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Trial · Interventional

CompletedPhase 3Results postedRegistry data

Twenty-Four Month Extension Study of BA058-05-003 (Abaloparatide) in Participants With Osteoporosis

Short name ACTIVExtend

NCTNCT01657162 (opens ClinicalTrials.gov in a new tab)Other idBA058-05-005Other idACTIVExtend TrialOther id2012-002216-10

This trial does not test a peptide that PepBank tracks.

  • Measures Abaloparatide (Tymlos), does not give it. It appears in an outcome measure.

Overview

Status
Completed
Phase
Phase 3
Enrollment
1,139 participants (actual)
Sponsor
Radius Health, Inc. · Industry
Design
Allocation not applicable · Open label (no masking)
Countries
10 countries

United States, Argentina, Brazil, Czechia, Denmark, Estonia, Hong Kong, Lithuania, Poland, Romania

Start
20 Nov 2012
Primary completion
3 Oct 2016
Completion
3 Oct 2016
First posted
6 Aug 2012 (estimated)
Last update posted
11 Dec 2020
Conditions
Postmenopausal Osteoporosis

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201220132014201520162017
  1. Ph 3

    ACTIVExtend

    NCT01657162

    20 Nov 2012 to 3 Oct 2016

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The purpose of this study is to provide 24 months of standard of care data on participants previously enrolled in Study BA058-05-003 (NCT02653417).

Interventions

  • AlendronateDrug

Arms1

  • Experimental

    Alendronate

    Participants received 70 milligrams (mg) of alendronate orally once per week beginning on Day 2 for up to 24 months after participating in Study BA058-05-003 during which participants received abaloparatide 80 micrograms (mcg) SC or abaloparatide-matching placebo daily for 18 months.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Number of Participants With ≥1 New Vertebral Fracture Since Study BA058-05-003 Baseline

    Time frame · Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Registry description

    Vertebral fractures were determined clinically and via protocol directed radiograph evaluation. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Secondary outcomes(10)
  1. Number of Participants With a Nonvertebral Fracture Since Study BA058-05-003 Baseline (Data From Studies BA058-05-005 and BA058-05-003 Combined)

    Time frame · Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Registry description

    Nonvertebral fractures were defined as clinical fractures that included: 1) those of the hip, wrist, forearm, shoulder, collar bone, upper arm, ribs, upper leg (not hip), knee, lower leg (not knee or ankle), foot, ankle, hand, pelvis (not hip), tailbone, and other; and 2) those associated with low trauma, defined as a fall from standing height or less; a fall on stairs, steps or curbs; a minimal trauma other than a fall; or moderate trauma other than a fall. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

  2. Percent Change From Study BA058-05-003 Baseline in Total Hip BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Time frame · Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Registry description

    Total hip BMD were measured via DXA. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

  3. Percent Change From Study BA058-05-003 Baseline in Femoral Neck BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Time frame · Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Registry description

    Femoral neck BMD were measured via DXA. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

  4. Percent Change From Study BA058-05-003 Baseline in Lumbar Spine BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Time frame · Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Registry description

    Lumbar spine BMD were measured via DXA. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

  5. Kaplan-Meier Estimated Event Rate of the First Incident of Nonvertebral Fracture Since Study BA058-05-003 Baseline (Data From Studies BA058-05-005 and BA058-05-003 Combined)

    Time frame · Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

    Registry description

    Nonvertebral fractures were defined as clinical fractures that included: 1) those of the hip, wrist, forearm, shoulder, collar bone, upper arm, ribs, upper leg (not hip), knee, lower leg (not knee or ankle), foot, ankle, hand, pelvis (not hip), tailbone, and other; and 2) those associated with low trauma, defined as a fall from standing height or less; a fall on stairs, steps or curbs; a minimal trauma other than a fall; or moderate trauma other than a fall. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

  6. Number of Participants With Treatment Emergent Adverse Events (TEAEs) (Data From Study BA058-05-005 Only)

    Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

    Registry description

    A TEAE is any untoward medical occurrence or undesirable event(s) experienced in a participant that begins or worsens following administration of study drug, whether or not considered related to study drug by Investigator. A serious adverse event (SAE) was an adverse event (AE) resulting in any of the following outcomes or deemed significant for any other reason, death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), congenital anomaly/birth defect, or persistent or significant disability/incapacity. Intensity for each AE was defined as mild, moderate, or severe. AEs included both SAEs and non-serious AEs. AEs whose causal relation was characterized as Possible or Probable were considered as related to study drug. AEs were coded using Medical Dictionary for Regulatory Activities (MedDRA). A summary of serious and all other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.

  7. Number of Participants With a Clinically Notable Serum Chemistry Laboratory Value (Data From Study BA058-05-005 Only)

    Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

    Registry description

    Serum Chemistry laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: sodium (Low: ≤129; High: ≥148 milliequivalent per liter \[mEq/L\]), potassium (Low: ≤3.2; High: ≥5.5 mEq/L), albumin (\<2.5 grams \[g\]/deciliter \[dL\]), total protein (\<5 g/dL), glucose (Low: ≤54; High: \>125 mg/dL \[fasting\] or \>200 milligrams \[mg\]/dL \[random\]), creatinine (≥2.1 mg/dL), aspartate aminotransferase (AST) (≥5.1\*upper limit of normal \[ULN\]), alanine aminotransferase (ALT) (≥5.1\*ULN), alkaline phosphatase (AP) (≥3.1\*ULN), total bilirubin (≥1.51\*ULN \[with any increase in liver function tests\] ≥2.0\*ULN \[with normal liver function tests\]), creatine kinase (≥3.1\*ULN), total cholesterol (\>226 mg/dL), and total calcium (Low: ≤7.4; High: ≥11.6 mg/dL). Only the serum chemistry parameters with at least 1 participant with a notable laboratory value are presented.

  8. Number of Participants With a Clinically Notable Hematology Laboratory Value (Data From Study BA058-05-005 Only)

    Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

    Registry description

    Hematology laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: Absolute Eosinophils (\>5000 cells/mm\^3), Absolute Lymphocytes (≤499 cells/mm\^3), Absolute Neutrophils (≤999 cells/mm\^3), % Eosinophils (\>50%), % Lymphocytes (≤5%), % Neutrophils (≤10%), Hemoglobin (Low: ≤9.4 g/dL; High: change from baseline ≥2.1 g/dL), Platelets (≤99000 cells/mm\^3), and White Blood Cells (Low: ≤1499 cells/mm\^3; High: ≥20001 cells/mm\^3). Only the hematology parameters with at least 1 participant with a notable laboratory value are presented.

  9. Number of Participants With a Clinically Notable Coagulation Laboratory Value (Data From Study BA058-05-005 Only)

    Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

    Registry description

    Coagulation laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: Activated Partial Thromboplastin Time (≥1.41\*ULN), Prothrombin Time (≥1.21\*ULN). Because the Activated Partial Thromboplastin Time was the only coagulation laboratory parameter with at least 1 participant with a notable laboratory value, this is the only parameter presented below.

  10. Number of Participants With a Clinically Notable Urine Laboratory Value (Data From Study BA058-05-005 Only)

    Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

    Registry description

    Urine laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: Glucose (2+), Protein (2+), Blood (\>50 red blood cells per high-power field \[rbc/hpf\]).

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeCount of participants· Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Number of Participants With ≥1 New Vertebral Fracture Since Study BA058-05-003 Baseline

GroupValue (Participants)
Abaloparatide-SC/Alendronate3
Placebo/Alendronate25
Secondary and other outcome results(7)
Secondary outcomeCount of participants· Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Number of Participants With a Nonvertebral Fracture Since Study BA058-05-003 Baseline (Data From Studies BA058-05-005 and BA058-05-003 Combined)

GroupValue (Participants)
Abaloparatide-SC/Alendronate15
Placebo/Alendronate32
Secondary outcomeMean· Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Percent Change From Study BA058-05-003 Baseline in Total Hip BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

GroupValue (percent change)Spread
Abaloparatide-SC/Alendronate5.47373.9884
Placebo/Alendronate1.36982.9712
Secondary outcomeMean· Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Percent Change From Study BA058-05-003 Baseline in Femoral Neck BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

GroupValue (percent change)Spread
Abaloparatide-SC/Alendronate4.51134.8042
Placebo/Alendronate0.46493.7913
Secondary outcomeMean· Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Percent Change From Study BA058-05-003 Baseline in Lumbar Spine BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

GroupValue (percent change)Spread
Abaloparatide-SC/Alendronate12.79217.9790
Placebo/Alendronate3.51334.2765
Secondary outcomeNumber· Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Kaplan-Meier Estimated Event Rate of the First Incident of Nonvertebral Fracture Since Study BA058-05-003 Baseline (Data From Studies BA058-05-005 and BA058-05-003 Combined)

GroupValue (percentage of events)
Abaloparatide-SC/Alendronate2.7
Placebo/Alendronate5.6
Secondary outcomeCount of participants· Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

Number of Participants With Treatment Emergent Adverse Events (TEAEs) (Data From Study BA058-05-005 Only)

GroupValue (Participants)
Abaloparatide-SC/Alendronate452
Placebo/Alendronate466
Secondary outcomeCount of participants· Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

Number of Participants With a Clinically Notable Serum Chemistry Laboratory Value (Data From Study BA058-05-005 Only)

GroupValue (Participants)
Abaloparatide-SC/Alendronate1
Placebo/Alendronate0

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Abaloparatide-SC/AlendronateParticipants received 70 mg of alendronate orally once per week beginning on Day 2 for up to 24 months after participating in Study BA058-05-003 during which participants received abaloparatide 80 mcg SC daily for 18 months.–65 / 553145 / 553
Placebo/AlendronateParticipants received 70 mg of alendronate orally once per week beginning on Day 2 for up to 24 months after participating in Study BA058-05-003 during which participants received abaloparatide-matching placebo daily for 18 months.–58 / 580158 / 580

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies8

Studies that cite this trial.

Studies with results

7 studies on this page

Indexing hint: Randomized controlled trial · 2023

6 results

Effect of Abaloparatide on Bone Microarchitecture Assessed by Trabecular Bone Score in Women With Osteoporosis: Post Hoc Analysis of ACTIVE and ACTIVExtend.

Cosman et al. 2023Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Researchcited by 5

PMID 36588166DOI 10.1002/jbmr.4764PUB-36588166

Full text at the publisher6 results

Indexing hint: Clinical trial · 2021

4 results

Forearm bone mineral density and fracture incidence in postmenopausal women with osteoporosis: results from the ACTIVExtend phase 3 trial.

Watts et al. 2021Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAcited by 7

PMID 32935170PMC7755646DOI 10.1007/s00198-020-05555-1PUB-32935170

Free to read · publisher termsCC BY-NC4 results

Indexing hint: Randomized controlled trial · 2020

10 results

Cardiovascular Safety of Abaloparatide in Postmenopausal Women With Osteoporosis: Analysis From the ACTIVE Phase 3 Trial.

Cosman et al. 2020The Journal of clinical endocrinology and metabolismcited by 33

PMID 32658264PMC7500469DOI 10.1210/clinem/dgaa450PUB-32658264

CC BY10 results

PubMed tag: none · 2020

7 results

Abaloparatide followed by alendronate in women ≥80 years with osteoporosis: post hoc analysis of ACTIVExtend.

Greenspan et al. 2020Menopause (New York, N.Y.)cited by 10

PMID 32665529PMC7515468DOI 10.1097/gme.0000000000001593PUB-32665529

Free to read · publisher termsCC BY-NC-ND7 results

Indexing hint: Randomized controlled trial · 2019

8 results

Fracture and Bone Mineral Density Response by Baseline Risk in Patients Treated With Abaloparatide Followed by Alendronate: Results From the Phase 3 ACTIVExtend Trial.

Leder et al. 2019Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Researchcited by 14

PMID 31411768PMC6916366DOI 10.1002/jbmr.3848PUB-31411768

CC BY8 results

Indexing hint: Randomized controlled trial · 2018

6 results

ACTIVExtend: 24 Months of Alendronate After 18 Months of Abaloparatide or Placebo for Postmenopausal Osteoporosis.

Bone et al. 2018The Journal of clinical endocrinology and metabolismcited by 152

PMID 29800372PMC6097601DOI 10.1210/jc.2018-00163PUB-29800372

CC BY6 results

Indexing hint: Randomized controlled trial · 2017

7 results

Eighteen Months of Treatment With Subcutaneous Abaloparatide Followed by 6 Months of Treatment With Alendronate in Postmenopausal Women With Osteoporosis: Results of the ACTIVExtend Trial.

Cosman et al. 2017Mayo Clinic proceedingscited by 96

PMID 28160873DOI 10.1016/j.mayocp.2016.10.009PUB-28160873

Free to read · publisher termsCC BY-NC-ND7 results

More studies

1 study on this page

Indexing hint: Randomized controlled trial · 2020

Corrected

Effect of Abaloparatide vs Alendronate on Fracture Risk Reduction in Postmenopausal Women With Osteoporosis.

Leder et al. 2020The Journal of clinical endocrinology and metabolismcited by 37

PMID 31674644PMC7112966DOI 10.1210/clinem/dgz162PUB-31674644

CC BY

Eligibility

Who could join, as posted.

Sex
Female
Age
from 50 Years up to 85 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: 1. The participant was enrolled, randomized to either the abaloparatide-SC (BA058) or placebo arm, and successfully completed Study BA058-05-003 (NCT02653417). 2. The participant was no more than 40 days from End-of-Treatment (Month 18) in Study BA058-05-003 (NCT02653417). Exclusion Criteria: 1. Participants who were withdrawn from Study BA058-05-003 (NCT02653417) for any reason. 2. Participants who experienced a treatment-related serious adverse event (SAE) during Study BA058-05-003 (NCT02653417).

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