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