Comparative Antiresorptive Efficacy Discontinuation of Denosumab
NCT03623633 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 51
Last updated 2023-06-07
Summary
Osteoporosis remains a significant healthcare burden for the United States. Current FDA-approved osteoporosis treatments include teriparatide, abaloparatide, bisphosphonates, denosumab, and raloxifene.
Denosumab is a fully human monoclonal antibody that specifically binds to receptor activator of nuclear factor kappa-B ligand (RANKL). Denosumab potently suppresses osteoclastic activity but bone turnover rapidly normalizes and bone turnover marker levels can rebound above baseline levels after the drug is discontinued.
This study will help us determine the optimal duration and relative efficacy of two oral antiresorptive medications that are FDA-approved for treatment of postmenopausal osteoporosis (alendronate and raloxifene) in preventing the rebound increase in bone turnover that occurs after denosumab discontinuation.
Conditions
- Osteoporosis, Postmenopausal
- Osteoporosis
Interventions
- DRUG
-
denosumab 60 milligrams subcutaneously every 6 months
- DRUG
-
alendronate
alendronate 70 milligrams weekly
- DRUG
-
raloxifene
raloxifene 60 milligrams daily
Sponsors & Collaborators
-
Massachusetts General Hospital
lead OTHER
Principal Investigators
-
Joy Tsai, MD · MGH
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2018-11-30
- Primary Completion
- 2023-02-01
- Completion
- 2023-08-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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