a t-score classification of -1.0 to -2.5 Subject is willing and able to provide signed consent before any study-specific procedure Other criteria also apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    AMG 162 / Denosumab

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Lumbar Spine Bone Mineral Density Percent Change From Baseline at Month 12
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.

    Secondary Outcome Measures

    Lumbar Spine Bone Mineral Density Percent Change From Baseline at Month 6
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Total Hip Bone Mineral Density Percent Change From Baseline at Month 12
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Total Hip Bone Mineral Density Percent Change From Baseline at Month 6
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Femoral Neck Bone Mineral Density Percent Change From Baseline at Month 12
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Femoral Neck Bone Mineral Density Percent Change From Baseline at Month 6
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.

    Full Information

    First Posted
    August 9, 2004
    Last Updated
    September 20, 2018
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00089661
    Brief Title
    AMG 162 in the Treatment of Bone Loss in Subjects Undergoing Aromatase Inhibitor Therapy for Non-metastatic Breast Cancer
    Official Title
    A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate AMG 162 in the Treatment of Bone Loss in Subjects Undergoing Aromatase Inhibitor Therapy for Non-metastatic Breast Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    October 1, 2004 (Actual)
    Primary Completion Date
    May 11, 2007 (Actual)
    Study Completion Date
    May 27, 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this trial is to evaluate AMG 162 in the treatment of bone loss in subjects undergoing Aromatase Inhibitor Therapy for Non-metastatic Breast Cancer.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Breast Cancer, Low Bone Mineral Density, Osteopenia
    Keywords
    Breast Cancer, Bone loss associated with Aromatase Inhibitor therapy (AIT) for non-metastatic BC, osteopenia, Low bone density

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    252 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    AMG 162 / Denosumab
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    60 mg (1.0 mL) administered subcutaneously every six months, beginning on Study Day 1, for a total treatment period of 24 months
    Intervention Type
    Drug
    Intervention Name(s)
    AMG 162 / Denosumab
    Intervention Description
    60 mg (1.0 mL) administered subcutaneously every six months, beginning on Study Day 1, for a total treatment period of 24 months
    Primary Outcome Measure Information:
    Title
    Lumbar Spine Bone Mineral Density Percent Change From Baseline at Month 12
    Description
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Time Frame
    12 months
    Secondary Outcome Measure Information:
    Title
    Lumbar Spine Bone Mineral Density Percent Change From Baseline at Month 6
    Description
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Time Frame
    6 months
    Title
    Total Hip Bone Mineral Density Percent Change From Baseline at Month 12
    Description
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Time Frame
    12 months
    Title
    Total Hip Bone Mineral Density Percent Change From Baseline at Month 6
    Description
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Time Frame
    6 months
    Title
    Femoral Neck Bone Mineral Density Percent Change From Baseline at Month 12
    Description
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Time Frame
    12 months
    Title
    Femoral Neck Bone Mineral Density Percent Change From Baseline at Month 6
    Description
    Bone Mineral Density Assessed by Dual Energy X-Ray Absorptiometry.
    Time Frame
    6 months

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Histologically or cytologically confirmed adenocarcinoma of the breast Subjects with early stage disease who are estrogen receptor positive and who have completed their treatment pathway (surgery, chemo-therapy, radiation, and/or hormone therapy) and are currently on or will initiate aromatase inhibitor therapy, and are expected to stay on aromatase inhibitor therapy for the duration of the 24-month study All treatment pathway must be completed ≥ 4 weeks prior to study entry, and all acute toxic effect of any above therapy must be resolved to ≤ Grade 1 by National Cancer Institution (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Female > 18 years of age ECOG Performance status 0 and 1 Lumbar spine, total hip or femoral neck BMD equivalent to a t-score classification of -1.0 to -2.5 Subject is willing and able to provide signed consent before any study-specific procedure Other criteria also apply.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    19308727
    Citation
    Ellis GK, Bone HG, Chlebowski R, Paul D, Spadafora S, Fan M, Kim D. Effect of denosumab on bone mineral density in women receiving adjuvant aromatase inhibitors for non-metastatic breast cancer: subgroup analyses of a phase 3 study. Breast Cancer Res Treat. 2009 Nov;118(1):81-7. doi: 10.1007/s10549-009-0352-y. Epub 2009 Mar 24.
    Results Reference
    background
    PubMed Identifier
    18725648
    Citation
    Ellis GK, Bone HG, Chlebowski R, Paul D, Spadafora S, Smith J, Fan M, Jun S. Randomized trial of denosumab in patients receiving adjuvant aromatase inhibitors for nonmetastatic breast cancer. J Clin Oncol. 2008 Oct 20;26(30):4875-82. doi: 10.1200/JCO.2008.16.3832. Epub 2008 Aug 25.
    Results Reference
    background
    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website
    URL
    http://download.veritasmedicine.com/REGFILES/amgen/Amgen_results_disclaimer.pdf
    Description
    Notice regarding posted summaries of trial results

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    AMG 162 in the Treatment of Bone Loss in Subjects Undergoing Aromatase Inhibitor Therapy for Non-metastatic Breast Cancer

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