Last reviewed · How we verify

NCT01796301: STRUCTURE

An Open-label Study to Evaluate the Effect of Treatment With Romosozumab or Teriparatide in Postmenopausal Women

Completed Phase 3 Results posted Last updated 29 November 2022
What this trial tests

Phase 3 trial testing Romozosumab in Postmenopausal Osteoporosis in 436 participants. Completed in 14 May 2015.

Timeline
31 January 2013
Primary endpoint
14 May 2015
14 May 2015

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment436
Start date31 January 2013
Primary completion14 May 2015
Estimated completion14 May 2015
Sites50 locations across Denmark, Colombia, Belgium, United Kingdom, Hungary, Poland, Argentina, Canada

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 55 to 90, female only, with Postmenopausal 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 Through Month 12 in Total Hip Bone Mineral Density (BMD) Primary · Baseline, month 6 and month 12

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA). Percent change from baseline through month 12 is the average of the treatment effect at months 6 and 12.

GroupValue95% CI
Teriparatide-0.6± 0.2
Romosozumab2.6± 0.2
Percent Change From Baseline in Total Hip BMD at Month 6 Secondary · Baseline and month 6

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

GroupValue95% CI
Teriparatide-0.8± 0.2
Romosozumab2.3± 0.2
Percent Change From Baseline in Total Hip BMD at Month 12 Secondary · Baseline and month 12

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

GroupValue95% CI
Teriparatide-0.5± 0.2
Romosozumab2.9± 0.2
Percent Change From Baseline in Cortical BMD by Quantitative Computed Tomography (QCT) at the Total Hip at Month 6 Secondary · Baseline and month 6

Cortical BMD was measured by quantitative computed tomography (QCT) at the total hip.

GroupValue95% CI
Teriparatide-2.7± 0.2
Romosozumab0.7± 0.2
Percent Change From Baseline in Cortical BMD by QCT at the Total Hip at Month 12 Secondary · Baseline and month 12

Cortical BMD was measured by quantitative computed tomography (QCT) at the total hip.

GroupValue95% CI
Teriparatide-3.6± 0.3
Romosozumab1.1± 0.3
Percent Change From Baseline in Integral BMD by QCT at the Total Hip at Month 6 Secondary · Baseline and month 6

Integral BMD was measured by quantitative computed tomography (QCT) at the total hip.

GroupValue95% CI
Teriparatide-0.8± 0.2
Romosozumab2.3± 0.2
Percent Change From Baseline in Integral BMD by QCT at the Total Hip at Month 12 Secondary · Baseline and month 12

Integral BMD was measured by quantitative computed tomography (QCT) at the total hip.

GroupValue95% CI
Teriparatide-0.2± 0.2
Romosozumab3.4± 0.2
Percent Change From Baseline in Estimated Strength at the Total Hip at Month 6 Secondary · Baseline and month 6

Total hip estimated strength was assessed by finite element analysis (FEA) of QCT scans.

GroupValue95% CI
Teriparatide-1.0± 0.2
Romosozumab2.1± 0.2
Percent Change From Baseline in Estimated Strength at the Total Hip at Month 12 Secondary · Baseline and month 12

Total hip estimated strength was assessed by finite element analysis (FEA) of QCT scans.

GroupValue95% CI
Teriparatide-0.7± 0.4
Romosozumab2.5± 0.4
Percent Change From Baseline in Total Hip Integral Bone Mineral Content (BMC) by QCT at Month 6 Secondary · Baseline and month 6

Total hip integral BMC was measured using quantitative computed tomography (QCT).

GroupValue95% CI
Teriparatide-0.7± 0.2
Romosozumab2.4± 0.2
Percent Change From Baseline in Total Hip Integral Bone Mineral Content (BMC) by QCT at Month 12 Secondary · Baseline and month 12

Total hip integral BMC was measured using quantitative computed tomography (QCT).

GroupValue95% CI
Teriparatide0.0± 0.2
Romosozumab3.6± 0.2
Percent Change From Baseline in Femoral Neck BMD at Month 6 Secondary · Baseline and month 6

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

GroupValue95% CI
Teriparatide-1.1± 0.3
Romosozumab2.1± 0.3

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Teriparatide
Serious: 23/214 (11%)
Deaths:
Romosozumab
Serious: 17/218 (8%)
Deaths:

Serious adverse events (57 terms)

ReactionSystemTeriparatideRomosozumab
Atrial fibrillationCardiac disorders
Abdominal painGastrointestinal disorders
PneumoniaInfections and infestations
Bone marrow failureBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Arrhythmia supraventricularCardiac disorders
Bifascicular blockCardiac disorders
BradycardiaCardiac disorders
Cardiac arrestCardiac disorders
Cardiac failure chronicCardiac disorders
Pericardial effusionCardiac disorders
Sinus bradycardiaCardiac disorders
VertigoEar and labyrinth disorders
Abdominal pain lowerGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Large intestinal ulcerGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Non-cardiac chest painGeneral disorders
PyrexiaGeneral disorders
CholelithiasisHepatobiliary disorders
AppendicitisInfections and infestations
DiverticulitisInfections and infestations
InfluenzaInfections and infestations
Other adverse events (9 terms — click to expand)

ReactionSystemTeriparatideRomosozumab
NasopharyngitisInfections and infestations
HypercalcaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
FallInjury, poisoning and procedural complications
Upper respiratory tract infectionInfections and infestations
Musculoskeletal painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Atrial fibrillation, Abdominal pain, Pneumonia, Bone marrow failure, Angina pectoris, Arrhythmia supraventricular, Bifascicular block, Bradycardia.

Data from ClinicalTrials.gov NCT01796301 adverse events section.

Sponsor's own description

The primary objective of the study was to evaluate the effect of 12 months of treatment with romosozumab compared with teriparatide on total hip bone mineral density (BMD) in postmenopausal women with osteoporosis who were previously treated with bisphosphonate therapy.

Publications & conference data

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

  1. Osteoporosis treatment: recent developments and ongoing challenges.
    Khosla S, Hofbauer LC. · · 2017 · cited 762× · PMID 28689769 · DOI 10.1016/s2213-8587(17)30188-2
  2. Romosozumab (sclerostin monoclonal antibody) versus teriparatide in postmenopausal women with osteoporosis transitioning from oral bisphosphonate therapy: a randomised, open-label, phase 3 trial.
    Langdahl BL, Libanati C, Crittenden DB, Bolognese MA, et al · · 2017 · cited 332× · PMID 28755782 · DOI 10.1016/s0140-6736(17)31613-6
  3. Wnt/β-catenin signaling components and mechanisms in bone formation, homeostasis, and disease.
    Hu L, Chen W, Qian A, Li YP. · · 2024 · cited 191× · PMID 38987555 · DOI 10.1038/s41413-024-00342-8
  4. Antibodies to watch in 2015.
    Reichert JM. · · 2015 · cited 117× · PMID 25484055 · DOI 10.4161/19420862.2015.988944
  5. Romosozumab and antiresorptive treatment: the importance of treatment sequence.
    Cosman F, Kendler DL, Langdahl BL, Leder BZ, et al · · 2022 · cited 66× · PMID 35165774 · DOI 10.1007/s00198-021-06174-0
  6. Romosozumab for the treatment of osteoporosis.
    McClung MR. · · 2018 · cited 49× · PMID 30775535 · DOI 10.1016/j.afos.2018.03.002
  7. 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
  8. The osteocyte as a therapeutic target in the treatment of osteoporosis.
    Rochefort GY. · · 2014 · cited 30× · PMID 24891879 · DOI 10.1177/1759720x14523500

Verify or expand the search:

Other recruiting trials for Postmenopausal Osteoporosis

Currently open trials in the same condition.

Other Amgen trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01796301.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing