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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01631214




Registration number
NCT01631214
Ethics application status
Date submitted
24/05/2012
Date registered
29/06/2012
Date last updated
8/11/2022

Titles & IDs
Public title
Study to Determine the Efficacy and Safety of Romosozumab in the Treatment of Postmenopausal Women With Osteoporosis
Scientific title
A Multicenter, International, Randomized, Double-blind, Alendronate-controlled Study to Determine the Efficacy and Safety of Romosozumab in the Treatment of Postmenopausal Women With Osteoporosis
Secondary ID [1] 0 0
2011-003142-41
Secondary ID [2] 0 0
20110142
Universal Trial Number (UTN)
Trial acronym
ARCH
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Postmenopausal Women With Osteoporosis 0 0
Condition category
Condition code
Musculoskeletal 0 0 0 0
Osteoporosis

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Other interventions - Romosozumab
Treatment: Drugs - Alendronate
Treatment: Drugs - Placebo to Romosozumab
Treatment: Drugs - Placebo to Alendronate

Active Comparator: Alendronate/Alendronate - Participants received 70 mg alendronate once a week and placebo to romosozumab subcutaneously once a month for the first 12 months. After completion of the 12-month double-blind treatment period participants continued to receive 70 mg alendronate once a week until the end of the study.

Experimental: Romosozumab/Alendronate - Participants received 210 mg romosozumab subcutaneously once a month and placebo to alendronate orally once a week for the first 12 months. After completion of the 12-month double-blind treatment period participants received 70 mg alendronate once a week until the end of the study.


Other interventions: Romosozumab
Romosozumab 210 mg administered by subcutaneous injection once a month during the double-blind treatment phase.

Treatment: Drugs: Alendronate
Alendronate 70 mg tablet taken once a week

Treatment: Drugs: Placebo to Romosozumab
Administered by subcutaneous injection once a month during the double-blind treatment phase.

Treatment: Drugs: Placebo to Alendronate
Matching placebo tablet taken once a week during the double-blind treatment phase.

Intervention code [1] 0 0
Other interventions
Intervention code [2] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants With New Vertebral Fractures Through Month 24
Timepoint [1] 0 0
24 months
Primary outcome [2] 0 0
Percentage of Participants With a Clinical Fracture at the Primary Analysis
Timepoint [2] 0 0
The primary analysis was performed when clinical fracture events had been confirmed in at least 330 patients and all participants had completed the month 24 visit. The median follow-up was 2.7 years (interquartile range, 2.2 to 3.3).
Secondary outcome [1] 0 0
Percentage of Participants With a Nonvertebral Fracture at the Primary Analysis
Timepoint [1] 0 0
The primary analysis was performed when clinical fracture events had been confirmed in at least 330 patients and all participants had completed the month 24 visit. The median follow-up was 2.7 years (interquartile range, 2.2 to 3.3).
Secondary outcome [2] 0 0
Percentage of Participants With Any Fracture at the Primary Analysis
Timepoint [2] 0 0
The primary analysis was performed when clinical fracture events had been confirmed in at least 330 patients and all participants had completed the month 24 visit. The median follow-up was 2.7 years (interquartile range, 2.2 to 3.3).
Secondary outcome [3] 0 0
Percentage of Participants With a New or Worsening Vertebral Fracture Through Month 24
Timepoint [3] 0 0
24 months
Secondary outcome [4] 0 0
Percentage of Participants With a Major Nonvertebral Fracture at the Primary Analysis
Timepoint [4] 0 0
The primary analysis was performed when clinical fracture events had been confirmed in at least 330 patients and all participants had completed the month 24 visit. The median follow-up was 2.7 years (interquartile range, 2.2 to 3.3).
Secondary outcome [5] 0 0
Percentage of Participants With a Hip Fracture at the Primary Analysis
Timepoint [5] 0 0
The primary analysis was performed when clinical fracture events had been confirmed in at least 330 patients and all participants had completed the month 24 visit. The median follow-up was 2.7 years (interquartile range, 2.2 to 3.3).
Secondary outcome [6] 0 0
Percentage of Participants With Multiple New or Worsening Vertebral Fractures Through Month 24
Timepoint [6] 0 0
24 months
Secondary outcome [7] 0 0
Percentage of Participants With a Clinical Fracture Through Month 24
Timepoint [7] 0 0
24 months
Secondary outcome [8] 0 0
Percentage of Participants With a Nonvertebral Fracture Through Month 24
Timepoint [8] 0 0
24 months
Secondary outcome [9] 0 0
Percentage of Participants With a Hip Fracture Through Month 24
Timepoint [9] 0 0
24 months
Secondary outcome [10] 0 0
Percentage of Participants With a Clinical Vertebral Fracture Through Month 24
Timepoint [10] 0 0
24 months
Secondary outcome [11] 0 0
Percentage of Participants With a Clinical Fracture Through Month 12
Timepoint [11] 0 0
12 months
Secondary outcome [12] 0 0
Percentage of Participants With New Vertebral Fractures Through Month 12
Timepoint [12] 0 0
12 months
Secondary outcome [13] 0 0
Percentage of Participants With Any Fracture Through Month 12
Timepoint [13] 0 0
12 months
Secondary outcome [14] 0 0
Percentage of Participants With a Nonvertebral Fracture Through Month 12
Timepoint [14] 0 0
12 months
Secondary outcome [15] 0 0
Percentage of Participants With a Hip Fracture Through Month 12
Timepoint [15] 0 0
12 months
Secondary outcome [16] 0 0
Percentage of Participants With a Major Osteoporotic Fracture Through Month 12
Timepoint [16] 0 0
12 months
Secondary outcome [17] 0 0
Percentage of Participants With a Clinical Vertebral Fracture Through Month 12
Timepoint [17] 0 0
12 months
Secondary outcome [18] 0 0
Percent Change From Baseline in Bone Mineral Density at the Lumbar Spine at Month 24
Timepoint [18] 0 0
Baseline and month 24
Secondary outcome [19] 0 0
Percent Change From Baseline in Bone Mineral Density of the Total Hip at Month 24
Timepoint [19] 0 0
Baseline and month 24
Secondary outcome [20] 0 0
Percent Change From Baseline in Bone Mineral Density of the Femoral Neck at at Month 24
Timepoint [20] 0 0
Baseline and month 24
Secondary outcome [21] 0 0
Percent Change From Baseline in Bone Mineral Density at the Lumbar Spine at Month 12
Timepoint [21] 0 0
Baseline and month 12
Secondary outcome [22] 0 0
Percent Change From Baseline in Bone Mineral Density at the Total Hip at Month 12
Timepoint [22] 0 0
Baseline and month 12
Secondary outcome [23] 0 0
Percent Change From Baseline in Bone Mineral Density at the Femoral Neck at Month 12
Timepoint [23] 0 0
Baseline and month 12
Secondary outcome [24] 0 0
Percent Change From Baseline in Bone Mineral Density of the Lumbar Spine at Month 36
Timepoint [24] 0 0
Baseline and month 36
Secondary outcome [25] 0 0
Percent Change From Baseline in Bone Mineral Density of the Total Hip at Month 36
Timepoint [25] 0 0
Baseline and month 36
Secondary outcome [26] 0 0
Percent Change From Baseline in Bone Mineral Density of the Femoral Neck at Month 36
Timepoint [26] 0 0
Baseline and month 36

Eligibility
Key inclusion criteria
Postmenopausal women who meet at least one of the following bone mineral density (BMD) and
fracture criteria:

- BMD T-score at the total hip or femoral neck of = -2.50 and EITHER:

- at least 1 moderate (semiquantitative grade [SQ]2) or severe (SQ3) vertebral
fracture OR

- at least 2 mild (SQ1) vertebral fractures OR

- BMD T-score at the total hip or femoral neck of = -2.00 and EITHER:

- at least 2 moderate (SQ2) or severe (SQ3) vertebral fractures OR

- a fracture of the proximal femur that occurred within 3 to 24 months prior to
randomization.
Minimum age
55 Years
Maximum age
90 Years
Sex
Females
Can healthy volunteers participate?
No
Key exclusion criteria
- History of metabolic or bone disease (except osteoporosis)

- Use of agents affecting bone metabolism

- Vitamin D insufficiency

- History of solid organ or bone marrow transplants

- Hyper- or hypocalcemia

- Hyper- or hypothyroidism

- Hyper- or hypoparathyroidism

- Possible signs of intolerance to alendronate

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,VIC
Recruitment hospital [1] 0 0
Research Site - Darlinghurst
Recruitment hospital [2] 0 0
Research Site - Kogarah
Recruitment hospital [3] 0 0
Research Site - Randwick
Recruitment hospital [4] 0 0
Research Site - Box Hill
Recruitment hospital [5] 0 0
Research Site - Geelong
Recruitment hospital [6] 0 0
Research Site - Heidelberg West
Recruitment hospital [7] 0 0
Research Site - Parkville
Recruitment postcode(s) [1] 0 0
2010 - Darlinghurst
Recruitment postcode(s) [2] 0 0
2217 - Kogarah
Recruitment postcode(s) [3] 0 0
2031 - Randwick
Recruitment postcode(s) [4] 0 0
3128 - Box Hill
Recruitment postcode(s) [5] 0 0
3220 - Geelong
Recruitment postcode(s) [6] 0 0
3081 - Heidelberg West
Recruitment postcode(s) [7] 0 0
3050 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
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Arizona
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California
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State/province [4] 0 0
Colorado
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
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United States of America
State/province [6] 0 0
Georgia
Country [7] 0 0
United States of America
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Illinois
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Indiana
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Maryland
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Massachusetts
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Michigan
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Missouri
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Gent
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Belgium
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Leuven
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Liège
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Larissa
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Elverum
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Hamar
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Gdynia
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Kraków
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Torun
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Bucuresti
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Amgen
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to determine if treatment is effective in preventing fractures
in women with postmenopausal osteoporosis.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01631214
Trial related presentations / publications
Saag KG, Petersen J, Brandi ML, Karaplis AC, Lorentzon M, Thomas T, Maddox J, Fan M, Meisner PD, Grauer A. Romosozumab or Alendronate for Fracture Prevention in Women with Osteoporosis. N Engl J Med. 2017 Oct 12;377(15):1417-1427. doi: 10.1056/NEJMoa1708322. Epub 2017 Sep 11.
Public notes

Contacts
Principal investigator
Name 0 0
MD
Address 0 0
Amgen
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01631214