Change in Lumbar Spine Areal Bone Mineral Density (BMD)
| Group | Value (gram per square centimeter (g/cm^2)) | Spread |
|---|---|---|
| Teriparatide | 0.094 | 0.0075 |
| Risedronate | 0.055 | 0.0081 |
Trial · Interventional
CompletedPhase 4Results postedRegistry dataShort name MOVE
United States, Canada, Croatia, Czechia, Denmark, France, Germany, Greece, Italy, Mexico, Norway, Spain
1 trial · 1 completed · 1 with posted results
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
This study will evaluate whether teriparatide is superior to the active comparator in the change from baseline of lumbar spine BMD (bone mineral density) in men and postmenopausal women with low bone mass and a recent pertrochanteric hip fracture.
Experimental
Teriparatide
20 micrograms (mcg) a day by subcutaneous injection throughout study. Placebo oral tablets once a week, to match the active comparator weekly dose, during the double-blind, double-dummy phase only.
Active comparator
Risedronate
35 milligrams (mg) risedronate sodium orally once weekly throughout study. Daily placebo injection, to match the daily experimental drug dose, during the double-blind, double-dummy phase only.
Outcomes the sponsor listed as primary.
Change in Lumbar Spine Areal Bone Mineral Density (BMD)
Time frame · Baseline, Week 78
Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for baseline lumbar spine BMD, type of hip fracture (31-A1/31-A2) and glucocorticoids used at baseline (Yes/No).
Change in Lumbar Spine Areal Bone Mineral Density
Time frame · Baseline, Week 26; Baseline, Week 52
Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for baseline lumbar spine BMD, type of hip fracture (31-A1/31-A2) and glucocorticoids used at baseline (Yes/No).
Change in Areal Bone Mineral Density Measured at the Femoral Neck and Total Hip of the Non-Fractured Limb
Time frame · Baseline, Week 26; Baseline, Week 52; Baseline, Week 78
Femoral neck BMD: Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for baseline femoral neck BMD and type of hip fracture (31-A1/31-A2) . Total hip BMD: Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for baseline total hip BMD, type of hip fracture (31-A1/31-A2) and duration of prior bisphosphonate use.
Change From Baseline in Physical Component Summary of the Short Form-36 (SF-36) Questionnaire
Time frame · Baseline, Week 6; Baseline, Week 12; Baseline, Week 18; Baseline, Week 26
SF-36 is a self-reported questionnaire consisting of 36 questions covering 8 health domains. Each domain was scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. The physical component summary (PCS) has been constructed based on the 8 SF-36 domains and consist of the physical functioning, bodily pain, role-physical, and general health scales (range = 0 to 100, with higher scores indicating better health status for functioning). Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for type of hip fracture (31-A1/31-A2) and adequate reduction (Yes/No).
Percentage of Participants Reporting Hip Pain in Modification of the Charnley's Pain Scale
Time frame · Baseline
Self-reported hip pain scale in which 0=no pain; 1=pain is slight or intermittent, pain on starting to walk but getting less with normal activity; 2=pain occurs only after some activity, disappears quickly with rest; 3=pain is tolerable, permitting limited activity; 4=pain is severe on attempting to walk, prevents all activity; 5=pain is severe and spontaneous.
Visual Analog Scale (VAS)
Time frame · 6, 12, 18, and 26 Weeks
Visual analog pain scale is a measurement instrument to measure the level of hip pain. Scores range from 0 to 100 millimeter (mm) with higher score indicating greater pain. Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for type of fracture (31-A1/31-A2), type of reduction (open/close), use of opioids (Yes/No), use of non-steroidal anti-inflammatory drugs, adequate reduction (Yes/No) and interaction between treatment and adequate reduction.
Timed "Up and Go" Test
Time frame · 6, 12, 18, and 26 Weeks
Timed "Up and Go" test measures, in seconds, the time taken by an individual to stand up from a standard chair, walk a distance of 3 meters, turn, walk back to the chair, and sit down. Least squares (LS) means obtained from mixed model repeated measures analysis including as fixed effects treatment and time with interaction, further adjusted for age, type of fracture (31-A1/31-A2), type of reduction (open/close), type of walking aid, baseline SF-36 PCS and baseline Charnley's pain score.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (gram per square centimeter (g/cm^2)) | Spread |
|---|---|---|
| Teriparatide | 0.094 | 0.0075 |
| Risedronate | 0.055 | 0.0081 |
| Group | Value (g/cm^2) | Spread |
|---|---|---|
| Teriparatide | 0.053 | 0.0074 |
| Risedronate | 0.032 | 0.0081 |
| Group | Value (g/cm^2) | Spread |
|---|---|---|
| Teriparatide | -0.001 | 0.0042 |
| Risedronate | -0.001 | 0.0042 |
| Group | Value (units on a scale) | Spread |
|---|---|---|
| Teriparatide | 7.37 | 1.065 |
| Risedronate | 5.10 | 1.087 |
| Group | Value (percentage of participants) |
|---|---|
| Teriparatide | 9.4 |
| Risedronate | 8.2 |
| Group | Value (millimeter (mm)) | Spread |
|---|---|---|
| Teriparatide | 16.44 | 3.977 |
| Risedronate | 23.54 | 4.443 |
| Group | Value (seconds (sec)) | Spread |
|---|---|---|
| Teriparatide | 26.45 | 1.090 |
| Risedronate | 32.38 | 1.085 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| Teriparatide20 mcg a day by SC injection throughout study. Calcium: Approximately 500 to 1000 mg/day administered orally throughout study. Vitamin D: Approximately 800 International Units per day (IU/day) administered orally throughout study. | – | 21 / 106 | 53 / 106 |
| Risedronate35 mg risedronate sodium orally once weekly throughout study. Calcium: Approximately 500 to 1000 mg/day administered orally throughout study. Vitamin D: Approximately 800 International Units per day (IU/day) administered orally throughout study. | – | 27 / 110 | 47 / 110 |
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