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Determine the Efficacy, Safety and Tolerability of AMG 162 in the Treatment of Postmenopausal Women With Low Bone Mineral Density
This study has been completed.
First Received: August 6, 2002   Last Updated: November 6, 2008   History of Changes
Sponsored by: Amgen
Information provided by: Amgen
ClinicalTrials.gov Identifier: NCT00043186
  Purpose

To determine the effect of AMG 162 treatment compared with placebo over 12 months on bone mineral density (BMD) of the lumbar spine in postmenopausal women with low BMD. The clinical hypothesis is that AMG 162 SC injections administered every 3 or 6 months for 12 months will significantly increase lumbar spine bone mineral density and will be well tolerated.


Condition Intervention Phase
Low Bone Mineral Density
Drug: Placebo
Drug: Denosumab
Drug: Active comparator
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Crossover Assignment, Safety/Efficacy Study
Official Title: A Randomized, Double-Blind, Placebo-Controlled, Multi-Dose Phase 2 Study to Determine the Efficacy, Safety and Tolerability of AMG 162 in the Treatment of Postmenopausal Women With Low Bone Mineral Density

Resource links provided by NLM:


Further study details as provided by Amgen:

Primary Outcome Measures:
  • Percent change from baseline to month 12 in BMD of lumbar spine for placebo and AMG162 treatment arms [ Time Frame: 48 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Percent change from baseline at month 12 with respect to Urine N-Tx/creatinine and serum CTx-1 for all treatment arms (including Fosamax), BMD of the lumbar spine for the Fosamax treatment arm [ Time Frame: 48 months ] [ Designated as safety issue: No ]
  • Percent change from baseline to month 24, 36, 42, and 48 with respect to BMD of the lumbar spine for all treatment arms, Urine N-Tx/creatinine and serum CTx-1 for all treatment arms [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Percent change from baseline to months 12, 24, 36, 42, and 48 with respect to BMD of the total hip, distal radius, and total body for all treatment arms,BAP for all treatment arms [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Secondary Safety Endpoints include Subject incidence of treatment-emergent adverse events [ Time Frame: 48 Months ] [ Designated as safety issue: Yes ]
  • Changes from baseline in laboratory assessments (serum chemistry, hematology, and intact parathyroid hormone) at each visit [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Changes from baseline in vital signs at each visit [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Clinical fracture incidence [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Bone histologic and histomorphometric parameters [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Subject incidence of the formation of anti-AMG 162 antibodies within each of the AMG 162 treatment arms [ Time Frame: 48 Months ] [ Designated as safety issue: No ]
  • Changes in ECG - QTc interval [ Time Frame: 48 Months ] [ Designated as safety issue: No ]

Enrollment: 412
Study Start Date: May 2002
Study Completion Date: June 2007
Primary Completion Date: April 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
30 mg sc q 3 months: Experimental
AMG 162: 30 mg SC every 3 months until month 21; placebo SC every 6 months at month 24 and month 30; 60 mg SC every 6 months at month 36 and month 42
Drug: Denosumab

AMG 162: 14 60, and 100 mg SC every 6 months until month 21 (alternating with placebo every 3 months); 60 mg SC every 6 months beginning month 24 through 42

AMG 162: 210 mg SC every 6 months until month 21; (alternating with placebo every 3 months); placebo every 6 months beginning month 24 through 42

AMG 162: 30 mg SC every 3 months until month 21; placebo SC every 6 months at month 24 and month 30; 60 mg SC every 6 months at month 36 and month 42

AMG 162: 6 and 14 mg SC every 3 months until month 21; 60 mg SC every 6 months beginning month 24 through 42

210 mg: Experimental
AMG 162: 210 mg SC every 6 months until month 21; (alternating with placebo every 3 months); placebo every 6 months beginning month 24 through 42
Drug: Denosumab

AMG 162: 14 60, and 100 mg SC every 6 months until month 21 (alternating with placebo every 3 months); 60 mg SC every 6 months beginning month 24 through 42

AMG 162: 210 mg SC every 6 months until month 21; (alternating with placebo every 3 months); placebo every 6 months beginning month 24 through 42

AMG 162: 30 mg SC every 3 months until month 21; placebo SC every 6 months at month 24 and month 30; 60 mg SC every 6 months at month 36 and month 42

AMG 162: 6 and 14 mg SC every 3 months until month 21; 60 mg SC every 6 months beginning month 24 through 42

6 and 14 mg q 3 months: Experimental
AMG 162: 6 and 14 mg SC every 3 months until month 21; 60 mg SC every 6 months beginning month 24 through 42
Drug: Denosumab

AMG 162: 14 60, and 100 mg SC every 6 months until month 21 (alternating with placebo every 3 months); 60 mg SC every 6 months beginning month 24 through 42

AMG 162: 210 mg SC every 6 months until month 21; (alternating with placebo every 3 months); placebo every 6 months beginning month 24 through 42

AMG 162: 30 mg SC every 3 months until month 21; placebo SC every 6 months at month 24 and month 30; 60 mg SC every 6 months at month 36 and month 42

AMG 162: 6 and 14 mg SC every 3 months until month 21; 60 mg SC every 6 months beginning month 24 through 42

open label reference group: Active Comparator
Fosamax 70 mg oral weekly for 24 months. No treatment through month 48
Drug: Active comparator
Fosamax 70 mg oral weekly for 24 months. No treatment through month 48
blinded control group: Placebo Comparator
placebo sc every 3 months until month 21 then beginning at month 24 every 6 months until month 42
Drug: Placebo
placebo sc every 3 months until month 21 then beginning at month 24 every 6 months until month 42
14, 60 & 100 mg: Experimental
AMG 162: 14 60, and 100 mg SC every 6 months until month 21 (alternating with placebo every 3 months); 60 mg SC every 6 months beginning month 24 through 42
Drug: Denosumab

AMG 162: 14 60, and 100 mg SC every 6 months until month 21 (alternating with placebo every 3 months); 60 mg SC every 6 months beginning month 24 through 42

AMG 162: 210 mg SC every 6 months until month 21; (alternating with placebo every 3 months); placebo every 6 months beginning month 24 through 42

AMG 162: 30 mg SC every 3 months until month 21; placebo SC every 6 months at month 24 and month 30; 60 mg SC every 6 months at month 36 and month 42

AMG 162: 6 and 14 mg SC every 3 months until month 21; 60 mg SC every 6 months beginning month 24 through 42


  Eligibility

Ages Eligible for Study:   up to 80 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

4.1 Inclusion Criteria 4.1.1 Women not more than 80 years old on date of randomization 4.1.2 At least 1 year postmenopausal on date of randomization 4.1.3 Ambulatory 4.1.4 If ≤ 60 years old or post bilateral oophorectomy based on medical history, will require serum FSH > 50mU/mL or serum estradiol < 20 pg/mL to be eligible; 4.1.5 Low bone mineral density (BMD t-score ≤ -1.8 at any one of the following sites: lumbar spine, femoral neck, or total hip; BMD t-scores must not be lower than -4.0 at the lumbar spine, or -3.5 at the femoral neck or total hip). Refer to Table 3 in Section 7.11.1 for Hologic and Lunar densitometer-specific BMD values, and more specific information. 4.1.6 Ethical - Before any study specific procedure, including the screening DXA, the subject must give informed consent for participation in the study (see Section 12.2). 4.2 Exclusion Criteria 4.2.1 Fluoride treatment for osteoporosis within the last 2 years before the enrollment date; 4.2.2 Bisphosphonate use within the last 12 months before the enrollment date; 4.2.3 Administration of the following medications within the last 6 months before enrollment date:

  1. Tibolone
  2. Parathyroid hormone (or any derivative)
  3. Systemic glucocorticosteroids (> 5 mg oral prednisone equivalent per day for more than 10 days)
  4. Inhaled corticosteroids (> 2,000 µg per day for more than 10 days)
  5. Anabolic steroids or testosterone 4.2.4 Administration of the following medications within the last 3 months before the enrollment date:

a) Systemic hormone replacement therapy b) Selective estrogen receptor modulators (SERMs) c) Calcitonin d) Calcitriol 4.2.5 Evidence of any of the following conditions per subject self report or medical chart review:

  1. Current hyper- or hypothyroidism (stable on thyroid replacement therapy is allowed, if the TSH is within the normal range)
  2. Current hyper- or hypoparathyroidism
  3. Albumin-adjusted serum calcium < 8.5 mg/dL
  4. Osteomalacia
  5. Rheumatoid arthritis
  6. Paget's disease
  7. Malignancy within the last 5 years prior to enrollment (except cervical carcinoma in situ or basal cell carcinoma)
  8. Renal disease (creatinine clearance <= 35 mL/min using the following equation):

    Creatinine Clearance = 0.85 [(140 - age in years) x (weight in kg)] [72 x serum creatinine (mg/dL)]

  9. Any bone disease, other than osteoporosis, which may interfere with the interpretation of the findings (e.g., osteogenesis imperfecta or osteopetrosis)
  10. Malabsorption syndrome
  11. Weight, height or girth which may preclude accurate DXA measurements
  12. Less than 2 lumbar vertebrae (L1-L4) evaluable by DXA
  13. Recent long bone fracture (within 6 months)
  14. Osteoporosis-related fracture (i.e., crush or wedge vertebral fracture or hip fracture) known or suspected to have occurred within 2 years of randomization.
  15. More than one single, grade 1 vertebral fracture. 4.2.6 Currently enrolled or has participated within the previous 30 days in other investigational device or drug trial(s). For some trials, this may be allowed after discussion and written approval from Amgen. 4.2.7 Known sensitivity to mammalian-derived drug preparations (e.g., Herceptin).

4.2.8 Any organic or psychiatric disorder, serum chemistry, or hematology, which, in the opinion of the investigator, may prevent the subject from completing the study or interfere with the interpretation of the study results. 4.2.9 Self-reported alcohol or drug abuse within the previous 12 months. 4.2.10 Any disorder that compromises ability to give truly informed consent for participation in this study. 4.2.11 Prior administration of AMG 162. 4.2.12 Known sensitivity or contraindication to Fosamax. 4.2.13 Known sensitivity or contraindication to tetracycline derivatives (biopsy subset subjects only).

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00043186

Sponsors and Collaborators
Amgen
Investigators
Study Director: MD Amgen
  More Information

Additional Information:
Publications:
Responsible Party: Amgen Inc. ( Global Development Leader )
Study ID Numbers: 20010223
Study First Received: August 6, 2002
Last Updated: November 6, 2008
ClinicalTrials.gov Identifier: NCT00043186     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Amgen:
bone loss
osteoporosis

Study placed in the following topic categories:
Alendronate
Osteoporosis

ClinicalTrials.gov processed this record on September 10, 2009