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NCT00089791

A Study to Evaluate Denosumab in the Treatment of Postmenopausal Osteoporosis

Completed Phase 3 Results posted Last updated 8 November 2022
What this trial tests

Phase 3 trial testing placebo in Osteoporosis in 7,808 participants. Completed in 17 June 2008.

Timeline
1 August 2004
Primary endpoint
17 June 2008
17 June 2008

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment7,808
Start date1 August 2004
Primary completion17 June 2008
Estimated completion17 June 2008

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 60 to 90, female only, with Osteoporosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With New Vertebral Fractures Primary · 36 months

A new vertebral fracture, assessed by lateral spine X-ray using Genant semiquantitative scoring method, was identified as an ≥ 1 grade increase from the Baseline grade of 0 in any vertebra from T4 to L4. New vertebral fractures included morphometric vertebral fractures (assessed at scheduled visits and not associated with signs or symptoms \[or both\] indicative of a fracture) and clinical vertebral fractures (assessed at either a scheduled or unscheduled visit and associated with any signs and/or symptoms indicative of a fracture, excluding any fracture associated with high trauma severity or

GroupValue95% CI
Placebo264
Denosumab 60 mg Q6M86
Number of Participants With Nonvertebral Fractures Secondary · 36 months

Nonvertebral fractures (osteoporotic) were those occurring on study excluding those of the vertebrae (cervical, thoracic, and lumbar), skull, facial, mandible, metacarpus, finger phalanges, and toe phalanges. Fractures associated with high trauma severity (fractures that were the result of a fall from higher than the height of a stool, chair, first rung on a ladder or equivalent (\> 20 inches) or was the result of severe trauma other than a fall) and pathologic fractures were excluded from this category. Nonvertebral fractures were required to be confirmed either by radiographs or other diagno

GroupValue95% CI
Placebo293
Denosumab 60 mg Q6M238
Number of Participants With a Hip Fracture Secondary · 36 months

Hip fractures are a subset of nonvertebral fractures including femur neck, femur intertrochanter, and femur subtrochanter.

GroupValue95% CI
Placebo43
Denosumab 60 mg Q6M26

Adverse events — posted to ClinicalTrials.gov

Time frame: 36 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 972/3876 (25%)
Deaths:
Denosumab 60 mg Q6M
Serious: 1004/3886 (26%)
Deaths:

Serious adverse events (872 terms)

ReactionSystemPlaceboDenosumab 60 mg Q6M
OsteoarthritisMusculoskeletal and connective tissue disorders
Atrial fibrillationCardiac disorders
PneumoniaInfections and infestations
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Angina pectorisCardiac disorders
Cerebrovascular accidentNervous system disorders
CataractEye disorders
Femur fractureInjury, poisoning and procedural complications
Myocardial infarctionCardiac disorders
Radius fractureInjury, poisoning and procedural complications
HypertensionVascular disorders
Femoral neck fractureInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
FallInjury, poisoning and procedural complications
Coronary artery diseaseCardiac disorders
CholelithiasisHepatobiliary disorders
Ulna fractureInjury, poisoning and procedural complications
Cardiac failureCardiac disorders
VertigoEar and labyrinth disorders
Urinary tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
SyncopeNervous system disorders
Transient ischaemic attackNervous system disorders
Other adverse events (21 terms — click to expand)

ReactionSystemPlaceboDenosumab 60 mg Q6M
Back painMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
NasopharyngitisInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
InfluenzaInfections and infestations
BronchitisInfections and infestations
Musculoskeletal painMusculoskeletal and connective tissue disorders
HypercholesterolaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
Urinary tract infectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
FallInjury, poisoning and procedural complications
DiarrhoeaGastrointestinal disorders
CataractEye disorders
CystitisInfections and infestations
DepressionPsychiatric disorders
DizzinessNervous system disorders
DyspepsiaGastrointestinal disorders

Most-reported serious reactions: Osteoarthritis, Atrial fibrillation, Pneumonia, Breast cancer, Angina pectoris, Cerebrovascular accident, Cataract, Femur fracture.

Data from ClinicalTrials.gov NCT00089791 adverse events section.

Sponsor's own description

This study will evaluate the effectiveness and safety of denosumab in treating women with Postmenopausal Osteoporosis.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Denosumab for prevention of fractures in postmenopausal women with osteoporosis.
    Cummings SR, San Martin J, McClung MR, Siris ES, et al · · 2009 · cited 2161× · PMID 19671655 · DOI 10.1056/nejmoa0809493
  2. 10 years of denosumab treatment in postmenopausal women with osteoporosis: results from the phase 3 randomised FREEDOM trial and open-label extension.
    Bone HG, Wagman RB, Brandi ML, Brown JP, et al · · 2017 · cited 645× · PMID 28546097 · DOI 10.1016/s2213-8587(17)30138-9
  3. Vertebral Fractures After Discontinuation of Denosumab: A Post Hoc Analysis of the Randomized Placebo-Controlled FREEDOM Trial and Its Extension.
    Cummings SR, Ferrari S, Eastell R, Gilchrist N, et al · · 2018 · cited 437× · PMID 29105841 · DOI 10.1002/jbmr.3337
  4. The effect of 8 or 5 years of denosumab treatment in postmenopausal women with osteoporosis: results from the FREEDOM Extension study.
    Papapoulos S, Lippuner K, Roux C, Lin CJ, et al · · 2015 · cited 190× · PMID 26202488 · DOI 10.1007/s00198-015-3234-7
  5. The effect of three or six years of denosumab exposure in women with postmenopausal osteoporosis: results from the FREEDOM extension.
    Bone HG, Chapurlat R, Brandi ML, Brown JP, et al · · 2013 · cited 150× · PMID 23979955 · DOI 10.1210/jc.2013-1597
  6. Targeting strategies for bone diseases: signaling pathways and clinical studies.
    Xu H, Wang W, Liu X, Huang W, et al · · 2023 · cited 97× · PMID 37198232 · DOI 10.1038/s41392-023-01467-8
  7. RANKL inhibition with denosumab does not influence 3-year progression of aortic calcification or incidence of adverse cardiovascular events in postmenopausal women with osteoporosis and high cardiovascular risk.
    Samelson EJ, Miller PD, Christiansen C, Daizadeh NS, et al · · 2014 · cited 92× · PMID 23873632 · DOI 10.1002/jbmr.2043
  8. Relationship Between Bone Mineral Density T-Score and Nonvertebral Fracture Risk Over 10 Years of Denosumab Treatment.
    Ferrari S, Libanati C, Lin CJF, Brown JP, et al · · 2019 · cited 78× · PMID 30919997 · DOI 10.1002/jbmr.3722

Verify or expand the search:

Other trials of Denosumab

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Other Amgen trials

Trials by the same sponsor.

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