Osteoporosis
Conditions
Keywords
osteoporosis, BMD, CTX, Post menopausal, strontium, bone turnover, clinical development
Brief summary
The primary objective of the study is to compare dose-response effect of three dose levels of strontium malonate to placebo on bone resorption quantified by S-CTX-1 following 12 weeks of treatment.
Detailed description
275 post menopausal women are treated with either 750 mg strontium malonate, 1000 mg strontium malonate, 2000 mg strontium malonate, 2 g Protelos® or placebo. Patients are treated for 12 weeks. A follow up period of 4 weeks is planned for the main study and a follow up period of 8 weeks is planned for approximately 20% of the patients to follow post treatment CTX-1 activity. Apart from S-CTS-1 also response on other bio markers are evaluated as well as BMD.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Postmenopausal women (at least 12 months since last menstruation). * BMD (L2-4) T-score between -1 and -3 (at least 20% of the enrolled patients must have a BMD (L2-4) T-score below -2,5). * 50 years of age. * BMI\<30 kg/m2. * Total S-Ca level within normal range. * Ability to read and understand the information given. * The patient has signed an informed consent form according to ICH E6 and local requirements before any study specific procedure is carried out. * Ability to comply with study procedures.
Exclusion criteria
* History of prior fragility fracture (any fracture in wrist, hip or spine appearing after 40 years of age). * History of alcohol or drug abuse. * Metabolic bone disease (e.g. pagets disease, bone cancer). * History of VTE/DVT. * History of kidney transplant. * Bilateral oophorectomy. * Relevant and treated reduced kidney or liver function. * Any malignancy within the last 5 years (except basal cell carcinoma) * Any chronic condition likely to affect absorption (e.g. Crohns disease, gluten enteropathy). * Known genetic pre-disposition to VTE/DVT * Known hypersensitivity to any of the active substances or excipients. * 25-OH-vitamin D level below 25 nmol/L * Any previous treatment with bisphosphonates, Strontium or fluoride. * Treatment during the last 3 months affecting calcium balance or bone metabolism (e.g. thiazides, corticosteroids, calcitonin, HRT, SERMs, PTH, phosphorus). * Treatment during the last week with tetracycline, ciprofloxacin or loop diuretics. * PTH out of normal range * Use of any drug known to influence the coagulation process (aspirin and other NSAID allowed) * Prothrombin time out of normal range (sec or INR) * Inclusion in another clinical study within 30 days before randomization or during this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CTX-1 | — |
Secondary
| Measure | Time frame |
|---|---|
| Other bio markers, BMD | — |
Countries
Denmark, United Kingdom