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A Multi-Center, Randomized, Open-Label Study to Assess the Immunogenicity and Safety of Denosumab in Pre-filled Syringe Compared to Vial in Subjects With Low Bone Mineral Density

A Multi-Center, Randomized, Open-Label Study to Assess the Immunogenicity and Safety of Denosumab in Pre-filled Syringe Compared to Vial in Subjects With Low Bone Mineral Density

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00515463
Enrollment
311
Registered
2007-08-13
Start date
2007-05-31
Completion date
2009-03-31
Last updated
2013-10-31

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

Conditions

Low Bone Mineral Density, Osteopenia, Osteoporosis

Keywords

Osteopenia, Osteoporosis, AMG 162, Postmenopausal, Pre-filled syringe

Brief summary

The purpose of this study is to compare the immunogenicity profiles of denosumab pre-filled syringe (PFS) and vial at 6 months in postmenopausal women with low bone mineral density (BMD).

Interventions

BIOLOGICALdenosumab

60 mg denosumab in 1mL

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients who have successfully completed the 20050141 study (NCT00330460): * Must have received all SC investigational product administrations in 20050141 * Must not have taken any proscribed therapies in 20050141 * Subjects who were in the alendronate or denosumab treatment group are allowed * Provide signed informed consent before any study-specific procedures are conducted

Exclusion criteria

* Any disorder that, in the opinion of the investigator, may compromise the ability of the patient to give written informed consent and/or comply with study procedures including: * Any physical or psychiatric disorder * Or evidence of alcohol or substance abuse in the last 12 months * Any clinical evidence, in the medical judgement of the investigator, of the following medical conditions: * Impaired thyroid function (subsequent to treatment) * Impaired hepatic function * Impaired renal function * Rheumatoid Arthritis, Paget's disease, Cushing's disease, hyperprolactinemia, or cirrhosis of the liver * Known to have tested positive for human immunodeficiency virus, hepatitis C virus, or hepatitis B surface antigen * Any metabolic bone disease, eg, osteomalacia or osteogenesis imperfecta, which may interfere with the interpretation of the findings

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 66 monthsAn electrochemiluminescent bridging immunoassay was used to test blood samples for binding antibodies to denosumab.

Secondary

MeasureTime frameDescription
Potassium Change From Baseline at Month 6Baseline, month 6Laboratory chemistry potassium
Potassium Change From Baseline at Month 12Baseline, month 12Laboratory chemistry potassium
Chloride Change From Baseline at Month 1Baseline, month 1Laboratory chemistry chloride
Chloride Change From Baseline at Month 6Baseline, month 6Laboratory chemistry chloride
Sodium Change From Baseline at Month 6Baseline, month 6Laboratory chemistry sodium
Sodium Change From Baseline at Month 12Baseline, Month 12Sodium Change From Baseline at Month 12
Number of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 1212 monthsAn electrochemiluminescent bridging immunoassay was used to test blood samples for binding antibodies to denosumab.
Number of Participants With Neutralizing Antibodies Against Denosumab at Month 12Month 12Samples demonstrating reactivity for binding antibodies to denosumab were to be tested for neutralizing or inhibitory effects in a cell-based bioassay.
Sodium Change From Baseline at Month 1Baseline, month 1Laboratory chemistry sodium
Chloride Change From Baseline at Month 12Baseline, month 12Laboratory chemistry chloride
Bicarbonate Change From Baseline at Month 1Baseline, month 1Laboratory chemistry bicarbonate
Bicarbonate Change From Baseline at Month 6Baseline, month 6Laboratory chemistry bicarbonate
Bicarbonate Change From Baseline at Month 12Baseline, month 12Laboratory chemistry bicarbonate
Magnesium Change From Baseline at Month 1Baseline, month 1Laboratory chemistry magnesium
Magnesium Change From Baseline at Month 6Baseline, month 6Laboratory chemistry magnesium
Magnesium Change From Baseline at Month 12Baseline, month 12Laboratory chemistry magnesium
Blood Urea Nitrogen Change From Baseline at Month 1Baseline, month 1Laboratory chemistry blood urea nitrogen
Blood Urea Nitrogen Change From Baseline at Month 6Baseline, month 6Laboratory chemistry blood urea nitrogen
Blood Urea Nitrogen Change From Baseline at Month 12Baseline, month 12Laboratory chemistry blood urea nitrogen
Creatinine Change From Baseline at Month 1Baseline, month 1Laboratory chemistry creatinine
Creatinine Change From Baseline at Month 6Baseline, month 6Laboratory chemistry creatinine
Creatinine Change From Baseline at Month 12Baseline, month 12Laboratory chemistry creatinine
Aspartate Amino Transferase Change From Baseline at Month 1Baseline, month 1Laboratory chemistry aspartate amino transferase
Aspartate Amino Transferase Change From Baseline at Month 6Baseline, month 6Laboratory chemistry aspartate amino transferase
Aspartate Amino Transferase Change From Baseline at Month 12Baseline, month 12Laboratory chemistry aspartate amino transferase
Alanine Amino Transferase Change From Baseline at Month 1Baseline, month 1Laboratory chemistry alanine amino transferase
Alanine Amino Transferase Change From Baseline at Month 6Baseline, month 6Laboratory chemistry alanine amino transferase
Alanine Amino Transferase Change From Baseline at Month 12Baseline, month 12Laboratory chemistry alanine amino transferase
Total Bilirubin Change From Baseline at Month 1Baseline, month 1Laboratory chemistry total bilirubin
Total Bilirubin Change From Baseline at Month 6Baseline, month 6Laboratory chemistry total bilirubin
Total Bilirubin Change From Baseline at Month 12Baseline, month 12Laboratory chemistry total bilirubin
Albumin Change From Baseline at Month 1Baseline, month 1Laboratory chemistry albumin
Albumin Change From Baseline at Month 6Baseline, month 6Laboratory chemistry albumin
Albumin Change From Baseline at Month 12Baseline, month 12Laboratory chemistry albumin
Total Protein Change From Baseline at Month 1Baseline, month 1Laboratory chemistry total protein
Total Protein Change From Baseline at Month 6Baseline, month 6Laboratory chemistry total protein
Total Protein Change From Baseline at Month 12Baseline, month 12Laboratory chemistry total protein
Glucose Change From Baseline at Month 1Baseline, month 1Laboratory chemistry glucose
Glucose Change From Baseline at Month 6Baseline, month 6Laboratory chemistry glucose
Glucose Change From Baseline at Month 12Baseline, month 12Laboratory chemistry glucose
Red Blood Cells Change From Baseline at Month 1Baseline, month 1Laboratory hematology red blood cells
Red Blood Cells Change From Baseline at Month 6Baseline, month 6Laboratory hematology red blood cells
Red Blood Cells Change From Baseline at Month 12Baseline, month 12Laboratory hematology red blood cells
Hemoglobin Change From Baseline at Month 1Baseline, month 1Laboratory hematology hemoglobin
Hemoglobin Change From Baseline at Month 6Baseline, month 6Laboratory hematology hemoglobin
Hemoglobin Change From Baseline at Month 12Baseline, month 12Laboratory hematology hemoglobin
Reticulocytes Change From Baseline at Month 1Baseline, month 1Laboratory hematology reticulocytes
Reticulocytes Change From Baseline at Month 6Baseline, month 6Laboratory hematology reticulocytes
Reticulocytes Change From Baseline at Month 12Baseline, month 12Laboratory hematology reticulocytes
Platelets Change From Baseline at Month 1Baseline, month 1Laboratory hematology platelets
Platelets Change From Baseline at Month 6Baseline, month 6Laboratory hematology platelets
Platelets Change From Baseline at Month 12Baseline, month 12Laboratory hematology platelets
White Blood Cells Change From Baseline at Month 1Baseline, month 1Laboratory hematology white blood cells
White Blood Cells Change From Baseline at Month 6Baseline, month 6Laboratory hematology white blood cells
White Blood Cells Change From Baseline at Month 12Baseline, month 12Laboratory hematology white blood cells
Total Neutrophils Change From Baseline at Month 1Baseline, month 1Laboratory hematology total neutrophils
Total Neutrophils Change From Baseline at Month 6Baseline, month 6Laboratory hematology total neutrophils
Total Neutrophils Change From Baseline at Month 12Baseline, month 12Laboratory hematology total neutrophils
Eosinophils Change From Baseline at Month 1Baseline, month 1Laboratory hematology eosinophils
Eosinophils Change From Baseline at Month 6Baseline, month 6Laboratory hematology eosinophils
Eosinophils Change From Baseline at Month 12Baseline, month 12Laboratory hematology eosinophils
Basophils Change From Baseline at Month 1Baseline, month 1Laboratory hematology basophils
Potassium Change From Baseline at Month 1Baseline, month 1Laboratory chemistry potassium
Basophils Change From Baseline at Month 12Baseline, month 12Laboratory hematology basophils
Lymphocytes Change From Baseline at Month 1Baseline, month 1Laboratory hematology lymphocytes
Lymphocytes Change From Baseline at Month 6Baseline, month 6Laboratory hematology lymphocytes
Lymphocytes Change From Baseline at Month 12Baseline, month 12Laboratory hematology lymphocytes
Monocytes Change From Baseline at Month 1Baseline, month 1Laboratory hematology monocytes
Monocytes Change From Baseline at Month 6Baseline, month 6Laboratory hematology monocytes
Monocytes Change From Baseline at Month 12Baseline, month 12Laboratory hematology monocytes
Number of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Day 1 to Month 12Participants with laboratory toxicity grade 3 (severe) or 4 (life-threatening), based on the Common Terminology Criteria for Adverse Events (CTCAE), version 3.0.
Basophils Change From Baseline at Month 6Baseline, month 6Laboratory hematology basophils

Participant flow

Recruitment details

Patients who successfully completed Study 20050141 (NCT00330460) were eligible to participate in this study. First Subject Enrolled: 30-May-2007 Last Subject Enrolled: 10-Sep-2007

Participants by arm

ArmCount
Denosumab - Vial
Participants received denosumab 60 mg subcutaneous injection using a standard vial on Day 1 and at Month 6.
155
Denosumab - Pre-filled Syringe
Participants received denosumab 60 mg subcutaneous injection using a pre-filled syringe on Day 1 and at Month 6.
156
Total311

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event12
Overall StudyLost to Follow-up65
Overall StudyOther01
Overall StudyPhysician Decision42
Overall StudyWithdrawal by Subject34

Baseline characteristics

CharacteristicDenosumab - VialDenosumab - Pre-filled SyringeTotal
Age Continuous62.5 Years
STANDARD_DEVIATION 8.5
62.9 Years
STANDARD_DEVIATION 8.9
62.7 Years
STANDARD_DEVIATION 8.7
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Asian
3 Participants3 Participants6 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants1 Participants5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
24 Participants18 Participants42 Participants
Race/Ethnicity, Customized
Japanese
0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
White or Caucasian
124 Participants131 Participants255 Participants
Sex: Female, Male
Female
155 Participants156 Participants311 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
32 / 15449 / 156
serious
Total, serious adverse events
7 / 15412 / 156

Outcome results

Primary

Number of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 6

An electrochemiluminescent bridging immunoassay was used to test blood samples for binding antibodies to denosumab.

Time frame: 6 months

Population: Patients who received ≥ 1 dose of investigational product, have a baseline and ≥ 1 post-baseline antibody assessment and did not have binding anti-denosumab antibodies present at baseline, and with evaluable antibody results at 6 months.

ArmMeasureValue (NUMBER)
Denosumab - VialNumber of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 60 Participants
Denosumab - Pre-filled SyringeNumber of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 60 Participants
95% CI: [-0.7, 0.7]
Secondary

Alanine Amino Transferase Change From Baseline at Month 1

Laboratory chemistry alanine amino transferase

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAlanine Amino Transferase Change From Baseline at Month 1-3.1 U/LStandard Deviation 25.7
Denosumab - Pre-filled SyringeAlanine Amino Transferase Change From Baseline at Month 10.5 U/LStandard Deviation 5.5
Secondary

Alanine Amino Transferase Change From Baseline at Month 12

Laboratory chemistry alanine amino transferase

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAlanine Amino Transferase Change From Baseline at Month 12-2.7 U/LStandard Deviation 28.8
Denosumab - Pre-filled SyringeAlanine Amino Transferase Change From Baseline at Month 121.5 U/LStandard Deviation 6.3
Secondary

Alanine Amino Transferase Change From Baseline at Month 6

Laboratory chemistry alanine amino transferase

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAlanine Amino Transferase Change From Baseline at Month 6-1.4 U/LStandard Deviation 27.8
Denosumab - Pre-filled SyringeAlanine Amino Transferase Change From Baseline at Month 64.2 U/LStandard Deviation 15.2
Secondary

Albumin Change From Baseline at Month 1

Laboratory chemistry albumin

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAlbumin Change From Baseline at Month 1-0.46 g/LStandard Deviation 1.68
Denosumab - Pre-filled SyringeAlbumin Change From Baseline at Month 1-0.40 g/LStandard Deviation 2.05
Secondary

Albumin Change From Baseline at Month 12

Laboratory chemistry albumin

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAlbumin Change From Baseline at Month 12-0.26 g/LStandard Deviation 1.82
Denosumab - Pre-filled SyringeAlbumin Change From Baseline at Month 120 g/LStandard Deviation 2.03
Secondary

Albumin Change From Baseline at Month 6

Laboratory chemistry albumin

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAlbumin Change From Baseline at Month 6-0.34 g/LStandard Deviation 1.92
Denosumab - Pre-filled SyringeAlbumin Change From Baseline at Month 6-0.51 g/LStandard Deviation 2.19
Secondary

Aspartate Amino Transferase Change From Baseline at Month 1

Laboratory chemistry aspartate amino transferase

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAspartate Amino Transferase Change From Baseline at Month 1-1.6 U/LStandard Deviation 13
Denosumab - Pre-filled SyringeAspartate Amino Transferase Change From Baseline at Month 10.4 U/LStandard Deviation 4.7
Secondary

Aspartate Amino Transferase Change From Baseline at Month 12

Laboratory chemistry aspartate amino transferase

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAspartate Amino Transferase Change From Baseline at Month 12-1.9 U/LStandard Deviation 13.5
Denosumab - Pre-filled SyringeAspartate Amino Transferase Change From Baseline at Month 120.2 U/LStandard Deviation 3.9
Secondary

Aspartate Amino Transferase Change From Baseline at Month 6

Laboratory chemistry aspartate amino transferase

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialAspartate Amino Transferase Change From Baseline at Month 6-1.6 U/LStandard Deviation 13.9
Denosumab - Pre-filled SyringeAspartate Amino Transferase Change From Baseline at Month 60.9 U/LStandard Deviation 7.7
Secondary

Basophils Change From Baseline at Month 1

Laboratory hematology basophils

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBasophils Change From Baseline at Month 10.001 10^9/LStandard Deviation 0.025
Denosumab - Pre-filled SyringeBasophils Change From Baseline at Month 10 10^9/LStandard Deviation 0.022
Secondary

Basophils Change From Baseline at Month 12

Laboratory hematology basophils

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBasophils Change From Baseline at Month 120.003 10^9/LStandard Deviation 0.026
Denosumab - Pre-filled SyringeBasophils Change From Baseline at Month 120.006 10^9/LStandard Deviation 0.024
Secondary

Basophils Change From Baseline at Month 6

Laboratory hematology basophils

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBasophils Change From Baseline at Month 60.012 10^9/LStandard Deviation 0.026
Denosumab - Pre-filled SyringeBasophils Change From Baseline at Month 60.012 10^9/LStandard Deviation 0.028
Secondary

Bicarbonate Change From Baseline at Month 1

Laboratory chemistry bicarbonate

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBicarbonate Change From Baseline at Month 1-0.3 mmol/LStandard Deviation 2.9
Denosumab - Pre-filled SyringeBicarbonate Change From Baseline at Month 10 mmol/LStandard Deviation 2.9
Secondary

Bicarbonate Change From Baseline at Month 12

Laboratory chemistry bicarbonate

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBicarbonate Change From Baseline at Month 12-0.6 mmol/LStandard Deviation 2.8
Denosumab - Pre-filled SyringeBicarbonate Change From Baseline at Month 12-0.1 mmol/LStandard Deviation 2.8
Secondary

Bicarbonate Change From Baseline at Month 6

Laboratory chemistry bicarbonate

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBicarbonate Change From Baseline at Month 60.2 mmol/LStandard Deviation 2.7
Denosumab - Pre-filled SyringeBicarbonate Change From Baseline at Month 60.1 mmol/LStandard Deviation 2.9
Secondary

Blood Urea Nitrogen Change From Baseline at Month 1

Laboratory chemistry blood urea nitrogen

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBlood Urea Nitrogen Change From Baseline at Month 10.01 mmol/LStandard Deviation 1.3
Denosumab - Pre-filled SyringeBlood Urea Nitrogen Change From Baseline at Month 1-0.04 mmol/LStandard Deviation 1.38
Secondary

Blood Urea Nitrogen Change From Baseline at Month 12

Laboratory chemistry blood urea nitrogen

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBlood Urea Nitrogen Change From Baseline at Month 120.27 mmol/LStandard Deviation 1.44
Denosumab - Pre-filled SyringeBlood Urea Nitrogen Change From Baseline at Month 12-0.02 mmol/LStandard Deviation 1.5
Secondary

Blood Urea Nitrogen Change From Baseline at Month 6

Laboratory chemistry blood urea nitrogen

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialBlood Urea Nitrogen Change From Baseline at Month 60.09 mmol/LStandard Deviation 1.4
Denosumab - Pre-filled SyringeBlood Urea Nitrogen Change From Baseline at Month 60.11 mmol/LStandard Deviation 1.49
Secondary

Chloride Change From Baseline at Month 1

Laboratory chemistry chloride

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialChloride Change From Baseline at Month 1-0.1 mmol/LStandard Deviation 2.1
Denosumab - Pre-filled SyringeChloride Change From Baseline at Month 10.2 mmol/LStandard Deviation 1.9
Secondary

Chloride Change From Baseline at Month 12

Laboratory chemistry chloride

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialChloride Change From Baseline at Month 12-0.2 mmol/LStandard Deviation 2.1
Denosumab - Pre-filled SyringeChloride Change From Baseline at Month 120 mmol/LStandard Deviation 2.5
Secondary

Chloride Change From Baseline at Month 6

Laboratory chemistry chloride

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialChloride Change From Baseline at Month 6-0.9 mmol/LStandard Deviation 2.3
Denosumab - Pre-filled SyringeChloride Change From Baseline at Month 6-0.4 mmol/LStandard Deviation 2
Secondary

Creatinine Change From Baseline at Month 1

Laboratory chemistry creatinine

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialCreatinine Change From Baseline at Month 10.24 umol/LStandard Deviation 8.01
Denosumab - Pre-filled SyringeCreatinine Change From Baseline at Month 10.12 umol/LStandard Deviation 7.76
Secondary

Creatinine Change From Baseline at Month 12

Laboratory chemistry creatinine

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialCreatinine Change From Baseline at Month 121.40 umol/LStandard Deviation 9.53
Denosumab - Pre-filled SyringeCreatinine Change From Baseline at Month 120.76 umol/LStandard Deviation 8.28
Secondary

Creatinine Change From Baseline at Month 6

Laboratory chemistry creatinine

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialCreatinine Change From Baseline at Month 6-0.19 umol/LStandard Deviation 8.52
Denosumab - Pre-filled SyringeCreatinine Change From Baseline at Month 6-1.29 umol/LStandard Deviation 8.23
Secondary

Eosinophils Change From Baseline at Month 1

Laboratory hematology eosinophils

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialEosinophils Change From Baseline at Month 1-0.002 10^9/LStandard Deviation 0.065
Denosumab - Pre-filled SyringeEosinophils Change From Baseline at Month 1-0.010 10^9/LStandard Deviation 0.059
Secondary

Eosinophils Change From Baseline at Month 12

Laboratory hematology eosinophils

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialEosinophils Change From Baseline at Month 12-0.008 10^9/LStandard Deviation 0.071
Denosumab - Pre-filled SyringeEosinophils Change From Baseline at Month 120.025 10^9/LStandard Deviation 0.436
Secondary

Eosinophils Change From Baseline at Month 6

Laboratory hematology eosinophils

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialEosinophils Change From Baseline at Month 60.020 10^9/LStandard Deviation 0.075
Denosumab - Pre-filled SyringeEosinophils Change From Baseline at Month 60.013 10^9/LStandard Deviation 0.104
Secondary

Glucose Change From Baseline at Month 1

Laboratory chemistry glucose

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialGlucose Change From Baseline at Month 1-0.08 mmol/LStandard Deviation 1.27
Denosumab - Pre-filled SyringeGlucose Change From Baseline at Month 10.03 mmol/LStandard Deviation 0.69
Secondary

Glucose Change From Baseline at Month 12

Laboratory chemistry glucose

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialGlucose Change From Baseline at Month 12-0.06 mmol/LStandard Deviation 1.27
Denosumab - Pre-filled SyringeGlucose Change From Baseline at Month 120.08 mmol/LStandard Deviation 0.92
Secondary

Glucose Change From Baseline at Month 6

Laboratory chemistry glucose

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialGlucose Change From Baseline at Month 6-0.08 mmol/LStandard Deviation 1.37
Denosumab - Pre-filled SyringeGlucose Change From Baseline at Month 60.05 mmol/LStandard Deviation 0.8
Secondary

Hemoglobin Change From Baseline at Month 1

Laboratory hematology hemoglobin

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialHemoglobin Change From Baseline at Month 1-0.97 g/LStandard Deviation 6
Denosumab - Pre-filled SyringeHemoglobin Change From Baseline at Month 1-0.42 g/LStandard Deviation 6.24
Secondary

Hemoglobin Change From Baseline at Month 12

Laboratory hematology hemoglobin

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialHemoglobin Change From Baseline at Month 12-1.74 g/LStandard Deviation 6.09
Denosumab - Pre-filled SyringeHemoglobin Change From Baseline at Month 12-0.22 g/LStandard Deviation 6.62
Secondary

Hemoglobin Change From Baseline at Month 6

Laboratory hematology hemoglobin

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialHemoglobin Change From Baseline at Month 60.84 g/LStandard Deviation 5.83
Denosumab - Pre-filled SyringeHemoglobin Change From Baseline at Month 60.96 g/LStandard Deviation 6.34
Secondary

Lymphocytes Change From Baseline at Month 1

Laboratory hematology lymphocytes

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialLymphocytes Change From Baseline at Month 10.12 10^9/LStandard Deviation 0.43
Denosumab - Pre-filled SyringeLymphocytes Change From Baseline at Month 10.04 10^9/LStandard Deviation 0.4
Secondary

Lymphocytes Change From Baseline at Month 12

Laboratory hematology lymphocytes

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialLymphocytes Change From Baseline at Month 120.08 10^9/LStandard Deviation 0.41
Denosumab - Pre-filled SyringeLymphocytes Change From Baseline at Month 120.06 10^9/LStandard Deviation 0.36
Secondary

Lymphocytes Change From Baseline at Month 6

Laboratory hematology lymphocytes

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialLymphocytes Change From Baseline at Month 60.01 10^9/LStandard Deviation 0.37
Denosumab - Pre-filled SyringeLymphocytes Change From Baseline at Month 6-0.06 10^9/LStandard Deviation 0.45
Secondary

Magnesium Change From Baseline at Month 1

Laboratory chemistry magnesium

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialMagnesium Change From Baseline at Month 10.001 mmol/LStandard Deviation 0.092
Denosumab - Pre-filled SyringeMagnesium Change From Baseline at Month 1-0.010 mmol/LStandard Deviation 0.08
Secondary

Magnesium Change From Baseline at Month 12

Laboratory chemistry magnesium

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialMagnesium Change From Baseline at Month 12-0.053 mmol/LStandard Deviation 0.062
Denosumab - Pre-filled SyringeMagnesium Change From Baseline at Month 12-0.055 mmol/LStandard Deviation 0.074
Secondary

Magnesium Change From Baseline at Month 6

Laboratory chemistry magnesium

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialMagnesium Change From Baseline at Month 6-0.053 mmol/LStandard Deviation 0.073
Denosumab - Pre-filled SyringeMagnesium Change From Baseline at Month 6-0.064 mmol/LStandard Deviation 0.08
Secondary

Monocytes Change From Baseline at Month 1

Laboratory hematology monocytes

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialMonocytes Change From Baseline at Month 10 10^9/LStandard Deviation 0.12
Denosumab - Pre-filled SyringeMonocytes Change From Baseline at Month 10.01 10^9/LStandard Deviation 0.11
Secondary

Monocytes Change From Baseline at Month 12

Laboratory hematology monocytes

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialMonocytes Change From Baseline at Month 120.01 10^9/LStandard Deviation 0.13
Denosumab - Pre-filled SyringeMonocytes Change From Baseline at Month 120.03 10^9/LStandard Deviation 0.14
Secondary

Monocytes Change From Baseline at Month 6

Laboratory hematology monocytes

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialMonocytes Change From Baseline at Month 6-0.03 10^9/LStandard Deviation 0.14
Denosumab - Pre-filled SyringeMonocytes Change From Baseline at Month 6-0.03 10^9/LStandard Deviation 0.1
Secondary

Number of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 12

An electrochemiluminescent bridging immunoassay was used to test blood samples for binding antibodies to denosumab.

Time frame: 12 months

Population: Patients who received ≥ 1 dose of investigational product, have a baseline and ≥ 1 post-baseline antibody assessment and did not have binding anti-denosumab antibodies present at baseline, and with evaluable antibody results at 12 months.

ArmMeasureValue (NUMBER)
Denosumab - VialNumber of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 120 Participants
Denosumab - Pre-filled SyringeNumber of Participants Who Tested Positive for Anti-denosumab Antibodies at Month 120 Participants
95% CI: [-0.7, 0.7]
Secondary

Number of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3

Participants with laboratory toxicity grade 3 (severe) or 4 (life-threatening), based on the Common Terminology Criteria for Adverse Events (CTCAE), version 3.0.

Time frame: Day 1 to Month 12

Population: Patients who received ≥ 1 dose of investigational product.

ArmMeasureGroupValue (NUMBER)
Denosumab - VialNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Number of patients with CTCAE grade 3 or 42 Participants
Denosumab - VialNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Sodium - Grade 3 below normal (< 130 - 120 mmol/L)0 Participants
Denosumab - VialNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Potassium - Grade 3 above normal (>6.0-7.0 mmol/L)0 Participants
Denosumab - VialNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Magnesium -Grade 3 above normal (>1.23-3.30mmol/L)2 Participants
Denosumab - Pre-filled SyringeNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Magnesium -Grade 3 above normal (>1.23-3.30mmol/L)0 Participants
Denosumab - Pre-filled SyringeNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Number of patients with CTCAE grade 3 or 42 Participants
Denosumab - Pre-filled SyringeNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Potassium - Grade 3 above normal (>6.0-7.0 mmol/L)1 Participants
Denosumab - Pre-filled SyringeNumber of Participants With Laboratory Toxicity CTCAE Grade Greater or Equal to 3Sodium - Grade 3 below normal (< 130 - 120 mmol/L)1 Participants
Secondary

Number of Participants With Neutralizing Antibodies Against Denosumab at Month 12

Samples demonstrating reactivity for binding antibodies to denosumab were to be tested for neutralizing or inhibitory effects in a cell-based bioassay.

Time frame: Month 12

Population: Patients testing positive for binding antibodies to denosumab.

Secondary

Platelets Change From Baseline at Month 1

Laboratory hematology platelets

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialPlatelets Change From Baseline at Month 15.24 10^9/LStandard Deviation 33.2
Denosumab - Pre-filled SyringePlatelets Change From Baseline at Month 12.48 10^9/LStandard Deviation 36.2
Secondary

Platelets Change From Baseline at Month 12

Laboratory hematology platelets

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialPlatelets Change From Baseline at Month 1225.19 10^9/LStandard Deviation 42.07
Denosumab - Pre-filled SyringePlatelets Change From Baseline at Month 1215.60 10^9/LStandard Deviation 41.82
Secondary

Platelets Change From Baseline at Month 6

Laboratory hematology platelets

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialPlatelets Change From Baseline at Month 628.26 10^9/LStandard Deviation 32.16
Denosumab - Pre-filled SyringePlatelets Change From Baseline at Month 621.49 10^9/LStandard Deviation 53.82
Secondary

Potassium Change From Baseline at Month 1

Laboratory chemistry potassium

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialPotassium Change From Baseline at Month 10.02 mmol/LStandard Deviation 0.37
Denosumab - Pre-filled SyringePotassium Change From Baseline at Month 10 mmol/LStandard Deviation 0.39
Secondary

Potassium Change From Baseline at Month 12

Laboratory chemistry potassium

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialPotassium Change From Baseline at Month 120.07 mmol/LStandard Deviation 0.4
Denosumab - Pre-filled SyringePotassium Change From Baseline at Month 120.04 mmol/LStandard Deviation 0.4
Secondary

Potassium Change From Baseline at Month 6

Laboratory chemistry potassium

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialPotassium Change From Baseline at Month 60.01 mmol/LStandard Deviation 0.43
Denosumab - Pre-filled SyringePotassium Change From Baseline at Month 6-0.07 mmol/LStandard Deviation 0.4
Secondary

Red Blood Cells Change From Baseline at Month 1

Laboratory hematology red blood cells

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialRed Blood Cells Change From Baseline at Month 10 10^12/LStandard Deviation 0.21
Denosumab - Pre-filled SyringeRed Blood Cells Change From Baseline at Month 10.02 10^12/LStandard Deviation 0.23
Secondary

Red Blood Cells Change From Baseline at Month 12

Laboratory hematology red blood cells

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialRed Blood Cells Change From Baseline at Month 12-0.01 10^12/LStandard Deviation 0.22
Denosumab - Pre-filled SyringeRed Blood Cells Change From Baseline at Month 120.02 10^12/LStandard Deviation 0.23
Secondary

Red Blood Cells Change From Baseline at Month 6

Laboratory hematology red blood cells

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialRed Blood Cells Change From Baseline at Month 60.04 10^12/LStandard Deviation 0.22
Denosumab - Pre-filled SyringeRed Blood Cells Change From Baseline at Month 60.04 10^12/LStandard Deviation 0.22
Secondary

Reticulocytes Change From Baseline at Month 1

Laboratory hematology reticulocytes

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialReticulocytes Change From Baseline at Month 13.70 10^9/LStandard Deviation 17.68
Denosumab - Pre-filled SyringeReticulocytes Change From Baseline at Month 11.69 10^9/LStandard Deviation 17.41
Secondary

Reticulocytes Change From Baseline at Month 12

Laboratory hematology reticulocytes

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialReticulocytes Change From Baseline at Month 1219.09 10^9/LStandard Deviation 19.82
Denosumab - Pre-filled SyringeReticulocytes Change From Baseline at Month 1215.08 10^9/LStandard Deviation 19.73
Secondary

Reticulocytes Change From Baseline at Month 6

Laboratory hematology reticulocytes

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialReticulocytes Change From Baseline at Month 619.54 10^9/LStandard Deviation 19.22
Denosumab - Pre-filled SyringeReticulocytes Change From Baseline at Month 615.21 10^9/LStandard Deviation 20.69
Secondary

Sodium Change From Baseline at Month 1

Laboratory chemistry sodium

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialSodium Change From Baseline at Month 1-0.1 mmol/LStandard Deviation 2
Denosumab - Pre-filled SyringeSodium Change From Baseline at Month 10.1 mmol/LStandard Deviation 1.7
Secondary

Sodium Change From Baseline at Month 12

Sodium Change From Baseline at Month 12

Time frame: Baseline, Month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialSodium Change From Baseline at Month 12-0.9 mmol/LStandard Deviation 2.1
Denosumab - Pre-filled SyringeSodium Change From Baseline at Month 12-0.6 mmol/LStandard Deviation 2
Secondary

Sodium Change From Baseline at Month 6

Laboratory chemistry sodium

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialSodium Change From Baseline at Month 6-1.2 mmol/LStandard Deviation 2
Denosumab - Pre-filled SyringeSodium Change From Baseline at Month 6-0.9 mmol/LStandard Deviation 1.8
Secondary

Total Bilirubin Change From Baseline at Month 1

Laboratory chemistry total bilirubin

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Bilirubin Change From Baseline at Month 1-0.35 umol/LStandard Deviation 2.53
Denosumab - Pre-filled SyringeTotal Bilirubin Change From Baseline at Month 1-0.02 umol/LStandard Deviation 2.47
Secondary

Total Bilirubin Change From Baseline at Month 12

Laboratory chemistry total bilirubin

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Bilirubin Change From Baseline at Month 120.16 umol/LStandard Deviation 2.68
Denosumab - Pre-filled SyringeTotal Bilirubin Change From Baseline at Month 120.64 umol/LStandard Deviation 2.74
Secondary

Total Bilirubin Change From Baseline at Month 6

Laboratory chemistry total bilirubin

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Bilirubin Change From Baseline at Month 6-0.30 umol/LStandard Deviation 2.54
Denosumab - Pre-filled SyringeTotal Bilirubin Change From Baseline at Month 6-0.20 umol/LStandard Deviation 2.67
Secondary

Total Neutrophils Change From Baseline at Month 1

Laboratory hematology total neutrophils

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Neutrophils Change From Baseline at Month 10.11 10^9/LStandard Deviation 0.85
Denosumab - Pre-filled SyringeTotal Neutrophils Change From Baseline at Month 1-0.03 10^9/LStandard Deviation 1.1
Secondary

Total Neutrophils Change From Baseline at Month 12

Laboratory hematology total neutrophils

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Neutrophils Change From Baseline at Month 120.38 10^9/LStandard Deviation 1.15
Denosumab - Pre-filled SyringeTotal Neutrophils Change From Baseline at Month 120.12 10^9/LStandard Deviation 1.18
Secondary

Total Neutrophils Change From Baseline at Month 6

Laboratory hematology total neutrophils

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Neutrophils Change From Baseline at Month 60.21 10^9/LStandard Deviation 1.23
Denosumab - Pre-filled SyringeTotal Neutrophils Change From Baseline at Month 6-0.02 10^9/LStandard Deviation 1.23
Secondary

Total Protein Change From Baseline at Month 1

Laboratory chemistry total protein

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Protein Change From Baseline at Month 1-0.59 g/LStandard Deviation 2.67
Denosumab - Pre-filled SyringeTotal Protein Change From Baseline at Month 1-0.54 g/LStandard Deviation 3.45
Secondary

Total Protein Change From Baseline at Month 12

Laboratory chemistry total protein

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Protein Change From Baseline at Month 12-1.35 g/LStandard Deviation 2.84
Denosumab - Pre-filled SyringeTotal Protein Change From Baseline at Month 12-0.91 g/LStandard Deviation 3.28
Secondary

Total Protein Change From Baseline at Month 6

Laboratory chemistry total protein

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialTotal Protein Change From Baseline at Month 6-0.58 g/LStandard Deviation 3
Denosumab - Pre-filled SyringeTotal Protein Change From Baseline at Month 6-0.80 g/LStandard Deviation 3.33
Secondary

White Blood Cells Change From Baseline at Month 1

Laboratory hematology white blood cells

Time frame: Baseline, month 1

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 1.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialWhite Blood Cells Change From Baseline at Month 10.23 10^9/LStandard Deviation 1.07
Denosumab - Pre-filled SyringeWhite Blood Cells Change From Baseline at Month 10.01 10^9/LStandard Deviation 1.26
Secondary

White Blood Cells Change From Baseline at Month 12

Laboratory hematology white blood cells

Time frame: Baseline, month 12

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 12.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialWhite Blood Cells Change From Baseline at Month 120.47 10^9/LStandard Deviation 1.38
Denosumab - Pre-filled SyringeWhite Blood Cells Change From Baseline at Month 120.24 10^9/LStandard Deviation 1.47
Secondary

White Blood Cells Change From Baseline at Month 6

Laboratory hematology white blood cells

Time frame: Baseline, month 6

Population: Subjects who received ≥ 1 dose of investigational product with non-missing baseline and non-missing month 6.

ArmMeasureValue (MEAN)Dispersion
Denosumab - VialWhite Blood Cells Change From Baseline at Month 60.22 10^9/LStandard Deviation 1.38
Denosumab - Pre-filled SyringeWhite Blood Cells Change From Baseline at Month 6-0.08 10^9/LStandard Deviation 1.47

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