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Dose Ranging Study - Macroflux Parathyroid Hormone (PTH) in Postmenopausal Women With Osteoporosis

Primary Purpose

Osteoporosis

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
teriparatide
teriparatide
Sponsored by
Zosano Pharma Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy postmenopausal women age 50 years or older
  • At least three lumbar vertebrae (L1-L4) must be evaluable by dual energy x-ray absorptiometry (DXA) for bone mineral densitometry that is, without fracture or significant degenerative disease, as determined by the central imaging facility
  • Have osteoporosis defined as: Either a T-score of ≤ -2.5 at the lumbar spine, femoral neck, or total hip, AND a T-score of at least < -1.0 at the lumbar spine; or A T-score of ≤ -2.0 at the lumbar spine, femoral neck, or total hip, AND at least one vertebral fracture;

Exclusion Criteria:

  • Active hepatitis;
  • Active pancreatitis;
  • Unstable cardiac disease;
  • Unstable pulmonary disease;
  • Celiac disease;
  • Hyper- or hypo-parathyroidism;
  • Hyperthyroidism;
  • Cushing's disease;
  • Osteomalacia;
  • Paget's disease;
  • Osteogenesis imperfecta;
  • Known blood disorders;
  • History of kidney stones;
  • Impaired renal function;
  • Autoimmune diseases;
  • Bone metastases or a history of skeletal malignancies;
  • Cancer history that includes any cancer within the previous 5 years, with the exception of squamous or basal cell carcinoma of the skin in which the lesions were fully resected with clear margins described in a written report by a pathologist, and the patient has had no recurrence of lesions for at least 1 year from the time of original resection;
  • Any condition or disease that may interfere with the ability to have or the evaluation of a DXA scan, for example, severe osteoarthritis of the spine, spinal fusion, pedicle screws, history of vertebroplasty, or degenerative disease that results in insufficient number of evaluable lumbar vertebrae, or >1 lumbar vertebral fracture in L1-L4;
  • More than 4 vertebral fractures in T4-L4;
  • Bilateral hip replacements;
  • Use of fluoride (e.g. fluoride therapy for osteoporosis) or strontium at any time;
  • Have received methotrexate or immunomodulatory agents with antiproliferative activity;
  • With known dermatological disorders that would interfere with the study procedures or assessments, or with a history of contact dermatitis;
  • With known allergy or sensitivity to tapes, adhesives, PTH, teriparatide or its analogs, or components of the Macroflux® systems;
  • Who, in the opinion of the investigator, should not participate in the study, or may not be capable of following the study schedule for any reason; and
  • Unwillingness or inability to abide by the requirements of the study.
  • Have received any intravenous (IV) administered bisphosphonates in the past 24 months, or >2 doses of IV administered bisphosphonates total;
  • Use of oral bisphosphonates before randomization, including investigational bisphosphonates, unless: <6 months of treatment and off for 6 months, or 6-12 months of treatment and off for 2 years, or >12 months of treatment and off for 5 years;

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Placebo Comparator

    Experimental

    Experimental

    Experimental

    Active Comparator

    Arm Label

    Macroflux® placebo

    Macroflux® 20 mcg

    Macroflux® 30 mcg

    Macroflux® 40 mcg

    FORTEO®

    Arm Description

    Macroflux® placebo patch

    Macroflux® 20 mcg patch

    Macroflux® 30 mcg patch

    Macroflux® 40 mcg patch

    FORTEO® 20 mcg injection

    Outcomes

    Primary Outcome Measures

    Percent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24
    Percent Change in Lumbar Spine Bone Mineral Density (BMD) from Baseline to Week 24

    Secondary Outcome Measures

    Percent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 12
    Percent Change in Lumbar Spine Bone Mineral Density from Baseline to Week 12
    Absolute Change in Lumbar Spine BMD: Baseline to Week 12
    Absolute Change in Lumbar Spine BMD from Baseline to Week 12
    Percent Change in Total Hip Bone Mineral Density: Baseline to Week 24
    Percent Change in Total Hip Bone Mineral Density from Baseline to Week 24
    Percent Change in Femoral Neck BMD: Baseline to Week 24
    Percent Change in Femoral Neck BMD from Baseline to Week 24

    Full Information

    First Posted
    June 19, 2007
    Last Updated
    July 3, 2018
    Sponsor
    Zosano Pharma Corporation
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00489918
    Brief Title
    Dose Ranging Study - Macroflux Parathyroid Hormone (PTH) in Postmenopausal Women With Osteoporosis
    Official Title
    A Dose Ranging Study of the Effects of Macroflux® PTH Compared With Macroflux® Placebo and FORTEO® in Postmenopausal Women With Osteoporosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    June 2007 (undefined)
    Primary Completion Date
    April 2008 (Actual)
    Study Completion Date
    August 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Zosano Pharma Corporation

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    A Multi-center study to determine effects of various doses of Macroflux Parathryroid Hormone (PTH) in women with osteoporosis

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Osteoporosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    165 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Macroflux® placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Macroflux® placebo patch
    Arm Title
    Macroflux® 20 mcg
    Arm Type
    Experimental
    Arm Description
    Macroflux® 20 mcg patch
    Arm Title
    Macroflux® 30 mcg
    Arm Type
    Experimental
    Arm Description
    Macroflux® 30 mcg patch
    Arm Title
    Macroflux® 40 mcg
    Arm Type
    Experimental
    Arm Description
    Macroflux® 40 mcg patch
    Arm Title
    FORTEO®
    Arm Type
    Active Comparator
    Arm Description
    FORTEO® 20 mcg injection
    Intervention Type
    Drug
    Intervention Name(s)
    teriparatide
    Other Intervention Name(s)
    PTH(1-34)
    Intervention Description
    Macroflux® patch applied to the abdomen for 30 minutes daily
    Intervention Type
    Drug
    Intervention Name(s)
    teriparatide
    Other Intervention Name(s)
    FORTEO®
    Intervention Description
    FORTEO® injection administered subcutaneously (SC) either to the abdomen or thigh
    Primary Outcome Measure Information:
    Title
    Percent Change in Lumbar Spine Bone Mineral Density (BMD): Baseline to Week 24
    Description
    Percent Change in Lumbar Spine Bone Mineral Density (BMD) from Baseline to Week 24
    Time Frame
    24 weeks
    Secondary Outcome Measure Information:
    Title
    Percent Change in Lumbar Spine Bone Mineral Density: Baseline to Week 12
    Description
    Percent Change in Lumbar Spine Bone Mineral Density from Baseline to Week 12
    Time Frame
    12 weeks
    Title
    Absolute Change in Lumbar Spine BMD: Baseline to Week 12
    Description
    Absolute Change in Lumbar Spine BMD from Baseline to Week 12
    Time Frame
    12 weeks
    Title
    Percent Change in Total Hip Bone Mineral Density: Baseline to Week 24
    Description
    Percent Change in Total Hip Bone Mineral Density from Baseline to Week 24
    Time Frame
    24 Weeks
    Title
    Percent Change in Femoral Neck BMD: Baseline to Week 24
    Description
    Percent Change in Femoral Neck BMD from Baseline to Week 24
    Time Frame
    24 Weeks

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Healthy postmenopausal women age 50 years or older At least three lumbar vertebrae (L1-L4) must be evaluable by dual energy x-ray absorptiometry (DXA) for bone mineral densitometry that is, without fracture or significant degenerative disease, as determined by the central imaging facility Have osteoporosis defined as: Either a T-score of ≤ -2.5 at the lumbar spine, femoral neck, or total hip, AND a T-score of at least < -1.0 at the lumbar spine; or A T-score of ≤ -2.0 at the lumbar spine, femoral neck, or total hip, AND at least one vertebral fracture; Exclusion Criteria: Active hepatitis; Active pancreatitis; Unstable cardiac disease; Unstable pulmonary disease; Celiac disease; Hyper- or hypo-parathyroidism; Hyperthyroidism; Cushing's disease; Osteomalacia; Paget's disease; Osteogenesis imperfecta; Known blood disorders; History of kidney stones; Impaired renal function; Autoimmune diseases; Bone metastases or a history of skeletal malignancies; Cancer history that includes any cancer within the previous 5 years, with the exception of squamous or basal cell carcinoma of the skin in which the lesions were fully resected with clear margins described in a written report by a pathologist, and the patient has had no recurrence of lesions for at least 1 year from the time of original resection; Any condition or disease that may interfere with the ability to have or the evaluation of a DXA scan, for example, severe osteoarthritis of the spine, spinal fusion, pedicle screws, history of vertebroplasty, or degenerative disease that results in insufficient number of evaluable lumbar vertebrae, or >1 lumbar vertebral fracture in L1-L4; More than 4 vertebral fractures in T4-L4; Bilateral hip replacements; Use of fluoride (e.g. fluoride therapy for osteoporosis) or strontium at any time; Have received methotrexate or immunomodulatory agents with antiproliferative activity; With known dermatological disorders that would interfere with the study procedures or assessments, or with a history of contact dermatitis; With known allergy or sensitivity to tapes, adhesives, PTH, teriparatide or its analogs, or components of the Macroflux® systems; Who, in the opinion of the investigator, should not participate in the study, or may not be capable of following the study schedule for any reason; and Unwillingness or inability to abide by the requirements of the study. Have received any intravenous (IV) administered bisphosphonates in the past 24 months, or >2 doses of IV administered bisphosphonates total; Use of oral bisphosphonates before randomization, including investigational bisphosphonates, unless: <6 months of treatment and off for 6 months, or 6-12 months of treatment and off for 2 years, or >12 months of treatment and off for 5 years;
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Thorsten von Stein, MD, Ph.D
    Organizational Affiliation
    Zosano Pharma Corporation
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    19858319
    Citation
    Cosman F, Lane NE, Bolognese MA, Zanchetta JR, Garcia-Hernandez PA, Sees K, Matriano JA, Gaumer K, Daddona PE. Effect of transdermal teriparatide administration on bone mineral density in postmenopausal women. J Clin Endocrinol Metab. 2010 Jan;95(1):151-8. doi: 10.1210/jc.2009-0358. Epub 2009 Oct 26.
    Results Reference
    derived

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    Dose Ranging Study - Macroflux Parathyroid Hormone (PTH) in Postmenopausal Women With Osteoporosis

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