Trial Outcomes & Findings for Special Drug Use Surveillance on Long-term Use of Sodium Risedronate Tablets (Benet 75 mg Tablets) (12-month Treatment Survey) (NCT NCT02089997)

NCT ID: NCT02089997

Last Updated: 2018-10-19

Results Overview

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with administration of sodium risedronate, whether or not it was considered related to the treatment.

Recruitment status

COMPLETED

Target enrollment

3304 participants

Primary outcome timeframe

Up to Month 12

Results posted on

2018-10-19

Participant Flow

Participants took part in the study at 606 investigative sites in Japan from 27-May 2013 to 30-April 2016 .

Participants with a historical diagnosis of osteoporosis were enrolled to receive sodium risedronate 75 milligram (mg) for up to 12 months as per routine medical practice.

Participant milestones

Participant milestones
Measure
Sodium Risedronate 75 mg
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Overall Study
STARTED
3304
Overall Study
COMPLETED
3058
Overall Study
NOT COMPLETED
246

Reasons for withdrawal

Reasons for withdrawal
Measure
Sodium Risedronate 75 mg
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Overall Study
Case report forms uncollected
99
Overall Study
Protocol Violation
147

Baseline Characteristics

Special Drug Use Surveillance on Long-term Use of Sodium Risedronate Tablets (Benet 75 mg Tablets) (12-month Treatment Survey)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sodium Risedronate 75 mg
n=3058 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Age, Customized
< 65 years
373 Participants
n=99 Participants
Age, Customized
≥ 65 years
2678 Participants
n=99 Participants
Age, Customized
Unknown
7 Participants
n=99 Participants
Sex: Female, Male
Female
2817 Participants
n=99 Participants
Sex: Female, Male
Male
241 Participants
n=99 Participants
Region of Enrollment
Japan
3058 Participants
n=99 Participants
Pregnancy Status
Pregnant
0 Participants
n=99 Participants
Pregnancy Status
Not pregnant
2329 Participants
n=99 Participants
Pregnancy Status
Unknown
488 Participants
n=99 Participants
Weight
< 50.0 kg
1050 Participants
n=99 Participants
Weight
≥ 50.0 kg
953 Participants
n=99 Participants
Weight
Unknown
1055 Participants
n=99 Participants
BMI
< 18.5kg/m^2
162 Participants
n=99 Participants
BMI
≥ 18.5kg/m^2 < 25.0kg/m^2
1108 Participants
n=99 Participants
BMI
≥ 25.0kg/m^2
291 Participants
n=99 Participants
BMI
Unknown
1497 Participants
n=99 Participants
Osteoporosis Class
Primary Osteoporosis
2696 Participants
n=99 Participants
Osteoporosis Class
Secondary Osteoporosis
232 Participants
n=99 Participants
Osteoporosis Class
Unknown
130 Participants
n=99 Participants
Predisposition to Hypersensitivity
Had No Predisposition to Hypersensitivity
2658 Participants
n=99 Participants
Predisposition to Hypersensitivity
Had Predisposition to Hypersensitivity
151 Participants
n=99 Participants
Predisposition to Hypersensitivity
Unknown
249 Participants
n=99 Participants
Medical Complications
Had Presence of Medical Complications
2649 Participants
n=99 Participants
Medical Complications
Had No Presence of Medical Complications
409 Participants
n=99 Participants
Medical History(not Inclusive of a History of Fractures)
Had Medical History
587 Participants
n=99 Participants
Medical History(not Inclusive of a History of Fractures)
Had No Medical History
2264 Participants
n=99 Participants
Medical History(not Inclusive of a History of Fractures)
Unknown
207 Participants
n=99 Participants
Pretreatment Osteoporosis Drug
Had Treatment Drug
1149 Participants
n=99 Participants
Pretreatment Osteoporosis Drug
Had No Treatment Drug
1909 Participants
n=99 Participants
Concomitant Medication
Had Concomitant Medication
2512 Participants
n=99 Participants
Concomitant Medication
Had No Concomitant Medication
546 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to Month 12

Population: Safety Analysis Set was defined as all participants who were enrolled and completed the study.

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with administration of sodium risedronate, whether or not it was considered related to the treatment.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=3058 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Number of Participants Who Experience at Least One Adverse Drug Reactions (ADRs)
231 Participants

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

BMD was measured with Dual-energy X-ray Absorptiometry. Reporting data are the change in BMD in the second to the fourth lumbar vertebrae, L2 to L4, and the averages of L2 to L4 at end of study relative to baseline.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=545 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Mean Lumbar Spine (L2-L4) Bone Mineral Density (BMD) at Final Assessment
4.700 Percent change
Standard Deviation 12.118

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

BMD was measured with Dual-energy X-ray Absorptiometry. Reporting data are the change in BMD in the femur (neck region) at end of study relative to baseline.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=393 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Femur (Neck Region) BMD at Final Assessment
1.008 Percent change
Standard Deviation 5.473

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

BMD was measured with Dual-energy X-ray Absorptiometry. Reporting data are the change in BMD in the total proximal femur (whole bone, trochanteric region, and neck region) at end of study relative to baseline.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=424 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Femur (Total Proximal Femur) BMD at Final Assessment
1.745 Percent change
Standard Deviation 5.180

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

BMD was measured with Dual-energy X-ray Absorptiometry. Reporting data are the change in BMD in the radius at end of study relative to baseline.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=569 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Radius BMD at Final Assessment
1.173 Percent change
Standard Deviation 6.909

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=174 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Bone Metabolism Markers Serum Type 1 Collagen Cross-linked N-telopeptide (NTX) at Final Assessment
-14.024 Percent change
Standard Deviation 27.863

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=449 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Bone Metabolism Markers Serum Tartrate-resistant Acid Phosphatase 5b (TRACP-5b) at Final Assessment
-32.016 Percent change
Standard Deviation 30.219

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=128 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Bone Metabolism Markers Serum Bone-type Alkaline Phosphatase (BAP) at Final Assessment
-19.449 Percent change
Standard Deviation 28.058

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=217 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Bone Metabolism Markers Serum Procollagen 1 N-terminal Peptide (P1NP) at Final Assessment
-46.302 Percent change
Standard Deviation 30.482

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Urine samples for urinary bone turnover markers were collected at specified visits according to the study schedule.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=194 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Percent Change From Baseline in Bone Metabolism Markers Urinary Type 1 Collagen Cross-linked N-telopeptide (NTX) at Final Assessment
-22.010 Percent change
Standard Deviation 60.634

SECONDARY outcome

Timeframe: Baseline and final assessment (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=806 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Change From Baseline in Height
-0.37 Centimeter
Standard Deviation 1.10

SECONDARY outcome

Timeframe: Final assessment (Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available. Here number of participants analyzed are participants evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Sodium Risedronate 75 mg
n=2052 Participants
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Number of Participants Who Had Lumbar Backache at Final Assessment
663 Participants

Adverse Events

Sodium Risedronate 75 mg

Serious events: 15 serious events
Other events: 71 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sodium Risedronate 75 mg
n=3058 participants at risk
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Infections and infestations
Pneumonia
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Nervous system disorders
Cerebral haemorrhage
0.07%
2/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Cardiac disorders
Cardiac hypertrophy
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Cardiac disorders
Aortic valve stenosis
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Vascular disorders
Hypertension
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Musculoskeletal and connective tissue disorders
Back pain
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Musculoskeletal and connective tissue disorders
Collagen disorder
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Renal and urinary disorders
Renal impairment
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
General disorders
Death
0.07%
2/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
General disorders
Malaise
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
General disorders
Pyrexia
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Injury, poisoning and procedural complications
Femoral neck fracture
0.03%
1/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.

Other adverse events

Other adverse events
Measure
Sodium Risedronate 75 mg
n=3058 participants at risk
Sodium risedronate 75 mg, tablet, orally, once monthly for up to 12 months.
Gastrointestinal disorders
Diarrhoea
0.62%
19/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
Gastrointestinal disorders
Nausea
0.92%
28/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.
General disorders
Pyrexia
0.78%
24/3058 • Baseline up to Month 12
At each visit the investigator had to document any occurrence of AEs and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only ADRs were collected in this study. Participants may be represented in more than 1 category.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER