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Study Evaluating Bazedoxifene Acetate In Osteoporosis In Postmenopausal Women

Fracture Incidence Reduction And Safety Of TSE-424 (Bazedoxifene Acetate) Compared To Placebo And Raloxifene In Osteoporotic Postmenopausal Women

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00205777
Enrollment
7609
Registered
2005-09-20
Start date
2001-12-31
Completion date
2010-09-30
Last updated
2013-04-10

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

Conditions

Osteoporosis

Keywords

Osteoporosis, Postmenopause

Brief summary

The purpose of this study is to determine whether bazedoxifene acetate is safe and effective in the treatment of osteoporosis in postmenopausal women.

Interventions

OTHERPlacebo

Placebo, daily, oral

BZA 20mg, daily, oral

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
FEMALE
Age
55 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Must be at least 2 years postmenopausal * Osteoporotic subjects without vertebral fracture who meet BMD criteria, or Osteoporotic subjects with vertebral fracture

Exclusion criteria

* Diseases that may affect bone metabolism * Vasomotor symptoms requiring treatment * Known history or suspected cancer of the breast * Active or past history of venous thromboembolic events

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With New Vertebral Fractures Through Month 36Baseline through Month 36New vertebral fracture: decrease in anterior, mid, or posterior vertebral (vt) height of approximately 20% and 4 millimeter (mm) or more from baseline (base) to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from fourth thoracic to fourth lumbar vertebra (T4 to L4), provided vertebra was not fractured at base. Participant was counted only once irrespective of how many new vt fractures were diagnosed. Stratification factor was base fracture status, categorized as no prevalent fracture and at least 1 prevalent fracture.
Percentage of Participants With New Vertebral Fractures Through Month 60Baseline through Month 60New vertebral fracture: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 millimeter (mm) or more from baseline (base) to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from fourth thoracic to fourth lumbar vertebra (T4 to L4), provided vertebra was not fractured at base. Participant was counted only once irrespective of how many new vt fractures were diagnosed. Stratification factor was base fracture status, categorized as no prevalent fracture and at least 1 prevalent fracture.
Percentage of Participants With New Vertebral Fractures Through Month 84Baseline through Month 84New vertebral fracture: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 millimeter (mm) or more from baseline (base) to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from fourth thoracic to fourth lumbar vertebra (T4 to L4), provided vertebra was not fractured at base. Participant was counted only once irrespective of how many new vt fractures were diagnosed. Stratification factor was base fracture status, categorized as no prevalent fracture and at least 1 prevalent fracture.

Secondary

MeasureTime frameDescription
Percentage of Participants With New Clinical Vertebral Fractures Through Month 36Baseline through Month 36A new clinical vertebral fracture was defined as a new fracture found at any time because of back pain suggestive of fracture(s). New Clinical vertebral fractures were verified with radiographic assessment using both semi-quantitative and quantitative morphometric assessment: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 mm or more from base to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from T4 to L4, provided vertebra was not fractured at base.
Percentage of Participants With New Clinical Vertebral Fractures Through Month 60Baseline through Month 60A new clinical vertebral fracture was defined as a new fracture found at any time because of back pain suggestive of fracture(s). New Clinical vertebral fractures were verified with radiographic assessment using both semi-quantitative and quantitative morphometric assessment: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 mm or more from base to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from T4 to L4, provided vertebra was not fractured at base.
Percentage of Participants With New Clinical Vertebral Fractures Through Month 84Baseline through Month 84A new clinical vertebral fracture was defined as a new fracture found at any time because of back pain suggestive of fracture(s). New Clinical vertebral fractures were verified with radiographic assessment using both semi-quantitative and quantitative morphometric assessment: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 mm or more from base to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from T4 to L4, provided vertebra was not fractured at base.
Number of Participants With Worsening Vertebral Fractures Through Month 36Baseline through Month 36A worsening vertebral fracture was defined as a decrease in anterior, mid, or posterior vertebral height of at least 20% and at least 4 mm as evaluated by quantitative morphometric assessment, and a grade change of at least 1 as rated by a radiologist using the semi-quantitative rating scale. It can occur only in a vertebra that was fractured at baseline.
Number of Participants With Worsening Vertebral Fractures Through Month 60Baseline through Month 60A worsening vertebral fracture was defined as a decrease in anterior, mid, or posterior vertebral height of at least 20% and at least 4 mm as evaluated by quantitative morphometric assessment, and a grade change of at least 1 as rated by a radiologist using the semi-quantitative rating scale. It can occur only in a vertebra that was fractured at baseline.
Number of Participants With Worsening Vertebral Fractures Through Month 84Baseline through Month 84A worsening vertebral fracture was defined as a decrease in anterior, mid, or posterior vertebral height of at least 20% and at least 4 mm as evaluated by quantitative morphometric assessment, and a grade change of at least 1 as rated by a radiologist using the semi-quantitative rating scale. It can occur only in a vertebra that was fractured at baseline.
Percentage of Participants With Non-vertebral Fractures Through Month 36Baseline through Month 36Non-vertebral fractures were determined by direct questioning at each clinic visit after medication therapy begins. Osteoporosis-related, hip and wrist fractures were summarized.
Percentage of Participants With Non-vertebral Fractures Through Month 60Baseline through Month 60Non-vertebral fractures were determined by direct questioning at each clinic visit after medication therapy begins. Osteoporosis-related, hip and wrist fractures were summarized.
Percentage of Participants With Non-vertebral Fractures Through Month 84Baseline through Month 84Non-vertebral fractures were determined by direct questioning at each clinic visit after medication therapy begins. Osteoporosis-related, hip and wrist fractures were summarized.
Change From Baseline in Height at Month 36Baseline, Month 36Height was measured 3 times using standardized Harpenden stadiometer (height based on the middle stadiometer reading was recorded).
Change From Baseline in Height at Month 60Baseline, Month 60Height was measured 3 times using standardized Harpenden stadiometer (height based on the middle stadiometer reading was recorded).
Change From Baseline in Height at Month 84Baseline, Month 84Height (cm) was measured 3 times using standardized Harpenden stadiometer (height based on the middle stadiometer reading was recorded).
Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Baseline, Months 6, 12, 18, 24, 36BMD of lumbar spine (Lu Sp) and hip (total hip \[Tl Hp\], femoral neck \[Fe Ne\] and femur trochanter \[Fe Tr\]) was evaluated by dual-energy x-ray absorptiometry (DXA). The left hip was evaluated unless prevented by pathology, in which case the right hip was evaluated throughout the study. Results were scored as T score, defined as BMD at the site when compared to the young normal reference mean. Normal BMD is a T-score of -1.0 or higher.
Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Baseline, Month 48, 60BMD of lumbar spine (Lu Sp) and hip (total hip \[Tl Hp\], femoral neck \[Fe Ne\] and femur trochanter \[Fe Tr\]) was evaluated by dual-energy x-ray absorptiometry (DXA). The left hip was evaluated unless prevented by pathology, in which case the right hip was evaluated throughout the study. Results were scored as T score, defined as BMD at the site when compared to the young normal reference mean. Normal BMD is a T-score of -1.0 or higher.
Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Baseline, Month 72, 84BMD of lumbar spine (Lu Sp) and hip (total hip \[Tl Hp\], femoral neck \[Fe Ne\] and femur trochanter \[Fe Tr\]) was evaluated by dual-energy x-ray absorptiometry (DXA). The left hip was evaluated unless prevented by pathology, in which case the right hip was evaluated throughout the study. Results were scored as T score, defined as BMD at the site when compared to the young normal reference mean. Normal BMD is a T-score of -1.0 or higher.
Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Baseline, Months 3, 6, 12Osteocalcin is a biochemical marker of bone formation. Blood samples were collected to evaluate osteocalcin levels.
Percent Change From Baseline in Osteocalcin at Months 36 and 60Baseline, Months 36, 60Osteocalcin is a biochemical marker of bone formation. Blood samples were collected to evaluate osteocalcin levels.
Percent Change From Baseline in Osteocalcin at Months 72 and 84Baseline, Months 72, 84Osteocalcin is a biochemical marker of bone formation. Blood samples were collected to evaluate osteocalcin levels.
Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Baseline, Months 3, 6, 12C-telopeptide is a biochemical marker of bone formation. Blood samples were collected to evaluate C-telopeptide levels.
Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Baseline, Months 36, 60C-telopeptide is a biochemical marker of bone formation. Blood samples were collected to evaluate C-telopeptide levels.
Percent Change From Baseline in C-telopeptide (CTx) at Months 72 and 84Baseline, Months 72, 84C-telopeptide is a biochemical marker of bone formation. Blood samples were collected to evaluate C-telopeptide levels.
Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36Baseline, Months 6, 12, 24, 36Lipid parameters evaluated included total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), triglyceride (TG), high-density lipoprotein fraction 2 (HDL2) and high-density lipoprotein fraction 3 (HDL3).
Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Percentage of following indices (volume,surface,porosity) was calculated:Bone Volume(BV), Osteoid Volume(OV), Osteoid Surface(OS), Osteoclast Surface(OcS), Osteoblast Surface(ObS), Mineralizing surface(MS), Eroded Surface(ES), Osteoid Mineralizing surface(OMS), Cortical porosity(CP).
Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Percentage of following indices (volume,surface,porosity) was calculated:Bone Volume(BV), Osteoid Volume(OV), Osteoid Surface(OS), Osteoclast Surface(OcS), Osteoblast Surface(ObS), Mineralizing surface(MS), Eroded Surface(ES), Osteoid Mineralizing surface(OMS), Cortical porosity(CP).
Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Wall Thickness (WTh), Osteoid Thickness (OTh), Trabecular Thickness (TbTh), Trabecular Separation (TbSp) and Cortical thickness (CTh). Trabecular separation defined as the thickness of the spaces as defined by binarization within the volume of interest.
Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: WTh, OTh, TbTh, TbSp and CTh. Trabecular separation defined as the thickness of the spaces as defined by binarization within the volume of interest.
Bone Histomorphometric Indices at Month 36: Total Surface (Goldner Slide) [TSG]Month 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Total Surface (Goldner Slide) \[TSG\]. All specimens were demineralized and subjected to staining procedures (Goldner's staining). Slides were analyzed using light microscopy for total surface area, the surface area that consisted of bone and the surface area that consisted of graft material (all in mm\^2 and expressed as percent (%) of the total surface.
Bone Histomorphometric Indices at Month 60: TSGMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Total Surface (Goldner Slide) \[TSG\]. All specimens were demineralized and subjected to staining procedures (Goldner's staining). Slides were analyzed using light microscopy for total surface area, the surface area that consisted of bone and the surface area that consisted of graft material (all in mm\^2 and expressed as percent (%) of the total surface.
Bone Histomorphometric Indices at Month 36: TtArMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated variable: Tissue Area (TtAr). Tissue area comprised of the porous calcified substance from which bones were made.
Bone Histomorphometric Indices at Month 60: TtArMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated variable: Tissue Area (TtAr). Tissue area comprised of the porous calcified substance from which bones were made.
Bone Histomorphometric Indices at Month 36: BFP, RP and RmPMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Bone Formation Period (BFP), Resorption Period (RP), Remodeling Period (RmP).
Bone Histomorphometric Indices at Month 60: BFP, RP and RmPMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Bone Formation Period (BFP), Resorption Period (RP), Remodeling Period (RmP).
Bone Histomorphometric Indices at Month 36: SuDMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Surface Density (SuD).
Bone Histomorphometric Indices at Month 60: SuDMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Surface Density (SuD).
Bone Histomorphometric Indices at Month 36: BFRTSMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Form Rate (BFR)-Total Surface Reference (BFRTS). BFR accounts the bone surface which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing surface and bone surface multiplied by mineralization apposition rate (MAR).
Bone Histomorphometric Indices at Month 60: BFRTSMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Form Rate (BFR)-Total Surface Reference (BFRTS). BFR accounts the bone surface which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing surface and bone surface multiplied by mineralization apposition rate (MAR).
Bone Histomorphometric Indices at Month 36: ACFMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Activation Frequency (ACF). The total period (TP) is the duration between the beginning of one formation period (FP) and the beginning of the next FP. The number of times per year that this spot begins the FP is the activation frequency (ACF).
Bone Histomorphometric Indices at Month 60: ACFMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Activation Frequency (ACF). The total period (TP) is the duration between the beginning of one formation period (FP) and the beginning of the next FP. The number of times per year that this spot begins the FP is the activation frequency (ACF).
Bone Histomorphometric Indices at Month 36: MltMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineralization Lag Time (Mlt). Mineralization lag time was the lag between the time osteoid was formed and the mineral was added.
Bone Histomorphometric Indices at Month 60: MltMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineralization Lag Time (Mlt). Mineralization lag time was the lag between the time osteoid was formed and the mineral was added.
Bone Histomorphometric Indices at Month 36: MARMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineral Apposition Rate (MAR). MAR is the area of new bone formed during the label interval.
Bone Histomorphometric Indices at Month 60: MARMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineral Apposition Rate (MAR). MAR is the area of new bone formed during the label interval.
Bone Histomorphometric Indices at Month 36: TbNMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Trabecular Number (TbN). TbN= Ratio of bone volume to tissue volume divided by trabecular thickness.
Bone Histomorphometric Indices at Month 60: TbNMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Trabecular Number (TbN). TbN= Ratio of bone volume to tissue volume divided by trabecular thickness.
Bone Histomorphometric Indices at Month 36: BFRBVMonth 36Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Formation Rate (BFR)-Bone Volume Reference (BFRBV). BFR accounts the bone volume which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing volume and bone volume multiplied by mineralization apposition rate (MAR).
Bone Histomorphometric Indices at Month 60: BFRBVMonth 60Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Formation Rate (BFR)-Bone Volume Reference (BFRBV). BFR accounts the bone volume which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing volume and bone volume multiplied by mineralization apposition rate (MAR).
Women's Health Questionnaire (WHQ)BaselineWHQ is a measure of mid-aged women's emotional and physical health. Consists of 36-item assessing nine domains of physical and emotional health: Depressed mood; Somatic symptoms; Anxiety/fears; Vasomotor symptoms; Sleep problems; Sexual behavior; Menstrual symptoms; Memory/concentration; and Attractiveness. Each item scored on a 4 point scale (yes definitely, yes sometimes, not much, no not at all) reduced to binary option as 0 (no) and 1 (yes). Domain subscale score was calculated as sum of domain items score divided by number of domain items. Total score was calculated as the sum of individual domain subscale score divided by number of domains. Total score range from 0 (absent) to 1 (present), with higher scores indicating more pronounced distress and dysfunction. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Baseline, Months 12, 24, 36WHQ is a measure of mid-aged women's emotional and physical health. Consists of 36-item assessing nine domains of physical and emotional health: Depressed mood; Somatic symptoms; Anxiety/fears; Vasomotor symptoms; Sleep problems; Sexual behavior; Menstrual symptoms; Memory/concentration; and Attractiveness. Each item scored on a 4 point scale (yes definitely, yes sometimes, not much, no not at all) reduced to binary option as 0 (no) and 1 (yes). Domain subscale score was calculated as sum of domain items score divided by number of domain items. Total score was calculated as the sum of individual domain subscale score divided by number of domains. Total score range from 0 (absent) to 1 (present), with higher scores indicating more pronounced distress and dysfunction.Baseline values at different time points were considered only for the participants who were evaluable at those time points.
European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)BaselineQUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life. The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function. The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation. Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Incidence of Breast Cancer Through Month 36Baseline through Month 36Incidence of breast cancer was defined as the number of participants with breast cancer diagnosis by the time point of interest divided by the number of participants included in the analysis. The reported rate was rescaled to reflect average follow-up time per 1000 women (1000 multiplied by number of cases divided by total follow-up time).
Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)BaselineEQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Baseline, Months 12, 24, 36EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaselineEQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Baseline, Months 12, 24, 36EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Baseline, Months 12, 24, 36QUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life. The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function. The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation. Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life. Baseline values at different time points were considered only for the participants who were evaluable at those time points.
Incidence of Breast Cancer Through Month 60Baseline through Month 60Incidence of breast cancer was defined as the number of participants with breast cancer diagnosis by the time point of interest divided by the number of participants included in the analysis. The reported rate was rescaled to reflect average follow-up time per 1000 women (1000 multiplied by number of cases divided by total follow-up time).
Incidence of Breast Cancer Through Month 84Baseline through Month 84Incidence of breast cancer was defined as the number of participants with breast cancer diagnosis by the time point of interest divided by the number of participants included in the analysis. The reported rate was rescaled to reflect average follow-up time per 1000 women (1000 multiplied by number of cases divided by total follow-up time).

Countries

Argentina, Australia, Austria, Belgium, Brazil, Bulgaria, Canada, Chile, Croatia, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Italy, Lithuania, Mexico, Netherlands, New Zealand, Norway, Poland, Romania, Russia, Slovakia, South Africa, Spain, United States

Participant flow

Participants by arm

ArmCount
Bazedoxifene 20 mg (Core+SE I)
Bazedoxifene acetate 20 mg capsule orally once daily for 3 years in the core study and further 2 years in study extension I (SE I), along with supplement tablet (containing calcium up to 600 mg and vitamin D up to 400 international unit \[IU\]) orally twice daily.
1,886
Bazedoxifene 40 mg (Core)
Bazedoxifene acetate 40 mg capsule orally once daily for 3 years in the core study, along with supplement tablet (containing calcium up to 600 mg and vitamin D up to 400 IU) orally twice daily.
1,872
Raloxifene 60 mg (Core)
Raloxifene 60 mg capsule orally once daily for 3 years in the core study, along with supplement tablet (containing calcium up to 600 mg and vitamin D up to 400 IU) orally twice daily.
1,849
Placebo (Core+SE I+SE II)
Matching placebo capsule orally once daily for 3 years in the core study, further 2 years in study extension I (SE I) and further 2 years in study extension II (SE II), along with supplement tablet (containing calcium up to 600 mg and vitamin D up to 400 IU) orally twice daily.
1,885
Total7,492

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Completed Core Study, Entered SE IOther Event5246475000
Completed Core Study, Entered SE IWithdrawal by Subject18015816017400
Completed SE I, Entered Extension SE IINo-consent/eligible/SEII continuing site273002402580
Core Study (Up to 3 Years)Adverse Event26026725223200
Core Study (Up to 3 Years)Death9714700
Core Study (Up to 3 Years)Failed to return4025272700
Core Study (Up to 3 Years)Lack of Efficacy5252397500
Core Study (Up to 3 Years)Other Event4952415800
Core Study (Up to 3 Years)Protocol Violation5355504200
Core Study (Up to 3 Years)Randomized but not treated2132352900
Core Study (Up to 3 Years)Withdrawal by Subject14416914916200
Study Extension IAdverse Event570061580
Study Extension IDeath500120
Study Extension IFailed to return150017130
Study Extension ILack of Efficacy000120
Study Extension IOther Event340034290
Study Extension IProtocol Violation400880
Study Extension IWithdrawal by Subject9900106890
Study Extension IWithdrawn as per protocol001,070000
Study Extension IIAdverse Event00014030
Study Extension IIDeath000205
Study Extension IIEnrolled but not treated000710131
Study Extension IIFailed to return00014026
Study Extension IILack of Efficacy000001
Study Extension IIOther Event00012020
Study Extension IIProtocol Violation0001010
Study Extension IIWithdrawal by Subject00035059

Baseline characteristics

CharacteristicBazedoxifene 20 mg (Core+SE I)Bazedoxifene 40 mg (Core)Raloxifene 60 mg (Core)Placebo (Core+SE I+SE II)Total
Age Continuous66.48 years
STANDARD_DEVIATION 6.53
66.22 years
STANDARD_DEVIATION 6.8
66.36 years
STANDARD_DEVIATION 6.74
66.47 years
STANDARD_DEVIATION 6.76
66.38 years
STANDARD_DEVIATION 6.71
Height156.60 centimeter (cm)
STANDARD_DEVIATION 7.21
156.28 centimeter (cm)
STANDARD_DEVIATION 7.38
156.37 centimeter (cm)
STANDARD_DEVIATION 7.23
156.35 centimeter (cm)
STANDARD_DEVIATION 6.9
156.40 centimeter (cm)
STANDARD_DEVIATION 7.18
Sex: Female, Male
Female
1886 Participants1872 Participants1849 Participants1885 Participants7492 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants0 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
1,818 / 1,8861,800 / 1,8721,775 / 1,8491,823 / 1,885
serious
Total, serious adverse events
507 / 1,886468 / 1,872393 / 1,849479 / 1,885

Outcome results

Primary

Percentage of Participants With New Vertebral Fractures Through Month 36

New vertebral fracture: decrease in anterior, mid, or posterior vertebral (vt) height of approximately 20% and 4 millimeter (mm) or more from baseline (base) to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from fourth thoracic to fourth lumbar vertebra (T4 to L4), provided vertebra was not fractured at base. Participant was counted only once irrespective of how many new vt fractures were diagnosed. Stratification factor was base fracture status, categorized as no prevalent fracture and at least 1 prevalent fracture.

Time frame: Baseline through Month 36

Population: Intent-to-treat(ITT) population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy.N (number of participants analyzed)=participants evaluable for this measure.n=participants with specified baseline fracture status evaluable for each group.

ArmMeasureGroupValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Vertebral Fractures Through Month 36No Prevalent Fracture (n=757,744,742,760)1.98 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Vertebral Fractures Through Month 36At Least 1 Prevalent Fracture (n=967,942,954,981)2.63 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 36At Least 1 Prevalent Fracture (n=967,942,954,981)2.80 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 36No Prevalent Fracture (n=757,744,742,760)2.14 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 36No Prevalent Fracture (n=757,744,742,760)1.84 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 36At Least 1 Prevalent Fracture (n=967,942,954,981)2.74 Percentage of participants
Placebo (Core+SE I+SE II)Percentage of Participants With New Vertebral Fractures Through Month 36No Prevalent Fracture (n=757,744,742,760)3.13 Percentage of participants
Placebo (Core+SE I+SE II)Percentage of Participants With New Vertebral Fractures Through Month 36At Least 1 Prevalent Fracture (n=967,942,954,981)4.80 Percentage of participants
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% confidence intervals (CIs).p-value: 0.2295% CI: [0.322, 1.302]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 40 mg \[Core\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.2495% CI: [0.322, 1.301]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 40 mg \[Core\] versus Raloxifene 60 mg \[Core\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.8395% CI: [0.501, 2.405]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Raloxifene 60 mg \[Core\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.8795% CI: [0.49, 2.356]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40 mg \[Core\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.9695% CI: [0.458, 2.131]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Raloxifene 60 mg \[Core\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.1695% CI: [0.289, 1.212]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.03595% CI: [0.324, 0.937]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 40 mg \[Core\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.0795% CI: [0.373, 1.045]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 40 mg \[Core\] versus Raloxifene 60 mg \[Core\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.7995% CI: [0.605, 1.947]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Raloxifene 60 mg \[Core\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.9995% CI: [0.527, 1.743]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40 mg \[Core\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.7895% CI: [0.488, 1.593]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Raloxifene 60 mg \[Core\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.03695% CI: [0.34, 0.968]Log Rank
Primary

Percentage of Participants With New Vertebral Fractures Through Month 60

New vertebral fracture: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 millimeter (mm) or more from baseline (base) to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from fourth thoracic to fourth lumbar vertebra (T4 to L4), provided vertebra was not fractured at base. Participant was counted only once irrespective of how many new vt fractures were diagnosed. Stratification factor was base fracture status, categorized as no prevalent fracture and at least 1 prevalent fracture.

Time frame: Baseline through Month 60

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy.N (number of participants analyzed)=participants evaluable for this measure.n=participants with specified baseline fracture status evaluable for each group.

ArmMeasureGroupValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Vertebral Fractures Through Month 60No Prevalent Fracture (n=757,760,744)3.11 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Vertebral Fractures Through Month 60At Least 1 Prevalent Fracture (n=967,981,942)5.67 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 60No Prevalent Fracture (n=757,760,744)5.40 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 60At Least 1 Prevalent Fracture (n=967,981,942)7.95 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 60No Prevalent Fracture (n=757,760,744)3.46 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 60At Least 1 Prevalent Fracture (n=967,981,942)4.28 Percentage of participants
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.09795% CI: [0.339, 1.099]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 40/20 mg \[SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.1595% CI: [0.361, 1.151]Log Rank
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40/20 mg \[SE I\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.8395% CI: [0.493, 1.793]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.06795% CI: [0.435, 1.019]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 40/20 mg \[SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.01495% CI: [0.367, 0.896]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40/20 mg \[SE I\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.595% CI: [0.71, 1.885]Log Rank
Primary

Percentage of Participants With New Vertebral Fractures Through Month 84

New vertebral fracture: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 millimeter (mm) or more from baseline (base) to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from fourth thoracic to fourth lumbar vertebra (T4 to L4), provided vertebra was not fractured at base. Participant was counted only once irrespective of how many new vt fractures were diagnosed. Stratification factor was base fracture status, categorized as no prevalent fracture and at least 1 prevalent fracture.

Time frame: Baseline through Month 84

Population: Modified ITT(mITT) population of safety population category one(SP1) population:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy.N (number of participants analyzed)=participants evaluable.n=participants with specified baseline fracture status.

ArmMeasureGroupValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Vertebral Fractures Through Month 84No Prevalent Fracture (n=760,1501)8.18 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Vertebral Fractures Through Month 84At Least 1 Prevalent Fracture (n=981,1909)11.35 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 84No Prevalent Fracture (n=760,1501)5.79 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Vertebral Fractures Through Month 84At Least 1 Prevalent Fracture (n=981,1909)6.90 Percentage of participants
Comparison: No Prevalent Fractures: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[SE II\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.08595% CI: [0.44, 1.052]Log Rank
Comparison: At Least 1 Prevalent Fracture: P value was calculated using stratified log-rank test. Hazard ratio (Bazedoxifene 20 mg \[SE II\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.00495% CI: [0.434, 0.857]Log Rank
Secondary

Bone Histomorphometric Indices at Month 36: ACF

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Activation Frequency (ACF). The total period (TP) is the duration between the beginning of one formation period (FP) and the beginning of the next FP. The number of times per year that this spot begins the FP is the activation frequency (ACF).

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: ACF0.421 Activation of bone formation/yearStandard Error 0.058
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: ACF0.385 Activation of bone formation/yearStandard Error 0.054
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: ACF0.290 Activation of bone formation/yearStandard Error 0.058
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: ACF0.410 Activation of bone formation/yearStandard Error 0.054
p-value: 0.9ANOVA
p-value: 0.74ANOVA
p-value: 0.13ANOVA
p-value: 0.11ANOVA
p-value: 0.24ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: BFP, RP and RmP

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Bone Formation Period (BFP), Resorption Period (RP), Remodeling Period (RmP).

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPBFP (n=24,27,24,27)0.463 years (yrs)Standard Error 0.08
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRmP (n=24,27,24,27)0.543 years (yrs)Standard Error 0.095
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRP (n=24,27,24,27)0.080 years (yrs)Standard Error 0.029
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPBFP (n=24,27,24,27)0.441 years (yrs)Standard Error 0.076
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRmP (n=24,27,24,27)0.508 years (yrs)Standard Error 0.09
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRP (n=24,27,24,27)0.066 years (yrs)Standard Error 0.027
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRP (n=24,27,24,27)0.125 years (yrs)Standard Error 0.029
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPBFP (n=24,27,24,27)0.751 years (yrs)Standard Error 0.08
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRmP (n=24,27,24,27)0.876 years (yrs)Standard Error 0.095
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPBFP (n=24,27,24,27)0.436 years (yrs)Standard Error 0.076
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRmP (n=24,27,24,27)0.531 years (yrs)Standard Error 0.09
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BFP, RP and RmPRP (n=24,27,24,27)0.096 years (yrs)Standard Error 0.027
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.81ANOVA
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.96ANOVA
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.005ANOVA
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.013ANOVA
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.006ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 0.7ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 0.44ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 0.47ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 0.28ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 0.14ANOVA
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.93ANOVA
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.85ANOVA
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.01ANOVA
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.015ANOVA
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.006ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: BFRBV

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Formation Rate (BFR)-Bone Volume Reference (BFRBV). BFR accounts the bone volume which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing volume and bone volume multiplied by mineralization apposition rate (MAR).

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BFRBV0.186 square millimetre/square millimetre/yearStandard Error 0.024
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BFRBV0.171 square millimetre/square millimetre/yearStandard Error 0.022
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BFRBV0.122 square millimetre/square millimetre/yearStandard Error 0.024
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BFRBV0.187 square millimetre/square millimetre/yearStandard Error 0.022
p-value: 0.61ANOVA
p-value: 0.97ANOVA
p-value: 0.05ANOVA
p-value: 0.061ANOVA
p-value: 0.14ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: BFRTS

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Form Rate (BFR)-Total Surface Reference (BFRTS). BFR accounts the bone surface which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing surface and bone surface multiplied by mineralization apposition rate (MAR).

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BFRTS0.013 cubic millimetre/square millimetre/yearStandard Error 0.002
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BFRTS0.012 cubic millimetre/square millimetre/yearStandard Error 0.002
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BFRTS0.009 cubic millimetre/square millimetre/yearStandard Error 0.002
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BFRTS0.012 cubic millimetre/square millimetre/yearStandard Error 0.002
p-value: 0.68ANOVA
p-value: 0.97ANOVA
p-value: 0.18ANOVA
p-value: 0.088ANOVA
p-value: 0.17ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CP

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Percentage of following indices (volume,surface,porosity) was calculated:Bone Volume(BV), Osteoid Volume(OV), Osteoid Surface(OS), Osteoclast Surface(OcS), Osteoblast Surface(ObS), Mineralizing surface(MS), Eroded Surface(ES), Osteoid Mineralizing surface(OMS), Cortical porosity(CP).

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=25,27,28,30)1.610 Percentage of indicesStandard Error 0.196
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=25,27,28,30)5.962 Percentage of indicesStandard Error 0.852
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=25,27,27,29)4.484 Percentage of indicesStandard Error 0.397
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=25,27,28,30)0.276 Percentage of indicesStandard Error 0.045
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=25,27,28,30)12.516 Percentage of indicesStandard Error 1.795
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=25,27,28,30)1.513 Percentage of indicesStandard Error 0.244
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=28,29,32,32)49.629 Percentage of indicesStandard Error 5.442
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=25,27,28,30)4.235 Percentage of indicesStandard Error 0.623
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=25,27,28,30)17.078 Percentage of indicesStandard Error 1.14
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=25,27,28,30)4.225 Percentage of indicesStandard Error 0.6
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=25,27,28,30)1.855 Percentage of indicesStandard Error 0.189
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=25,27,28,30)5.960 Percentage of indicesStandard Error 0.82
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=25,27,28,30)1.644 Percentage of indicesStandard Error 0.234
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=25,27,28,30)19.155 Percentage of indicesStandard Error 1.097
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=25,27,28,30)14.196 Percentage of indicesStandard Error 1.728
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=25,27,27,29)4.130 Percentage of indicesStandard Error 0.382
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=28,29,32,32)49.145 Percentage of indicesStandard Error 5.347
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=25,27,28,30)0.334 Percentage of indicesStandard Error 0.043
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=25,27,28,30)2.772 Percentage of indicesStandard Error 0.589
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=25,27,28,30)16.650 Percentage of indicesStandard Error 1.077
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=25,27,28,30)1.290 Percentage of indicesStandard Error 0.23
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=25,27,28,30)12.442 Percentage of indicesStandard Error 1.697
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=25,27,28,30)0.215 Percentage of indicesStandard Error 0.043
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=25,27,28,30)3.926 Percentage of indicesStandard Error 0.805
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=25,27,28,30)1.891 Percentage of indicesStandard Error 0.185
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=28,29,32,32)37.856 Percentage of indicesStandard Error 5.091
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=25,27,27,29)4.319 Percentage of indicesStandard Error 0.382
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=25,27,28,30)1.299 Percentage of indicesStandard Error 0.179
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=25,27,28,30)0.242 Percentage of indicesStandard Error 0.041
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=25,27,28,30)12.934 Percentage of indicesStandard Error 1.639
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=25,27,27,29)4.334 Percentage of indicesStandard Error 0.369
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=28,29,32,32)51.503 Percentage of indicesStandard Error 5.091
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=25,27,28,30)1.605 Percentage of indicesStandard Error 0.222
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=25,27,28,30)5.705 Percentage of indicesStandard Error 0.778
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=25,27,28,30)3.672 Percentage of indicesStandard Error 0.569
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=25,27,28,30)17.144 Percentage of indicesStandard Error 1.041
Comparison: BV: P value was calculated using Analysis of Variance (ANOVA).p-value: 0.97ANOVA
Comparison: BV: P value was calculated using ANOVA.p-value: 0.19ANOVA
Comparison: BV: P value was calculated using ANOVA.p-value: 0.74ANOVA
Comparison: BV: P value was calculated using ANOVA.p-value: 0.79ANOVA
Comparison: BV: P value was calculated using ANOVA.p-value: 0.11ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.78ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.9ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.33ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.51ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.28ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.86ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.6ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.84ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.98ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.47ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.59ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.13ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.65ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.33ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.053ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.51ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.5ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.27ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.091ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.087ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.82ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.82ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.12ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.085ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.08ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.24ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.035ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.024ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.3ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.89ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.8ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.75ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.06ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.12ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.13ANOVA
Comparison: CP: P value was calculated using ANOVA.p-value: 0.78ANOVA
Comparison: CP: P value was calculated using ANOVA.p-value: 0.7ANOVA
Comparison: CP: P value was calculated using ANOVA.p-value: 0.98ANOVA
Comparison: CP: P value was calculated using ANOVA.p-value: 0.76ANOVA
Comparison: CP: P value was calculated using ANOVA.p-value: 0.73ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: MAR

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineral Apposition Rate (MAR). MAR is the area of new bone formed during the label interval.

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: MAR0.578 mcm/days (mcm/d)Standard Error 0.02
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: MAR0.563 mcm/days (mcm/d)Standard Error 0.019
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: MAR0.520 mcm/days (mcm/d)Standard Error 0.02
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: MAR0.550 mcm/days (mcm/d)Standard Error 0.019
p-value: 0.3ANOVA
p-value: 0.62ANOVA
p-value: 0.28ANOVA
p-value: 0.041ANOVA
p-value: 0.12ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: Mlt

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineralization Lag Time (Mlt). Mineralization lag time was the lag between the time osteoid was formed and the mineral was added.

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: Mlt31.650 daysStandard Error 5.141
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: Mlt30.337 daysStandard Error 4.847
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: Mlt48.383 daysStandard Error 5.141
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: Mlt29.533 daysStandard Error 4.847
p-value: 0.77ANOVA
p-value: 0.91ANOVA
p-value: 0.009ANOVA
p-value: 0.023ANOVA
p-value: 0.012ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: SuD

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Surface Density (SuD).

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: SuD2.405 square millimeter per cubic millimeterStandard Error 0.109
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: SuD2.632 square millimeter per cubic millimeterStandard Error 0.105
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: SuD2.424 square millimeter per cubic millimeterStandard Error 0.103
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: SuD2.587 square millimeter per cubic millimeterStandard Error 0.1
p-value: 0.22ANOVA
p-value: 0.76ANOVA
p-value: 0.26ANOVA
p-value: 0.9ANOVA
p-value: 0.16ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: TbN

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Trabecular Number (TbN). TbN= Ratio of bone volume to tissue volume divided by trabecular thickness.

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: TbN1.202 ratio/millimeter (ratio/mm)Standard Error 0.055
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: TbN1.315 ratio/millimeter (ratio/mm)Standard Error 0.053
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: TbN1.212 ratio/millimeter (ratio/mm)Standard Error 0.052
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: TbN1.293 ratio/millimeter (ratio/mm)Standard Error 0.05
p-value: 0.22ANOVA
p-value: 0.76ANOVA
p-value: 0.26ANOVA
p-value: 0.89ANOVA
p-value: 0.17ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: Total Surface (Goldner Slide) [TSG]

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Total Surface (Goldner Slide) \[TSG\]. All specimens were demineralized and subjected to staining procedures (Goldner's staining). Slides were analyzed using light microscopy for total surface area, the surface area that consisted of bone and the surface area that consisted of graft material (all in mm\^2 and expressed as percent (%) of the total surface.

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: Total Surface (Goldner Slide) [TSG]95.111 millimeter (mm)Standard Error 8.429
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: Total Surface (Goldner Slide) [TSG]110.897 millimeter (mm)Standard Error 8.283
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: Total Surface (Goldner Slide) [TSG]94.353 millimeter (mm)Standard Error 7.885
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: Total Surface (Goldner Slide) [TSG]105.912 millimeter (mm)Standard Error 7.885
p-value: 0.35ANOVA
p-value: 0.66ANOVA
p-value: 0.3ANOVA
p-value: 0.95ANOVA
p-value: 0.15ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: TtAr

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated variable: Tissue Area (TtAr). Tissue area comprised of the porous calcified substance from which bones were made.

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: TtAr39.904 Square millimeter (mm^2)Standard Error 3.066
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: TtAr42.334 Square millimeter (mm^2)Standard Error 3.013
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: TtAr39.497 Square millimeter (mm^2)Standard Error 2.868
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: TtAr41.459 Square millimeter (mm^2)Standard Error 2.868
p-value: 0.71ANOVA
p-value: 0.83ANOVA
p-value: 0.63ANOVA
p-value: 0.92ANOVA
p-value: 0.5ANOVA
Secondary

Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CTh

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Wall Thickness (WTh), Osteoid Thickness (OTh), Trabecular Thickness (TbTh), Trabecular Separation (TbSp) and Cortical thickness (CTh). Trabecular separation defined as the thickness of the spaces as defined by binarization within the volume of interest.

Time frame: Month 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbSp (n=25,27,28,30)865.040 micrometer (mcm)Standard Error 42.634
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThOTh (n=25,27,28,30)6.180 micrometer (mcm)Standard Error 0.221
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThCTh (n=25,27,27,30)891.480 micrometer (mcm)Standard Error 68.949
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbTh (n=25,27,28,30)140.440 micrometer (mcm)Standard Error 7.128
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThWTh (n=25,27,28,30)31.348 micrometer (mcm)Standard Error 0.541
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbTh (n=25,27,28,30)146.296 micrometer (mcm)Standard Error 6.859
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbSp (n=25,27,28,30)770.148 micrometer (mcm)Standard Error 41.024
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThCTh (n=25,27,27,30)694.370 micrometer (mcm)Standard Error 66.346
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThOTh (n=25,27,28,30)6.085 micrometer (mcm)Standard Error 0.212
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThWTh (n=25,27,28,30)31.689 micrometer (mcm)Standard Error 0.521
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbTh (n=25,27,28,30)139.143 micrometer (mcm)Standard Error 6.735
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThWTh (n=25,27,28,30)31.089 micrometer (mcm)Standard Error 0.512
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThOTh (n=25,27,28,30)5.554 micrometer (mcm)Standard Error 0.209
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbSp (n=25,27,28,30)880.571 micrometer (mcm)Standard Error 40.285
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThCTh (n=25,27,27,30)781.593 micrometer (mcm)Standard Error 66.346
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbSp (n=25,27,28,30)787.900 micrometer (mcm)Standard Error 38.919
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThOTh (n=25,27,28,30)5.660 micrometer (mcm)Standard Error 0.202
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThWTh (n=25,27,28,30)30.447 micrometer (mcm)Standard Error 0.494
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThTbTh (n=25,27,28,30)131.333 micrometer (mcm)Standard Error 6.507
Placebo (Core+SE I+SE II)Bone Histomorphometric Indices at Month 36: WTh, OTh, TbTh, TbSp and CThCTh (n=25,27,27,30)761.467 micrometer (mcm)Standard Error 62.941
Comparison: WTh: P value was calculated using ANOVA.p-value: 0.22ANOVA
Comparison: WTh: p-value was calculated using ANOVA.p-value: 0.087ANOVA
Comparison: WTh: p-value was calculated using ANOVA.p-value: 0.37ANOVA
Comparison: WTh: p-value was calculated using ANOVA.p-value: 0.73ANOVA
Comparison: WTh: p-value was calculated using ANOVA.p-value: 0.41ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.085ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.15ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.71ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.042ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.077ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.35ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.12ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.41ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.9ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.46ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.18ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.75ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.1ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.79ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.057ANOVA
Comparison: CTh: P value was calculated using ANOVA.p-value: 0.17ANOVA
Comparison: CTh: P value was calculated using ANOVA.p-value: 0.46ANOVA
Comparison: CTh: P value was calculated using ANOVA.p-value: 0.83ANOVA
Comparison: CTh: P value was calculated using ANOVA.p-value: 0.25ANOVA
Comparison: CTh: P value was calculated using ANOVA.p-value: 0.35ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: ACF

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Activation Frequency (ACF). The total period (TP) is the duration between the beginning of one formation period (FP) and the beginning of the next FP. The number of times per year that this spot begins the FP is the activation frequency (ACF).

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: ACF0.375 Activation of bone formation/yearStandard Error 0.106
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: ACF0.198 Activation of bone formation/yearStandard Error 0.075
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: ACF0.610 Activation of bone formation/yearStandard Error 0.151
p-value: 0.25ANOVA
p-value: 0.07ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: BFP, RP and RmP

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Bone Formation Period (BFP), Resorption Period (RP), Remodeling Period (RmP).

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPRP (n=2,4,1)0.035 yrsStandard Error 0.011
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPBFP (n=2,4,1)0.545 yrsStandard Error 0.391
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPRmP (n=2,4,1)0.580 yrsStandard Error 0.403
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPRP (n=2,4,1)0.035 yrsStandard Error 0.008
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPBFP (n=2,4,1)0.820 yrsStandard Error 0.277
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPRmP (n=2,4,1)0.860 yrsStandard Error 0.285
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPBFP (n=2,4,1)0.390 yrsStandard Error 0.553
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPRmP (n=2,4,1)0.410 yrsStandard Error 0.569
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BFP, RP and RmPRP (n=2,4,1)0.020 yrsStandard Error 0.015
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.52ANOVA
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.6ANOVA
Comparison: BFP: P value was calculated using ANOVA.p-value: 0.53ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 1ANOVA
Comparison: RP: P value was calculated using ANOVA.p-value: 0.43ANOVA
Comparison: RmP: P value was calculated using ANOVA.p-value: 0.6ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: BFRBV

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Formation Rate (BFR)-Bone Volume Reference (BFRBV). BFR accounts the bone volume which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing volume and bone volume multiplied by mineralization apposition rate (MAR).

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BFRBV0.167 square millimetre/square millimetre/yearStandard Error 0.042
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BFRBV0.075 square millimetre/square millimetre/yearStandard Error 0.03
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BFRBV0.253 square millimetre/square millimetre/yearStandard Error 0.059
p-value: 0.15ANOVA
p-value: 0.056ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: BFRTS

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Bone Form Rate (BFR)-Total Surface Reference (BFRTS). BFR accounts the bone surface which is actively mineralizing, which depends on the number of osteoblasts that are active. BFR= Fraction of mineralizing surface and bone surface multiplied by mineralization apposition rate (MAR).

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BFRTS0.013 cubic millimetre/square millimetre/yearStandard Error 0.003
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BFRTS0.006 cubic millimetre/square millimetre/yearStandard Error 0.002
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BFRTS0.018 cubic millimetre/square millimetre/yearStandard Error 0.005
p-value: 0.25ANOVA
p-value: 0.1ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CP

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Percentage of following indices (volume,surface,porosity) was calculated:Bone Volume(BV), Osteoid Volume(OV), Osteoid Surface(OS), Osteoclast Surface(OcS), Osteoblast Surface(ObS), Mineralizing surface(MS), Eroded Surface(ES), Osteoid Mineralizing surface(OMS), Cortical porosity(CP).

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=3,5,1)57.300 Percentage of indicesStandard Error 21.483
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=2,4,1)7.170 Percentage of indicesStandard Error 2.1
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=2,4,1)20.270 Percentage of indicesStandard Error 3.091
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=2,4,1)1.225 Percentage of indicesStandard Error 0.226
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=2,4,1)6.910 Percentage of indicesStandard Error 1.614
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=2,4,1)2.550 Percentage of indicesStandard Error 0.258
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=0,0,0)NA Percentage of indices
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=2,4,1)0.445 Percentage of indicesStandard Error 0.137
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=2,4,1)20.315 Percentage of indicesStandard Error 4.882
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=2,4,1)17.818 Percentage of indicesStandard Error 3.452
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=2,4,1)0.893 Percentage of indicesStandard Error 0.183
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=2,4,1)9.772 Percentage of indicesStandard Error 2.186
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=2,4,1)0.173 Percentage of indicesStandard Error 0.097
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=2,4,1)2.430 Percentage of indicesStandard Error 1.485
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=2,4,1)2.920 Percentage of indicesStandard Error 1.142
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=2,4,1)0.542 Percentage of indicesStandard Error 0.16
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=3,5,1)43.060 Percentage of indicesStandard Error 16.64
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=0,0,0)NA Percentage of indices
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPES (n=2,4,1)0.990 Percentage of indicesStandard Error 0.319
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOcS (n=2,4,1)0.310 Percentage of indicesStandard Error 0.193
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOV (n=2,4,1)2.790 Percentage of indicesStandard Error 0.365
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOMS (n=3,5,1)40.900 Percentage of indicesStandard Error 37.209
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPOS (n=2,4,1)23.870 Percentage of indicesStandard Error 4.372
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPBV (n=2,4,1)21.590 Percentage of indicesStandard Error 6.905
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPMS (n=2,4,1)9.780 Percentage of indicesStandard Error 2.283
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPObS (n=2,4,1)7.260 Percentage of indicesStandard Error 2.97
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: BV, OV, OS, OcS, ObS, MS, ES, OMS, CPCP (n=0,0,0)NA Percentage of indices
Comparison: BV: P value was calculated using ANOVA.p-value: 0.7ANOVA
Comparison: BV: P value was calculated using ANOVA.p-value: 0.65ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.006ANOVA
Comparison: OV: P value was calculated using ANOVA.p-value: 0.01ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.05ANOVA
Comparison: OS: P value was calculated using ANOVA.p-value: 0.045ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.18ANOVA
Comparison: OcS: P value was calculated using ANOVA.p-value: 0.56ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.14ANOVA
Comparison: ObS: P value was calculated using ANOVA.p-value: 0.22ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.11ANOVA
Comparison: MS: P value was calculated using ANOVA.p-value: 0.055ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.069ANOVA
Comparison: ES: P value was calculated using ANOVA.p-value: 0.28ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.62ANOVA
Comparison: OMS: P value was calculated using ANOVA.p-value: 0.96ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: MAR

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineral Apposition Rate (MAR). MAR is the area of new bone formed during the label interval.

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: MAR0.525 mcm/dStandard Error 0.095
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: MAR0.573 mcm/dStandard Error 0.067
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: MAR0.490 mcm/dStandard Error 0.134
p-value: 0.7ANOVA
p-value: 0.61ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: Mlt

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Mineralization Lag Time (Mlt). Mineralization lag time was the lag between the time osteoid was formed and the mineral was added.

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: Mlt43.450 daysStandard Error 21.817
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: Mlt51.100 daysStandard Error 15.427
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: Mlt31.900 daysStandard Error 30.855
p-value: 0.79ANOVA
p-value: 0.61ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: SuD

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Surface Density (SuD).

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: SuD2.625 square millimeter per cubic millimeterStandard Error 0.338
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: SuD2.248 square millimeter per cubic millimeterStandard Error 0.239
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: SuD3.120 square millimeter per cubic millimeterStandard Error 0.479
p-value: 0.41ANOVA
p-value: 0.18ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: TbN

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD Calculated indices included: Trabecular Number (TbN). TbN= Ratio of bone volume to tissue volume divided by trabecular thickness.

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: TbN1.315 ratio/mmStandard Error 0.168
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: TbN1.125 ratio/mmStandard Error 0.119
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: TbN1.560 ratio/mmStandard Error 0.238
p-value: 0.41ANOVA
p-value: 0.18ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: TSG

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: Total Surface (Goldner Slide) \[TSG\]. All specimens were demineralized and subjected to staining procedures (Goldner's staining). Slides were analyzed using light microscopy for total surface area, the surface area that consisted of bone and the surface area that consisted of graft material (all in mm\^2 and expressed as percent (%) of the total surface.

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: TSG75.333 mmStandard Error 30.542
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: TSG75.560 mmStandard Error 23.658
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: TSG128.500 mmStandard Error 52.9
p-value: 1ANOVA
p-value: 0.4ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: TtAr

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated variable: Tissue Area (TtAr). Tissue area comprised of the porous calcified substance from which bones were made.

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: TtAr28.767 mm^2Standard Error 12.993
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: TtAr34.600 mm^2Standard Error 10.064
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: TtAr41.200 mm^2Standard Error 22.504
p-value: 0.73ANOVA
p-value: 0.8ANOVA
Secondary

Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CTh

Bone histomorphometry verified rate of bone remodeling. Anterior iliac crest bone biopsy done to exclude presence of osteomalacia or more subtle defects in mineralization; investigated qualitative aspects of bone. Also assessed decrease in rate of bone turnover, investigated mechanism for observed increase in BMD. Calculated indices included: WTh, OTh, TbTh, TbSp and CTh. Trabecular separation defined as the thickness of the spaces as defined by binarization within the volume of interest.

Time frame: Month 60

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline data and at least one valid bone histomorphometry while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThTbSp (n=2,4,1)748.000 mcmStandard Error 161.893
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThTbTh (n=2,4,1)154.500 mcmStandard Error 29.636
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThWTh (n=2,4,1)34.250 mcmStandard Error 0.833
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThOTh (n=2,4,1)7.450 mcmStandard Error 0.571
Bazedoxifene 20 mg (Core+SE I)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThCTh (n=0,0,0)NA mcm
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThTbTh (n=2,4,1)153.000 mcmStandard Error 20.956
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThWTh (n=2,4,1)30.300 mcmStandard Error 0.589
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThOTh (n=2,4,1)5.500 mcmStandard Error 0.404
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThTbSp (n=2,4,1)920.750 mcmStandard Error 114.476
Bazedoxifene 40 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThCTh (n=0,0,0)NA mcm
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThCTh (n=0,0,0)NA mcm
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThTbSp (n=2,4,1)628.000 mcmStandard Error 228.951
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThWTh (n=2,4,1)28.700 mcmStandard Error 1.177
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThTbTh (n=2,4,1)139.000 mcmStandard Error 41.912
Raloxifene 60 mg (Core)Bone Histomorphometric Indices at Month 60: WTh, OTh, TbTh, TbSp and CThOTh (n=2,4,1)6.400 mcmStandard Error 0.807
Comparison: WTh: P value was calculated using ANOVA.p-value: 0.018ANOVA
Comparison: WTh: P value was calculated using ANOVA.p-value: 0.29ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.049ANOVA
Comparison: OTh: P value was calculated using ANOVA.p-value: 0.37ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.97ANOVA
Comparison: TbTh: P value was calculated using ANOVA.p-value: 0.78ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.43ANOVA
Comparison: TbSp: P value was calculated using ANOVA.p-value: 0.32ANOVA
Secondary

Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36

QUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life. The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function. The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation. Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline, Months 12, 24, 36

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 12 (n=1490,1438,1455,1495)-0.24 Units on a scaleStandard Error 0.23
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 36 (n=1155,1136,1168,1176)0.62 Units on a scaleStandard Error 0.3
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 24 (n=1305,1276,1307,1312)-0.00 Units on a scaleStandard Error 0.27
Bazedoxifene 40 mg (Core)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 12 (n=1490,1438,1455,1495)-0.91 Units on a scaleStandard Error 0.24
Bazedoxifene 40 mg (Core)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 36 (n=1155,1136,1168,1176)-0.11 Units on a scaleStandard Error 0.3
Bazedoxifene 40 mg (Core)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 24 (n=1305,1276,1307,1312)0.02 Units on a scaleStandard Error 0.28
Raloxifene 60 mg (Core)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 24 (n=1305,1276,1307,1312)0.29 Units on a scaleStandard Error 0.27
Raloxifene 60 mg (Core)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 12 (n=1490,1438,1455,1495)-0.49 Units on a scaleStandard Error 0.24
Raloxifene 60 mg (Core)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 36 (n=1155,1136,1168,1176)0.26 Units on a scaleStandard Error 0.3
Placebo (Core+SE I+SE II)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 12 (n=1490,1438,1455,1495)-0.77 Units on a scaleStandard Error 0.23
Placebo (Core+SE I+SE II)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 36 (n=1155,1136,1168,1176)-0.35 Units on a scaleStandard Error 0.3
Placebo (Core+SE I+SE II)Change From Baseline in European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO) at Month 12, 24 and 36Change at Month 24 (n=1305,1276,1307,1312)-0.39 Units on a scaleStandard Error 0.27
Comparison: Change at Month 12 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.08ANOVA
Comparison: Change at Month 12 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.41ANOVA
Comparison: Change at Month 12 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.65ANOVA
Comparison: Change at Month 12 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.18ANOVA
Comparison: Change at Month 12 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.36ANOVA
Comparison: Change at Month 24 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.27ANOVA
Comparison: Change at Month 24 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.25ANOVA
Comparison: Change at Month 24 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.053ANOVA
Comparison: Change at Month 24 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.4ANOVA
Comparison: Change at Month 24 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.45ANOVA
Comparison: Change at Month 36 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.012ANOVA
Comparison: Change at Month 36 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.54ANOVA
Comparison: Change at Month 36 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.11ANOVA
Comparison: Change at Month 36 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.35ANOVA
Comparison: Change at Month 36 in QUALEFFO: P value was calculated using ANOVA.p-value: 0.34ANOVA
Secondary

Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline, Months 12, 24, 36

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 36 (n=1095,1078,1111,1128)-0.00 Units on a scaleStandard Deviation 0.01
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 12 (n=1425,1375,1393,1436)0.01 Units on a scaleStandard Deviation 0.01
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 24(n=1243,1220,1240,1267)0.00 Units on a scaleStandard Deviation 0.01
Bazedoxifene 40 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 12 (n=1425,1375,1393,1436)0.01 Units on a scaleStandard Deviation 0.01
Bazedoxifene 40 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 24(n=1243,1220,1240,1267)-0.01 Units on a scaleStandard Deviation 0.01
Bazedoxifene 40 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 36 (n=1095,1078,1111,1128)-0.01 Units on a scaleStandard Deviation 0.01
Raloxifene 60 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 12 (n=1425,1375,1393,1436)0.01 Units on a scaleStandard Deviation 0.01
Raloxifene 60 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 24(n=1243,1220,1240,1267)-0.01 Units on a scaleStandard Deviation 0.01
Raloxifene 60 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 36 (n=1095,1078,1111,1128)-0.01 Units on a scaleStandard Deviation 0.01
Placebo (Core+SE I+SE II)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 36 (n=1095,1078,1111,1128)-0.00 Units on a scaleStandard Deviation 0.01
Placebo (Core+SE I+SE II)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 24(n=1243,1220,1240,1267)0.01 Units on a scaleStandard Deviation 0.01
Placebo (Core+SE I+SE II)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score at Month 12, 24 and 36Change at Month 12 (n=1425,1375,1393,1436)0.01 Units on a scaleStandard Deviation 0.01
Comparison: Change at Month 12 in EQ-5D: P value was calculated using ANOVA.p-value: 0.72ANOVA
Comparison: Change at Month 12 in EQ-5D: P value was calculated using ANOVA.p-value: 0.98ANOVA
Comparison: Change at Month 12 in EQ-5D: P value was calculated using ANOVA.p-value: 0.84ANOVA
Comparison: Change at Month 12 in EQ-5D: P value was calculated using ANOVA.p-value: 0.88ANOVA
Comparison: Change at Month 12 in EQ-5D: P value was calculated using ANOVA.p-value: 0.86ANOVA
Comparison: Change at Month 24 in EQ-5D: P value was calculated using ANOVA.p-value: 0.82ANOVA
Comparison: Change at Month 24 in EQ-5D: P value was calculated using ANOVA.p-value: 0.11ANOVA
Comparison: Change at Month 24 in EQ-5D: P value was calculated using ANOVA.p-value: 0.14ANOVA
Comparison: Change at Month 24 in EQ-5D: P value was calculated using ANOVA.p-value: 0.22ANOVA
Comparison: Change at Month 24 in EQ-5D: P value was calculated using ANOVA.p-value: 0.88ANOVA
Comparison: Change at Month 36 in EQ-5D: P value was calculated using ANOVA.p-value: 0.96ANOVA
Comparison: Change at Month 36 in EQ-5D: P value was calculated using ANOVA.p-value: 0.76ANOVA
Comparison: Change at Month 36 in EQ-5D: P value was calculated using ANOVA.p-value: 0.92ANOVA
Comparison: Change at Month 36 in EQ-5D: P value was calculated using ANOVA.p-value: 0.89ANOVA
Comparison: Change at Month 36 in EQ-5D: P value was calculated using ANOVA.p-value: 0.83ANOVA
Secondary

Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline, Months 12, 24, 36

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 12 (n=1381,1346,1362,1407)1.59 mmStandard Error 1.23
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 36 (n=1070,1065,1092,1120)5.73 mmStandard Error 1.74
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 24 (n=1210,1200,1223,1247)0.45 mmStandard Error 1.39
Bazedoxifene 40 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 12 (n=1381,1346,1362,1407)0.12 mmStandard Error 1.24
Bazedoxifene 40 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 36 (n=1070,1065,1092,1120)3.87 mmStandard Error 1.74
Bazedoxifene 40 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 24 (n=1210,1200,1223,1247)-1.13 mmStandard Error 1.4
Raloxifene 60 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 24 (n=1210,1200,1223,1247)-1.63 mmStandard Error 1.37
Raloxifene 60 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 12 (n=1381,1346,1362,1407)-1.39 mmStandard Error 1.23
Raloxifene 60 mg (Core)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 36 (n=1070,1065,1092,1120)1.60 mmStandard Error 1.71
Placebo (Core+SE I+SE II)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 12 (n=1381,1346,1362,1407)-0.37 mmStandard Error 1.21
Placebo (Core+SE I+SE II)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 36 (n=1070,1065,1092,1120)4.66 mmStandard Error 1.7
Placebo (Core+SE I+SE II)Change From Baseline in Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Month 12, 24 and 36Change at Month 24 (n=1210,1200,1223,1247)-2.12 mmStandard Error 1.37
Comparison: Change at Month 12 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.21ANOVA
Comparison: Change at Month 12 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.058ANOVA
Comparison: Change at Month 12 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.76ANOVA
Comparison: Change at Month 12 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.34ANOVA
Comparison: Change at Month 12 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.51ANOVA
Comparison: Change at Month 24 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.14ANOVA
Comparison: Change at Month 24 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.57ANOVA
Comparison: Change at Month 24 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.78ANOVA
Comparison: Change at Month 24 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.24ANOVA
Comparison: Change at Month 24 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.78ANOVA
Comparison: Change at Month 36 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.62ANOVA
Comparison: Change at Month 36 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.72ANOVA
Comparison: Change at Month 36 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.16ANOVA
Comparison: Change at Month 36 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.059ANOVA
Comparison: Change at Month 36 in EQ-5D VAS: P value was calculated using ANOVA.p-value: 0.3ANOVA
Secondary

Change From Baseline in Height at Month 36

Height was measured 3 times using standardized Harpenden stadiometer (height based on the middle stadiometer reading was recorded).

Time frame: Baseline, Month 36

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. N (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Height at Month 36-3.7 millimeter (mm)Standard Error 0.31
Bazedoxifene 40 mg (Core)Change From Baseline in Height at Month 36-3.9 millimeter (mm)Standard Error 0.31
Raloxifene 60 mg (Core)Change From Baseline in Height at Month 36-4.5 millimeter (mm)Standard Error 0.31
Placebo (Core+SE I+SE II)Change From Baseline in Height at Month 36-3.3 millimeter (mm)Standard Error 0.31
p-value: 0.31ANCOVA
p-value: 0.039ANCOVA
p-value: 0.13ANCOVA
p-value: 0.12ANCOVA
p-value: 0.002ANCOVA
Secondary

Change From Baseline in Height at Month 60

Height was measured 3 times using standardized Harpenden stadiometer (height based on the middle stadiometer reading was recorded).

Time frame: Baseline, Month 60

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. N (number of participants analyzed)=participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Height at Month 60-0.50 mmStandard Error 0.06
Bazedoxifene 40 mg (Core)Change From Baseline in Height at Month 60-0.41 mmStandard Error 0.06
Raloxifene 60 mg (Core)Change From Baseline in Height at Month 60-0.41 mmStandard Error 0.06
p-value: 0.12ANCOVA
p-value: 0.94ANCOVA
Secondary

Change From Baseline in Height at Month 84

Height (cm) was measured 3 times using standardized Harpenden stadiometer (height based on the middle stadiometer reading was recorded).

Time frame: Baseline, Month 84

Population: mITT population of SP1 population:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Height at Month 84-0.68 mmStandard Deviation 0.1
Bazedoxifene 40 mg (Core)Change From Baseline in Height at Month 84-0.73 mmStandard Deviation 0.08
p-value: 0.26ANCOVA
Secondary

Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36

WHQ is a measure of mid-aged women's emotional and physical health. Consists of 36-item assessing nine domains of physical and emotional health: Depressed mood; Somatic symptoms; Anxiety/fears; Vasomotor symptoms; Sleep problems; Sexual behavior; Menstrual symptoms; Memory/concentration; and Attractiveness. Each item scored on a 4 point scale (yes definitely, yes sometimes, not much, no not at all) reduced to binary option as 0 (no) and 1 (yes). Domain subscale score was calculated as sum of domain items score divided by number of domain items. Total score was calculated as the sum of individual domain subscale score divided by number of domains. Total score range from 0 (absent) to 1 (present), with higher scores indicating more pronounced distress and dysfunction.Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline, Months 12, 24, 36

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 12 (n=1490,1435,1461,1503)0.000 Units on a scaleStandard Error 0.003
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 36 (n=1153,1138,1168,1179)0.011 Units on a scaleStandard Error 0.005
Bazedoxifene 20 mg (Core+SE I)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 24 (n=1307,1271,1311,1318)0.005 Units on a scaleStandard Error 0.004
Bazedoxifene 40 mg (Core)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 12 (n=1490,1435,1461,1503)0.001 Units on a scaleStandard Error 0.003
Bazedoxifene 40 mg (Core)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 36 (n=1153,1138,1168,1179)-0.000 Units on a scaleStandard Error 0.005
Bazedoxifene 40 mg (Core)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 24 (n=1307,1271,1311,1318)0.006 Units on a scaleStandard Error 0.004
Raloxifene 60 mg (Core)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 24 (n=1307,1271,1311,1318)0.007 Units on a scaleStandard Error 0.004
Raloxifene 60 mg (Core)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 12 (n=1490,1435,1461,1503)0.001 Units on a scaleStandard Error 0.003
Raloxifene 60 mg (Core)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 36 (n=1153,1138,1168,1179)0.005 Units on a scaleStandard Error 0.005
Placebo (Core+SE I+SE II)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 12 (n=1490,1435,1461,1503)-0.005 Units on a scaleStandard Error 0.003
Placebo (Core+SE I+SE II)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 36 (n=1153,1138,1168,1179)0.005 Units on a scaleStandard Error 0.005
Placebo (Core+SE I+SE II)Change From Baseline in Women's Health Questionnaire (WHQ) at Month 12, 24 and 36Change at Month 24 (n=1307,1271,1311,1318)-0.002 Units on a scaleStandard Error 0.004
Comparison: Change at Month 12 in WHQ: P value was calculated using ANOVA.p-value: 0.2ANOVA
Comparison: Change at Month 12 in WHQ: P value was calculated using ANOVA.p-value: 0.12ANOVA
Comparison: Change at Month 12 in WHQ: P value was calculated using ANOVA.p-value: 0.17ANOVA
Comparison: Change at Month 12 in WHQ: P value was calculated using ANOVA.p-value: 0.92ANOVA
Comparison: Change at Month 12 in WHQ: P value was calculated using ANOVA.p-value: 0.86ANOVA
Comparison: Change at Month 24 in WHQ: P value was calculated using ANOVA.p-value: 0.18ANOVA
Comparison: Change at Month 24 in WHQ: P value was calculated using ANOVA.p-value: 0.12ANOVA
Comparison: Change at Month 24 in WHQ: P value was calculated using ANOVA.p-value: 0.096ANOVA
Comparison: Change at Month 24 in WHQ: P value was calculated using ANOVA.p-value: 0.76ANOVA
Comparison: Change at Month 24 in WHQ: P value was calculated using ANOVA.p-value: 0.93ANOVA
Comparison: Change at Month 36 in WHQ: P value was calculated using ANOVA.p-value: 0.36ANOVA
Comparison: Change at Month 36 in WHQ: P value was calculated using ANOVA.p-value: 0.34ANOVA
Comparison: Change at Month 36 in WHQ: P value was calculated using ANOVA.p-value: 0.98ANOVA
Comparison: Change at Month 36 in WHQ: P value was calculated using ANOVA.p-value: 0.35ANOVA
Comparison: Change at Month 36 in WHQ: P value was calculated using ANOVA.p-value: 0.35ANOVA
Secondary

European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)

QUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life. The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function. The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation. Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 12 (n=1490,1438,1455,1495)24.57 Units on a scaleStandard Deviation 12.95
Bazedoxifene 20 mg (Core+SE I)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 36 (n=1155,1136,1168,1176)23.87 Units on a scaleStandard Deviation 12.7
Bazedoxifene 20 mg (Core+SE I)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 24 (n=1305,1276,1307,1312)24.33 Units on a scaleStandard Deviation 12.75
Bazedoxifene 40 mg (Core)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 12 (n=1490,1438,1455,1495)24.50 Units on a scaleStandard Deviation 12.7
Bazedoxifene 40 mg (Core)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 36 (n=1155,1136,1168,1176)24.12 Units on a scaleStandard Deviation 12.42
Bazedoxifene 40 mg (Core)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 24 (n=1305,1276,1307,1312)24.24 Units on a scaleStandard Deviation 12.58
Raloxifene 60 mg (Core)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 24 (n=1305,1276,1307,1312)23.80 Units on a scaleStandard Deviation 12.62
Raloxifene 60 mg (Core)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 12 (n=1490,1438,1455,1495)23.98 Units on a scaleStandard Deviation 12.54
Raloxifene 60 mg (Core)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 36 (n=1155,1136,1168,1176)23.88 Units on a scaleStandard Deviation 12.51
Placebo (Core+SE I+SE II)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 12 (n=1490,1438,1455,1495)24.31 Units on a scaleStandard Deviation 12.62
Placebo (Core+SE I+SE II)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 36 (n=1155,1136,1168,1176)23.97 Units on a scaleStandard Deviation 12.27
Placebo (Core+SE I+SE II)European Foundation for Osteoporosis Quality of Life Questionnaire (QUALEFFO)Baseline: Month 24 (n=1305,1276,1307,1312)24.29 Units on a scaleStandard Deviation 12.6
Secondary

Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility Score

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 12 (n=1425,1375,1393,1436)0.81 Units on a scaleStandard Deviation 0.2
Bazedoxifene 20 mg (Core+SE I)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 36 (n=1095,1078,1111,1128)0.82 Units on a scaleStandard Deviation 0.2
Bazedoxifene 20 mg (Core+SE I)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 24 (n=1243,1220,1240,1267)0.81 Units on a scaleStandard Deviation 0.2
Bazedoxifene 40 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 12 (n=1425,1375,1393,1436)0.82 Units on a scaleStandard Deviation 0.2
Bazedoxifene 40 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 36 (n=1095,1078,1111,1128)0.82 Units on a scaleStandard Deviation 0.18
Bazedoxifene 40 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 24 (n=1243,1220,1240,1267)0.82 Units on a scaleStandard Deviation 0.19
Raloxifene 60 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 24 (n=1243,1220,1240,1267)0.82 Units on a scaleStandard Deviation 0.19
Raloxifene 60 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 12 (n=1425,1375,1393,1436)0.82 Units on a scaleStandard Deviation 0.19
Raloxifene 60 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 36 (n=1095,1078,1111,1128)0.82 Units on a scaleStandard Deviation 0.19
Placebo (Core+SE I+SE II)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 12 (n=1425,1375,1393,1436)0.81 Units on a scaleStandard Deviation 0.21
Placebo (Core+SE I+SE II)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 36 (n=1095,1078,1111,1128)0.82 Units on a scaleStandard Deviation 0.2
Placebo (Core+SE I+SE II)Euro Quality of Life-5 Dimensions (EQ-5D)- Health State Profile Utility ScoreBaseline: Month 24 (n=1243,1220,1240,1267)0.81 Units on a scaleStandard Deviation 0.21
Secondary

Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 12 (n=1381,1346,1362,1407)79.20 millimeter (mm)Standard Deviation 18.05
Bazedoxifene 20 mg (Core+SE I)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 36 (n=1070,1065,1092,1120)79.78 millimeter (mm)Standard Deviation 18
Bazedoxifene 20 mg (Core+SE I)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 24 (n=1210,1200,1223,1247)79.11 millimeter (mm)Standard Deviation 17.99
Bazedoxifene 40 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 12 (n=1381,1346,1362,1407)80.89 millimeter (mm)Standard Deviation 39.47
Bazedoxifene 40 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 36 (n=1070,1065,1092,1120)81.43 millimeter (mm)Standard Deviation 35.02
Bazedoxifene 40 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 24 (n=1210,1200,1223,1247)80.73 millimeter (mm)Standard Deviation 33.66
Raloxifene 60 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 24 (n=1210,1200,1223,1247)82.86 millimeter (mm)Standard Deviation 49.89
Raloxifene 60 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 12 (n=1381,1346,1362,1407)82.23 millimeter (mm)Standard Deviation 45.23
Raloxifene 60 mg (Core)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 36 (n=1070,1065,1092,1120)83.50 millimeter (mm)Standard Deviation 52.36
Placebo (Core+SE I+SE II)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 12 (n=1381,1346,1362,1407)80.95 millimeter (mm)Standard Deviation 32.47
Placebo (Core+SE I+SE II)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 36 (n=1070,1065,1092,1120)81.07 millimeter (mm)Standard Deviation 31.54
Placebo (Core+SE I+SE II)Euro Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)Baseline: Month 24 (n=1210,1200,1223,1247)80.79 millimeter (mm)Standard Deviation 31.66
Secondary

Incidence of Breast Cancer Through Month 36

Incidence of breast cancer was defined as the number of participants with breast cancer diagnosis by the time point of interest divided by the number of participants included in the analysis. The reported rate was rescaled to reflect average follow-up time per 1000 women (1000 multiplied by number of cases divided by total follow-up time).

Time frame: Baseline through Month 36

Population: Safety Population 1 (SP1) included all randomized participants who received at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Incidence of Breast Cancer Through Month 361.09 Breast cancer per 1000-women years
Bazedoxifene 40 mg (Core)Incidence of Breast Cancer Through Month 360.90 Breast cancer per 1000-women years
Raloxifene 60 mg (Core)Incidence of Breast Cancer Through Month 361.55 Breast cancer per 1000-women years
Placebo (Core+SE I+SE II)Incidence of Breast Cancer Through Month 361.74 Breast cancer per 1000-women years
Comparison: P value was calculated using logistic regression. Gail index was added to the model to account for baseline risk differences between participants.p-value: 0.495% CI: [0.203, 1.903]Regression, Logistic
Comparison: P value was calculated using logistic regression. Gail index was added to the model to account for baseline risk differences between participants.p-value: 0.2695% CI: [0.151, 1.676]Regression, Logistic
Comparison: P value was calculated using logistic regression. Gail index was added to the model to account for baseline risk differences between participants.p-value: 0.3395% CI: [0.157, 1.86]Regression, Logistic
Comparison: P value was calculated using logistic regression. Gail index was added to the model to account for baseline risk differences between participants.p-value: 0.4995% CI: [0.206, 2.118]Regression, Logistic
Comparison: P value was calculated using logistic regression. Gail index was added to the model to account for baseline risk differences between participants.p-value: 0.7695% CI: [0.305, 2.37]Regression, Logistic
Comparison: P value was calculated using logistic regression. Gail index was added to the model to account for baseline risk differences between participants.p-value: 0.7595% CI: [0.332, 4.616]Regression, Logistic
Secondary

Incidence of Breast Cancer Through Month 60

Incidence of breast cancer was defined as the number of participants with breast cancer diagnosis by the time point of interest divided by the number of participants included in the analysis. The reported rate was rescaled to reflect average follow-up time per 1000 women (1000 multiplied by number of cases divided by total follow-up time).

Time frame: Baseline through Month 60

Population: SP1 included all randomized participants who received at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Incidence of Breast Cancer Through Month 601.40 Breast cancer per 1000-women years
Bazedoxifene 40 mg (Core)Incidence of Breast Cancer Through Month 601.56 Breast cancer per 1000-women years
Raloxifene 60 mg (Core)Incidence of Breast Cancer Through Month 601.43 Breast cancer per 1000-women years
Comparison: Relative risk versus placebo was provided together with 95% CIs.95% CI: [0.38, 2.15]
Comparison: Relative risk versus placebo was provided together with 95% CIs.95% CI: [0.39, 2.21]
Secondary

Incidence of Breast Cancer Through Month 84

Incidence of breast cancer was defined as the number of participants with breast cancer diagnosis by the time point of interest divided by the number of participants included in the analysis. The reported rate was rescaled to reflect average follow-up time per 1000 women (1000 multiplied by number of cases divided by total follow-up time).

Time frame: Baseline through Month 84

Population: SP1 included all randomized participants who received at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Incidence of Breast Cancer Through Month 841.50 Breast cancer per 1000-women years
Bazedoxifene 40 mg (Core)Incidence of Breast Cancer Through Month 841.52 Breast cancer per 1000-women years
Comparison: Relative risk versus placebo was provided together with 95% CIs.95% CI: [0.5, 2.06]
Secondary

Number of Participants With Worsening Vertebral Fractures Through Month 36

A worsening vertebral fracture was defined as a decrease in anterior, mid, or posterior vertebral height of at least 20% and at least 4 mm as evaluated by quantitative morphometric assessment, and a grade change of at least 1 as rated by a radiologist using the semi-quantitative rating scale. It can occur only in a vertebra that was fractured at baseline.

Time frame: Baseline through Month 36

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Number of Participants With Worsening Vertebral Fractures Through Month 363 Participants
Bazedoxifene 40 mg (Core)Number of Participants With Worsening Vertebral Fractures Through Month 362 Participants
Raloxifene 60 mg (Core)Number of Participants With Worsening Vertebral Fractures Through Month 362 Participants
Placebo (Core+SE I+SE II)Number of Participants With Worsening Vertebral Fractures Through Month 361 Participants
Secondary

Number of Participants With Worsening Vertebral Fractures Through Month 60

A worsening vertebral fracture was defined as a decrease in anterior, mid, or posterior vertebral height of at least 20% and at least 4 mm as evaluated by quantitative morphometric assessment, and a grade change of at least 1 as rated by a radiologist using the semi-quantitative rating scale. It can occur only in a vertebra that was fractured at baseline.

Time frame: Baseline through Month 60

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Number of Participants With Worsening Vertebral Fractures Through Month 604 Participants
Bazedoxifene 40 mg (Core)Number of Participants With Worsening Vertebral Fractures Through Month 601 Participants
Raloxifene 60 mg (Core)Number of Participants With Worsening Vertebral Fractures Through Month 602 Participants
Secondary

Number of Participants With Worsening Vertebral Fractures Through Month 84

A worsening vertebral fracture was defined as a decrease in anterior, mid, or posterior vertebral height of at least 20% and at least 4 mm as evaluated by quantitative morphometric assessment, and a grade change of at least 1 as rated by a radiologist using the semi-quantitative rating scale. It can occur only in a vertebra that was fractured at baseline.

Time frame: Baseline through Month 84

Population: mITT population of SP1 population included all randomized participants who took at least 1 dose of test article and who had a vertebral radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Number of Participants With Worsening Vertebral Fractures Through Month 841 Participants
Bazedoxifene 40 mg (Core)Number of Participants With Worsening Vertebral Fractures Through Month 847 Participants
Secondary

Percentage of Participants With New Clinical Vertebral Fractures Through Month 36

A new clinical vertebral fracture was defined as a new fracture found at any time because of back pain suggestive of fracture(s). New Clinical vertebral fractures were verified with radiographic assessment using both semi-quantitative and quantitative morphometric assessment: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 mm or more from base to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from T4 to L4, provided vertebra was not fractured at base.

Time frame: Baseline through Month 36

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Clinical Vertebral Fractures Through Month 360.72 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Clinical Vertebral Fractures Through Month 360.76 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With New Clinical Vertebral Fractures Through Month 360.87 Percentage of participants
Placebo (Core+SE I+SE II)Percentage of Participants With New Clinical Vertebral Fractures Through Month 360.94 Percentage of participants
p-value: 0.57Log Rank
p-value: 0.62Log Rank
p-value: 0.72Log Rank
p-value: 0.67Log Rank
p-value: 0.89Log Rank
p-value: 0.95Log Rank
Secondary

Percentage of Participants With New Clinical Vertebral Fractures Through Month 60

A new clinical vertebral fracture was defined as a new fracture found at any time because of back pain suggestive of fracture(s). New Clinical vertebral fractures were verified with radiographic assessment using both semi-quantitative and quantitative morphometric assessment: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 mm or more from base to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from T4 to L4, provided vertebra was not fractured at base.

Time frame: Baseline through Month 60

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Clinical Vertebral Fractures Through Month 600.79 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Clinical Vertebral Fractures Through Month 601.37 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With New Clinical Vertebral Fractures Through Month 600.84 Percentage of participants
p-value: 0.29Log Rank
p-value: 0.31Log Rank
p-value: 0.94Log Rank
Secondary

Percentage of Participants With New Clinical Vertebral Fractures Through Month 84

A new clinical vertebral fracture was defined as a new fracture found at any time because of back pain suggestive of fracture(s). New Clinical vertebral fractures were verified with radiographic assessment using both semi-quantitative and quantitative morphometric assessment: decrease in anterior, mid, or posterior vt height of approximately 20% and 4 mm or more from base to end of study confirmed by measurement of involved vt body, a semi-quantitative grade change of 1 from base for any vertebra from T4 to L4, provided vertebra was not fractured at base.

Time frame: Baseline through Month 84

Population: mITT population of SP1 population included all randomized participants who took at least 1 dose of test article and who had a vertebral radiographic assessment at baseline and at least once while on therapy. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With New Clinical Vertebral Fractures Through Month 841.92 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With New Clinical Vertebral Fractures Through Month 841.28 Percentage of participants
p-value: 0.18Log Rank
Secondary

Percentage of Participants With Non-vertebral Fractures Through Month 36

Non-vertebral fractures were determined by direct questioning at each clinic visit after medication therapy begins. Osteoporosis-related, hip and wrist fractures were summarized.

Time frame: Baseline through Month 36

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy.

ArmMeasureGroupValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 36Osteoporosis-Related5.68 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 36Wrist2.28 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 36Hip0.55 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 36Osteoporosis-Related5.61 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 36Wrist1.83 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 36Hip0.34 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 36Hip0.26 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 36Osteoporosis-Related5.87 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 36Wrist2.51 Percentage of participants
Placebo (Core+SE I+SE II)Percentage of Participants With Non-vertebral Fractures Through Month 36Osteoporosis-Related6.26 Percentage of participants
Placebo (Core+SE I+SE II)Percentage of Participants With Non-vertebral Fractures Through Month 36Wrist1.64 Percentage of participants
Placebo (Core+SE I+SE II)Percentage of Participants With Non-vertebral Fractures Through Month 36Hip0.31 Percentage of participants
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test.p-value: 0.46Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test.p-value: 0.9Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test.p-value: 0.93Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test.p-value: 0.84Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test.p-value: 0.39Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test.p-value: 0.52Log Rank
Comparison: Hip: P value was calculated using Log-Rank test.p-value: 0.28Log Rank
Comparison: Hip: P value was calculated using Log-Rank test.p-value: 0.31Log Rank
Comparison: Hip: P value was calculated using Log-Rank test.p-value: 0.17Log Rank
Comparison: Hip: P value was calculated using Log-Rank test.p-value: 0.72Log Rank
Comparison: Hip: P value was calculated using Log-Rank test.p-value: 0.97Log Rank
Comparison: Hip: P value was calculated using Log-Rank test.p-value: 0.76Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test.p-value: 0.29Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test.p-value: 0.43Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test.p-value: 0.59Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test.p-value: 0.19Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test.p-value: 0.8Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test.p-value: 0.11Log Rank
Secondary

Percentage of Participants With Non-vertebral Fractures Through Month 60

Non-vertebral fractures were determined by direct questioning at each clinic visit after medication therapy begins. Osteoporosis-related, hip and wrist fractures were summarized.

Time frame: Baseline through Month 60

Population: ITT population for vt fractures:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy.

ArmMeasureGroupValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 60Hip0.75 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 60Osteoporosis-Related9.47 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 60Wrist3.30 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 60Hip0.65 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 60Osteoporosis-Related9.03 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 60Wrist2.79 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 60Osteoporosis-Related7.59 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 60Wrist2.60 Percentage of participants
Raloxifene 60 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 60Hip0.53 Percentage of participants
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.96895% CI: [0.79, 1.296]Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 40/20 mg \[SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.21195% CI: [0.652, 1.097]Log Rank
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40/20 mg \[SE I\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.19195% CI: [0.925, 1.556]Log Rank
Comparison: Hip: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.49395% CI: [0.566, 3.497]Log Rank
Comparison: Hip: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 40/20 mg \[SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.8295% CI: [0.316, 2.405]Log Rank
Comparison: Hip: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40/20 mg \[SE I\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.37195% CI: [0.624, 4.161]Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.42395% CI: [0.776, 1.861]Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 40/20 mg \[SE I\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.79995% CI: [0.587, 1.491]Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[Core+SE I\] versus Bazedoxifene 40/20 mg \[SE I\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.29895% CI: [0.818, 2.002]Log Rank
Secondary

Percentage of Participants With Non-vertebral Fractures Through Month 84

Non-vertebral fractures were determined by direct questioning at each clinic visit after medication therapy begins. Osteoporosis-related, hip and wrist fractures were summarized.

Time frame: Baseline through Month 84

Population: mITT population of SP1 population:randomized participants who took at least 1 dose of test article;had vt radiographic assessment at baseline and at least once while on therapy.

ArmMeasureGroupValue (NUMBER)
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 84Osteoporosis-Related10.77 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 84Hip1.34 Percentage of participants
Bazedoxifene 20 mg (Core+SE I)Percentage of Participants With Non-vertebral Fractures Through Month 84Wrist3.62 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 84Osteoporosis-Related11.20 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 84Hip0.74 Percentage of participants
Bazedoxifene 40 mg (Core)Percentage of Participants With Non-vertebral Fractures Through Month 84Wrist4.61 Percentage of participants
Comparison: Osteoporosis-Related: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[SE II\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.7395% CI: [0.78, 1.19]Log Rank
Comparison: Hip: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[SE II\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.7195% CI: [0.41, 1.83]Log Rank
Comparison: Wrist: P value was calculated using Log-Rank test. Hazard ratio (Bazedoxifene 20 mg \[SE II\] versus Placebo \[Core+SE I+SE II\]) based on a Cox proportional hazards regression model was presented along with 95% CIs.p-value: 0.4595% CI: [0.8, 1.66]Log Rank
Secondary

Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36

BMD of lumbar spine (Lu Sp) and hip (total hip \[Tl Hp\], femoral neck \[Fe Ne\] and femur trochanter \[Fe Tr\]) was evaluated by dual-energy x-ray absorptiometry (DXA). The left hip was evaluated unless prevented by pathology, in which case the right hip was evaluated throughout the study. Results were scored as T score, defined as BMD at the site when compared to the young normal reference mean. Normal BMD is a T-score of -1.0 or higher.

Time frame: Baseline, Months 6, 12, 18, 24, 36

Population: ITT population included all randomized participants who took at least 1 dose of test article; had baseline BMD and at least one valid BMD while on therapy. N (number of participants analyzed)=participants evaluable for this measure.n=participants with specified baseline fracture status evaluable for each group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 24 (n=1398,1335,1381,1386)1.51 Percent changeStandard Error 0.12
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 18 (n=1489,1437,1463,1484)1.54 Percent changeStandard Error 0.12
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 6 (n=1687,1658,1662,1703)1.17 Percent changeStandard Error 0.1
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 24 (n=1398,1335,1381,1386)0.80 Percent changeStandard Error 0.1
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 24 (n=1400,1347,1387,1398)1.99 Percent changeStandard Error 0.11
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 6 (n=1693,1663,1662,1711)1.53 Percent changeStandard Error 0.09
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 24 (n=1394,1333,1379,1382)0.82 Percent changeStandard Error 0.09
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 6 (n=1684,1653,1659,1699)0.75 Percent changeStandard Error 0.07
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 36 (n=1020,1018,1046,1051)0.28 Percent changeStandard Error 0.15
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 12 (n=1587,1541,1546,1599)2.06 Percent changeStandard Error 0.1
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 12 (n=1578,1532,1532,1586)1.07 Percent changeStandard Error 0.07
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 36 (n=1019,1016,1044,1050)0.27 Percent changeStandard Error 0.12
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 12 (n=1581,1537,1536,1591)0.92 Percent changeStandard Error 0.09
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 36 (n=1020,1018,1046,1051)0.89 Percent changeStandard Error 0.17
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 12 (n=1581,1537,1536,1591)1.71 Percent changeStandard Error 0.11
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 6 (n=1687,1658,1662,1703)0.60 Percent changeStandard Error 0.09
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 36 (n=1022,1029,1050,1054)2.21 Percent changeStandard Error 0.16
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 18 (n=1498,1444,1474,1487)2.00 Percent changeStandard Error 0.11
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 18 (n=1486,1434,1459,1480)0.93 Percent changeStandard Error 0.08
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 18 (n=1489,1437,1463,1484)0.80 Percent changeStandard Error 0.1
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 24 (n=1398,1335,1381,1386)1.57 Percent changeStandard Error 0.13
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 18 (n=1489,1437,1463,1484)1.09 Percent changeStandard Error 0.1
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 36 (n=1020,1018,1046,1051)0.67 Percent changeStandard Error 0.15
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 24 (n=1398,1335,1381,1386)1.05 Percent changeStandard Error 0.11
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 12 (n=1578,1532,1532,1586)1.24 Percent changeStandard Error 0.08
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 18 (n=1489,1437,1463,1484)1.64 Percent changeStandard Error 0.12
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 6 (n=1693,1663,1662,1711)1.56 Percent changeStandard Error 0.09
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 36 (n=1020,1018,1046,1051)0.90 Percent changeStandard Error 0.17
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 18 (n=1486,1434,1459,1480)1.13 Percent changeStandard Error 0.08
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 24 (n=1400,1347,1387,1398)2.12 Percent changeStandard Error 0.11
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 12 (n=1581,1537,1536,1591)1.10 Percent changeStandard Error 0.1
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 24 (n=1394,1333,1379,1382)1.01 Percent changeStandard Error 0.09
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 18 (n=1498,1444,1474,1487)2.24 Percent changeStandard Error 0.11
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 6 (n=1687,1658,1662,1703)1.24 Percent changeStandard Error 0.1
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 36 (n=1022,1029,1050,1054)2.38 Percent changeStandard Error 0.16
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 6 (n=1687,1658,1662,1703)0.62 Percent changeStandard Error 0.09
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 12 (n=1581,1537,1536,1591)1.84 Percent changeStandard Error 0.11
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 12 (n=1587,1541,1546,1599)2.13 Percent changeStandard Error 0.1
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 6 (n=1684,1653,1659,1699)0.85 Percent changeStandard Error 0.07
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 36 (n=1019,1016,1044,1050)0.50 Percent changeStandard Error 0.12
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 24 (n=1400,1347,1387,1398)2.74 Percent changeStandard Error 0.11
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 6 (n=1693,1663,1662,1711)1.79 Percent changeStandard Error 0.09
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 6 (n=1684,1653,1659,1699)1.07 Percent changeStandard Error 0.07
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 6 (n=1687,1658,1662,1703)0.52 Percent changeStandard Error 0.09
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 6 (n=1687,1658,1662,1703)1.49 Percent changeStandard Error 0.1
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 12 (n=1587,1541,1546,1599)2.50 Percent changeStandard Error 0.1
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 12 (n=1578,1532,1532,1586)1.50 Percent changeStandard Error 0.08
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 12 (n=1581,1537,1536,1591)1.27 Percent changeStandard Error 0.1
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 12 (n=1581,1537,1536,1591)2.14 Percent changeStandard Error 0.11
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 18 (n=1498,1444,1474,1487)2.58 Percent changeStandard Error 0.11
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 18 (n=1486,1434,1459,1480)1.47 Percent changeStandard Error 0.08
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 18 (n=1489,1437,1463,1484)1.21 Percent changeStandard Error 0.1
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 18 (n=1489,1437,1463,1484)2.18 Percent changeStandard Error 0.12
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 24 (n=1394,1333,1379,1382)1.37 Percent changeStandard Error 0.09
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 24 (n=1398,1335,1381,1386)1.37 Percent changeStandard Error 0.1
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 24 (n=1398,1335,1381,1386)2.18 Percent changeStandard Error 0.13
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 36 (n=1022,1029,1050,1054)2.96 Percent changeStandard Error 0.16
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 36 (n=1019,1016,1044,1050)0.90 Percent changeStandard Error 0.12
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 36 (n=1020,1018,1046,1051)0.80 Percent changeStandard Error 0.15
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 36 (n=1020,1018,1046,1051)1.62 Percent changeStandard Error 0.17
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 18 (n=1486,1434,1459,1480)-0.07 Percent changeStandard Error 0.08
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 18 (n=1498,1444,1474,1487)0.52 Percent changeStandard Error 0.11
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 36 (n=1020,1018,1046,1051)-1.30 Percent changeStandard Error 0.15
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 24 (n=1398,1335,1381,1386)0.01 Percent changeStandard Error 0.13
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 12 (n=1581,1537,1536,1591)0.63 Percent changeStandard Error 0.11
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 12 (n=1581,1537,1536,1591)0.08 Percent changeStandard Error 0.09
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 6 (n=1684,1653,1659,1699)0.24 Percent changeStandard Error 0.06
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 36 (n=1022,1029,1050,1054)0.88 Percent changeStandard Error 0.16
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 12 (n=1578,1532,1532,1586)0.28 Percent changeStandard Error 0.07
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 12 (n=1587,1541,1546,1599)0.61 Percent changeStandard Error 0.1
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 6 (n=1693,1663,1662,1711)0.51 Percent changeStandard Error 0.09
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 36 (n=1019,1016,1044,1050)-0.83 Percent changeStandard Error 0.12
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 6 (n=1687,1658,1662,1703)0.33 Percent changeStandard Error 0.1
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Lu Sp:Change at Month 24 (n=1400,1347,1387,1398)0.47 Percent changeStandard Error 0.11
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 6 (n=1687,1658,1662,1703)-0.05 Percent changeStandard Error 0.09
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Tl Hp:Change at Month 24 (n=1394,1333,1379,1382)-0.35 Percent changeStandard Error 0.09
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 18 (n=1489,1437,1463,1484)0.14 Percent changeStandard Error 0.12
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 18 (n=1489,1437,1463,1484)-0.24 Percent changeStandard Error 0.1
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Tr:Change at Month 36 (n=1020,1018,1046,1051)-0.50 Percent changeStandard Error 0.17
Placebo (Core+SE I+SE II)Percent Change From Baseline in Bone Mineral Density (BMD) at Month 6, 12, 18, 24 and 36Fe Ne:Change at Month 24 (n=1398,1335,1381,1386)-0.58 Percent changeStandard Error 0.1
Comparison: Percent change at Month 12 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in lumbar spine BMD: P value was calculated using Analysis of covariance (ANCOVA).p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.018ANCOVA
Comparison: Percent change at Month 12 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.036ANCOVA
Comparison: Percent change at Month 12 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.003ANCOVA
Comparison: Percent change at Month 18 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.019ANCOVA
Comparison: Percent change at Month 24 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.002ANCOVA
Comparison: Percent change at Month 6 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in total hip BMD: P value was calculated using ANCOVA.p-value: 0.008ANCOVA
Comparison: Percent change at Month 12 in total hip BMD: P value was calculated using ANCOVA.p-value: 0.007ANCOVA
Comparison: Percent change at Month 18 in total hip BMD: P value was calculated using ANCOVA.p-value: 0.002ANCOVA
Comparison: Percent change at Month 24 in total hip BMD: P value was calculated using ANCOVA.p-value: 0.002ANCOVA
Comparison: Percent change at Month 36 in total hip BMD: P value was calculated using ANCOVA.p-value: 0.006ANCOVA
Comparison: Percent change at Month 6 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.47ANCOVA
Comparison: Percent change at Month 12 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.005ANCOVA
Comparison: Percent change at Month 18 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.002ANCOVA
Comparison: Percent change at Month 24 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.004ANCOVA
Comparison: Percent change at Month 6 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.39ANCOVA
Comparison: Percent change at Month 12 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.17ANCOVA
Comparison: Percent change at Month 18 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.34ANCOVA
Comparison: Percent change at Month 24 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.016ANCOVA
Comparison: Percent change at Month 36 in femoral neck BMD: P value was calculated using ANCOVA.p-value: 0.47ANCOVA
Comparison: Percent change at Month 6 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: 0.01ANCOVA
Comparison: Percent change at Month 12 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: 0.002ANCOVA
Comparison: Percent change at Month 18 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: 0.048ANCOVA
Comparison: Percent change at Month 12 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: 0.038ANCOVA
Comparison: Percent change at Month 18 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 18 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Secondary

Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60

BMD of lumbar spine (Lu Sp) and hip (total hip \[Tl Hp\], femoral neck \[Fe Ne\] and femur trochanter \[Fe Tr\]) was evaluated by dual-energy x-ray absorptiometry (DXA). The left hip was evaluated unless prevented by pathology, in which case the right hip was evaluated throughout the study. Results were scored as T score, defined as BMD at the site when compared to the young normal reference mean. Normal BMD is a T-score of -1.0 or higher.

Time frame: Baseline, Month 48, 60

Population: mITT population of SP1 population:randomized participants who took at least 1 dose of test article; had baseline BMD and at least one valid BMD while on therapy. N (number of participants analyzed)=participants evaluable for this measure.n=participants with specified baseline fracture status evaluable for each group.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Lu Sp:Change at Month 48 (n=886,876,886)1.92 Percent changeStandard Error 0.22
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Tl Hp:Change at Month 48 (n=877,865,868)-0.17 Percent changeStandard Error 0.18
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Ne:Change at Month 48 (n=879,866,870)0.02 Percent changeStandard Error 0.2
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Tr:Change at Month 48 (n=879,734,870)0.18 Percent changeStandard Error 0.24
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Lu Sp:Change at Month 60 (n=742,747,746)2.16 Percent changeStandard Error 0.26
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Tl Hp:Change at Month 60 (n=738,733,736)-0.48 Percent changeStandard Error 0.21
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Ne:Change at Month 60 (n=740,734,737)-0.18 Percent changeStandard Error 0.25
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Tr:Change at Month 60 (n= 740,734,737)-0.13 Percent changeStandard Error 0.29
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Ne:Change at Month 48 (n=879,866,870)-1.30 Percent changeStandard Error 0.2
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Ne:Change at Month 60 (n=740,734,737)-1.72 Percent changeStandard Error 0.25
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Tr:Change at Month 48 (n=879,734,870)-0.81 Percent changeStandard Error 0.25
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Lu Sp:Change at Month 60 (n=742,747,746)1.46 Percent changeStandard Error 0.26
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Tl Hp:Change at Month 60 (n=738,733,736)-1.49 Percent changeStandard Error 0.21
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Lu Sp:Change at Month 48 (n=886,876,886)0.84 Percent changeStandard Error 0.22
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Tl Hp:Change at Month 48 (n=877,865,868)-1.05 Percent changeStandard Error 0.18
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Tr:Change at Month 60 (n= 740,734,737)-1.19 Percent changeStandard Error 0.29
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Ne:Change at Month 48 (n=879,866,870)0.45 Percent changeStandard Error 0.2
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Tl Hp:Change at Month 48 (n=877,865,868)0.11 Percent changeStandard Error 0.18
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Lu Sp:Change at Month 48 (n=886,876,886)2.02 Percent changeStandard Error 0.22
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Tr:Change at Month 48 (n=879,734,870)0.45 Percent changeStandard Error 0.25
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Ne:Change at Month 60 (n=740,734,737)0.09 Percent changeStandard Error 0.25
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Tl Hp:Change at Month 60 (n=738,733,736)-0.29 Percent changeStandard Error 0.21
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Lu Sp:Change at Month 60 (n=742,747,746)2.08 Percent changeStandard Error 0.26
Raloxifene 60 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 48, 60Fe Tr:Change at Month 60 (n= 740,734,737)-0.00 Percent changeStandard Error 0.29
Comparison: Percent change at Month 48 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.01ANCOVA
Comparison: Percent change at Month 48 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.023ANCOVA
Comparison: Percent change at Month 48 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 48 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 48 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 48 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 48 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 48 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 60 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Secondary

Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84

BMD of lumbar spine (Lu Sp) and hip (total hip \[Tl Hp\], femoral neck \[Fe Ne\] and femur trochanter \[Fe Tr\]) was evaluated by dual-energy x-ray absorptiometry (DXA). The left hip was evaluated unless prevented by pathology, in which case the right hip was evaluated throughout the study. Results were scored as T score, defined as BMD at the site when compared to the young normal reference mean. Normal BMD is a T-score of -1.0 or higher.

Time frame: Baseline, Month 72, 84

Population: Modified ITT(mITT) population of SP1 population:randomized participants who took at least 1 dose of test article;had baseline BMD and at least one valid BMD while on therapy. N (number of participants analyzed)=participants evaluable.n=participants with specified baseline fracture status.

ArmMeasureGroupValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Lu Sp:Change at Month 72 (n=457,888)1.80 Percent changeStandard Deviation 0.4
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Tl Hp:Change at Month 72 (n=448,871)-1.96 Percent changeStandard Deviation 0.33
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Ne:Change at Month 72 (n=448,871)-2.12 Percent changeStandard Deviation 0.39
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Tr:Change at Month 72 (n=448,871)-1.43 Percent changeStandard Deviation 0.44
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Lu Sp:Change at Month 84 (n=417,800)2.19 Percent changeStandard Deviation 0.49
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Tl Hp:Change at Month 84 (n=405,787)-2.53 Percent changeStandard Deviation 0.38
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Ne:Change at Month 84 (n=405,787)-2.35 Percent changeStandard Deviation 0.43
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Tr:Change at Month 84 (n=405,787)-2.72 Percent changeStandard Deviation 0.47
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Tr:Change at Month 84 (n=405,787)-1.41 Percent changeStandard Deviation 0.38
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Lu Sp:Change at Month 72 (n=457,888)2.24 Percent changeStandard Deviation 0.31
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Lu Sp:Change at Month 84 (n=417,800)2.95 Percent changeStandard Deviation 0.39
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Tl Hp:Change at Month 72 (n=448,871)-0.85 Percent changeStandard Deviation 0.25
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Ne:Change at Month 84 (n=405,787)-0.80 Percent changeStandard Deviation 0.35
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Ne:Change at Month 72 (n=448,871)-0.60 Percent changeStandard Deviation 0.3
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Tl Hp:Change at Month 84 (n=405,787)-1.15 Percent changeStandard Deviation 0.3
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Bone Mineral Density (BMD) at Months 72 and 84Fe Tr:Change at Month 72 (n=448,871)-0.31 Percent changeStandard Deviation 0.34
Comparison: Percent change at Month 72 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.34ANCOVA
Comparison: Percent change at Month 84 in lumbar spine BMD: P value was calculated using ANCOVA.p-value: 0.15ANCOVA
Comparison: Percent change at Month 72 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 84 in total hip BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 72 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 84 in femoral neck BMD: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 72 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: 0.003ANCOVA
Comparison: Percent change at Month 84 in femoral trochanter BMD: P value was calculated using ANCOVA.p-value: 0.002ANCOVA
Secondary

Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12

C-telopeptide is a biochemical marker of bone formation. Blood samples were collected to evaluate C-telopeptide levels.

Time frame: Baseline, Months 3, 6, 12

Population: ITT population included all randomized participants who took at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' is signifying those participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1703,1746)-42.12 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1530,1573)-45.64 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1634,1681)-46.93 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1703,1746)-45.11 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1530,1573)-48.77 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1634,1681)-50.00 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1634,1681)-52.55 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1703,1746)-45.48 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1530,1573)-54.55 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1703,1746)-26.17 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1530,1573)-27.31 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in C-telopeptide (CTx) at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1634,1681)-27.94 Percent change
Comparison: Percent change at Month 3 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 3 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 3 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 3 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: 0.4Ranked ANCOVA
Comparison: Percent change at Month 3 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: 0.004Ranked ANCOVA
Comparison: Percent change at Month 6 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Secondary

Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60

C-telopeptide is a biochemical marker of bone formation. Blood samples were collected to evaluate C-telopeptide levels.

Time frame: Baseline, Months 36, 60

Population: mITT of SP1 population included all randomized participants who took at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' is signifying those participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Change at Month 36 (n=178,180,168)-30.54 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Change at Month 60 (n=127,131,126)-26.80 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Change at Month 36 (n=178,180,168)-21.85 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Change at Month 60 (n=127,131,126)-10.40 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Change at Month 36 (n=178,180,168)-32.26 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Months 36 and 60Change at Month 60 (n=127,131,126)-27.87 Percent change
Comparison: Percent change at Month 36 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 60 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: 0.001Ranked ANCOVA
Comparison: Percent change at Month 36 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 60 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: 0.009Ranked ANCOVA
Secondary

Percent Change From Baseline in C-telopeptide (CTx) at Months 72 and 84

C-telopeptide is a biochemical marker of bone formation. Blood samples were collected to evaluate C-telopeptide levels.

Time frame: Baseline, Months 72, 84

Population: mITT of SP1 population included all randomized participants who took at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Months 72 and 84Change at Month 72 (n=97,170)-29.44 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in C-telopeptide (CTx) at Months 72 and 84Change at Month 84 (n=84,147)-28.61 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Months 72 and 84Change at Month 72 (n=97,170)-37.41 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in C-telopeptide (CTx) at Months 72 and 84Change at Month 84 (n=84,147)-28.17 Percent change
Comparison: Percent change at Month 72 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: 0.034Ranked ANCOVA
Comparison: Percent change at Month 84 in C-telopeptide: P value was calculated using Ranked ANCOVA.p-value: 0.77Ranked ANCOVA
Secondary

Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36

Lipid parameters evaluated included total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), triglyceride (TG), high-density lipoprotein fraction 2 (HDL2) and high-density lipoprotein fraction 3 (HDL3).

Time frame: Baseline, Months 6, 12, 24, 36

Population: ITT population included all randomized participants who took at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' is signifying those participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 12 (n=1556,1515,1536,1578)-4.14 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 6 (n=1647,1623,1627,1674)-8.55 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 6 (n=1647,1619,1626,1671)1.43 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 6 (n=1643,1618,1623,1666)-13.89 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 6 (n=1643,1619,1625,1668)9.38 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 6 (n=1646,1623,1628,1673)4.28 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 6 (n=1646,1623,1628,1673)-3.89 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 12 (n=1559,1516,1534,1578)-7.79 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 12 (n=1552,1513,1531,1576)1.14 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 12 (n=1550,1510,1528,1570)-16.55 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 12 (n=1551,1511,1531,1572)9.85 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 12 (n=1556,1515,1535,1578)5.95 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 24 (n=1378,1341,1377,1385)-4.17 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 24 (n=1379,1341,1376,1384)-4.51 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 24 (n=1377,1338,1374,1382)3.57 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 24 (n=1369,1336,1363,1377)-10.26 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 24 (n=1370,1337,1365,1379)10.81 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 24 (n=1378,1341,1377,1385)4.23 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 36 (n=1220,1201,1225,1248)-3.75 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 36 (n=1220,1201,1223,1247)-5.36 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 36 (n=1216,1196,1219,1246)5.10 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 36 (n=1209,1191,1214,1236)-19.51 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 36 (n=1210,1194,1218,1237)18.18 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 36 (n=1220,1201,1225,1248)8.48 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 36 (n=1220,1201,1225,1248)13.59 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 24 (n=1378,1341,1377,1385)-4.72 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 6 (n=1643,1618,1623,1666)-11.86 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 36 (n=1210,1194,1218,1237)17.93 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 36 (n=1209,1191,1214,1236)-17.07 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 24 (n=1379,1341,1376,1384)-5.94 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 12 (n=1552,1513,1531,1576)0.66 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 24 (n=1370,1337,1365,1379)10.77 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 6 (n=1646,1623,1628,1673)7.14 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 24 (n=1377,1338,1374,1382)2.42 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 6 (n=1647,1619,1626,1671)1.06 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 24 (n=1369,1336,1363,1377)-11.94 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 36 (n=1216,1196,1219,1246)5.93 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 12 (n=1550,1510,1528,1570)-16.33 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 36 (n=1220,1201,1223,1247)-6.63 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 6 (n=1647,1623,1627,1674)-10.18 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 12 (n=1559,1516,1534,1578)-8.45 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 12 (n=1551,1511,1531,1572)10.00 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 12 (n=1556,1515,1536,1578)-3.66 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 36 (n=1220,1201,1225,1248)-3.47 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 6 (n=1646,1623,1628,1673)-4.73 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 12 (n=1556,1515,1535,1578)8.14 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 6 (n=1643,1619,1625,1668)8.60 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 24 (n=1378,1341,1377,1385)8.09 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 12 (n=1551,1511,1531,1572)9.52 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 12 (n=1556,1515,1536,1578)-5.18 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 12 (n=1559,1516,1534,1578)-10.28 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 12 (n=1552,1513,1531,1576)0.58 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 12 (n=1550,1510,1528,1570)-17.54 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 36 (n=1216,1196,1219,1246)5.00 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 36 (n=1220,1201,1223,1247)-8.51 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 12 (n=1556,1515,1535,1578)6.25 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 24 (n=1378,1341,1377,1385)-5.68 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 24 (n=1379,1341,1376,1384)-7.30 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 36 (n=1209,1191,1214,1236)-18.47 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 24 (n=1377,1338,1374,1382)2.41 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 24 (n=1369,1336,1363,1377)-13.04 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 36 (n=1220,1201,1225,1248)12.21 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 24 (n=1370,1337,1365,1379)10.99 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 24 (n=1378,1341,1377,1385)5.17 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 36 (n=1210,1194,1218,1237)17.14 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 6 (n=1646,1623,1628,1673)-5.50 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 6 (n=1647,1623,1627,1674)-11.52 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 36 (n=1220,1201,1225,1248)-5.04 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 6 (n=1647,1619,1626,1671)0.00 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 6 (n=1643,1618,1623,1666)-14.75 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 6 (n=1643,1619,1625,1668)8.70 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 6 (n=1646,1623,1628,1673)5.71 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 36 (n=1210,1194,1218,1237)13.33 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 36 (n=1216,1196,1219,1246)2.51 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 12 (n=1559,1516,1534,1578)0.66 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 6 (n=1646,1623,1628,1673)0.00 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 12 (n=1551,1511,1531,1572)6.38 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 12 (n=1550,1510,1528,1570)-14.29 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 6 (n=1646,1623,1628,1673)4.90 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 6 (n=1647,1623,1627,1674)-1.17 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 6 (n=1643,1619,1625,1668)6.90 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 12 (n=1552,1513,1531,1576)-1.17 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 36 (n=1220,1201,1223,1247)1.55 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 6 (n=1647,1619,1626,1671)0.00 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 36 (n=1209,1191,1214,1236)-18.66 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL:Change at Month 24 (n=1377,1338,1374,1382)1.63 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 36 (n=1220,1201,1225,1248)0.34 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 24 (n=1369,1336,1363,1377)-10.61 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 36 (n=1220,1201,1225,1248)12.11 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36LDL:Change at Month 24 (n=1379,1341,1376,1384)4.41 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 12 (n=1556,1515,1536,1578)0.87 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL3:Change at Month 24 (n=1370,1337,1365,1379)6.98 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TC:Change at Month 24 (n=1378,1341,1377,1385)0.38 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 12 (n=1556,1515,1535,1578)7.99 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36HDL2:Change at Month 6 (n=1643,1618,1623,1666)-12.22 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Lipid Parameters at Months 6, 12, 24 and 36TG:Change at Month 24 (n=1378,1341,1377,1385)6.19 Percent change
Comparison: Percent change at Month 6 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total cholesterol: P value was calculated using ANCOVA.p-value: 0.001ANCOVA
Comparison: Percent change at Month 6 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in total cholesterol: P value was calculated using ANCOVA.p-value: 0.009ANCOVA
Comparison: Percent change at Month 12 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total cholesterol: P value was calculated using ANCOVA.p-value: 0.055ANCOVA
Comparison: Percent change at Month 36 in total cholesterol: P value was calculated using ANCOVA.p-value: 0.004ANCOVA
Comparison: Percent change at Month 6 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in total cholesterol: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in LDL: P value was calculated using ANCOVA.p-value: 0.012ANCOVA
Comparison: Percent change at Month 12 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in LDL: P value was calculated using ANCOVA.p-value: 0.031ANCOVA
Comparison: Percent change at Month 36 in LDL: P value was calculated using ANCOVA.p-value: 0.008ANCOVA
Comparison: Percent change at Month 6 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in LDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in HDL: P value was calculated using ANCOVA.p-value: 0.001ANCOVA
Comparison: Percent change at Month 12 in HDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in HDL: P value was calculated using ANCOVA.p-value: 0.001ANCOVA
Comparison: Percent change at Month 36 in HDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in HDL: P value was calculated using ANCOVA.p-value: 0.1ANCOVA
Comparison: Percent change at Month 12 in HDL: P value was calculated using ANCOVA.p-value: 0.89ANCOVA
Comparison: Percent change at Month 24 in HDL: P value was calculated using ANCOVA.p-value: 0.6ANCOVA
Comparison: Percent change at Month 36 in HDL: P value was calculated using ANCOVA.p-value: 0.82ANCOVA
Comparison: Percent change at Month 6 in HDL: P value was calculated using ANCOVA.p-value: 0.001ANCOVA
Comparison: Percent change at Month 12 in HDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in HDL: P value was calculated using ANCOVA.p-value: 0.012ANCOVA
Comparison: Percent change at Month 36 in HDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in HDL: P value was calculated using ANCOVA.p-value: 0.083ANCOVA
Comparison: Percent change at Month 12 in HDL: P value was calculated using ANCOVA.p-value: 0.96ANCOVA
Comparison: Percent change at Month 24 in HDL: P value was calculated using ANCOVA.p-value: 0.84ANCOVA
Comparison: Percent change at Month 36 in HDL: P value was calculated using ANCOVA.p-value: 0.15ANCOVA
Comparison: Percent change at Month 6 in HDL: P value was calculated using ANCOVA.p-value: 0.13ANCOVA
Comparison: Percent change at Month 12 in HDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in HDL: P value was calculated using ANCOVA.p-value: 0.007ANCOVA
Comparison: Percent change at Month 36 in HDL: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in HDL2: P value was calculated using ANCOVA.p-value: 0.28ANCOVA
Comparison: Percent change at Month 12 in HDL2: P value was calculated using ANCOVAp-value: 0.1ANCOVA
Comparison: Percent change at Month 24 in HDL2: P value was calculated using ANCOVA.p-value: 0.94ANCOVA
Comparison: Percent change at Month 36 in HDL2: P value was calculated using ANCOVA.p-value: 0.46ANCOVA
Comparison: Percent change at Month 6 in HDL2: P value was calculated using ANCOVA.p-value: 0.63ANCOVA
Comparison: Percent change at Month 12 in HDL2: P value was calculated using ANCOVA.p-value: 0.7ANCOVA
Comparison: Percent change at Month 24 in HDL2: P value was calculated using ANCOVA.p-value: 0.58ANCOVA
Comparison: Percent change at Month 36 in HDL2: P value was calculated using ANCOVA.p-value: 0.29ANCOVA
Comparison: Percent change at Month 6 in HDL2: P value was calculated using ANCOVA.p-value: 0.59ANCOVA
Comparison: Percent change at Month 12 in HDL2: P value was calculated using ANCOVA.p-value: 0.036ANCOVA
Comparison: Percent change at Month 24 in HDL2: P value was calculated using ANCOVA.p-value: 0.57ANCOVA
Comparison: Percent change at Month 36 in HDL2: P value was calculated using ANCOVA.p-value: 0.49ANCOVA
Comparison: Percent change at Month 6 in HDL2: P value was calculated using ANCOVA.p-value: 0.038ANCOVA
Comparison: Percent change at Month 12 in HDL2: P value was calculated using ANCOVA.p-value: 0.93ANCOVA
Comparison: Percent change at Month 24 in HDL2: P value was calculated using ANCOVA.p-value: 0.96ANCOVA
Comparison: Percent change at Month 36 in HDL2: P value was calculated using ANCOVA.p-value: 0.72ANCOVA
Comparison: Percent change at Month 6 in HDL2: P value was calculated using ANCOVA.p-value: 0.12ANCOVA
Comparison: Percent change at Month 12 in HDL2: P value was calculated using ANCOVA.p-value: 0.043ANCOVA
Comparison: Percent change at Month 24 in HDL2: P value was calculated using ANCOVA.p-value: 0.53ANCOVA
Comparison: Percent change at Month 36 in HDL2: P value was calculated using ANCOVA.p-value: 0.75ANCOVA
Comparison: Percent change at Month 6 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 12 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in HDL3: P value was calculated using ANCOVA.p-value: 0.46ANCOVA
Comparison: Percent change at Month 12 in HDL3: P value was calculated using ANCOVA.p-value: 0.64ANCOVA
Comparison: Percent change at Month 24 in HDL3: P value was calculated using ANCOVA.p-value: 0.47ANCOVA
Comparison: Percent change at Month 36 in HDL3: P value was calculated using ANCOVA.p-value: 0.75ANCOVA
Comparison: Percent change at Month 6 in HDL3: P value was calculated using ANCOVA.p-value: 0.003ANCOVA
Comparison: Percent change at Month 12 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in HDL3: P value was calculated using ANCOVA.p-value: 0.81ANCOVA
Comparison: Percent change at Month 12 in HDL3: P value was calculated using ANCOVA.p-value: 0.98ANCOVA
Comparison: Percent change at Month 24 in HDL3: P value was calculated using ANCOVA.p-value: 0.87ANCOVA
Comparison: Percent change at Month 36 in HDL3: P value was calculated using ANCOVA.p-value: 0.4ANCOVA
Comparison: Percent change at Month 6 in HDL3: P value was calculated using ANCOVA.p-value: 0.001ANCOVA
Comparison: Percent change at Month 12 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 24 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 36 in HDL3: P value was calculated using ANCOVA.p-value: <0.001ANCOVA
Comparison: Percent change at Month 6 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.85ANCOVA
Comparison: Percent change at Month 12 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.26ANCOVA
Comparison: Percent change at Month 24 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.33ANCOVA
Comparison: Percent change at Month 36 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.22ANCOVA
Comparison: Percent change at Month 6 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.86ANCOVA
Comparison: Percent change at Month 12 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.65ANCOVA
Comparison: Percent change at Month 24 in Triglycerides: P value was calculated using ANCOVA.p-value: 1ANCOVA
Comparison: Percent change at Month 36 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.44ANCOVA
Comparison: Percent change at Month 6 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.058ANCOVA
Comparison: Percent change at Month 12 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.55ANCOVA
Comparison: Percent change at Month 24 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.34ANCOVA
Comparison: Percent change at Month 36 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.96ANCOVA
Comparison: Percent change at Month 6 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.058ANCOVA
Comparison: Percent change at Month 12 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.031ANCOVA
Comparison: Percent change at Month 24 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.054ANCOVA
Comparison: Percent change at Month 36 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.62ANCOVA
Comparison: Percent change at Month 6 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.99ANCOVA
Comparison: Percent change at Month 12 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.11ANCOVA
Comparison: Percent change at Month 24 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.33ANCOVA
Comparison: Percent change at Month 36 in Triglycerides: P value was calculated using ANCOVA.p-value: 0.65ANCOVA
Secondary

Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12

Osteocalcin is a biochemical marker of bone formation. Blood samples were collected to evaluate osteocalcin levels.

Time frame: Baseline, Months 3, 6, 12

Population: ITT population included all randomized participants who took at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' is signifying those participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1702,1746)-23.48 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1529,1573)-37.49 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1633,1681)-32.75 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1702,1746)-25.28 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1529,1573)-39.15 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1633,1681)-35.20 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1633,1681)-35.96 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1702,1746)-26.18 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1529,1573)-41.44 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 3 (n=1739,1708,1702,1746)-11.37 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 12 (n=1565,1522,1529,1573)-21.00 Percent change
Placebo (Core+SE I+SE II)Percent Change From Baseline in Osteocalcin at Month 3, 6 and 12Change at Month 6 (n=1655,1634,1633,1681)-17.82 Percent change
Comparison: Percent change at Month 3 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 3 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 3 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 3 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: 0.93Ranked ANCOVA
Comparison: Percent change at Month 3 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 6 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: 0.3Ranked ANCOVA
Comparison: Percent change at Month 6 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 12 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Secondary

Percent Change From Baseline in Osteocalcin at Months 36 and 60

Osteocalcin is a biochemical marker of bone formation. Blood samples were collected to evaluate osteocalcin levels.

Time frame: Baseline, Months 36, 60

Population: mITT of SP1 population included all randomized participants who took at least 1 dose of test article.'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. 'n' is signifying those participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Months 36 and 60Change at Month 36 (n=178,168,181)-23.91 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Months 36 and 60Change at Month 60 (n=127, 127, 132)-25.21 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Months 36 and 60Change at Month 36 (n=178,168,181)-12.73 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Months 36 and 60Change at Month 60 (n=127, 127, 132)-17.21 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Osteocalcin at Months 36 and 60Change at Month 36 (n=178,168,181)-26.99 Percent change
Raloxifene 60 mg (Core)Percent Change From Baseline in Osteocalcin at Months 36 and 60Change at Month 60 (n=127, 127, 132)-30.41 Percent change
Comparison: Percent change at Month 36 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 60 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 36 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Comparison: Percent change at Month 60 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: <0.001Ranked ANCOVA
Secondary

Percent Change From Baseline in Osteocalcin at Months 72 and 84

Osteocalcin is a biochemical marker of bone formation. Blood samples were collected to evaluate osteocalcin levels.

Time frame: Baseline, Months 72, 84

Population: mITT of SP1 population included all randomized participants who took at least 1 dose of test article. 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (MEDIAN)
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Months 72 and 84Change at Month 72 (n=97,170)-26.72 Percent change
Bazedoxifene 20 mg (Core+SE I)Percent Change From Baseline in Osteocalcin at Months 72 and 84Change at Month 84 (n=84,147)-29.50 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Months 72 and 84Change at Month 72 (n=97,170)-33.76 Percent change
Bazedoxifene 40 mg (Core)Percent Change From Baseline in Osteocalcin at Months 72 and 84Change at Month 84 (n=84,147)-32.25 Percent change
Comparison: Percent change at Month 72 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: 0.037Ranked ANCOVA
Comparison: Percent change at Month 84 in osteocalcin: P value was calculated using Ranked ANCOVA.p-value: 0.16Ranked ANCOVA
Secondary

Women's Health Questionnaire (WHQ)

WHQ is a measure of mid-aged women's emotional and physical health. Consists of 36-item assessing nine domains of physical and emotional health: Depressed mood; Somatic symptoms; Anxiety/fears; Vasomotor symptoms; Sleep problems; Sexual behavior; Menstrual symptoms; Memory/concentration; and Attractiveness. Each item scored on a 4 point scale (yes definitely, yes sometimes, not much, no not at all) reduced to binary option as 0 (no) and 1 (yes). Domain subscale score was calculated as sum of domain items score divided by number of domain items. Total score was calculated as the sum of individual domain subscale score divided by number of domains. Total score range from 0 (absent) to 1 (present), with higher scores indicating more pronounced distress and dysfunction. Baseline values at different time points were considered only for the participants who were evaluable at those time points.

Time frame: Baseline

Population: ITT population included all randomized participants who took at least 1 dose of test article;had baseline data and at least one valid assessment while on therapy. 'N' (number of participants analyzed)=participants evaluable for this measure. 'n'=participants who were evaluable for this measure at the specified time point for each arm group.

ArmMeasureGroupValue (MEAN)Dispersion
Bazedoxifene 20 mg (Core+SE I)Women's Health Questionnaire (WHQ)Baseline: Month 12 (n=1490,1435,1461,1503)0.342 Units on a scaleStandard Deviation 0.176
Bazedoxifene 20 mg (Core+SE I)Women's Health Questionnaire (WHQ)Baseline: Month 36 (n=1153,1138,1168,1179)0.333 Units on a scaleStandard Deviation 0.173
Bazedoxifene 20 mg (Core+SE I)Women's Health Questionnaire (WHQ)Baseline: Month 24 (n=1307,1271,1311,1318)0.339 Units on a scaleStandard Deviation 0.175
Bazedoxifene 40 mg (Core)Women's Health Questionnaire (WHQ)Baseline: Month 12 (n=1490,1435,1461,1503)0.348 Units on a scaleStandard Deviation 0.176
Bazedoxifene 40 mg (Core)Women's Health Questionnaire (WHQ)Baseline: Month 36 (n=1153,1138,1168,1179)0.341 Units on a scaleStandard Deviation 0.175
Bazedoxifene 40 mg (Core)Women's Health Questionnaire (WHQ)Baseline: Month 24 (n=1307,1271,1311,1318)0.343 Units on a scaleStandard Deviation 0.176
Raloxifene 60 mg (Core)Women's Health Questionnaire (WHQ)Baseline: Month 24 (n=1307,1271,1311,1318)0.338 Units on a scaleStandard Deviation 0.183
Raloxifene 60 mg (Core)Women's Health Questionnaire (WHQ)Baseline: Month 12 (n=1490,1435,1461,1503)0.341 Units on a scaleStandard Deviation 0.182
Raloxifene 60 mg (Core)Women's Health Questionnaire (WHQ)Baseline: Month 36 (n=1153,1138,1168,1179)0.341 Units on a scaleStandard Deviation 0.182
Placebo (Core+SE I+SE II)Women's Health Questionnaire (WHQ)Baseline: Month 12 (n=1490,1435,1461,1503)0.343 Units on a scaleStandard Deviation 0.182
Placebo (Core+SE I+SE II)Women's Health Questionnaire (WHQ)Baseline: Month 36 (n=1153,1138,1168,1179)0.339 Units on a scaleStandard Deviation 0.18
Placebo (Core+SE I+SE II)Women's Health Questionnaire (WHQ)Baseline: Month 24 (n=1307,1271,1311,1318)0.343 Units on a scaleStandard Deviation 0.181

Source: ClinicalTrials.gov · Data processed: Mar 31, 2026