Skip to content

Trial · Observational

RecruitingPhase not statedRegistry data

Sequential Therapies After Osteoanabolic Treatment

Short name START

Overview

Status
Recruiting
Phase
Phase not stated
Enrollment
150 participants (estimated)
Sponsor
424 General Military Hospital · Other
Design
Not stated
Countries
2 countries

Greece, Italy

Start
25 Nov 2023
Primary completion
1 Jun 2027 (estimated)
Completion
Dec 2027 (estimated)
First posted
11 Dec 2023
Last update posted
22 Jul 2026
Conditions
Osteoporosis, Postmenopausal

Timeline

1 trial · 1 ongoing

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
202320242025202620272028
  1. Ph –

    START

    NCT06164795

    25 Nov 2023 to est. Dec 2027

Registry summary

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

12-month prospective, open-label, multicenter, international, observational study evaluating sequential treatments after osteoanabolics

Interventions

  • ZoledronateDrug
  • DenosumabDrug
  • TeriparatideDrug
  • RomosozumabDrug
  • Abaloparatide Injection (80 mcg)Drug

Arms6

  • Other

    Romo-Zol group

    Postmenopausal women treated with romosozumab for 12 months will receive a single zoledronate infusion (5mg) at 1 month after the last romosozumab dose

  • Other

    Romo-Dmab group

    Postmenopausal women treated with romosozumab for 12 months will receive subcutaneous denosumab injections (60mg) bi-annually for 12 months starting at 1 month after the last romosozumab dose

  • Other

    Romo-PTH group

    Postmenopausal women treated with romosozumab for 12 months will receive daily injections of teriparatide 20μg or abaloparatide 80μg for 12 months starting at 1 month after the last romosozumab dose

  • Other

    PTH-Zol group

    Postmenopausal women treated with teriparatide for 24 months or abaloparatide for 18 monthswill receive a single zoledronate infusion (5mg) at 1 month after the last romosozumab dose

  • Other

    PTH-Dmab group

    Postmenopausal women treated with teriparatide for 24 months or abaloparatide for 18 months will receive subcutaneous denosumab injections (60mg) bi-annually for 12 months

  • Other

    TPTD-Romo group

    Postmenopausal women treated with teriparatide for 24 months or abaloparatide for 18 months will receive month injections of romosozumab for 12 months

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. lumbar spine bone mineral density

    Time frame · baseline to 12 months

    Registry description

    bone mineral density changes at the lumbar spine at 12 months measured by dual-energy absorptiometry (DXA)

Secondary outcomes(5)
  1. femoral neck bone mineral density

    Time frame · baseline to 12 months

    Registry description

    bone mineral density changes at the femoral neck at 12 months measured by dual-energy absorptiometry (DXA)

  2. total hip bone mineral density

    Time frame · baseline to 12 months

    Registry description

    bone mineral density changes at the total hip at 12 months measured by dual-energy absorptiometry (DXA)

  3. P1NP

    Time frame · baseline, 3 months, 6 months, 12 months

    Registry description

    bone turnover (formation) marker

  4. CTx

    Time frame · baseline, 3 months, 6 months, 12 months

    Registry description

    bone turnover (resorption) marker

  5. Fractures

    Time frame · 12 months

    Registry description

    incident fractures: vertebral (clinical and morphometric identified on VFA scans) and non-vertebral

Posted results

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

No results are posted for this trial.

A trial that is still running, or that stopped early, may post results later.

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
from 50 Years up to 85 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: • Postmenopausal women treated with severe osteoporosis completing their course with romosozumab or teriparatide Exclusion Criteria: * a bone disease other than postmenopausal osteoporosis * use of medications other than romosozumab or teriparatide affecting bone metabolism during the last 12 months before entering the study * creatinine clearance \<60 mL/min/1.73 m2 * liver failure * any type of cancer * uncontrolled endocrine diseases * serum 25-hydroxy vitamin D (25-OHD) concentrations lower than 20 ng/mL (50 nmol/L) * hypersensitivity to denosumab or zoledronate or teriparatide or romosozumab or any of the excipients

PepBank is a research reference. Talk to a doctor before you use any peptide.