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NCT01588509

Transition From Alendronate to Romosozumab (AMG 785)

Completed Phase 1 Results posted Last updated 26 March 2019
What this trial tests

Phase 1 trial testing Romosozumab in Osteoporosis in 60 participants. Completed in 21 November 2012.

Timeline
30 March 2012
Primary endpoint
21 November 2012
21 November 2012

Quick facts

Lead sponsorAmgen
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment60
Start date30 March 2012
Primary completion21 November 2012
Estimated completion21 November 2012
Sites9 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 55 to 85, 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.

Percent Change From Baseline in Bone Mineral Density (BMD) at the Lumbar Spine Primary · Baseline and day 85

Bone mineral density was assessed by dual energy X-ray absorptiometry (DXA) scans of the lumbar spine (L1-L4) and analyzed by a central imaging lab.

GroupValue95% CI
Romosozumab 140 mg2.13± 0.64
Romosozumab 210 mg2.08± 0.63
Percent Change From Baseline in Bone Mineral Density (BMD) at the Femoral Neck Secondary · Baseline and day 85

Bone mineral density was assessed by dual energy X-ray absorptiometry (DXA) scans and analyzed by a central imaging lab.

GroupValue95% CI
Romosozumab 140 mg2.06± 0.59
Romosozumab 210 mg1.92± 0.58
Percent Change From Baseline in Bone Mineral Density (BMD) at the Total Hip Secondary · Baseline and day 85

Bone mineral density was assessed by dual energy X-ray absorptiometry (DXA) scans and analyzed by a central imaging lab.

GroupValue95% CI
Romosozumab 140 mg1.38± 0.34
Romosozumab 210 mg1.40± 0.34
Percent Change From Baseline in Serum Type-1 Aminoterminal Propeptide (P1NP) Secondary · Baseline and days 4, 15, 29, 43, 57, 71, and 85
Day 4
GroupValue95% CI
Romosozumab 140 mg22.1263± 3.3852
Romosozumab 210 mg30.4935± 4.9950
Day 15
GroupValue95% CI
Romosozumab 140 mg140.9970± 15.1975
Romosozumab 210 mg218.4994± 22.6148
Day 29
GroupValue95% CI
Romosozumab 140 mg128.3936± 17.7834
Romosozumab 210 mg221.9954± 23.3718
Day 43
GroupValue95% CI
Romosozumab 140 mg164.1654± 17.7832
Romosozumab 210 mg251.0495± 23.4572
Day 57
GroupValue95% CI
Romosozumab 140 mg99.3682± 14.9155
Romosozumab 210 mg168.7689± 17.1565
Day 71
GroupValue95% CI
Romosozumab 140 mg127.4051± 14.8572
Romosozumab 210 mg205.2619± 23.5171
Day 85
GroupValue95% CI
Romosozumab 140 mg64.9103± 10.5005
Romosozumab 210 mg142.5601± 20.3233
Percent Change From Baseline in Serum C-telopeptide (sCTX) Secondary · Baseline and days 4, 15, 29, 43, 57, 71, and 85
Day 4
GroupValue95% CI
Romosozumab 140 mg-28.2149± 3.9352
Romosozumab 210 mg-14.8099± 4.6844
Day 15
GroupValue95% CI
Romosozumab 140 mg-28.9365± 4.6974
Romosozumab 210 mg-22.2800± 5.1854
Day 29
GroupValue95% CI
Romosozumab 140 mg3.1008± 8.6448
Romosozumab 210 mg-1.8188± 7.4121
Day 43
GroupValue95% CI
Romosozumab 140 mg3.4511± 8.9913
Romosozumab 210 mg11.0131± 10.0244
Day 57
GroupValue95% CI
Romosozumab 140 mg25.7433± 8.7440
Romosozumab 210 mg35.7697± 13.5346
Day 71
GroupValue95% CI
Romosozumab 140 mg28.4465± 11.7345
Romosozumab 210 mg44.3802± 13.7159
Day 85
GroupValue95% CI
Romosozumab 140 mg54.0549± 14.2140
Romosozumab 210 mg61.1734± 13.9874
Number of Participants With Adverse Events Secondary · From first dose of study drug up to day 85

An adverse event (AE) was defined as any untoward medical occurrence in a clinical trial participant. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events. A treatment-related adverse event (TRAE) was an adverse event assessed by the investigator as possibly related to the investigational product, indicated by a "yes" response to the question: Is there a reasonable possibility that the event may have been caused by the investigational product? A serious adverse event was defined as an adverse event that met at least 1 of the follow

All adverse events
GroupValue95% CI
Romosozumab 140 mg14
Romosozumab 210 mg15
Serious adverse events
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
AE leading to discontinuation of study drug
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
AE leading to discontinuation from study
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
Fatal adverse events
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
Treatment-related adverse events
GroupValue95% CI
Romosozumab 140 mg3
Romosozumab 210 mg4
Treatment-related serious adverse events
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
TRAE leading to discontinuation of study drug
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
Number of Participants Who Developed Anti-romosozumab Antibodies Secondary · Baseline and days 29, 57, and 85

Two validated assays were used to detect the presence of anti-romosozumab antibodies. An electrochemiluminescent bridging immunoassay was used to detect binding antibodies (screening assay) and confirm antibodies (confirmatory assay) capable of binding romosozumab. Samples testing positive in the immunoassay were further tested in a competitive binding bioassay for neutralizing activity against romosozumab. If a sample was positive for binding antibodies and demonstrated neutralizing activity, the participant was defined as positive for neutralizing antibodies. Participants who developed anti-

Binding antibody positive
GroupValue95% CI
Romosozumab 140 mg2
Romosozumab 210 mg2
Neutralizing antibody positive
GroupValue95% CI
Romosozumab 140 mg0
Romosozumab 210 mg0
Mean Serum Concentration of Romosozumab Secondary · Days 4, 15, 29, 43, 57, 71 and 85
Day 4
GroupValue95% CI
Romosozumab 140 mg15000± 6350
Romosozumab 210 mg23200± 9730
Day 15
GroupValue95% CI
Romosozumab 140 mg10500± 3540
Romosozumab 210 mg18500± 6640
Day 29
GroupValue95% CI
Romosozumab 140 mg3890± 2000
Romosozumab 210 mg8200± 4470
Day 43
GroupValue95% CI
Romosozumab 140 mg14300± 4280
Romosozumab 210 mg22800± 9390
Day 57
GroupValue95% CI
Romosozumab 140 mg5490± 2600
Romosozumab 210 mg10700± 6380
Day 71
GroupValue95% CI
Romosozumab 140 mg13700± 5000
Romosozumab 210 mg22700± 10500
Day 85
GroupValue95% CI
Romosozumab 140 mg5350± 3190
Romosozumab 210 mg11600± 6850

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to day 85. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Romosozumab 140 mg
Serious: 0/30 (0%)
Deaths:
Romosozumab 210 mg
Serious: 0/30 (0%)
Deaths:
Other adverse events (9 terms — click to expand)

ReactionSystemRomosozumab 140 mgRomosozumab 210 mg
FatigueGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Injection site reactionGeneral disorders
Oedema peripheralGeneral disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
Muscle spasmsMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT01588509 adverse events section.

Sponsor's own description

The purpose of this study is to estimate the percent change from baseline in lumbar spine bone mineral density (BMD) following multiple-dose administrations of romosozumab in postmenopausal women with low BMD previously treated with alendronate.

Publications & conference data

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

  1. 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
  2. Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges.
    MacNabb C, Patton D, Hayes JS. · · 2016 · cited 44× · PMID 27313945 · DOI 10.1155/2016/6217286
  3. Regulation of bone homeostasis: signaling pathways and therapeutic targets.
    Wu Z, Li W, Jiang K, Lin Z, et al · · 2024 · cited 42× · PMID 39049966 · DOI 10.1002/mco2.657
  4. Sclerostin inhibition: a novel therapeutic approach in the treatment of osteoporosis.
    Shah AD, Shoback D, Lewiecki EM. · · 2015 · cited 40× · PMID 26082665 · DOI 10.2147/ijwh.s73244

Verify or expand the search:

Other trials of Romosozumab

Trials testing the same drug.

Other recruiting trials for Osteoporosis

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Other Amgen trials

Trials by the same sponsor.

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