Trial Outcomes & Findings for An Open-label Study to Evaluate the Effect of Treatment With Romosozumab or Teriparatide in Postmenopausal Women (NCT NCT01796301)

NCT ID: NCT01796301

Last Updated: 2022-11-29

Results Overview

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA). Percent change from baseline through month 12 is the average of the treatment effect at months 6 and 12.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

436 participants

Primary outcome timeframe

Baseline, month 6 and month 12

Results posted on

2022-11-29

Participant Flow

The study was conducted at 46 sites in North America, Latin America, and Europe. Participants were enrolled from 31 January 2013 to 29 April 2014.

A total of 777 subjects were screened for participation; 341 (43.9%) were excluded prior to randomization, primarily due to not meeting inclusion/exclusion criteria (306 \[39.4%\] subjects). A total of 436 participants were randomized into the study.

Participant milestones

Participant milestones
Measure
Teriparatide
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Overall Study
STARTED
218
218
Overall Study
Received Treatment
214
218
Overall Study
COMPLETED
200
198
Overall Study
NOT COMPLETED
18
20

Reasons for withdrawal

Reasons for withdrawal
Measure
Teriparatide
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Overall Study
Withdrawal by Subject
15
15
Overall Study
Lost to Follow-up
3
3
Overall Study
Death
0
1
Overall Study
Decision by Sponsor
0
1

Baseline Characteristics

An Open-label Study to Evaluate the Effect of Treatment With Romosozumab or Teriparatide in Postmenopausal Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Teriparatide
n=218 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=218 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Total
n=436 Participants
Total of all reporting groups
Age, Continuous
71.2 years
STANDARD_DEVIATION 7.7 • n=99 Participants
71.8 years
STANDARD_DEVIATION 7.4 • n=107 Participants
71.5 years
STANDARD_DEVIATION 7.5 • n=206 Participants
Age, Customized
< 65 years
48 Participants
n=99 Participants
50 Participants
n=107 Participants
98 Participants
n=206 Participants
Age, Customized
≥ 65 to < 75 years
96 Participants
n=99 Participants
83 Participants
n=107 Participants
179 Participants
n=206 Participants
Age, Customized
≥ 75 years
74 Participants
n=99 Participants
85 Participants
n=107 Participants
159 Participants
n=206 Participants
Sex: Female, Male
Female
218 Participants
n=99 Participants
218 Participants
n=107 Participants
436 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
White
196 Participants
n=99 Participants
191 Participants
n=107 Participants
387 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
18 Participants
n=99 Participants
23 Participants
n=107 Participants
41 Participants
n=206 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
n=99 Participants
4 Participants
n=107 Participants
5 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
Multiple
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Prior Fracture
Yes
217 Participants
n=99 Participants
218 Participants
n=107 Participants
435 Participants
n=206 Participants
Prior Fracture
No
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Lumbar Spine BMD T-score
-2.87 T-score
STANDARD_DEVIATION 1.04 • n=99 Participants
-2.83 T-score
STANDARD_DEVIATION 1.10 • n=107 Participants
-2.85 T-score
STANDARD_DEVIATION 1.07 • n=206 Participants
Total Hip BMD T-score
-2.21 T-score
STANDARD_DEVIATION 0.72 • n=99 Participants
-2.27 T-score
STANDARD_DEVIATION 0.75 • n=107 Participants
-2.24 T-score
STANDARD_DEVIATION 0.74 • n=206 Participants
Femoral Neck BMD T-score
-2.43 T-score
STANDARD_DEVIATION 0.66 • n=99 Participants
-2.49 T-score
STANDARD_DEVIATION 0.67 • n=107 Participants
-2.46 T-score
STANDARD_DEVIATION 0.66 • n=206 Participants
Serum Type 1 Collagen C-telopeptide (sCTX)
260.1 ng/L
STANDARD_DEVIATION 124.9 • n=99 Participants
252.3 ng/L
STANDARD_DEVIATION 136.4 • n=107 Participants
256.2 ng/L
STANDARD_DEVIATION 130.7 • n=206 Participants

PRIMARY outcome

Timeframe: Baseline, month 6 and month 12

Population: The primary efficacy analysis set includes randomized participants with a non-missing baseline and at least one post-baseline measurement.

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA). Percent change from baseline through month 12 is the average of the treatment effect at months 6 and 12.

Outcome measures

Outcome measures
Measure
Teriparatide
n=209 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=206 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline Through Month 12 in Total Hip Bone Mineral Density (BMD)
-0.6 percent change
Standard Error 0.2
2.6 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Teriparatide
n=203 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=203 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Total Hip BMD at Month 6
-0.8 percent change
Standard Error 0.2
2.3 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Teriparatide
n=202 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=197 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Total Hip BMD at Month 12
-0.5 percent change
Standard Error 0.2
2.9 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Cortical BMD was measured by quantitative computed tomography (QCT) at the total hip.

Outcome measures

Outcome measures
Measure
Teriparatide
n=156 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=163 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Cortical BMD by Quantitative Computed Tomography (QCT) at the Total Hip at Month 6
-2.7 percent change
Standard Error 0.2
0.7 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Cortical BMD was measured by quantitative computed tomography (QCT) at the total hip.

Outcome measures

Outcome measures
Measure
Teriparatide
n=159 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=163 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Cortical BMD by QCT at the Total Hip at Month 12
-3.6 percent change
Standard Error 0.3
1.1 percent change
Standard Error 0.3

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Integral BMD was measured by quantitative computed tomography (QCT) at the total hip.

Outcome measures

Outcome measures
Measure
Teriparatide
n=156 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=163 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Integral BMD by QCT at the Total Hip at Month 6
-0.8 percent change
Standard Error 0.2
2.3 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Integral BMD was measured by quantitative computed tomography (QCT) at the total hip.

Outcome measures

Outcome measures
Measure
Teriparatide
n=159 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=163 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Integral BMD by QCT at the Total Hip at Month 12
-0.2 percent change
Standard Error 0.2
3.4 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Total hip estimated strength was assessed by finite element analysis (FEA) of QCT scans.

Outcome measures

Outcome measures
Measure
Teriparatide
n=163 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=164 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Estimated Strength at the Total Hip at Month 6
-1.0 percent change
Standard Error 0.2
2.1 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Total hip estimated strength was assessed by finite element analysis (FEA) of QCT scans.

Outcome measures

Outcome measures
Measure
Teriparatide
n=155 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=159 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Estimated Strength at the Total Hip at Month 12
-0.7 percent change
Standard Error 0.4
2.5 percent change
Standard Error 0.4

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Total hip integral BMC was measured using quantitative computed tomography (QCT).

Outcome measures

Outcome measures
Measure
Teriparatide
n=156 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=163 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Total Hip Integral Bone Mineral Content (BMC) by QCT at Month 6
-0.7 percent change
Standard Error 0.2
2.4 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Total hip integral BMC was measured using quantitative computed tomography (QCT).

Outcome measures

Outcome measures
Measure
Teriparatide
n=159 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=163 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Total Hip Integral Bone Mineral Content (BMC) by QCT at Month 12
0.0 percent change
Standard Error 0.2
3.6 percent change
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Teriparatide
n=203 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=203 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Femoral Neck BMD at Month 6
-1.1 percent change
Standard Error 0.3
2.1 percent change
Standard Error 0.3

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Teriparatide
n=202 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=197 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Femoral Neck BMD at Month 12
-0.2 percent change
Standard Error 0.3
3.2 percent change
Standard Error 0.3

SECONDARY outcome

Timeframe: Baseline and month 6

Population: The primary efficacy analysis set with values at baseline and month 6

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Teriparatide
n=204 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=203 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Lumbar Spine BMD at Month 6
3.5 percent change
Standard Error 0.3
7.2 percent change
Standard Error 0.3

SECONDARY outcome

Timeframe: Baseline and month 12

Population: The primary efficacy analysis set with values at baseline and month 12

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Teriparatide
n=201 Participants
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=197 Participants
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Percent Change From Baseline in Lumbar Spine BMD at Month 12
5.4 percent change
Standard Error 0.4
9.8 percent change
Standard Error 0.4

Adverse Events

Teriparatide

Serious events: 23 serious events
Other events: 76 other events
Deaths: 0 deaths

Romosozumab

Serious events: 17 serious events
Other events: 79 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Teriparatide
n=214 participants at risk
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=218 participants at risk
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Blood and lymphatic system disorders
Bone marrow failure
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Angina pectoris
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Arrhythmia supraventricular
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Atrial fibrillation
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.92%
2/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Bifascicular block
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Bradycardia
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Cardiac arrest
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Cardiac failure chronic
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Pericardial effusion
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Cardiac disorders
Sinus bradycardia
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Ear and labyrinth disorders
Vertigo
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Abdominal pain
0.93%
2/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Abdominal pain lower
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Diarrhoea
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Large intestinal ulcer
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Gastrointestinal disorders
Small intestinal obstruction
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
General disorders
Non-cardiac chest pain
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
General disorders
Pyrexia
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Hepatobiliary disorders
Cholelithiasis
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Appendicitis
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Diverticulitis
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Influenza
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Pneumonia
0.93%
2/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Pneumonia bacterial
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Urinary tract infection fungal
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Femoral neck fracture
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Muscle rupture
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Procedural nausea
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Radius fracture
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Road traffic accident
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Tibia fracture
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Ulna fracture
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Metabolism and nutrition disorders
Hypernatraemia
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign soft tissue neoplasm
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon adenoma
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Keratoacanthoma
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myeloid leukaemia
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer stage III
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Cerebrovascular accident
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Ischaemic stroke
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Radicular pain
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Radicular syndrome
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Seizure
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Syncope
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Transient ischaemic attack
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
VIIth nerve paralysis
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
0.47%
1/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.00%
0/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Surgical and medical procedures
Medical device removal
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Vascular disorders
Haemorrhage
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Vascular disorders
Hypertension
0.00%
0/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.46%
1/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.

Other adverse events

Other adverse events
Measure
Teriparatide
n=214 participants at risk
Participants received 20 μg/day teriparatide administered by subcutaneous injection for 12 months.
Romosozumab
n=218 participants at risk
Participants received 210 mg romosozumab administered by subcutaneous injection once a month for 12 months.
Infections and infestations
Nasopharyngitis
10.3%
22/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
12.8%
28/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Infections and infestations
Upper respiratory tract infection
4.2%
9/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
5.0%
11/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Injury, poisoning and procedural complications
Fall
2.3%
5/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
5.5%
12/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Metabolism and nutrition disorders
Hypercalcaemia
10.3%
22/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
0.92%
2/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Musculoskeletal and connective tissue disorders
Arthralgia
6.1%
13/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
10.1%
22/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Musculoskeletal and connective tissue disorders
Back pain
5.6%
12/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
8.7%
19/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
2.3%
5/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
5.0%
11/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Musculoskeletal and connective tissue disorders
Pain in extremity
1.9%
4/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
5.0%
11/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
Nervous system disorders
Headache
4.2%
9/214 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
6.4%
14/218 • 12 months
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.

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 multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER