Efficacy & Safety of Abaloparatide-Solid Microstructured Transdermal System in Postmenopausal Women With Osteoporosis

NCT ID: NCT04064411

Last Updated: 2023-02-15

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

511 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-05

Study Completion Date

2021-11-09

Brief Summary

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A 12-month study to compare the efficacy and safety of abaloparatide-solid microstructured transdermal system (sMTS) with abaloparatide-subcutaneous (SC).

Detailed Description

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This study aims to evaluate the non-inferiority of abaloparatide-sMTS 300 micrograms (mcg) compared to abaloparatide-SC 80 mcg based on lumbar spine bone mineral density (BMD) at 12 months and to evaluate the safety and tolerability of abaloparatide-sMTS in the treatment of postmenopausal women with osteoporosis.

Conditions

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Postmenopausal Osteoporosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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abaloparatide-SC

Participants self-administered daily doses of abaloparatide 80 mcg SC for 12 months using a single-participant, multiple-use, prefilled injection pen that delivers 30 doses. Participants received a new injection pen every 30 days.

Group Type ACTIVE_COMPARATOR

abaloparatide

Intervention Type COMBINATION_PRODUCT

Abaloparatide is a synthetic peptide that is a potent and selective activator of the parathyroid hormone 1 receptor signaling pathway.

abaloparatide-sMTS

Abaloparatide-sMTS 300 mcg applied to the thigh for 5 minutes once daily for 12 months.

Group Type EXPERIMENTAL

abaloparatide solid microstructured transdermal system

Intervention Type COMBINATION_PRODUCT

Abaloparatide-sMTS is a drug-device combination product consisting of the drug abaloparatide coated onto a sMTS array for transdermal administration of abaloparatide.

Interventions

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abaloparatide

Abaloparatide is a synthetic peptide that is a potent and selective activator of the parathyroid hormone 1 receptor signaling pathway.

Intervention Type COMBINATION_PRODUCT

abaloparatide solid microstructured transdermal system

Abaloparatide-sMTS is a drug-device combination product consisting of the drug abaloparatide coated onto a sMTS array for transdermal administration of abaloparatide.

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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TYMLOS® BA058 abaloparatide-SC BA058 abaloparatide-transdermal

Eligibility Criteria

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Inclusion Criteria

* Healthy ambulatory female from 50 to 85 years of age (inclusive) with postmenopausal osteoporosis
* Participants who are 50 to 65 years old with BMD T-score ≤ -2.5 and \> -5.0 at the lumbar spine or hip (femoral neck or total hip) by dual energy x-ray absorptiometry (DXA) and meet one of the following: 1) radiological evidence of 2 or more mild or one or more moderate lumbar or thoracic vertebral fractures or 2) history of fragility fracture to the forearm, humerus, sacrum, pelvis, hip, femur, or tibia within the past 5 years.
* Participants older than 65 years with BMD T score ≤ -2.0 and \> -5.0 who meet the fracture criteria may be enrolled
* Participants older than 65 years with BMD T score ≤ -3.0 and \> -5.0 at the lumbar spine or hip (femoral neck or total hip) by DXA
* Body mass index of 18.5 to 33 kilograms (kg)/square meters (m\^2), inclusive
* serum calcium (albumin-corrected), parathyroid hormone (1-84), serum phosphorus, alkaline phosphatase, and thyroid stimulating hormone within the normal reference range
* Serum 25-hydroxyvitamin D values must be ≥ 20 nanograms (ng)/milliliters (mL)

Exclusion Criteria

* History of more than 4 mild or moderate spine fractures or any severe fracture
* Abnormality of the spine or hip that would prohibit assessment of BMD
* History of bone disorders other than postmenopausal osteoporosis or a diagnosis of cancer within the last 5 years
* History of Cushing's disease, thyroid, parathyroid, or malabsorptive syndromes or any chronic or recurrent diseases or disturbances that would interfere with the interpretation of study data or compromise the safety of the patient
* Prior treatment with parathyroid hormone, parathyroid hormone-related peptide-derived drugs, or bone anabolic steroids, including abaloparatide, teriparatide, or parathyroid hormone (1-84)
* Prior treatment with intravenous (IV) bisphosphonates at any time or oral bisphosphonates within the past 3 years; fluoride or strontium within the past 5 years; treatment with corticosteroids within the past 12 months; or selective estrogen receptor modulators within the past 6 months (except hormone replacement therapy)
* Prior treatment with an investigational drug or device within the past 90 days or 5 half-lives of the investigational drug, whichever is longer
* History of nephrolithiasis or urolithiasis within the past 5 years or hereditary disorders predisposing to osteosarcoma
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Radius Health, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama Hospital at Birmingham

Birmingham, Alabama, United States

Site Status

Orthopedic Physician Alaska - Rheumatology

Anchorage, Alaska, United States

Site Status

Arizona Arthritis & Rheumatology Research, PLLC - Research Center - Glendale

Glendale, Arizona, United States

Site Status

Arizona Arthritis & Rheumatology Research, PLLC

Mesa, Arizona, United States

Site Status

SunValley Arthritis Center Ltd.

Peoria, Arizona, United States

Site Status

Clinical Research Consortium

Tempe, Arizona, United States

Site Status

Arthritis & Rheumatism

Jonesboro, Arkansas, United States

Site Status

Advanced Clinical Research (ACR) - Rancho Paseo

Banning, California, United States

Site Status

Osteoporosis Medical Center

Beverly Hills, California, United States

Site Status

Clinical Trials of St. Jude Heritage Medical Group through S

Fullerton, California, United States

Site Status

Allied Clinical Research

Gold River, California, United States

Site Status

Marin Endocrine Care & Research, Inc.

Greenbrae, California, United States

Site Status

St. Joseph Heritage Healthcare

Mission Viejo, California, United States

Site Status

Northern California Institute for Bone Health Inc.

Orinda, California, United States

Site Status

Alta California Medical Group, Inc.

Simi Valley, California, United States

Site Status

Lynn Institute of Denver

Aurora, Colorado, United States

Site Status

MedStar Georgetown University Hospital - Department of Obstetrics and Gynecology

Washington D.C., District of Columbia, United States

Site Status

UNC School of Medicine

Boca Raton, Florida, United States

Site Status

Bay Area Arthritis And Osteoporosis

Brandon, Florida, United States

Site Status

Clinical Research of West Florida

Clearwater, Florida, United States

Site Status

Shrock Orthopaedic Research, LLC

Fort Lauderdale, Florida, United States

Site Status

Clinical Physiology Associates, an AMR company

Fort Myers, Florida, United States

Site Status

Palm Springs Research Institute

Hialeah, Florida, United States

Site Status

Health Awareness INC

Jupiter, Florida, United States

Site Status

Suncoast Research Group, LLC

Miami, Florida, United States

Site Status

Rheumatic Wellness Institute

Miami, Florida, United States

Site Status

BDA Research

Miami, Florida, United States

Site Status

Center for Arthritis and Rheumatic Diseases

Miami, Florida, United States

Site Status

Sweet Hope Research Specialty

Miami Beach, Florida, United States

Site Status

Lakes Research, LLC

Miami Lakes, Florida, United States

Site Status

Global Health Research Center

Miami Lakes, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

West Orange Endocrinology

Ocoee, Florida, United States

Site Status

Integral Rheumatology & Immunology Specialist

Plantation, Florida, United States

Site Status

Health Awareness, Inc.

Port Saint Lucie, Florida, United States

Site Status

Center for Advanced Research & Education

Gainesville, Georgia, United States

Site Status

Advanced Clinical Research (ACR) - Family Practice/General Medicine - Meridian

Boise, Idaho, United States

Site Status

St. Luke's Clinic - Rheumatology

Boise, Idaho, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

The University of Chicago Medicine

Chicago, Illinois, United States

Site Status

MediSphere Medical Research Center

Evansville, Indiana, United States

Site Status

Northeast Iowa Medical Education Foundation

Waterloo, Iowa, United States

Site Status

Premier Medical Group, PSC

Owensboro, Kentucky, United States

Site Status

MedStar Health Center

Baltimore, Maryland, United States

Site Status

Rheumatology Consultants

Cumberland, Maryland, United States

Site Status

Othopaedic Associates of Michigan PC

Grand Rapids, Michigan, United States

Site Status

Montana Medical Research, Inc

Missoula, Montana, United States

Site Status

New Mexico Clinical Research

Albuquerque, New Mexico, United States

Site Status

The Endocrine Group

Albany, New York, United States

Site Status

Long Island Regional Arthritis & Osteoporosis Care PC

Babylon, New York, United States

Site Status

Physicians East, PA

Greenville, North Carolina, United States

Site Status

Cape Fear Arthritis Care

Leland, North Carolina, United States

Site Status

Carteret Medical Group

Morehead City, North Carolina, United States

Site Status

Carolina Arthritis Associates

Wilmington, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Clinical Radiology Of Oklahoma

Edmond, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Dr. James Webb & Associates

Tulsa, Oklahoma, United States

Site Status

Altoona Center for Clinical Research - Research

Duncansville, Pennsylvania, United States

Site Status

PA Regional Center for Arthritis & Osteoporosis Research

Wyomissing, Pennsylvania, United States

Site Status

Palmetto Clinical Research

Summerville, South Carolina, United States

Site Status

The Endocrine Clinic PC

Memphis, Tennessee, United States

Site Status

Inquest Clinical Research

Baytown, Texas, United States

Site Status

Advanced Clinical Research-Be Well MD

Cedar Park, Texas, United States

Site Status

Research Institute of Dallas

Dallas, Texas, United States

Site Status

Valley Institute of Research - General Practice

Harlingen, Texas, United States

Site Status

Valley Institute of Research

Harlingen, Texas, United States

Site Status

Biopharma Informatic LLC

Houston, Texas, United States

Site Status

Quality Research Inc.

San Antonio, Texas, United States

Site Status

BFHC Research

San Antonio, Texas, United States

Site Status

Advanced Clinical Research (ACR) - Jordan Valley

West Jordan, Utah, United States

Site Status

Endocrinology & Diabetes Center

Chesapeake, Virginia, United States

Site Status

Western Branch Center for Women

Chesapeake, Virginia, United States

Site Status

Puget Sound Osteoporosis Center

Renton, Washington, United States

Site Status

Seattle Rheumatology Associates

Seattle, Washington, United States

Site Status

Arthritis Northwest Rheumatology, PLLC

Spokane, Washington, United States

Site Status

University of Wisconsin Madison

Madison, Wisconsin, United States

Site Status

Center for Clinical and Basic Research A/S

Aalborg, , Denmark

Site Status

Center for Clinical and Basic Research A/S

Ballerup Municipality, , Denmark

Site Status

Center for Clinical and Basic Research A/S

Vejle, , Denmark

Site Status

Synexus Magyarország Egészségügyi Szolgáltató Kft. - Budapest

Budapest, , Hungary

Site Status

Synexus Magyarország Egészségügyi Szolgáltató Kft. - Debrecen

Debrecen, , Hungary

Site Status

Synexus Magyarország Egészségügyi Szolgáltató Kft. - Gyula

Gyula, , Hungary

Site Status

Szabolcs-Szatmár-Bereg Megyei Kórházak és Egyetemi Oktatókórház

Nyíregyháza, , Hungary

Site Status

Synexus Magyarország Egészségügyi Szolgáltató Kft. - Zalaegerszeg

Zalaegerszeg, , Hungary

Site Status

Synexus Polska Sp. Z o.o. Oddział w Częstochowie

Częstochowa, , Poland

Site Status

Synexus Polska Sp. z o.o. Oddzial w Gdansku

Gdansk, , Poland

Site Status

Synexus Polska Sp. z o.o. Oddzial w Gdyni

Gdynia, , Poland

Site Status

Synexus Polska Sp. z o.o. Oddzial w Katowicach

Katowice, , Poland

Site Status

Krakowskie Centrum Medyczne Sp. z o.o.

Krakow, , Poland

Site Status

Specjalistyczny Osrodek Medycyny Wieku Dojrzałego Sp zo.o.

Lodz, , Poland

Site Status

Synexus Polska Sp. Z o.o. Oddział w Lodzi

Lodz, , Poland

Site Status

Synexus Polska Sp. z o.o. Oddzial w Poznaniu

Poznan, , Poland

Site Status

Specjalistyczny Ośrodek Medycyny Wieku Dojrzałego Sp. z o.o

Warsaw, , Poland

Site Status

Synexus Polska Sp. z o.o. Oddzial w Warszawie

Warsaw, , Poland

Site Status

Synexus Polska Sp. z o.o. Oddzial we Wroclawiu

Wroclaw, , Poland

Site Status

Mindful Rheumatix & Medical Research Group

San Juan, , Puerto Rico

Site Status

Countries

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United States Denmark Hungary Poland Puerto Rico

References

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Lewiecki EM, Czerwinski E, Recknor C, Strzelecka A, Valenzuela G, Lawrence M, Silverman S, Cardona J, Nattrass SM, Binkley N, Annett M, Pearman L, Mitlak B. Efficacy and Safety of Transdermal Abaloparatide in Postmenopausal Women with Osteoporosis: A Randomized Study. J Bone Miner Res. 2023 Oct;38(10):1404-1414. doi: 10.1002/jbmr.4877. Epub 2023 Jul 27.

Reference Type DERIVED
PMID: 37417725 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BA058-05-021

Identifier Type: -

Identifier Source: org_study_id

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