Denosumab for Prevention of Post-Teriparatide Bone Loss in Premenopausal Women With IOP

NCT ID: NCT02049866

Last Updated: 2022-12-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-19

Study Completion Date

2021-12-23

Brief Summary

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The purpose of this research study is to evaluate antiresorptive therapy with denosumab (Prolia) for prevention of bone loss after stopping teriparatide (TPTD) in premenopausal women with idiopathic osteoporosis.

Premenopausal women who have received TPTD in the FDA Orphan Diseases Program-funded trial, "A Phase 2 Study of Teriparatide for the Treatment of Idiopathic Osteoporosis in Premenopausal Women" (NCT01440803) may be eligible to participate in the current study, a 36-month open-label pilot study of denosumab (Prolia®, 60mg subcutaneous (SC) every 6 months).

The goals of the study are to estimate the effects of denosumab on central and peripheral, as well as trabecular and cortical, bone mass and microstructure and to obtain preliminary data to inform the design of a future randomized study. This study presents the first opportunity to study the effects of denosumab after TPTD in this unique and severely affected group of young women.

Funding Source: FDA Office of Orphan Products Development (OOPD).

Detailed Description

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Osteoporosis in premenopausal women with normal menstrual function and no specific cause is termed idiopathic osteoporosis (IOP). IOP is a rare disease with an estimated prevalence of \<200,000 affected premenopausal women in the United States.

Denosumab, a potent inhibitor of osteoclast-mediated bone resorption, leads to continuous gains in both trabecular and cortical bone mineral density (BMD). Moreover, denosumab is not retained in the skeleton, and may thus be preferable for use in young women who may be contemplating future pregnancies. The investigators hypothesize that denosumab, initiated after completion of two years of TPTD, will maintain or improve central and peripheral areal and volumetric BMD, microstructure and stiffness in premenopausal women with IOP.

Conditions

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Adult Idiopathic Generalized Osteoporosis

Keywords

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osteoporosis premenopausal denosumab idiopathic Idiopathic Osteoporosis in Premenopausal Women

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Denosumab

Denosumab 60mg, administered every 6 months by subcutaneous injection for 36 months.

Group Type EXPERIMENTAL

Denosumab

Intervention Type DRUG

Denosumab 60mg, administered every 6 months by subcutaneous injection for 36 months

Interventions

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Denosumab

Denosumab 60mg, administered every 6 months by subcutaneous injection for 36 months

Intervention Type DRUG

Other Intervention Names

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Prolia Xgeva

Eligibility Criteria

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Inclusion Criteria

* All women completing NCT01440803 who remain without a disease or medication that causes osteoporosis will be offered enrollment into this study.
* (Premenopausal status is no longer be required for entry.)

Exclusion Criteria

* Renal insufficiency or liver disease: Creatinine, transaminase (AST)/alanine transaminase (ALT) above upper limit of normal
* Vitamin D deficiency: 25-hydroxyvitamin D (25-OHD) \<30 ng/mL
* Pregnancy: urine pregnancy test must be negative
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Creighton University

OTHER

Sponsor Role collaborator

Elizabeth Shane

OTHER

Sponsor Role lead

Responsible Party

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Elizabeth Shane

Professor of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Elizabeth Shane, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Adi Cohen, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Creighton University

Omaha, Nebraska, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Countries

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United States

References

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Shane E, Shiau S, Recker RR, Lappe JM, Agarwal S, Kamanda-Kosseh M, Bucovsky M, Stubby J, Cohen A. Denosumab After Teriparatide in Premenopausal Women With Idiopathic Osteoporosis. J Clin Endocrinol Metab. 2022 Mar 24;107(4):e1528-e1540. doi: 10.1210/clinem/dgab850.

Reference Type DERIVED
PMID: 34849989 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://columbiamedicine.org/divisions/Endo/index.shtml

Columbia University, Dept of Medicine, Division of Endocrinology website

Other Identifiers

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1R01FD005114-01A2

Identifier Type: FDA

Identifier Source: secondary_id

View Link

AAAN0161

Identifier Type: -

Identifier Source: org_study_id