Trial Outcomes & Findings for A Multicenter, Randomized Placebo Controlled Pilot MicroCT Study to Estimate the Effect of Treatment With Denosumab (AMG 162) and Alendronate Sodium in Postmenopausal Women With Low Bone Mineral Density (NCT NCT00293813)

NCT ID: NCT00293813

Last Updated: 2014-07-25

Results Overview

Cortical Thickness measured by XtremeCT.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

247 participants

Primary outcome timeframe

12 months

Results posted on

2014-07-25

Participant Flow

Participant milestones

Participant milestones
Measure
Alendronate 70 mg QW
Alendronate 70 mg QW
Denosumab 60 mg Q6M
Denosumab 60 mg Q6M
Placebo
Placebo
Overall Study
STARTED
82
83
82
Overall Study
COMPLETED
69
74
74
Overall Study
NOT COMPLETED
13
9
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Alendronate 70 mg QW
Alendronate 70 mg QW
Denosumab 60 mg Q6M
Denosumab 60 mg Q6M
Placebo
Placebo
Overall Study
Physician Decision
0
1
0
Overall Study
Adverse Event
3
1
1
Overall Study
Withdrawal by Subject
7
4
4
Overall Study
Lost to Follow-up
3
2
3
Overall Study
Noncompliance
0
1
0

Baseline Characteristics

A Multicenter, Randomized Placebo Controlled Pilot MicroCT Study to Estimate the Effect of Treatment With Denosumab (AMG 162) and Alendronate Sodium in Postmenopausal Women With Low Bone Mineral Density

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alendronate 70 mg QW
n=82 Participants
Alendronate 70 mg QW
Denosumab 60 mg Q6M
n=83 Participants
Denosumab 60 mg Q6M
Placebo
n=82 Participants
Placebo
Total
n=247 Participants
Total of all reporting groups
Age, Continuous
60.7 Years
STANDARD_DEVIATION 5.2 • n=99 Participants
60.3 Years
STANDARD_DEVIATION 5.9 • n=107 Participants
60.8 Years
STANDARD_DEVIATION 5.2 • n=206 Participants
60.6 Years
STANDARD_DEVIATION 5.4 • n=7 Participants
Sex: Female, Male
Female
82 Participants
n=99 Participants
83 Participants
n=107 Participants
82 Participants
n=206 Participants
247 Participants
n=7 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Randomized subjects who receive at least 1 dose of investigational product and have a baseline and at least 1 post baseline evaluation before or at month 12. Last Observation Carried Forward used as imputation method. Summarised for actual treatment taken.

Cortical Thickness measured by XtremeCT.

Outcome measures

Outcome measures
Measure
Alendronate 70 mg QW
n=73 Participants
Alendronate 70 mg QW
Denosumab 60 mg Q6M
n=75 Participants
Denosumab 60 mg Q6M
Placebo
n=79 Participants
Placebo
Cortical Thickness of Radius by XtremeCT Percent Change From Baseline at Month 12
2.4 Percent Change from Baseline
Interval 1.2 to 3.5
3.4 Percent Change from Baseline
Interval 2.2 to 4.5
-.8 Percent Change from Baseline
Interval -1.8 to 0.3

SECONDARY outcome

Timeframe: 12 months

Cortical Thickness measured by XtremeCT.

Outcome measures

Outcome measures
Measure
Alendronate 70 mg QW
n=73 Participants
Alendronate 70 mg QW
Denosumab 60 mg Q6M
n=78 Participants
Denosumab 60 mg Q6M
Placebo
n=79 Participants
Placebo
Cortical Thickness of Tibia by XtremeCT Percent Change From Baseline at Month 12
4.9 Percent Change from Baseline
Interval 4.0 to 5.8
5.8 Percent Change from Baseline
Interval 5.0 to 6.7
1.4 Percent Change from Baseline
Interval 0.6 to 2.3

Adverse Events

Placebo

Serious events: 5 serious events
Other events: 78 other events
Deaths: 0 deaths

Alendronate 70 mg QW

Serious events: 5 serious events
Other events: 77 other events
Deaths: 0 deaths

Denosumab 60 mg Q6M

Serious events: 2 serious events
Other events: 76 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=83 participants at risk
Alendronate 70 mg QW
n=81 participants at risk
Denosumab 60 mg Q6M
n=83 participants at risk
Hepatobiliary disorders
Biliary colic
0.00%
0/83
1.2%
1/81
0.00%
0/83
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/83
0.00%
0/81
1.2%
1/83
Hepatobiliary disorders
Cholelithiasis
2.4%
2/83
0.00%
0/81
0.00%
0/83
Infections and infestations
Pneumonia
1.2%
1/83
0.00%
0/81
0.00%
0/83
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/83
0.00%
0/81
1.2%
1/83
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of the cervix
0.00%
0/83
1.2%
1/81
0.00%
0/83
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/83
2.5%
2/81
0.00%
0/83
Nervous system disorders
Amnesia
1.2%
1/83
0.00%
0/81
0.00%
0/83
Nervous system disorders
Loss of consciousness
0.00%
0/83
1.2%
1/81
1.2%
1/83
Psychiatric disorders
Confusional state
1.2%
1/83
0.00%
0/81
0.00%
0/83

Other adverse events

Other adverse events
Measure
Placebo
n=83 participants at risk
Alendronate 70 mg QW
n=81 participants at risk
Denosumab 60 mg Q6M
n=83 participants at risk
Gastrointestinal disorders
Abdominal pain
3.6%
3/83
11.1%
9/81
2.4%
2/83
Gastrointestinal disorders
Abdominal pain upper
9.6%
8/83
12.3%
10/81
6.0%
5/83
Gastrointestinal disorders
Constipation
14.5%
12/83
16.0%
13/81
18.1%
15/83
Gastrointestinal disorders
Diarrhoea
10.8%
9/83
12.3%
10/81
3.6%
3/83
Gastrointestinal disorders
Dyspepsia
8.4%
7/83
11.1%
9/81
6.0%
5/83
Gastrointestinal disorders
Nausea
7.2%
6/83
6.2%
5/81
7.2%
6/83
Gastrointestinal disorders
Vomiting
6.0%
5/83
7.4%
6/81
3.6%
3/83
Infections and infestations
Bronchitis
13.3%
11/83
13.6%
11/81
10.8%
9/83
Infections and infestations
Influenza
18.1%
15/83
12.3%
10/81
16.9%
14/83
Infections and infestations
Nasopharyngitis
16.9%
14/83
9.9%
8/81
12.0%
10/83
Infections and infestations
Pharyngitis
1.2%
1/83
8.6%
7/81
7.2%
6/83
Infections and infestations
Urinary tract infection
6.0%
5/83
0.00%
0/81
4.8%
4/83
Musculoskeletal and connective tissue disorders
Arthralgia
9.6%
8/83
9.9%
8/81
12.0%
10/83
Musculoskeletal and connective tissue disorders
Back pain
12.0%
10/83
7.4%
6/81
12.0%
10/83
Musculoskeletal and connective tissue disorders
Muscle spasms
6.0%
5/83
2.5%
2/81
6.0%
5/83
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.2%
1/83
8.6%
7/81
4.8%
4/83
Musculoskeletal and connective tissue disorders
Osteoarthritis
6.0%
5/83
2.5%
2/81
3.6%
3/83
Musculoskeletal and connective tissue disorders
Pain in extremity
12.0%
10/83
12.3%
10/81
12.0%
10/83
Nervous system disorders
Dizziness
4.8%
4/83
4.9%
4/81
7.2%
6/83
Nervous system disorders
Headache
10.8%
9/83
14.8%
12/81
7.2%
6/83
Nervous system disorders
Paraesthesia
2.4%
2/83
4.9%
4/81
6.0%
5/83
Reproductive system and breast disorders
Breast mass
3.6%
3/83
2.5%
2/81
6.0%
5/83
Respiratory, thoracic and mediastinal disorders
Cough
6.0%
5/83
4.9%
4/81
2.4%
2/83
Skin and subcutaneous tissue disorders
Rash
1.2%
1/83
2.5%
2/81
7.2%
6/83
Vascular disorders
Hypertension
7.2%
6/83
6.2%
5/81
6.0%
5/83

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multi-center studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER