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Safety and Efficacy of Risedronate in the Treatment of Osteogenesis Imperfecta in Children

Safety and Efficacy of Risedronate in the Treatment of Osteogenesis Imperfecta in Children

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00106028
Enrollment
143
Registered
2005-03-21
Start date
2004-11-30
Completion date
2010-03-31
Last updated
2013-04-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteogenesis Imperfecta

Keywords

Primary disease: Osteogenesis Imperfecta

Brief summary

Children with Osteogenesis Imperfecta (OI) have bone pain, low bone mass and fractures. There are no approved drugs for the treatment of OI in children, even though some intravenous (IV) bisphosphonates are used off-label in some countries. In a single dose, pharmacokinetic study, data showed that risedronate was well tolerated in 28 children with OI. This three year study will test the safety and efficacy of risedronate in the treatment of children with OI. For the first year, patients will be randomized to the risedronate and placebo groups in a 2:1 ratio. For the second and third years of the study, all patients will receive risedronate.

Interventions

risedronate tablet once a day for one year followed by risedronate once a day for two years

DRUGPlacebo

placebo tablet once a day for one year followed by risedronate once a day for two years

Sponsors

Warner Chilcott
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
4 Years to 15 Years
Healthy volunteers
No

Inclusion criteria

* OI diagnosis * increased risk of fracture: either has a history of at least 1 radiographically confirmed, non-traumatic or low impact fracture plus low bone mineral density (BMD) or has very low BMD with or without a history of fractures.

Exclusion criteria

* Any bisphosphonate use within one year of enrollment

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 12, ITT PopulationBaseline and Month 12Lumbar Spine Bone Mineral Density (BMD) measured by dual-energy x-ray absorptiometry (DXA)and read by central reader. Duplicate scans obtained at screening and Month 12.

Secondary

MeasureTime frameDescription
Percent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 36, ITT PopulationBaseline and Month 36Lumbar Spine Bone Mineral Density (BMD) measured by dual-energy x-ray absorptiometry (DXA)and read by central reader.
Percent Change From Baseline in Total Body BMD at Month 12, ITT PopulationBaseline and Month 12Percent Change from baseline in Total Body Bone Mineral Density (BMD) measured by DXA.
Percent Change From Baseline in Total Body BMD at Month 24, ITT PopulationBaseline and Month 24Percent Change from baseline in Total Body Bone Mineral Density (BMD) measured by DXA.
Percent Change From Baseline in Total Body BMD at Month 36, ITT PopulationBaseline and Month 36Percent Change from baseline in Total Body Bone Mineral Density (BMD) measured by DXA.
Percent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 12, ITT PopulationBaseline and Month 12
Percent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 24, ITT PopulationBaseline and Month 24
Percent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 36, ITT PopulationBaseline and Month 36
Percent Change From Baseline in Total Body BMC at Month 12, ITT PopulationBaseline and Month 12
Percent Change From Baseline in Total Body BMC at Month 24, ITT PopulationBaseline and Month 24
Percent Change From Baseline in Total Body BMC at Month 36, ITT PopulationBaseline and Month 36
Lumbar Spine Z-score - Percent Change From Baseline to Month 12, ITT PopulationBaseline and Month 12Lumbar Spine Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.
Lumbar Spine Z-score - Percent Change From Baseline to Month 24, ITT PopulationBaseline and Month 24Lumbar Spine Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.
Lumbar Spine Z-score - Percent Change From Baseline to Month 36, ITT PopulationBaseline and Month 36Lumbar Spine Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.
Total Body Z-score- Percent Change From Baseline to Month 12, ITT PopulationBaseline and Month 12Total Body Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.
Total Body Z-score- Percent Change From Baseline to Month 24, ITT PopulationBaseline and Month 24Total Body Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.
Total Body Z-score- Percent Change From Baseline to Month 36, ITT PopulationBaseline and Month 36Total Body Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.
Percent Change From Baseline in Lumbar Spine Bone Area at Month 12, ITT PopulationBaseline and Month 12Measured by DXA.
Percent Change From Baseline in Lumbar Spine Bone Area at Month 24, ITT PopulationBaseline and Month 24Measured by DXA.
Percent Change From Baseline in Lumbar Spine Bone Area at Month 36, ITT PopulationBaseline and Month 36Measured by DXA.
Percent Change From Baseline in Total Body Bone Area Month 12, ITT PopulationBaseline and Month 12
Percent Change From Baseline in Total Body Bone Area Month 24, ITT PopulationBaseline and Month 24
Percent Change From Baseline in Total Body Bone Area Month 36, ITT PopulationBaseline and Month 36
New Morphometric Vertebral Fracture at Month 12, ITT PopulationBaseline and Month 12Morphometric Vertebral Fracture measured by semi-quantitative (SQ) analysis of x-rays using the Genant scoring system at endpoint. (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). New fracture = SQ score is 0 at baseline and \>0 at the specified end visit.
New Morphometric Vertebral Fracture at Month 36, ITT PopulationBaseline and Month 36Morphometric Vertebral Fracture measured by SQ analysis of x-rays using the Genant scoring system. (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). New fracture = SQ score is 0 at baseline and \>0 at the specified end visit.
Categorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTBaseline and Month 12Patients with 1 or more New Morphometric Vertebral Fracture as measured by SQ analysis of x-rays using the Genant scoring system (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). Incidence = SQ score is 0 at baseline and \>0 at post-baseline.
Categorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTBaseline and Month 36Patients with 1 or more New Morphometric Vertebral Fracture as measured by SQ analysis of x-rays using the Genant scoring system (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). Incidence = SQ score is 0 at baseline and \>0 at post-baseline.
Incidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationMonth 12Patients aged 4-9 years with new morphometric vertebral fractures as measured by SQ analysis of x-rays using the Genant scoring system at Month 12 +/- 14 days. (Ref: Genant 1993). SQ Score mild - 0/no fracture to Grade 1, Moderate to Severe - change from 0/no fracture to Grade 2-3.
Incidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationMonth 12Patients aged 10-15 years with new morphometric vertebral fractures as measured by SQ analysis of x-rays using the Genant scoring system at Month 12 +/- 14 days. (Ref: Genant 1993). SQ Score mild - 0/no fracture to Grade 1, Moderate to Severe - change from 0/no fracture to Grade 2-3.
Probability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationTime to First Event (days) up to 12 MonthsLong bones include radius, ulna, humerus, tibia, fibula, femur, upper limb and lower limb fracture.
Number of Clinical Fractures, Month 12, ITT Population12 MonthsLong bones include radius, ulna, humerus, tibia, fibula, femur, upper limb and lower limb fracture.
Serum BAP - Percent Change From Baseline to Month 12, ITT PopulationBaseline and 12 MonthsSerum Bone Alkaline Phosphatase (BAP - bone formation marker). Negative percent changes indicate response to treatment.
Serum BAP - Percent Change From Baseline to Month 24, ITT PopulationBaseline and 24 MonthsSerum Bone Alkaline Phosphatase (BAP - bone formation marker). Negative percent changes indicate response to treatment.
Serum BAP - Percent Change From Baseline to Month 36, ITT PopulationBaseline and 36 MonthsSerum Bone Alkaline Phosphatase (BAP - bone formation marker). Negative percent changes indicate response to treatment.
Urine NTX/Cr - Percent Change From Baseline at Month 12, ITT PopulationBaseline and Endpoint / Month 12Urine type-I collagen N-telopeptide/creatinine (NTX/Cr; bone resorption marker). Negative percent changes indicate response to treatment.
Urine NTX/Cr - Percent Change From Baseline at Month 24, ITT PopulationBaseline and Month 24Urine type-I collagen N-telopeptide/creatinine (NTX/Cr; bone resorption marker). Negative percent changes indicate response to treatment.
Urine NTX/Cr - Percent Change From Baseline at Month 36, ITT PopulationBaseline and Month 36Urine type-I collagen N-telopeptide/creatinine (NTX/Cr; bone resorption marker). Negative percent changes indicate response to treatment.
Wong-Baker FACES Pain Rating Scale - Change From Baseline to Month 12, ITT PopulationBaseline and Month 12Wong-Baker FACES Pain Rating Scale (pain assessment scale using facial expressions, translated into a range from 0= no pain \[smiling face\] to 10= worst pain possible \[distorted face with tears\]; negative values indicate decrease in pain). Reference: Wong DL et al.
Percent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 24, ITT PopulationBaseline and Month 24Lumbar Spine Bone Mineral Density (BMD) measured by dual-energy x-ray absorptiometry (DXA)and read by central reader.
Bone Age (Years), Change From Baseline to Month 24, ITT PopulationBaseline and Month 24Bone Age determined by visual assessment of hand / wrist radiographs.
Bone Age (Years), Change From Baseline to Month 36, ITT PopulationBaseline and Month 36Bone Age determined by visual assessment of hand / wrist radiographs.
Annualized Growth Velocity - Change From Baseline to Month 12, ITT PopulationBaseline and Month 12Annualized Growth Velocity \[= bone age change from baseline x (365.25/time in days between baseline and the bone age measurement)\]
Annualized Growth Velocity - Change From Baseline to Month 36, ITT PopulationBaseline and Month 36Annualized Growth Velocity \[= bone age change from baseline x (365.25/time in days between baseline and the bone age measurement)\]
Bone Age (Years), Change From Baseline to Month 12, ITT PopulationBaseline and Month 12Bone Age determined by visual assessment of hand / wrist radiographs.

Countries

Australia, Belgium, Chile, Czechia, Finland, Germany, Hungary, Italy, Poland, South Africa, Spain, United Kingdom, United States

Participant flow

Recruitment details

147 children \> or = 4 and \< 16 years of age with Osteogenesis Imperfecta (OI) enrolled at 20 North American and international study centers starting 16NOV2004. Patients weighing 10-30 kg received risedronate 2.5 mg or placebo daily and patients weighing more than 30 kg received risedronate 5 mg or placebo daily.

Participants by arm

ArmCount
Placebo Daily
placebo tablet, once a day for one year then for two years open label risedronate
49
Risedronate Daily
risedronate tablet, once a day for one year then for two years open label risedronate once a day
94
Total143

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event32
Overall StudyLost to Follow-up01
Overall StudyProtocol Violation11
Overall StudyWithdrawal by Subject28

Baseline characteristics

CharacteristicPlacebo DailyRisedronate DailyTotal
Age, Categorical
<=18 years
49 Participants94 Participants143.0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0.0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0.0 Participants
Age Continuous8.6 years
STANDARD_DEVIATION 3.1
8.9 years
STANDARD_DEVIATION 3.4
8.825 years
STANDARD_DEVIATION 3.313
Region of Enrollment
Australia
8 participants16 participants24.0 participants
Region of Enrollment
Belgium
1 participants1 participants2.0 participants
Region of Enrollment
Chile
4 participants9 participants13.0 participants
Region of Enrollment
Czech Republic
1 participants4 participants5.0 participants
Region of Enrollment
Finland
5 participants7 participants12.0 participants
Region of Enrollment
Germany
5 participants8 participants13.0 participants
Region of Enrollment
Hungary
2 participants2 participants4.0 participants
Region of Enrollment
Italy
1 participants2 participants3.0 participants
Region of Enrollment
Poland
5 participants9 participants14.0 participants
Region of Enrollment
South Africa
0 participants1 participants1.0 participants
Region of Enrollment
Spain
1 participants1 participants2.0 participants
Region of Enrollment
United Kingdom
9 participants21 participants30.0 participants
Region of Enrollment
United States
7 participants13 participants20.0 participants
Sex: Female, Male
Female
22 Participants49 Participants71.0 Participants
Sex: Female, Male
Male
27 Participants45 Participants72.0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
47 / 4986 / 9446 / 4979 / 87
serious
Total, serious adverse events
8 / 4911 / 9413 / 4916 / 87

Outcome results

Primary

Percent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 12, ITT Population

Lumbar Spine Bone Mineral Density (BMD) measured by dual-energy x-ray absorptiometry (DXA)and read by central reader. Duplicate scans obtained at screening and Month 12.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 12, ITT Population7.592 Percent Change
Risedronate DailyPercent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 12, ITT Population16.159 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: <0.000195% CI: [5.59, 11.545]ANCOVA
Secondary

Annualized Growth Velocity - Change From Baseline to Month 12, ITT Population

Annualized Growth Velocity \[= bone age change from baseline x (365.25/time in days between baseline and the bone age measurement)\]

Time frame: Baseline and Month 12

Population: ITT Population, Number of Participants Analyzed = Number of participants at baseline and Month 12 data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyAnnualized Growth Velocity - Change From Baseline to Month 12, ITT Population0.895 Change in Annualized Growth Velocity
Risedronate DailyAnnualized Growth Velocity - Change From Baseline to Month 12, ITT Population1.002 Change in Annualized Growth Velocity
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.3495% CI: [-0.114, 0.328]ANOVA
Secondary

Annualized Growth Velocity - Change From Baseline to Month 36, ITT Population

Annualized Growth Velocity \[= bone age change from baseline x (365.25/time in days between baseline and the bone age measurement)\]

Time frame: Baseline and Month 36

Population: ITT Population, Number of Participants Analyzed = Number of participants at baseline and Month 12 data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyAnnualized Growth Velocity - Change From Baseline to Month 36, ITT Population0.982 Change in Annualized Growth Velocity
Risedronate DailyAnnualized Growth Velocity - Change From Baseline to Month 36, ITT Population1.011 Change in Annualized Growth Velocity
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.621895% CI: [-0.084, 0.142]ANOVA
Secondary

Bone Age (Years), Change From Baseline to Month 12, ITT Population

Bone Age determined by visual assessment of hand / wrist radiographs.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyBone Age (Years), Change From Baseline to Month 12, ITT Population0.956 Years
Risedronate DailyBone Age (Years), Change From Baseline to Month 12, ITT Population1.083 Years
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.291795% CI: [-0.111, 0.365]ANOVA
Secondary

Bone Age (Years), Change From Baseline to Month 24, ITT Population

Bone Age determined by visual assessment of hand / wrist radiographs.

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyBone Age (Years), Change From Baseline to Month 24, ITT Population2.147 Years
Risedronate DailyBone Age (Years), Change From Baseline to Month 24, ITT Population2.155 Years
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.962295% CI: [-0.304, 0.319]ANOVA
Secondary

Bone Age (Years), Change From Baseline to Month 36, ITT Population

Bone Age determined by visual assessment of hand / wrist radiographs.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyBone Age (Years), Change From Baseline to Month 36, ITT Population3.087 Years
Risedronate DailyBone Age (Years), Change From Baseline to Month 36, ITT Population3.096 Years
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.959695% CI: [-0.336, 0.354]ANOVA
Secondary

Categorization by Number of New Morphometric Vertebral Fracture at Month 12, ITT

Patients with 1 or more New Morphometric Vertebral Fracture as measured by SQ analysis of x-rays using the Genant scoring system (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). Incidence = SQ score is 0 at baseline and \>0 at post-baseline.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTNo New Fractured Vertebra40 Participants
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTOne Fractured Vertebra3 Participants
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTTwo Fractured Vertebra2 Participants
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTThree or more Fractured Vertebra3 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTThree or more Fractured Vertebra3 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTNo New Fractured Vertebra60 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTTwo Fractured Vertebra8 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 12, ITTOne Fractured Vertebra17 Participants
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.3658Savage Exact Test
Secondary

Categorization by Number of New Morphometric Vertebral Fracture at Month 36, ITT

Patients with 1 or more New Morphometric Vertebral Fracture as measured by SQ analysis of x-rays using the Genant scoring system (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). Incidence = SQ score is 0 at baseline and \>0 at post-baseline.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTNo New Fractured Vertebra31 Participants
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTOne Fractured Vertebra6 Participants
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTTwo Fractured Vertebra5 Participants
Placebo DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTThree or more Fractured Vertebra3 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTThree or more Fractured Vertebra3 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTNo New Fractured Vertebra62 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTTwo Fractured Vertebra7 Participants
Risedronate DailyCategorization by Number of New Morphometric Vertebral Fracture at Month 36, ITTOne Fractured Vertebra10 Participants
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.3408Savage Exact Test
Secondary

Incidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT Population

Patients aged 10-15 years with new morphometric vertebral fractures as measured by SQ analysis of x-rays using the Genant scoring system at Month 12 +/- 14 days. (Ref: Genant 1993). SQ Score mild - 0/no fracture to Grade 1, Moderate to Severe - change from 0/no fracture to Grade 2-3.

Time frame: Month 12

Population: ITT Population, Number of Participants Analyzed = Number of participants at baseline and Month 12 data

ArmMeasureGroupValue (NUMBER)
Placebo DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber Patients with New Vertebral Fractures1 Participants
Placebo DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber of New Vertebral Fractures1 Participants
Placebo DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mild SQ Score1 Participants
Placebo DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mod/Sev SQ Score0 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mod/Sev SQ Score1 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber Patients with New Vertebral Fractures10 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mild SQ Score10 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ Score, Patients Aged 10-15 Years, Month 12, ITT PopulationNumber of New Vertebral Fractures13 Participants
Secondary

Incidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT Population

Patients aged 4-9 years with new morphometric vertebral fractures as measured by SQ analysis of x-rays using the Genant scoring system at Month 12 +/- 14 days. (Ref: Genant 1993). SQ Score mild - 0/no fracture to Grade 1, Moderate to Severe - change from 0/no fracture to Grade 2-3.

Time frame: Month 12

Population: ITT Population, Number of Participants Analyzed = Number of participants with baseline and Month 12 data

ArmMeasureGroupValue (NUMBER)
Placebo DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber Patients with New Vertebral Fractures7 Participants
Placebo DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber of New Vertebral Fractures19 Participants
Placebo DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mild SQ Score7 Participants
Placebo DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mod/Sev SQ Score3 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mod/Sev SQ Score3 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber Patients with New Vertebral Fractures19 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber Patients New Fractures & Mild SQ Score17 Participants
Risedronate DailyIncidence New Vertebral Fractures by SQ (Semi-Quantitative) Score, Patients Aged 4-9 Years, Month 12, ITT PopulationNumber of New Vertebral Fractures32 Participants
Secondary

Lumbar Spine Z-score - Percent Change From Baseline to Month 12, ITT Population

Lumbar Spine Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyLumbar Spine Z-score - Percent Change From Baseline to Month 12, ITT Population-6.028 Units on a Scale
Risedronate DailyLumbar Spine Z-score - Percent Change From Baseline to Month 12, ITT Population25.648 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: <0.000195% CI: [21.051, 42.3]ANCOVA
Secondary

Lumbar Spine Z-score - Percent Change From Baseline to Month 24, ITT Population

Lumbar Spine Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyLumbar Spine Z-score - Percent Change From Baseline to Month 24, ITT Population15.608 Units on a Scale
Risedronate DailyLumbar Spine Z-score - Percent Change From Baseline to Month 24, ITT Population29.637 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.079395% CI: [-1.667, 29.726]ANCOVA
Secondary

Lumbar Spine Z-score - Percent Change From Baseline to Month 36, ITT Population

Lumbar Spine Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyLumbar Spine Z-score - Percent Change From Baseline to Month 36, ITT Population19.325 Units on a Scale
Risedronate DailyLumbar Spine Z-score - Percent Change From Baseline to Month 36, ITT Population25.640 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.457595% CI: [-10.477, 23.107]ANCOVA
Secondary

New Morphometric Vertebral Fracture at Month 12, ITT Population

Morphometric Vertebral Fracture measured by semi-quantitative (SQ) analysis of x-rays using the Genant scoring system at endpoint. (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). New fracture = SQ score is 0 at baseline and \>0 at the specified end visit.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
Placebo DailyNew Morphometric Vertebral Fracture at Month 12, ITT PopulationAt Least One New Fracture Vertebra8 Participants
Placebo DailyNew Morphometric Vertebral Fracture at Month 12, ITT PopulationNo New Fractured Vertebra40 Participants
Risedronate DailyNew Morphometric Vertebral Fracture at Month 12, ITT PopulationAt Least One New Fracture Vertebra28 Participants
Risedronate DailyNew Morphometric Vertebral Fracture at Month 12, ITT PopulationNo New Fractured Vertebra60 Participants
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.068Fisher Exact
Secondary

New Morphometric Vertebral Fracture at Month 36, ITT Population

Morphometric Vertebral Fracture measured by SQ analysis of x-rays using the Genant scoring system. (Ref: Genant 1993). SQ-Scores range from 0 (no fracture) to 3 (severe fracture). New fracture = SQ score is 0 at baseline and \>0 at the specified end visit.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
Placebo DailyNew Morphometric Vertebral Fracture at Month 36, ITT PopulationAt Least One New Fracture Vertebra14 Participants
Placebo DailyNew Morphometric Vertebral Fracture at Month 36, ITT PopulationNo New Fractured Vertebra31 Participants
Risedronate DailyNew Morphometric Vertebral Fracture at Month 36, ITT PopulationAt Least One New Fracture Vertebra20 Participants
Risedronate DailyNew Morphometric Vertebral Fracture at Month 36, ITT PopulationNo New Fractured Vertebra62 Participants
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.4121Fisher Exact
Secondary

Number of Clinical Fractures, Month 12, ITT Population

Long bones include radius, ulna, humerus, tibia, fibula, femur, upper limb and lower limb fracture.

Time frame: 12 Months

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Fractures38 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Patients with Fractures24 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Vertebral Fractures0 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients with Vertebral Fractures0 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Non-Vertebral Fractures38 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients with Non-Vertebral Fractures24 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Long-Bone Non-Vertebral Fractures27 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients Long-Bone Non-Vertebral Fractures17 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Other Non-Vertebral Fractures11 Participants
Placebo DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients with Other Non-Vertebral Fractures10 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients Long-Bone Non-Vertebral Fractures18 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Fractures42 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients with Non-Vertebral Fractures29 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Patients with Fractures29 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients with Other Non-Vertebral Fractures12 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Vertebral Fractures0 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Long-Bone Non-Vertebral Fractures28 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Patients with Vertebral Fractures0 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber Other Non-Vertebral Fractures14 Participants
Risedronate DailyNumber of Clinical Fractures, Month 12, ITT PopulationNumber of Non-Vertebral Fractures42 Participants
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.041695% CI: [0.348, 0.98]Wald test
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.041695% CI: [0.348, 0.98]Wald Test
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.079995% CI: [0.274, 1.076]Wald Test
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.68295% CI: [0.304, 1.532]Wald Test
Secondary

Percent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 12, ITT Population

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 12, ITT Population17.885 Percent Change
Risedronate DailyPercent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 12, ITT Population28.218 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: <0.000195% CI: [5.258, 15.408]ANCOVA
Secondary

Percent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 24, ITT Population

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 24, ITT Population42.367 Percent Change
Risedronate DailyPercent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 24, ITT Population48.407 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 178995% CI: [-2.807, 14.887]ANCOVA
Secondary

Percent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 36, ITT Population

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 36, ITT Population68.054 Percent Change
Risedronate DailyPercent Change From Baseline in Lumbar Spine BMC (Bone Mineral Content) at Month 36, ITT Population68.333 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.964695% CI: [-12.196, 12.755]ANCOVA
Secondary

Percent Change From Baseline in Lumbar Spine Bone Area at Month 12, ITT Population

Measured by DXA.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Lumbar Spine Bone Area at Month 12, ITT Population8.803 Percent Change
Risedronate DailyPercent Change From Baseline in Lumbar Spine Bone Area at Month 12, ITT Population9.817 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.415495% CI: [-1.442, 3.47]ANCOVA
Secondary

Percent Change From Baseline in Lumbar Spine Bone Area at Month 24, ITT Population

Measured by DXA.

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Lumbar Spine Bone Area at Month 24, ITT Population16.381 Percent Change
Risedronate DailyPercent Change From Baseline in Lumbar Spine Bone Area at Month 24, ITT Population17.266 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.640495% CI: [-2.855, 4.623]ANCOVA
Secondary

Percent Change From Baseline in Lumbar Spine Bone Area at Month 36, ITT Population

Measured by DXA.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Lumbar Spine Bone Area at Month 36, ITT Population24.952 Percent Change
Risedronate DailyPercent Change From Baseline in Lumbar Spine Bone Area at Month 36, ITT Population23.292 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.497895% CI: [-6.499, 3.179]ANCOVA
Secondary

Percent Change From Baseline in Total Body BMC at Month 12, ITT Population

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body BMC at Month 12, ITT Population16.483 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body BMC at Month 12, ITT Population21.977 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.00395% CI: [1.912, 9.077]ANCOVA
Secondary

Percent Change From Baseline in Total Body BMC at Month 24, ITT Population

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body BMC at Month 24, ITT Population36.465 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body BMC at Month 24, ITT Population37.938 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.610695% CI: [-4.245, 7.192]ANCOVA
Secondary

Percent Change From Baseline in Total Body BMC at Month 36, ITT Population

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body BMC at Month 36, ITT Population56.211 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body BMC at Month 36, ITT Population56.526 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.937295% CI: [-7.598, 8.229]ANCOVA
Secondary

Percent Change From Baseline in Total Body BMD at Month 12, ITT Population

Percent Change from baseline in Total Body Bone Mineral Density (BMD) measured by DXA.

Time frame: Baseline and Month 12

Population: ITT Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body BMD at Month 12, ITT Population4.252 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body BMD at Month 12, ITT Population5.806 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.080895% CI: [-0.193, 3.301]ANCOVA
Secondary

Percent Change From Baseline in Total Body BMD at Month 24, ITT Population

Percent Change from baseline in Total Body Bone Mineral Density (BMD) measured by DXA.

Time frame: Baseline and Month 24

Population: ITT Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body BMD at Month 24, ITT Population9.716 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body BMD at Month 24, ITT Population10.214 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.646695% CI: [-1.648, 2.644]ANCOVA
Secondary

Percent Change From Baseline in Total Body BMD at Month 36, ITT Population

Percent Change from baseline in Total Body Bone Mineral Density (BMD) measured by DXA.

Time frame: Baseline and Month 36

Population: ITT Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body BMD at Month 36, ITT Population13.540 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body BMD at Month 36, ITT Population13.076 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.739195% CI: [-3.224, 2.294]ANCOVA
Secondary

Percent Change From Baseline in Total Body Bone Area Month 12, ITT Population

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body Bone Area Month 12, ITT Population11.405 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body Bone Area Month 12, ITT Population14.939 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.02795% CI: [0.41, 6.658]ANCOVA
Secondary

Percent Change From Baseline in Total Body Bone Area Month 24, ITT Population

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body Bone Area Month 24, ITT Population24.051 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body Bone Area Month 24, ITT Population25.116 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.592595% CI: [-2.868, 4.998]ANCOVA
Secondary

Percent Change From Baseline in Total Body Bone Area Month 36, ITT Population

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline in Total Body Bone Area Month 36, ITT Population37.109 Percent Change
Risedronate DailyPercent Change From Baseline in Total Body Bone Area Month 36, ITT Population38.303 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.68495% CI: [-4.604, 6.991]ANCOVA
Secondary

Percent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 24, ITT Population

Lumbar Spine Bone Mineral Density (BMD) measured by dual-energy x-ray absorptiometry (DXA)and read by central reader.

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 24, ITT Population21.316 Percent Change
Risedronate DailyPercent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 24, ITT Population25.754 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.062595% CI: [-0.235, 9.111]ANCOVA
Secondary

Percent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 36, ITT Population

Lumbar Spine Bone Mineral Density (BMD) measured by dual-energy x-ray absorptiometry (DXA)and read by central reader.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyPercent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 36, ITT Population33.216 Percent Change
Risedronate DailyPercent Change From Baseline Lumbar Spine Bone Mineral Density (BMD) at Month 36, ITT Population34.753 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.610395% CI: [-4.424, 7.497]ANCOVA
Secondary

Probability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT Population

Long bones include radius, ulna, humerus, tibia, fibula, femur, upper limb and lower limb fracture.

Time frame: Time to First Event (days) up to 12 Months

Population: ITT Population

ArmMeasureGroupValue (NUMBER)Dispersion
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationOther Non-Vertebral Fractures/Kaplan-Meier Cum.0.204 Probability of Fractures 0.0576
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Vertebral Fractures0 Probability of Fractures
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Other Non-Vertebral Fractures10 Probability of Fractures
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationVertebral Fractures/Kaplan-Meier Cumulative Incid.0 Probability of Fractures 0
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients All Fractures24 Probability of Fractures 29
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Non-Vertebral Fractures24 Probability of Fractures
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationLong Bone Non-Vertebral Fractures/Kaplan-Meier Cum0.3618 Probability of Fractures 0.0714
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNon-Vertebral Fractures/Kaplan-Meier Cum. Incid.0.5043 Probability of Fractures 0.074
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationAll Fractures/Kaplan-Meier Cumulative Incidence0.5043 Probability of Fractures 0.074
Placebo DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Long Bone Non-Vertebral Fractures17 Probability of Fractures
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationAll Fractures/Kaplan-Meier Cumulative Incidence0.314 Probability of Fractures 0.0484
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationLong Bone Non-Vertebral Fractures/Kaplan-Meier Cum0.1954 Probability of Fractures 0.0413
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Other Non-Vertebral Fractures12 Probability of Fractures
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationOther Non-Vertebral Fractures/Kaplan-Meier Cum.0.1311 Probability of Fractures 0.0353
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients All Fractures29 Probability of Fractures
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Long Bone Non-Vertebral Fractures18 Probability of Fractures
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Vertebral Fractures0 Probability of Fractures
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationVertebral Fractures/Kaplan-Meier Cumulative Incid.0 Probability of Fractures 0
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNumber Patients Non-Vertebral Fractures29 Probability of Fractures
Risedronate DailyProbability of Fracture in 12 Months (Kaplan-Meier Cumulative Incidence), ITT PopulationNon-Vertebral Fractures/Kaplan-Meier Cum. Incid.0.314 Probability of Fractures 0.0484
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.025395% CI: [0.31, 0.922]Cox proportional hazards
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.025395% CI: [0.31, 0.922]Cox Proportional Hazard
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.050195% CI: [0.25, 0.95]Cox Proportional Hazards
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.214195% CI: [0.262, 1.41]Cox Proportional Hazard
Secondary

Serum BAP - Percent Change From Baseline to Month 12, ITT Population

Serum Bone Alkaline Phosphatase (BAP - bone formation marker). Negative percent changes indicate response to treatment.

Time frame: Baseline and 12 Months

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailySerum BAP - Percent Change From Baseline to Month 12, ITT Population6.783 Percent Change
Risedronate DailySerum BAP - Percent Change From Baseline to Month 12, ITT Population-4.895 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.031895% CI: [-22.325, -1.031]ANCOVA
Secondary

Serum BAP - Percent Change From Baseline to Month 24, ITT Population

Serum Bone Alkaline Phosphatase (BAP - bone formation marker). Negative percent changes indicate response to treatment.

Time frame: Baseline and 24 Months

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailySerum BAP - Percent Change From Baseline to Month 24, ITT Population-11.196 Percent Change
Risedronate DailySerum BAP - Percent Change From Baseline to Month 24, ITT Population-11.128 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.990795% CI: [-11.401, 11.536]ANCOVA
Secondary

Serum BAP - Percent Change From Baseline to Month 36, ITT Population

Serum Bone Alkaline Phosphatase (BAP - bone formation marker). Negative percent changes indicate response to treatment.

Time frame: Baseline and 36 Months

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailySerum BAP - Percent Change From Baseline to Month 36, ITT Population-19.884 Percent Change
Risedronate DailySerum BAP - Percent Change From Baseline to Month 36, ITT Population-24.570 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.382695% CI: [-15.276, 5.903]ANCOVA
Secondary

Total Body Z-score- Percent Change From Baseline to Month 12, ITT Population

Total Body Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.

Time frame: Baseline and Month 12

Population: ITT Population, Population Description Number of Participants Analyzed = Number of participants at baseline and LOCF data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyTotal Body Z-score- Percent Change From Baseline to Month 12, ITT Population-20.661 Units on a Scale
Risedronate DailyTotal Body Z-score- Percent Change From Baseline to Month 12, ITT Population16.933 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.017295% CI: [6.801, 68.386]ANCOVA
Secondary

Total Body Z-score- Percent Change From Baseline to Month 24, ITT Population

Total Body Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyTotal Body Z-score- Percent Change From Baseline to Month 24, ITT Population8.371 Units on a Scale
Risedronate DailyTotal Body Z-score- Percent Change From Baseline to Month 24, ITT Population7.879 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.978695% CI: [-36.807, 35.824]ANCOVA
Secondary

Total Body Z-score- Percent Change From Baseline to Month 36, ITT Population

Total Body Z-score - number of standard deviations a patient's BMD differs from the average BMD of their age, sex, and ethnicity. Positive scores indicate BMD above the mean; Positive values are best values and negative values are worst values.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyTotal Body Z-score- Percent Change From Baseline to Month 36, ITT Population7.146 Units on a Scale
Risedronate DailyTotal Body Z-score- Percent Change From Baseline to Month 36, ITT Population-1.494 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.597195% CI: [-40.952, 23.672]ANCOVA
Secondary

Urine NTX/Cr - Percent Change From Baseline at Month 12, ITT Population

Urine type-I collagen N-telopeptide/creatinine (NTX/Cr; bone resorption marker). Negative percent changes indicate response to treatment.

Time frame: Baseline and Endpoint / Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyUrine NTX/Cr - Percent Change From Baseline at Month 12, ITT Population-14.556 Percent Change
Risedronate DailyUrine NTX/Cr - Percent Change From Baseline at Month 12, ITT Population-41.185 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: <0.000195% CI: [-38.089, -15.169]ANCOVA
Secondary

Urine NTX/Cr - Percent Change From Baseline at Month 24, ITT Population

Urine type-I collagen N-telopeptide/creatinine (NTX/Cr; bone resorption marker). Negative percent changes indicate response to treatment.

Time frame: Baseline and Month 24

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyUrine NTX/Cr - Percent Change From Baseline at Month 24, ITT Population-40.358 Percent Change
Risedronate DailyUrine NTX/Cr - Percent Change From Baseline at Month 24, ITT Population-31.318 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.307595% CI: [-8.433, 26.512]ANCOVA
Secondary

Urine NTX/Cr - Percent Change From Baseline at Month 36, ITT Population

Urine type-I collagen N-telopeptide/creatinine (NTX/Cr; bone resorption marker). Negative percent changes indicate response to treatment.

Time frame: Baseline and Month 36

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyUrine NTX/Cr - Percent Change From Baseline at Month 36, ITT Population-47.570 Percent Change
Risedronate DailyUrine NTX/Cr - Percent Change From Baseline at Month 36, ITT Population-52.609 Percent Change
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.399895% CI: [-16.849, 6.772]ANCOVA
Secondary

Wong-Baker FACES Pain Rating Scale - Change From Baseline to Month 12, ITT Population

Wong-Baker FACES Pain Rating Scale (pain assessment scale using facial expressions, translated into a range from 0= no pain \[smiling face\] to 10= worst pain possible \[distorted face with tears\]; negative values indicate decrease in pain). Reference: Wong DL et al.

Time frame: Baseline and Month 12

Population: ITT Population

ArmMeasureValue (LEAST_SQUARES_MEAN)
Placebo DailyWong-Baker FACES Pain Rating Scale - Change From Baseline to Month 12, ITT Population-0.056 Units on a Scale
Risedronate DailyWong-Baker FACES Pain Rating Scale - Change From Baseline to Month 12, ITT Population-0.409 Units on a Scale
Comparison: A total of 123 patients were to be randomized in 2:1 ratio. The sample size allowed detection of a difference of at least 5% in lumbar spine BMD percent change from baseline to 12 months with 90% power. Calculation based on assumption that common within-group SD would be approximately 7% and dropout rate within Year 1 would be 20%. A difference of 5% in lumbar spin BMD percent change from baseline was considered clinically meaningful.p-value: 0.159295% CI: [-0.845, 0.14]ANCOVA

Source: ClinicalTrials.gov · Data processed: Mar 22, 2026