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Phase 3 Clinical Trial of Teriparatide in Japan

Efficacy and Safety of LY333334 in Japanese Patients With Osteoporosis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00433160
Enrollment
207
Registered
2007-02-09
Start date
2007-01-31
Completion date
2009-09-30
Last updated
2010-09-21

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

Conditions

Osteoporosis

Brief summary

To evaluate the efficacy of teriparatide based on measurements of bone mineral density at lumbar spine

Interventions

DRUGTeriparatide

daily, subcutaneous

DRUGPlacebo

daily, subcutaneous

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Japanese patients diagnosed with osteoporosis * Aged 55 or older * Patients who are at high risk for fracture

Exclusion criteria

* History of metabolic bone disorders other than primary osteoporosis * History of malignant neoplasm in the 5 years, with the exception of superficial basal cell carcinoma or squamous cell carcinoma of the skin that has been definitively treated. * Severe or chronically disabling conditions other than osteoporosis

Design outcomes

Primary

MeasureTime frameDescription
Percent Change in Bone Mineral Density at Lumbar Spine (L2-L4)Baseline to 52 weeksPercent change in bone mineral density (BMD) at lumbar spine (L2-L4) from baseline to the last measurement point.

Secondary

MeasureTime frameDescription
Percent Change in Bone Mineral Density (BMD) at Total HipBaseline to 52 WeeksPercent change in bone mineral density (BMD) at total hip from baseline to the last measurement point.
Percent Change in Bone Mineral Density (BMD) at Femoral NeckBaseline to 52 WeeksPercent change in bone mineral density at femoral neck from baseline to the last measurement point.
Percent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Baseline to Weeks 4, 12, 24, and 52Percent change in serum procollagen I N-terminal propeptide (PINP) from baseline to the individual visits and last measurement point.
Percent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Baseline to Weeks 4, 12, 24, 52Percent change in serum bone-specific alkaline phosphatase (BAP) from baseline to the individual visits and last measurement point.
Percent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Baseline to Weeks 4, 12, 24, 52Percent change in serum type I collagen crosslinked C-telopeptide (CTX) from baseline to the individual visits and last measurement point.
Vertebral Fractures by Central X-ray AssessmentBaseline through 52 weeksNumber of vertebral fractures observed from Visit 1 (study entry) through Visit 19 (Week 52). All new or worsened vertebral fractures were defined as a deterioration of at least one grade in a semiquantitative score by X-ray assessment. Number of subjects with fractures and number of fractured vertebra(e) were counted.
Fractures by Investigators AssessmentBaseline through 52 WeeksVertebral and nonvertebral fractures assessed by the investigator or subinvestigator after starting the study treatment. Traumatic fractures were those caused by falling from above standing height or a high velocity (car) accident. Fractures were assessed to be fragility if they occurred without trauma.
Back Pain SeverityBaseline, Weeks 12, 24, 36, 52Severity of back pain at baseline, individual visits and the last measurement point. Back pain was measured on a scale of 1 (none) to 4 (severe).
Percent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in bone mineral density (BMD) at lumbar spine (L2-L4) from baseline to the last measurement point.
Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4)Baseline to 52 WeeksPercent change in bone mineral density at lumbar spine (L1-L4) from baseline to the last measurement point.
Percent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in bone mineral density (BMD) at total hip from baseline to the last measurement point.
Percent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in bone mineral density at femoral neck from baseline to the last measurement point.
Percent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in serum procollagen I N-terminal propeptide (PINP) from baseline to the individual visits and last measurement point.
Percent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in serum bone-specific alkaline phosphatase (BAP) from baseline to the individual visits and last measurement point.
Percent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in serum type I collagen crosslinked C-telepeptide (CTX) from baseline to the individual visits and last measurement point.
Vertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 WeeksBaseline through 104 WeeksNumber of vertebral fractures observed from Visit 1 (study entry) through 104 weeks. All new or worsened vertebral fractures were defined as a deterioration of at least one grade in a semiquantitative score by X-ray assessment. Number of subjects with fractures and number of fractured vertebra(e) were counted.
Fractures by Investigators Assessment During Entire Study Period of 104 WeeksBaseline Through 104 WeeksVertebral and nonvertebral fractures assessed by the investigator or subinvestigator after starting the study treatment. Traumatic fractures were those caused by falling from above standing height or a high velocity (car) accident. Fractures were assessed to be fragility if they occurred without trauma.
Back Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksSeverity of back pain at 76 weeks and 104 weeks. Back pain was measured on a scale of 1 (none) to 4 (severe).
Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 WeeksBaseline, 76 Weeks, 104 WeeksPercent change in bone mineral density at lumbar spine (L1-L4) from baseline to the last measurement point.

Countries

Japan

Participant flow

Pre-assignment details

Results from 4 patients aren't included in baseline and outcomes: 3 (2 placebo and 1 teriparatide) didn't receive study drug; 1 (placebo) had a significant good clinical practice issue of receiving study drug assigned to another patient.

Participants by arm

ArmCount
Teriparatide
20 micrograms for 104 weeks
136
Placebo
Placebo for 52 weeks. After 52 weeks, all patients on placebo can receive 20 micrograms teriparatide for 52 weeks
67
Total203

Withdrawals & dropouts

PeriodReasonFG000FG001
104 Weeks, 28-Week OL PeriodAdverse Event20
104 Weeks, 28-Week OL PeriodPhysician Decision01
104 Weeks, 28-Week OL PeriodWithdrawal by Subject82
52-Week Double-Blind (DB) PeriodAdverse Event62
52-Week Double-Blind (DB) PeriodDeath00
52-Week Double-Blind (DB) PeriodEntry Criteria Exclusion01
52-Week Double-Blind (DB) PeriodLack of Efficacy12
52-Week Double-Blind (DB) PeriodLost to Follow-up00
52-Week Double-Blind (DB) PeriodPhysician Decision42
52-Week Double-Blind (DB) PeriodProtocol Violation02
52-Week Double-Blind (DB) PeriodSponsor Decision00
52-Week Double-Blind (DB) PeriodWithdrawal by Subject61
76 Weeks, 24-Week Open Label (OL) PeriodAdverse Event31
76 Weeks, 24-Week Open Label (OL) PeriodLack of Efficacy01
76 Weeks, 24-Week Open Label (OL) PeriodPhysician Decision20
76 Weeks, 24-Week Open Label (OL) PeriodWithdrawal by Subject12

Baseline characteristics

CharacteristicTeriparatideTotalPlacebo
Age Continuous69.2 years
STANDARD_DEVIATION 6.3
69.6 years
STANDARD_DEVIATION 6
70.4 years
STANDARD_DEVIATION 5.4
Alcohol Consumption
No
99 participants150 participants51 participants
Alcohol Consumption
Yes
37 participants53 participants16 participants
Body Mass Index21.58 kilograms per square meter (kg/m^2)
STANDARD_DEVIATION 3.03
21.80 kilograms per square meter (kg/m^2)
STANDARD_DEVIATION 3.15
22.24 kilograms per square meter (kg/m^2)
STANDARD_DEVIATION 3.34
Bone Mineral Density (BMD) Total Spine0.6153 grams per square centimeter (g/cm^2)
STANDARD_DEVIATION 0.0701
0.6143 grams per square centimeter (g/cm^2)
STANDARD_DEVIATION 0.0726
0.6123 grams per square centimeter (g/cm^2)
STANDARD_DEVIATION 0.078
Height150.40 centimeters (cm)
STANDARD_DEVIATION 5.97
150.36 centimeters (cm)
STANDARD_DEVIATION 5.89
150.30 centimeters (cm)
STANDARD_DEVIATION 5.74
Number of Previous Vertebral Fractures
0 Fractures
82 participants120 participants38 participants
Number of Previous Vertebral Fractures
1 Fracture
35 participants51 participants16 participants
Number of Previous Vertebral Fractures
2 Fractures
10 participants18 participants8 participants
Number of Previous Vertebral Fractures
3 Fractures
3 participants6 participants3 participants
Number of Previous Vertebral Fractures
4 Fractures
4 participants5 participants1 participants
Number of Previous Vertebral Fractures
5 or More Fractures
2 participants3 participants1 participants
Previous Osteoporosis Drug Use
No
86 participants130 participants44 participants
Previous Osteoporosis Drug Use
Yes
50 participants73 participants23 participants
Region of Enrollment
Japan
136 participants203 participants67 participants
Sex: Female, Male
Female
127 Participants189 Participants62 Participants
Sex: Female, Male
Male
9 Participants14 Participants5 Participants
Smoking History
Current Smoker
16 participants21 participants5 participants
Smoking History
Non-Smoker
114 participants167 participants53 participants
Smoking History
Past Smoker
6 participants15 participants9 participants
Weight48.74 kilograms (kg)
STANDARD_DEVIATION 6.83
49.24 kilograms (kg)
STANDARD_DEVIATION 7.29
50.25 kilograms (kg)
STANDARD_DEVIATION 8.1

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
115 / 13659 / 67123 / 13660 / 67125 / 13664 / 67
serious
Total, serious adverse events
7 / 1367 / 6710 / 1369 / 6712 / 13613 / 67

Outcome results

Primary

Percent Change in Bone Mineral Density at Lumbar Spine (L2-L4)

Percent change in bone mineral density (BMD) at lumbar spine (L2-L4) from baseline to the last measurement point.

Time frame: Baseline to 52 weeks

Population: Number of randomized participants with at least one dose of study drug and at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density at Lumbar Spine (L2-L4)Percent Change to Last Measurement Point9.82 percent change in BMDStandard Deviation 5.36
PlaceboPercent Change in Bone Mineral Density at Lumbar Spine (L2-L4)Percent Change to Last Measurement Point0.04 percent change in BMDStandard Deviation 4.34
Comparison: Null hypothesis: there is no difference in the percent change in bone mineral density at lumbar spine (L2-L4) after 52-week treatment between the two treatment groups.p-value: <0.001t-test, 2 sided
Secondary

Back Pain Severity

Severity of back pain at baseline, individual visits and the last measurement point. Back pain was measured on a scale of 1 (none) to 4 (severe).

Time frame: Baseline, Weeks 12, 24, 36, 52

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (NUMBER)
TeriparatideBack Pain SeverityWeek 52: 2 - Mild32 participants
TeriparatideBack Pain SeverityBaseline: 1 - None77 participants
TeriparatideBack Pain SeverityBaseline: 2 - Mild47 participants
TeriparatideBack Pain SeverityBaseline: 3 - Moderate12 participants
TeriparatideBack Pain SeverityBaseline: 4 - Severe0 participants
TeriparatideBack Pain SeverityWeek 12: 1 - None79 participants
TeriparatideBack Pain SeverityWeek 12: 2 - Mild44 participants
TeriparatideBack Pain SeverityWeek 12: 3 - Moderate8 participants
TeriparatideBack Pain SeverityWeek 12: 4 - Severe0 participants
TeriparatideBack Pain SeverityWeek 24: 1 - None87 participants
TeriparatideBack Pain SeverityWeek 24: 2 - Mild34 participants
TeriparatideBack Pain SeverityWeek 24: 3 - Moderate6 participants
TeriparatideBack Pain SeverityWeek 24: 4 - Severe0 participants
TeriparatideBack Pain SeverityWeek 36: 1 - None82 participants
TeriparatideBack Pain SeverityWeek 36: 2 - Mild36 participants
TeriparatideBack Pain SeverityWeek 36: 4 - Severe0 participants
TeriparatideBack Pain SeverityWeek 52: 1 - None84 participants
TeriparatideBack Pain SeverityWeek 36: 3 - Moderate5 participants
TeriparatideBack Pain SeverityWeek 52: 3 - Moderate5 participants
TeriparatideBack Pain SeverityWeek 52: 4 - Severe0 participants
TeriparatideBack Pain SeverityLast Measurement: 1 - None90 participants
TeriparatideBack Pain SeverityLast Measurement: 2 - Mild36 participants
TeriparatideBack Pain SeverityLast Measurement: 3 - Moderate5 participants
TeriparatideBack Pain SeverityLast Measurement: 4 - Severe0 participants
PlaceboBack Pain SeverityWeek 52: 2 - Mild12 participants
PlaceboBack Pain SeverityLast Measurement: 3 - Moderate5 participants
PlaceboBack Pain SeverityWeek 24: 4 - Severe0 participants
PlaceboBack Pain SeverityBaseline: 1 - None36 participants
PlaceboBack Pain SeverityLast Measurement: 1 - None44 participants
PlaceboBack Pain SeverityBaseline: 2 - Mild26 participants
PlaceboBack Pain SeverityWeek 36: 1 - None42 participants
PlaceboBack Pain SeverityBaseline: 3 - Moderate4 participants
PlaceboBack Pain SeverityWeek 52: 3 - Moderate5 participants
PlaceboBack Pain SeverityBaseline: 4 - Severe1 participants
PlaceboBack Pain SeverityWeek 36: 2 - Mild15 participants
PlaceboBack Pain SeverityWeek 12: 1 - None41 participants
PlaceboBack Pain SeverityWeek 36: 3 - Moderate4 participants
PlaceboBack Pain SeverityWeek 12: 2 - Mild18 participants
PlaceboBack Pain SeverityLast Measurement: 4 - Severe1 participants
PlaceboBack Pain SeverityWeek 12: 3 - Moderate5 participants
PlaceboBack Pain SeverityWeek 36: 4 - Severe0 participants
PlaceboBack Pain SeverityWeek 12: 4 - Severe0 participants
PlaceboBack Pain SeverityWeek 52: 4 - Severe1 participants
PlaceboBack Pain SeverityWeek 24: 1 - None42 participants
PlaceboBack Pain SeverityWeek 52: 1 - None42 participants
PlaceboBack Pain SeverityWeek 24: 2 - Mild15 participants
PlaceboBack Pain SeverityLast Measurement: 2 - Mild14 participants
PlaceboBack Pain SeverityWeek 24: 3 - Moderate4 participants
Secondary

Back Pain Severity During Open Label Phases at 76 Weeks and 104 Weeks

Severity of back pain at 76 weeks and 104 weeks. Back pain was measured on a scale of 1 (none) to 4 (severe).

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least on post-treatment measurement.

ArmMeasureGroupValue (NUMBER)
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 1- None78 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 2- Mild31 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 3- Moderate4 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 4- Severe0 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 1- None66 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 2- Mild23 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 3- Moderate3 participants
TeriparatideBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 4- Severe0 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 4- Severe0 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 1- None38 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 1- None32 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 2- Mild13 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 3- Moderate2 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 3- Moderate4 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 104: 2- Mild13 participants
PlaceboBack Pain Severity During Open Label Phases at 76 Weeks and 104 WeeksWeek 76: 4- Severe0 participants
Secondary

Fractures by Investigators Assessment

Vertebral and nonvertebral fractures assessed by the investigator or subinvestigator after starting the study treatment. Traumatic fractures were those caused by falling from above standing height or a high velocity (car) accident. Fractures were assessed to be fragility if they occurred without trauma.

Time frame: Baseline through 52 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (NUMBER)
TeriparatideFractures by Investigators AssessmentVertebral Fracture - Fragility0 number of fractures
TeriparatideFractures by Investigators AssessmentVertebral Fracture - Traumatic0 number of fractures
TeriparatideFractures by Investigators AssessmentNon-Vertebra Fracture - Fragility1 number of fractures
TeriparatideFractures by Investigators AssessmentNon-Vertebra Fracture - Traumatic2 number of fractures
PlaceboFractures by Investigators AssessmentNon-Vertebra Fracture - Traumatic3 number of fractures
PlaceboFractures by Investigators AssessmentVertebral Fracture - Fragility1 number of fractures
PlaceboFractures by Investigators AssessmentNon-Vertebra Fracture - Fragility1 number of fractures
PlaceboFractures by Investigators AssessmentVertebral Fracture - Traumatic0 number of fractures
Secondary

Fractures by Investigators Assessment During Entire Study Period of 104 Weeks

Vertebral and nonvertebral fractures assessed by the investigator or subinvestigator after starting the study treatment. Traumatic fractures were those caused by falling from above standing height or a high velocity (car) accident. Fractures were assessed to be fragility if they occurred without trauma.

Time frame: Baseline Through 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (NUMBER)
TeriparatideFractures by Investigators Assessment During Entire Study Period of 104 WeeksVertebral Fracture - Fragility - 104 Weeks0 number of fractures
TeriparatideFractures by Investigators Assessment During Entire Study Period of 104 WeeksNon-Vertebra Fracture - Fragility - 104 Weeks1 number of fractures
TeriparatideFractures by Investigators Assessment During Entire Study Period of 104 WeeksNon-Vertebra Fracture - Traumatic - 104 Weeks3 number of fractures
TeriparatideFractures by Investigators Assessment During Entire Study Period of 104 WeeksVertebral Fracture - Traumatic - 104 Weeks0 number of fractures
PlaceboFractures by Investigators Assessment During Entire Study Period of 104 WeeksNon-Vertebra Fracture - Traumatic - 104 Weeks4 number of fractures
PlaceboFractures by Investigators Assessment During Entire Study Period of 104 WeeksVertebral Fracture - Fragility - 104 Weeks1 number of fractures
PlaceboFractures by Investigators Assessment During Entire Study Period of 104 WeeksVertebral Fracture - Traumatic - 104 Weeks0 number of fractures
PlaceboFractures by Investigators Assessment During Entire Study Period of 104 WeeksNon-Vertebra Fracture - Fragility - 104 Weeks1 number of fractures
Secondary

Percent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)

Percent change in serum bone-specific alkaline phosphatase (BAP) from baseline to the individual visits and last measurement point.

Time frame: Baseline to Weeks 4, 12, 24, 52

Population: Number of randomized participants with at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 12 (n=131, n=62)3.23 percent change in BAPStandard Deviation 49.05
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 52 (n=120, n=59)-17.69 percent change in BAPStandard Deviation 58.12
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 24 (n=127, n=60)-4.60 percent change in BAPStandard Deviation 43.44
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Last Measurement (n=136, n=66)-17.32 percent change in BAPStandard Deviation 56.06
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 4 (n=135, n=66)3.74 percent change in BAPStandard Deviation 37.86
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Last Measurement (n=136, n=66)-28.34 percent change in BAPStandard Deviation 46.96
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 4 (n=135, n=66)-9.63 percent change in BAPStandard Deviation 33.62
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 12 (n=131, n=62)-16.97 percent change in BAPStandard Deviation 40.54
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 24 (n=127, n=60)-28.46 percent change in BAPStandard Deviation 23.81
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP)Percent Change to Week 52 (n=120, n=59)-32.24 percent change in BAPStandard Deviation 46.95
Comparison: Null hypothesis: there is no difference in the percent change in BAP after 4-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in BAP after 12-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in BAP after 24-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in BAP after 52-week treatment between the two treatment groups.p-value: 0.06Wicoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in BAP from baseline to the last measurement point between the two treatment groups.p-value: 0.13Wilcoxon's Rank Sum Test
Secondary

Percent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in serum bone-specific alkaline phosphatase (BAP) from baseline to the individual visits and last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants with at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=113, n=5517.49 percent change in BAPStandard Deviation 66.4
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=92, n=47-1.52 percent change in BAPStandard Deviation 54.38
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=113, n=5515.71 percent change in BAPStandard Deviation 64.96
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Bone-specific Alkaline Phosphatase (BAP) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=92, n=4716.45 percent change in BAPStandard Deviation 71.72
Secondary

Percent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)

Percent change in serum procollagen I N-terminal propeptide (PINP) from baseline to the individual visits and last measurement point.

Time frame: Baseline to Weeks 4, 12, 24, and 52

Population: Number of randomized participants with at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 12 (n=131, n=64)89.58 percent change in PINPStandard Deviation 66.58
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 52 (n=121, n=60)116.11 percent change in PINPStandard Deviation 139.72
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 24 (n=127, n=61)114.12 percent change in PINPStandard Deviation 112.04
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Last Measurement (n=136,n=66)111.74 percent change in PINPStandard Deviation 134.38
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 4 (n=136, n=66)90.67 percent change in PINPStandard Deviation 49.85
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Last Measurement (n=136,n=66)-13.82 percent change in PINPStandard Deviation 28.42
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 4 (n=136, n=66)-9.58 percent change in PINPStandard Deviation 14.39
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 12 (n=131, n=64)-16.89 percent change in PINPStandard Deviation 17.35
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 24 (n=127, n=61)-19.10 percent change in PINPStandard Deviation 29.17
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP)Percent Change to Week 52 (n=121, n=60)-14.18 percent change in PINPStandard Deviation 29.02
Comparison: Null hypothesis: there is no difference in the percent change in PINP after 4-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in PINP after 12-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in PINP after 24-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in PINP after 52-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in PINP from baseline to the last measurement point between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Secondary

Percent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in serum procollagen I N-terminal propeptide (PINP) from baseline to the individual visits and last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants with at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 WeeksPercent change to Week 76; n=113, n=55115.45 percent change in PINPStandard Deviation 174.07
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 WeeksPercent change to Week 104; n=92, n=4774.71 percent change in PINPStandard Deviation 112.48
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 WeeksPercent change to Week 76; n=113, n=5597.28 percent change in PINPStandard Deviation 131.64
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Procollagen I N-terminal Propeptide (PINP) During Open Label Phases at 76 Weeks and 104 WeeksPercent change to Week 104; n=92, n=47134.89 percent change in PINPStandard Deviation 180.76
Secondary

Percent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)

Percent change in serum type I collagen crosslinked C-telopeptide (CTX) from baseline to the individual visits and last measurement point.

Time frame: Baseline to Weeks 4, 12, 24, 52

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 12 (n=121, n=61)46.52 percent change in CTXStandard Deviation 69.52
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 52 (n=113, n=58)84.81 percent change in CTXStandard Deviation 124.23
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 24 (n=119, n=59)82.27 percent change in CTXStandard Deviation 110.54
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Last Measurement (n=126, n=65)79.41 percent change in CTXStandard Deviation 119.61
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 4 (n=124, n=63)2.78 percent change in CTXStandard Deviation 40.73
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Last Measurement (n=126, n=65)11.64 percent change in CTXStandard Deviation 38.61
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 4 (n=124, n=63)-2.05 percent change in CTXStandard Deviation 28.17
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 12 (n=121, n=61)-3.56 percent change in CTXStandard Deviation 27.9
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 24 (n=119, n=59)4.39 percent change in CTXStandard Deviation 37.97
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX)Percent Change to Week 52 (n=113, n=58)13.50 percent change in CTXStandard Deviation 39.47
Comparison: Null hypothesis: there is no difference in the percent change in CTX after 4-week treatment between the two treatment groups.p-value: 0.976Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in CTX after 12-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in CTX after 24-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in CTX after 52-week treatment between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Comparison: Null hypothesis: there is no difference in the percent change in CTX from baseline to the last measurement point between the two treatment groups.p-value: <0.001Wilcoxon's Rank Sum Test
Secondary

Percent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in serum type I collagen crosslinked C-telepeptide (CTX) from baseline to the individual visits and last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=104, n=5385.85 percent change in CTXStandard Deviation 137.13
TeriparatidePercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=85, n=4554.39 percent change in CTXStandard Deviation 111.97
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=104, n=5386.98 percent change in CTXStandard Deviation 132.81
PlaceboPercent Change in Biochemical Markers of Bone Metabolism - Serum Type I Collagen Crosslinked C-telopeptide (CTX) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=85, n=4572.84 percent change in CTXStandard Deviation 100.91
Secondary

Percent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in bone mineral density (BMD) at lumbar spine (L2-L4) from baseline to the last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants with at least one dose of study drug and at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=113, n=5511.93 percent change in BMDStandard Deviation 5.79
TeriparatidePercent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=92, n=4713.42 percent change in BMDStandard Deviation 6.12
PlaceboPercent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=113, n=556.39 percent change in BMDStandard Deviation 4.74
PlaceboPercent Change in Bone Mineral Density at Lumbar Spine (L2-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=92, n=479.11 percent change in BMDStandard Deviation 5.14
Secondary

Percent Change in Bone Mineral Density (BMD) at Femoral Neck

Percent change in bone mineral density at femoral neck from baseline to the last measurement point.

Time frame: Baseline to 52 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density (BMD) at Femoral NeckPercent Change to Last Measurement Point2.24 percent change in BMDStandard Deviation 6.01
PlaceboPercent Change in Bone Mineral Density (BMD) at Femoral NeckPercent Change to Last Measurement Point0.46 percent change in BMDStandard Deviation 3.89
Secondary

Percent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in bone mineral density at femoral neck from baseline to the last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=112, n=542.68 percent change in BMDStandard Deviation 4.45
TeriparatidePercent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=91, n=463.26 percent change in BMDStandard Deviation 4.25
PlaceboPercent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=112, n=541.17 percent change in BMDStandard Deviation 4.81
PlaceboPercent Change in Bone Mineral Density (BMD) at Femoral Neck During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=91, n=462.19 percent change in BMDStandard Deviation 4.81
Secondary

Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4)

Percent change in bone mineral density at lumbar spine (L1-L4) from baseline to the last measurement point.

Time frame: Baseline to 52 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4)Percent Change to Last Measurement Point10.23 percent change in BMDStandard Deviation 5.74
PlaceboPercent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4)Percent Change to Last Measurement Point0.11 percent change in BMDStandard Deviation 4.42
Secondary

Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in bone mineral density at lumbar spine (L1-L4) from baseline to the last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=113, n=5512.24 percent change in BMDStandard Deviation 5.86
TeriparatidePercent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=92, n=4714.01 percent change in BMDStandard Deviation 6.41
PlaceboPercent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=113, n=556.63 percent change in BMDStandard Deviation 4.69
PlaceboPercent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-L4) During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=92, n=479.46 percent change in BMDStandard Deviation 5.35
Secondary

Percent Change in Bone Mineral Density (BMD) at Total Hip

Percent change in bone mineral density (BMD) at total hip from baseline to the last measurement point.

Time frame: Baseline to 52 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density (BMD) at Total HipPercent Change to Last Measurement Point2.66 percent change in BMDStandard Deviation 4.22
PlaceboPercent Change in Bone Mineral Density (BMD) at Total HipPercent Change to Last Measurement Point-0.22 percent change in BMDStandard Deviation 3.38
Secondary

Percent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 Weeks

Percent change in bone mineral density (BMD) at total hip from baseline to the last measurement point.

Time frame: Baseline, 76 Weeks, 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement.

ArmMeasureGroupValue (MEAN)Dispersion
TeriparatidePercent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=112, n=543.02 percent change in BMDStandard Deviation 3.79
TeriparatidePercent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=91, n=463.67 percent change in BMDStandard Deviation 3.98
PlaceboPercent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 76; n=112, n=541.64 percent change in BMDStandard Deviation 4.63
PlaceboPercent Change in Bone Mineral Density (BMD) at Total Hip During Open Label Phases at 76 Weeks and 104 WeeksPercent Change to Week 104; n=91, n=462.46 percent change in BMDStandard Deviation 3.54
Secondary

Vertebral Fractures by Central X-ray Assessment

Number of vertebral fractures observed from Visit 1 (study entry) through Visit 19 (Week 52). All new or worsened vertebral fractures were defined as a deterioration of at least one grade in a semiquantitative score by X-ray assessment. Number of subjects with fractures and number of fractured vertebra(e) were counted.

Time frame: Baseline through 52 weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least one post-treatment measurement. The n's are the number of participants with fractures.

ArmMeasureGroupValue (NUMBER)
TeriparatideVertebral Fractures by Central X-ray AssessmentNew Fractures (n=5, n=4)7 number of fractures
TeriparatideVertebral Fractures by Central X-ray AssessmentWorsening Fractures (n=2, n=0)3 number of fractures
PlaceboVertebral Fractures by Central X-ray AssessmentNew Fractures (n=5, n=4)5 number of fractures
PlaceboVertebral Fractures by Central X-ray AssessmentWorsening Fractures (n=2, n=0)0 number of fractures
Secondary

Vertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 Weeks

Number of vertebral fractures observed from Visit 1 (study entry) through 104 weeks. All new or worsened vertebral fractures were defined as a deterioration of at least one grade in a semiquantitative score by X-ray assessment. Number of subjects with fractures and number of fractured vertebra(e) were counted.

Time frame: Baseline through 104 Weeks

Population: Number of randomized participants who received at least one dose of study drug and with at least on post-treatment measurement. The n's are the number of participants with fractures.

ArmMeasureGroupValue (NUMBER)
TeriparatideVertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 WeeksNew Fractures at 104 Weeks (n=5, n=6)7 number of fractures
TeriparatideVertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 WeeksWorsening Fractures at 104 Weeks (n=2, n=2)3 number of fractures
PlaceboVertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 WeeksNew Fractures at 104 Weeks (n=5, n=6)7 number of fractures
PlaceboVertebral Fractures by Central X-ray Assessment During Entire Study Period of 104 WeeksWorsening Fractures at 104 Weeks (n=2, n=2)3 number of fractures

Source: ClinicalTrials.gov · Data processed: Mar 17, 2026