Sequential Therapies After Osteoanabolic Treatment

NCT ID: NCT06164795

Last Updated: 2025-04-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-25

Study Completion Date

2027-05-31

Brief Summary

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12-month prospective, open-label, multicenter, international, observational study evaluating sequential treatments after osteoanabolics

Detailed Description

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Caucasian women with severe postmenopausal osteoporosis who have completed their course with romosozumab or a PTH analog will be assigned to one of the following 3 options: i) zoledronate 5mg infusion or ii) denosumab subcutaneous injections or iii) teriparatide or abaloparatide (for those previously treated with romosozumab) or romosozumab (for those previously treated with teriparatide or abaloparatide).

Endpoints: Primary: BMD changes at the lumbar spine at 12 months. Secondary: i) BMD changes at the non-dominant femoral neck and total hip at 12 and 24 months; ii) changes at levels of bone turnover markers throughout the study; iii) incident fractures: vertebral (clinical and morphometric identified on VFA scans) and non-vertebral

Conditions

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Osteoporosis, Postmenopausal

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Romo-Zol group

Postmenopausal women treated with romosozumab for 12 months will receive a single zoledronate infusion (5mg) at 1 month after the last romosozumab dose

Zoledronate

Intervention Type DRUG

intravenous infusion

Romo-Dmab group

Postmenopausal women treated with romosozumab for 12 months will receive subcutaneous denosumab injections (60mg) bi-annually for 12 months starting at 1 month after the last romosozumab dose

Denosumab

Intervention Type DRUG

subcutaneous injection

Romo-PTH group

Postmenopausal women treated with romosozumab for 12 months will receive daily injections of teriparatide 20μg or abaloparatide 80μg for 12 months starting at 1 month after the last romosozumab dose

Teriparatide

Intervention Type DRUG

subcutaneous injection

Abaloparatide Injection (80 mcg)

Intervention Type DRUG

daily subcutaneous injection

PTH-Zol group

Postmenopausal women treated with teriparatide for 24 months or abaloparatide for 18 monthswill receive a single zoledronate infusion (5mg) at 1 month after the last romosozumab dose

Zoledronate

Intervention Type DRUG

intravenous infusion

PTH-Dmab group

Postmenopausal women treated with teriparatide for 24 months or abaloparatide for 18 months will receive subcutaneous denosumab injections (60mg) bi-annually for 12 months

Denosumab

Intervention Type DRUG

subcutaneous injection

TPTD-Romo group

Postmenopausal women treated with teriparatide for 24 months or abaloparatide for 18 months will receive month injections of romosozumab for 12 months

Romosozumab

Intervention Type DRUG

subcutaneous injection

Interventions

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Zoledronate

intravenous infusion

Intervention Type DRUG

Denosumab

subcutaneous injection

Intervention Type DRUG

Teriparatide

subcutaneous injection

Intervention Type DRUG

Romosozumab

subcutaneous injection

Intervention Type DRUG

Abaloparatide Injection (80 mcg)

daily subcutaneous injection

Intervention Type DRUG

Other Intervention Names

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zoledronic acid; zolendronate Dmab TPTD Romo

Eligibility Criteria

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Inclusion Criteria

• Postmenopausal women treated with severe osteoporosis completing their course with romosozumab or teriparatide

Exclusion Criteria

* a bone disease other than postmenopausal osteoporosis
* use of medications other than romosozumab or teriparatide affecting bone metabolism during the last 12 months before entering the study
* creatinine clearance \<60 mL/min/1.73 m2
* liver failure
* any type of cancer
* uncontrolled endocrine diseases
* serum 25-hydroxy vitamin D (25-OHD) concentrations lower than 20 ng/mL (50 nmol/L)
* hypersensitivity to denosumab or zoledronate or teriparatide or romosozumab or any of the excipients
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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424 General Military Hospital

OTHER

Sponsor Role lead

Responsible Party

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Athanasios D. Anastasilakis

Head of the Department of Endocrinology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Willem Lems, Prof

Role: STUDY_CHAIR

ECTS Clinical Action Group

Locations

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251 Airforce & VA General Hospital

Athens, , Greece

Site Status RECRUITING

First Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens

Athens, , Greece

Site Status RECRUITING

, KAT General Hospital

Athens, , Greece

Site Status RECRUITING

424 General Military Hospital

Thessaloniki, , Greece

Site Status RECRUITING

Fondazione IRCCS Cà Granda-Ospedale Maggiore Policlinico

Milan, , Italy

Site Status RECRUITING

Campus Bio-Medico University

Roma, , Italy

Site Status RECRUITING

Department of Medicine, Surgery and Neurosciences, University of Siena

Siena, , Italy

Site Status RECRUITING

University-Hospital S. Maria della Misericordia

Udine, , Italy

Site Status RECRUITING

Countries

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Greece Italy

Central Contacts

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Athanasios D Anastasilakis, PhD

Role: CONTACT

2310381431 ext. +30

John Carey, Prof

Role: CONTACT

Facility Contacts

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Polyzois Makras, PhD

Role: primary

+302107463606

Maria P Yavropoulou, Consultant

Role: primary

+30 2132060800

Symeon Tournis, PhD

Role: primary

+30 2132086000

Athanasios D Anastasilakis, PhD

Role: primary

+302310381697

Stergios A Polyzos, PhD

Role: backup

+302310455780

Cristina Eller-Vainicher

Role: primary

Andrea Palermo, Ass Prof

Role: primary

Gaia Tabacco, PhD

Role: backup

Luigi Gennari, prof

Role: primary

Daniela Merlotti

Role: backup

Fabio Vescini

Role: primary

Other Identifiers

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START

Identifier Type: -

Identifier Source: org_study_id

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