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A Study of Bonviva (Ibandronate) Once Monthly in Post-Menopausal Women With Osteopenia

Double-blind, Placebo-controlled, Randomized, Multicenter Study to Assess the Efficacy and Safety of Oral Ibandronate Once Monthly in Postmenopausal Women With Osteopenia

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00129623
Enrollment
160
Registered
2005-08-12
Start date
2005-12-31
Completion date
2007-12-31
Last updated
2016-01-11

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

Conditions

Post-Menopausal Osteopenia

Brief summary

This 2 arm study will evaluate the efficacy and safety of oral Bonviva 150mg once monthly compared with placebo in post-menopausal women with osteopenia. Patients will be randomized to receive either Bonviva 150mg po monthly, or placebo monthly. The anticipated time on study treatment is 1-2 years, and the target sample size is 100-500 individuals.

Interventions

DRUGPlacebo

po monthly for 1 year

150mg po monthly for 1 year

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
FEMALE
Age
45 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

* women 45-60 years of age; * post-menopausal; * ambulatory.

Exclusion criteria

* vertebral fracture (except traumatic fracture such as in a motor vehicle accident); * low-trauma osteoporotic fracture in any other bone; * breast cancer diagnosed within last 20 years; * other malignancy diagnosed within last 10 years, except successfully resected basal cell cancer; * treatment with any bisphosphonate within last 2 years; * treatment with other drugs affecting bone metabolism within last 6 months.

Design outcomes

Primary

MeasureTime frameDescription
Relative Change From Baseline in Mean Bone Mineral Density (BMD) of the Lumbar Spine (L2 to L4) at Month 12Baseline and Month 12BMD was measured by a single dual-energy x-ray absorptiometry (DEXA) scan of the lumbar spine at the time of screening and at Month 12. A BMD measurement was considered unsuitable in case of detection of a fracture, an osteoarthritic process, or a scanning artifact that could not be removed to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center. The change in BMD was defined as the relative difference between the last individual measurement available at 12 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at baseline) / (BMD at baseline)

Secondary

MeasureTime frameDescription
Absolute Change From Baseline in Mean Lumbar Spine BMD at Month 12Baseline and Month 12BMD was measured by a single dual-energy x-ray absorptiometry (DEXA) scan of the lumbar spine at the time of screening and at Month 12. A BMD measurement was considered unsuitable in case of detection of a fracture, an osteoarthritic process, or a scanning artifact that could not be removed to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center. The absolute change from Baseline in mean BMD of the lumbar spine (L2-L4) was measured as g/cm\^2 and summarized using descriptive statistics.
Relative Change From Baseline in Mean Proximal Femur BMD at Month 12Baseline and Month 12BMD was measured by a single DEXA scan of the proximal femur at the time of screening and at Month 12. The relative (%) change from Baseline in BMD of the proximal femur (total hip, trochanter, femoral neck) at Month 12 was summarized using descriptive statistics. BMD of fractured bones that could impact the scan area were not taken into account.
Absolute Change From Baseline in BMD of the Proximal Femur at Month 12Baseline and Month 12BMD was measured by a single DEXA scan of the proximal femur at the time of screening and at Month 12. The absolute change from baseline in BMD of the proximal femur (total hip, trochanter, femoral neck) at Month 12 was summarized using descriptive statistics. BMD of fractured bones that could impact the scan area were not taken into account.
Relative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Baseline and 3, 6 and 12 monthsFasting blood samples were collected from participants for analysis of serum CTX (sCTX), which is a biochemical marker of bone resorption. Relative change from baseline of sCTX after 3, 6, and 12 months of treatment was summarized using descriptive statistics.
Absolute Change From Baseline in sCTXBaseline and 3, 6, 12 monthsFasting blood samples were collected from participants for analysis of sCTX, which is a biochemical marker of bone resorption. Absolute change from baseline of sCTX after 3, 6, and 12 months of treatment was summarized using descriptive statistics.
Percentage of RespondersUp to 12 monthsPercent responders were defined as follows: Participants with a) lumbar spine (LS) BMD, equal to or above Baseline at Month 12 b) proximal femur BMD, equal to or above Baseline at Month 12 c) Both lumbar spine and proximal femur BMD, equal or above Baseline at Month 12. BMD of the lumbar spine was defined as the BMD of at least two vertebrae (L2-L4) that were not fractured and not affected by an osteoarthritic process, or a scanning artifact that could not be removed to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center. Proximal femur included total hip, trochanter and femoral neck sites.
Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Up to 15 days after end of study treatment (Approximately 2 years)An AE is any untoward medical occurrence in a participant who is administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.
Number of Participants With Marked Laboratory AbnormalitiesScreening up to 12 monthsBlood for laboratory tests was taken at screening and immediately before participants received their monthly study medication at months 3, 6, and 12. The laboratory tests included: Hematology \[white blood cells (WBCs), platelets, hematocrit, and hemoglobin\] and Chemistry \[albumin, creatinine, blood urea nitrogen (BUN), alanine aminotransferase (ALT), total calcium, 25-hydroxy vitamin D, phosphate, magnesium, sodium, potassium, and chloride\].

Countries

United States

Participant flow

Recruitment details

This study was conducted at 10 centers in the United States.

Pre-assignment details

Of the 451 participants who were screened, 160 participants were randomly assigned to the two treatment arms (Placebo and Ibandronate). The major reason for screening failure was participants did not meet the Bone Mineral Density (BMD) entry criteria.

Participants by arm

ArmCount
Placebo
Participants with postmenopausal osteopenia were administered matching placebo tablet orally once monthly. All participants received OSCAL tablet (containing 500 mg calcium and 400 international units \[IU\] vitamin D) once a day as dietary supplements for the duration of the study. Participants received a total of 12 months of treatment and were followed for an additional period of 15 days.
83
Ibandronate (IBN) 150 mg Monthly
Participants with postmenopausal osteopenia were administered 150 mg Ibandronate (IBN) tablet orally once monthly. All participants received OSCAL tablet (containing 500 mg/d calcium and 400 international units \[IU\]/d vitamin D) once a day as dietary supplements, for the duration of the study. Participants received a total of 12 months of treatment and were followed for an additional period of 15 days.
77
Total160

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event37
Overall StudyFailure to Return11
Overall StudyRefused Treatment53
Overall StudyRelocated job out of state10
Overall StudyUncertainty to return01

Baseline characteristics

CharacteristicPlaceboIbandronate (IBN) 150 mg MonthlyTotal
Age, Continuous53.4 years
STANDARD_DEVIATION 3.83
53.7 years
STANDARD_DEVIATION 3.64
53.5 years
STANDARD_DEVIATION 3.73
Sex: Female, Male
Female
83 Participants77 Participants160 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
41 / 8240 / 76
serious
Total, serious adverse events
1 / 833 / 77

Outcome results

Primary

Relative Change From Baseline in Mean Bone Mineral Density (BMD) of the Lumbar Spine (L2 to L4) at Month 12

BMD was measured by a single dual-energy x-ray absorptiometry (DEXA) scan of the lumbar spine at the time of screening and at Month 12. A BMD measurement was considered unsuitable in case of detection of a fracture, an osteoarthritic process, or a scanning artifact that could not be removed to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center. The change in BMD was defined as the relative difference between the last individual measurement available at 12 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at baseline) / (BMD at baseline)

Time frame: Baseline and Month 12

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboRelative Change From Baseline in Mean Bone Mineral Density (BMD) of the Lumbar Spine (L2 to L4) at Month 12-0.3941 PercentageStandard Error 0.4148
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Mean Bone Mineral Density (BMD) of the Lumbar Spine (L2 to L4) at Month 123.7285 PercentageStandard Error 0.4229
Comparison: H0 (null hypothesis): There was no statistically significant difference between monthly treatment with 150 mg oral IBN and monthly treatment with placebo in relative change from baseline of mean lumbar spine (L2-L4 BMD).~H1 (alternative hypothesis): There was a statistically significant difference between monthly treatment with 150 mg oral IBN and monthly treatment with placebo in relative change from baseline of mean lumbar spine (L2-L4 BMD).p-value: <0.000195% CI: [2.9613, 5.2838]ANOVA
Secondary

Absolute Change From Baseline in BMD of the Proximal Femur at Month 12

BMD was measured by a single DEXA scan of the proximal femur at the time of screening and at Month 12. The absolute change from baseline in BMD of the proximal femur (total hip, trochanter, femoral neck) at Month 12 was summarized using descriptive statistics. BMD of fractured bones that could impact the scan area were not taken into account.

Time frame: Baseline and Month 12

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboAbsolute Change From Baseline in BMD of the Proximal Femur at Month 12Total hip-0.0083 g/cm^2Standard Deviation 0.0163
PlaceboAbsolute Change From Baseline in BMD of the Proximal Femur at Month 12Trochanter-0.0061 g/cm^2Standard Deviation 0.0185
PlaceboAbsolute Change From Baseline in BMD of the Proximal Femur at Month 12Femoral neck-0.0061 g/cm^2Standard Deviation 0.0284
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in BMD of the Proximal Femur at Month 12Total hip0.0133 g/cm^2Standard Deviation 0.0194
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in BMD of the Proximal Femur at Month 12Trochanter0.0182 g/cm^2Standard Deviation 0.0199
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in BMD of the Proximal Femur at Month 12Femoral neck0.0078 g/cm^2Standard Deviation 0.0202
Secondary

Absolute Change From Baseline in Mean Lumbar Spine BMD at Month 12

BMD was measured by a single dual-energy x-ray absorptiometry (DEXA) scan of the lumbar spine at the time of screening and at Month 12. A BMD measurement was considered unsuitable in case of detection of a fracture, an osteoarthritic process, or a scanning artifact that could not be removed to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center. The absolute change from Baseline in mean BMD of the lumbar spine (L2-L4) was measured as g/cm\^2 and summarized using descriptive statistics.

Time frame: Baseline and Month 12

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point.

ArmMeasureValue (MEAN)Dispersion
PlaceboAbsolute Change From Baseline in Mean Lumbar Spine BMD at Month 12-0.0039 g/cm^2Standard Deviation 0.0319
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in Mean Lumbar Spine BMD at Month 120.0322 g/cm^2Standard Deviation 0.0315
Secondary

Absolute Change From Baseline in sCTX

Fasting blood samples were collected from participants for analysis of sCTX, which is a biochemical marker of bone resorption. Absolute change from baseline of sCTX after 3, 6, and 12 months of treatment was summarized using descriptive statistics.

Time frame: Baseline and 3, 6, 12 months

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point. n = the number of participants analyzed at a given time point.

ArmMeasureGroupValue (MEDIAN)
PlaceboAbsolute Change From Baseline in sCTXMonth 3, n = 81, 72-0.0350 ng/ml
PlaceboAbsolute Change From Baseline in sCTXMonth 6, n = 77, 72-0.0350 ng/ml
PlaceboAbsolute Change From Baseline in sCTXMonth 12, n = 75, 68-0.0320 ng/ml
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in sCTXMonth 3, n = 81, 72-0.2570 ng/ml
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in sCTXMonth 6, n = 77, 72-0.2675 ng/ml
Ibandronate (IBN) 150 mg MonthlyAbsolute Change From Baseline in sCTXMonth 12, n = 75, 68-0.2560 ng/ml
Secondary

Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE is any untoward medical occurrence in a participant who is administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.

Time frame: Up to 15 days after end of study treatment (Approximately 2 years)

Population: The safety population included participants who had at least one dose of the trial medication documented in the CRF whether withdrawn prematurely or not.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Any AE64 participants
PlaceboNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)SAE1 participants
Ibandronate (IBN) 150 mg MonthlyNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Any AE60 participants
Ibandronate (IBN) 150 mg MonthlyNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)SAE3 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities

Blood for laboratory tests was taken at screening and immediately before participants received their monthly study medication at months 3, 6, and 12. The laboratory tests included: Hematology \[white blood cells (WBCs), platelets, hematocrit, and hemoglobin\] and Chemistry \[albumin, creatinine, blood urea nitrogen (BUN), alanine aminotransferase (ALT), total calcium, 25-hydroxy vitamin D, phosphate, magnesium, sodium, potassium, and chloride\].

Time frame: Screening up to 12 months

Population: The safety population included participants who had at least one dose of the trial medication documented in the CRF whether withdrawn prematurely or not.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesWBC, low1 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesALT, high2 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesPhosphate, high1 participants
Ibandronate (IBN) 150 mg MonthlyNumber of Participants With Marked Laboratory AbnormalitiesWBC, low0 participants
Ibandronate (IBN) 150 mg MonthlyNumber of Participants With Marked Laboratory AbnormalitiesALT, high0 participants
Ibandronate (IBN) 150 mg MonthlyNumber of Participants With Marked Laboratory AbnormalitiesPhosphate, high0 participants
Secondary

Percentage of Responders

Percent responders were defined as follows: Participants with a) lumbar spine (LS) BMD, equal to or above Baseline at Month 12 b) proximal femur BMD, equal to or above Baseline at Month 12 c) Both lumbar spine and proximal femur BMD, equal or above Baseline at Month 12. BMD of the lumbar spine was defined as the BMD of at least two vertebrae (L2-L4) that were not fractured and not affected by an osteoarthritic process, or a scanning artifact that could not be removed to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center. Proximal femur included total hip, trochanter and femoral neck sites.

Time frame: Up to 12 months

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of RespondersLumbar spine equal to or above baseline38.6 Percentage
PlaceboPercentage of RespondersProximal femur equal to or above baseline15.5 Percentage
PlaceboPercentage of RespondersLS and proximal femur equal to or above baseline8.5 Percentage
Ibandronate (IBN) 150 mg MonthlyPercentage of RespondersLumbar spine equal to or above baseline88.2 Percentage
Ibandronate (IBN) 150 mg MonthlyPercentage of RespondersProximal femur equal to or above baseline60.3 Percentage
Ibandronate (IBN) 150 mg MonthlyPercentage of RespondersLS and proximal femur equal to or above baseline54.4 Percentage
Comparison: Lumbar BMD: Adjusted treatment effect - The treatment effect and 95% C.I. were represented by presenting OR. These were estimated by fitting a logistic regression model, with responder outcome (responder/non-responder) as the dependent variable and the treatment group (oral IBN 150 mg/Placebo) and time since menopause as the independent variables. An OR of \>1 indicated participants treated with IBN were more likely to have BMD above or equal to baseline relative to those treated with placebo.95% CI: [5.12, 30.56]
Comparison: Proximal femur BMD: The adjusted treatment effect and 95% C.I. were represented by presenting OR. These were estimated by fitting a logistic regression model, with responder outcome (responder/non-responder) as the dependent variable and the treatment group (oral IBN 150 mg once monthly/Placebo) and time since menopause as the independent variables. An OR of \>1 indicated participants treated with IBN were more likely to have BMD above or equal to baseline relative to those treated with placebo.95% CI: [3.8, 19.42]
Comparison: Lumbar Spine and Proximal Femur BMD: The adjusted treatment effect and 95% C.I. were represented by presenting OR. These were estimated by fitting a logistic regression model, with responder outcome (responder/non-responder) as the dependent variable, and treatment group (oral IBN150 mg/Placebo) and time since menopause as the independent variables. An OR of \>1 indicated participants treated with IBN were more likely to have BMD above or equal to baseline relative to those treated with placebo.95% CI: [5.17, 36.79]
Secondary

Relative Change From Baseline in Mean Proximal Femur BMD at Month 12

BMD was measured by a single DEXA scan of the proximal femur at the time of screening and at Month 12. The relative (%) change from Baseline in BMD of the proximal femur (total hip, trochanter, femoral neck) at Month 12 was summarized using descriptive statistics. BMD of fractured bones that could impact the scan area were not taken into account.

Time frame: Baseline and Month 12

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboRelative Change From Baseline in Mean Proximal Femur BMD at Month 12Total hip-0.9265 PercentageStandard Deviation 1.879
PlaceboRelative Change From Baseline in Mean Proximal Femur BMD at Month 12Trochanter-0.9120 PercentageStandard Deviation 3.0025
PlaceboRelative Change From Baseline in Mean Proximal Femur BMD at Month 12Femoral Neck-0.7537 PercentageStandard Deviation 3.7743
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Mean Proximal Femur BMD at Month 12Total hip1.4855 PercentageStandard Deviation 2.1862
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Mean Proximal Femur BMD at Month 12Trochanter2.8688 PercentageStandard Deviation 3.0906
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Mean Proximal Femur BMD at Month 12Femoral Neck1.0930 PercentageStandard Deviation 2.6466
Secondary

Relative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)

Fasting blood samples were collected from participants for analysis of serum CTX (sCTX), which is a biochemical marker of bone resorption. Relative change from baseline of sCTX after 3, 6, and 12 months of treatment was summarized using descriptive statistics.

Time frame: Baseline and 3, 6 and 12 months

Population: The ITT population included participants who were randomized, received at least one dose of the trial medication and had baseline and at least one follow-up evaluation data point. n = the number of participants analyzed at a given time point.

ArmMeasureGroupValue (MEDIAN)
PlaceboRelative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Month 3, n = 81, 72-4.2230 Percentage
PlaceboRelative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Month 6, n = 77, 72-6.5934 Percentage
PlaceboRelative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Month 12, n = 75, 68-6.7416 Percentage
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Month 3, n = 81, 72-55.7688 Percentage
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Month 6, n = 77, 72-61.6459 Percentage
Ibandronate (IBN) 150 mg MonthlyRelative Change From Baseline in Serum C-telopeptide Crosslinks of Type 1 Collagen (CTX)Month 12, n = 75, 68-56.5432 Percentage

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026