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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Phase 2 Study of BA058 (Abaloparatide) Transdermal Delivery in Postmenopausal Women With Osteoporosis

NCTNCT01674621 (opens ClinicalTrials.gov in a new tab)Other idBA058-05-007Other id2012-001921-29

Overview

Status
Completed
Phase
Phase 2
Enrollment
250 participants (actual)
Sponsor
Radius Health, Inc. · Industry
Design
Randomized · Triple masking
Countries
4 countries

United States, Denmark, Estonia, Poland

Start
25 Sept 2012
Primary completion
2 Aug 2013
Completion
2 Aug 2013
First posted
29 Aug 2012 (estimated)
Last update posted
16 Jun 2020
Conditions
Post Menopausal Osteoporosis

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201220132014
  1. Ph 2

    Phase 2 Study of BA058 (Abaloparatide) Transdermal Delivery in Postmenopausal Women With Osteoporosis

    NCT01674621

    25 Sept 2012 to 2 Aug 2013

Registry summary

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

To determine the clinical safety and efficacy of abaloparatide transdermal in otherwise healthy postmenopausal women with osteoporosis as assessed by changes in bone mineral density (BMD) and serum markers of bone metabolism when compared to transdermal placebo and abaloparatide injection for 6 months of treatment.

Interventions

  • Abaloparatide Transdermal (50 mcg)Drug
  • Abaloparatide Transdermal (100 mcg)Drug
  • Abaloparatide Transdermal (150 mcg)Drug
  • Abaloparatide Injection (80 mcg)Drug
  • Abaloparatide PlaceboDrug

Arms5

  • Experimental

    Abaloparatide Transdermal (50 mcg)

    Abaloparatide Transdermal Microneedle Patch - 50 microgram (mcg) daily applications for up to 6 months

  • Experimental

    Abaloparatide Transdermal (100 mcg)

    Abaloparatide Transdermal Microneedle Patch - 100 mcg daily applications for up to 6 months

  • Experimental

    Abaloparatide Transdermal (150 mcg)

    Abaloparatide Transdermal Microneedle Patch - 150 mcg daily applications for up to 6 months

  • Active comparator

    Abaloparatide Injection (80 mcg)

    Abaloparatide-SC Subcutaneous Injection - 80 mcg daily injections for up to 6 months

  • Placebo comparator

    Abaloparatide Transdermal Placebo (0 mcg)

    Abaloparatide Transdermal Microneedle Patch - 0 mcg daily applications for up to 6 months

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months

    Time frame · Baseline, 6 Months

    Registry description

    Percent change in BMD as specified by dual energy x-ray absorptiometry (DXA) scans of the lumbar spine.

Secondary outcomes(13)
  1. Percent Change From Baseline in BMD of Total Hip at 6 Months

    Time frame · Baseline, 6 Months

    Registry description

    Percent change in BMD as specified by DXA scans of the total hip.

  2. Percent Change From Baseline in BMD of Forearm at 6 Months

    Time frame · Baseline, 6 Months

    Registry description

    Percent change in BMD as specified by DXA scans of the forearm.

  3. Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months

    Time frame · Baseline, 6 Months

  4. Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months

    Time frame · Baseline, 6 Months

  5. Percent Change From Baseline in Serum Osteocalcin at 6 Months

    Time frame · Baseline, 6 Months

  6. Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months

    Time frame · Baseline, 6 Months

  7. Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months

    Time frame · Baseline, 6 Months

  8. Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)

    Time frame · Baseline up to 6 Months

    Registry description

    A full physical examination included, at a minimum: general appearance, skin, head/ears/eyes/nose/throat, lungs/chest, breasts, heart, abdomen, lymph nodes, musculoskeletal, extremities, and neurologic. Physical examination results that were considered abnormal were determined by the Investigator. A summary of other non-serious adverse events (AEs) and all serious AEs (SAEs), regardless of causality is located in Reported AE section.

  9. Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign Changes

    Time frame · Baseline up to 7 Months

    Registry description

    Vital sign parameters included respiration rate (breaths/minute), body temperature (°C), systolic blood pressure (SBP) and diastolic blood pressure (DBP) (mmHg), and heart rate (bpm). Number of participants for each TEAE is presented. The same participant may be included in more than one TEAE category. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

  10. Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result

    Time frame · Baseline up to 7 Months

    Registry description

    The following ECG parameters were recorded: rhythm, heart rate, PR interval, QRS duration and QT/QTc. ECG results that were considered clinically meaningful were to be determined by the Investigator. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

  11. Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 4

    Time frame · Baseline up to 6 Months

    Registry description

    Hematology laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: white blood cell (Grade 3: 1.0-1.9\*10\^9/liter \[L\]; Grade 4 \<1.0\*10\^9/L), platelets (Grade 3: 25.0-49.9\*10\^9/L; Grade 4: \<25.0\*10\^9/L), haemoglobin (Grade 3: 65.0-79.0 grams \[g\]/L or 4.0-4.9 mmol/L; Grade 4: \<65.0 g/L or \<4.0 millimole \[mmol\]/L), granulocytes/bands (Grade 3: 0.5-0.9\*10\^9/L; Grade 4: \<0.5\*10\^9/L), lymphocytes (Grade 3: 0.5-0.9\*10\^9/L; Grade 4: \<0.5 \*10\^9/L), haemorrhage (Grade 3: gross, 3 - 4 units transfusion per episode; Grade 4: massive, \> 4 units transfusion per episode). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

  12. Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 4

    Time frame · Baseline up to 6 Months

    Registry description

    Chemistry laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: sodium, potassium, chloride, inorganic phosphorus, albumin, total protein (Grade 3: 4 (+), \>1.0 g%, or \>10 g/L; Grade 4: nephrotic syndrome), glucose, blood urea nitrogen (BUN), creatinine (Grade 3: 3.1-6.0\*normal; Grade 4: \>6.0\*normal), uric acid, aspartate aminotransferase (AST) (Grade 3: 5.1-20.0 units \[U\]/L\*normal, Grade 4: \>20.0 U/L\*normal), alanine aminotransferase (ALT) (Grade 3: 5.1-20.0 U/L\*normal; Grade 4: \>20.0 U/L\*normal), gamma-glutamyltranspeptidase (GGT), creatine phosphokinase (CPK), alkaline phosphatase (Grade 3: 5.1-20.0 U/L\*normal; Grade 4: \>20.0 U/L\*normal), total bilirubin (Grade 3: 1.5-3.0\*normal; Grade 4: \>3.0\*normal), lactate dehydrogenase (LDH), cholesterol, triglycerides, total calcium. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

  13. Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 4

    Time frame · Baseline up to 6 Months

    Registry description

    Coagulation laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: prothrombin time (quick) (Grade 3: 1.51%-2.00%\*normal, Grade 4: \>2.00%\*normal), partial thromboplastin time (Grade 3: 2.34-3.00 seconds \[sec\], Grade 4: \>3.00 secs\*normal). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

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 outcomeMean· Baseline, 6 Months

Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)1.872.87
Abaloparatide Transdermal (100 mcg)2.332.96
Abaloparatide Transdermal (150 mcg)2.953.13
Abaloparatide Injection (80 mcg)5.804.21
Abaloparatide Transdermal Placebo (0 mcg)0.042.47
Secondary and other outcome results(7)
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in BMD of Total Hip at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)0.971.95
Abaloparatide Transdermal (100 mcg)1.321.96
Abaloparatide Transdermal (150 mcg)1.491.73
Abaloparatide Injection (80 mcg)2.743.05
Abaloparatide Transdermal Placebo (0 mcg)-0.022.39
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in BMD of Forearm at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)-0.242.74
Abaloparatide Transdermal (100 mcg)-0.163.71
Abaloparatide Transdermal (150 mcg)0.842.96
Abaloparatide Injection (80 mcg)0.333.41
Abaloparatide Transdermal Placebo (0 mcg)0.053.18
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)-4.8423.87
Abaloparatide Transdermal (100 mcg)5.2243.66
Abaloparatide Transdermal (150 mcg)-5.5237.86
Abaloparatide Injection (80 mcg)17.3042.76
Abaloparatide Transdermal Placebo (0 mcg)10.2364.93
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)-17.2622.86
Abaloparatide Transdermal (100 mcg)-8.4229.51
Abaloparatide Transdermal (150 mcg)-16.6325.11
Abaloparatide Injection (80 mcg)10.2872.31
Abaloparatide Transdermal Placebo (0 mcg)-6.7631.35
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in Serum Osteocalcin at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)-4.3719.36
Abaloparatide Transdermal (100 mcg)6.6733.38
Abaloparatide Transdermal (150 mcg)-3.8322.01
Abaloparatide Injection (80 mcg)69.5481.79
Abaloparatide Transdermal Placebo (0 mcg)-4.2127.55
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)-12.7626.81
Abaloparatide Transdermal (100 mcg)1.5257.29
Abaloparatide Transdermal (150 mcg)-6.7838.91
Abaloparatide Injection (80 mcg)97.64172.52
Abaloparatide Transdermal Placebo (0 mcg)-7.2635.49
Secondary outcomeMean· Baseline, 6 Months

Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months

GroupValue (Percent change)Spread
Abaloparatide Transdermal (50 mcg)-2.6128.77
Abaloparatide Transdermal (100 mcg)1.6548.66
Abaloparatide Transdermal (150 mcg)-8.2254.84
Abaloparatide Injection (80 mcg)41.11104.12
Abaloparatide Transdermal Placebo (0 mcg)9.4222.57

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Abaloparatide Transdermal (50 mcg)Abaloparatide Transdermal Microneedle Patch - 50 mcg daily applications for up to 6 months–0 / 5040 / 50
Abaloparatide Transdermal (100 mcg)Abaloparatide Transdermal Microneedle Patch - 100 mcg daily applications for up to 6 months–2 / 5140 / 51
Abaloparatide Transdermal (150 mcg)Abaloparatide Transdermal Microneedle Patch - 150 mcg daily applications for up to 6 months–2 / 4737 / 47
Abaloparatide Injection (80 mcg)Abaloparatide-SC Subcutaneous Injection - 80 mcg daily injections for up to 6 months–4 / 5141 / 51
Abaloparatide Transdermal Placebo (0 mcg)Abaloparatide Transdermal Microneedle Patch - 0 mcg daily applications for up to 6 months–1 / 5039 / 50

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

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
Female
Age
up to 85 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Postmenopausal woman, less than 85 years old. * BMD T-score ≤-2.5 of spine or hip (femoral neck) or ≤-2.0 with previous fracture (within 5 years). * Normal physical exam, vital signs, electrocardiogram (ECG), and medical history. * Laboratory tests within the normal range, including serum calcium, Vitamin D, parathyroid hormone (PTH) (1-84), serum phosphorus, and alkaline phosphatase. Exclusion Criteria: * BMD T-score ≤-5.0 at the lumbar spine or hip. * History of bone disorders (for example, Paget's disease) other than postmenopausal osteoporosis. * Significantly impaired renal function. * History of any cancer.

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