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A Study of Adherence to Once Monthly Ibandronate (Bonviva) in Women With Post-Menopausal Osteoporosis, Supported by a Patient Relationship Program (PRP)

A Randomized Open-Label Study to Investigate the Impact of Bone Marker Feedback at 3 Months on Adherence to Monthly Oral Bonviva in Women With Post-Menopausal Osteoporosis Supported by a Patient Relationship Program

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00545363
Enrollment
716
Registered
2007-10-17
Start date
2006-04-30
Completion date
2008-01-31
Last updated
2016-10-24

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

Conditions

Postmenopausal Osteoporosis

Brief summary

This 2 arm study will assess the impact of bone marker feedback (BMF), using serum carboxy-terminal collagen crosslinks (CTX) and communication of results at 3 months, on adherence to once monthly ibandronate (150 milligrams \[mg\] per oral \[po\]) in women with post-menopausal osteoporosis supported by patient-relationship program (PRP). Participants will be randomized either to receive BMF or no BMF; both groups will be supported by PRP. The anticipated time on study treatment is 3-12 months.

Interventions

DRUGIbandronate

Participants will receive ibandronate 150 mg QM orally for 6 months.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
55 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

* ambulatory, post-menopausal women with osteoporosis; * eligible for bisphosphonate treatment; * naïve to bisphosphonate therapy, or lapsed users (last bisphosphonate intake greater than or equal to \[\>=\] 6 months ago).

Exclusion criteria

* inability to stand or sit upright for at least 60 minutes; * inability to swallow a tablet whole; * hypersensitivity to bisphosphonates; * treatment with drugs, or presence of active disease, known to influence bone metabolism; * history of upper gastrointestinal disease.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Adherence to TreatmentUp to 6 monthsParticipants were considered adherent to treatment if they took at least 83 percent (%) of their assigned medications (5 of the 6 monthly ibandronate tablets) within the -1 to +21 days of their osteoporosis treatment date each month. Participant adherence was assessed by maintaining records of 'drug dispensed' and 'drug returned' on case report form (CRF) and participant's self-report on Visit 2 (Month 3) and final study visit (Month 6). A drug dispensing log was maintained by the investigator. Participants were instructed at the baseline visit and Visit 2 to save and return unused or partially used medication packages on Visit 2 and final study visit, respectively.

Secondary

MeasureTime frameDescription
Percentage of Participants With Osteoporosis Patient Satisfaction Questionnaire (OPSAT-Q) Composite Satisfaction High ScoresAt Month 6The OPSAT-Q is a validated questionnaire designed to capture satisfaction with bisphosphonate treatment. It comprises four domains: convenience (questions 1 - 6), quality of life (questions 7 and 8), overall satisfaction (questions 9 and 10), and side effects (questions 11 - 16). Satisfaction with treatment was assessed using the OPSAT-Q composite satisfaction score, which was the average of the scores from the four domains of the OPSAT-Q converted to a 0 - 100-point scale. Higher scores indicated greater treatment satisfaction. A score of 80 or more was considered as high score.
Percentage of Participants With Osteoporosis Patient Perception Survey (OPPS) and Osteoporosis Medical Care Satisfaction Questionnaire (OMSQ) Composite Satisfaction High ScoreAt Month 6OPPS: A standardized 6-item satisfaction questionnaire for osteoporosis medical care and treatment received during the study. Individual item score was transformed and converted to a 0 to 100 scale where higher score indicated greater satisfaction. The composite score was the average of individual item scores (transformed) and ranged from 0 to 100, where higher scores indicated greater satisfaction. OMSQ: A standardized 18-item satisfaction questionnaire for osteoporosis medical care, treatment received and blood test and their results during the study. Individual item score was transformed and converted to a 0 to 100 scale where higher score indicated greater satisfaction. The composite score was the average of individual item scores (transformed) and ranged from 0 to 100, where higher scores indicated greater satisfaction.
Percent Change From Baseline in CTX Based on Adherence to IbandronateBaseline, Month 6Serum CTX, a biochemical marker of bone resorption, was assessed for all participants at baseline and at final visit (Month 6). The sampling was done at the same time of the day each time to overcome the effect of circadian fluctuations. Participants were considered adherent to treatment if they took at least 83% of their assigned medications (5 of the 6 monthly ibandronate tablets) within the -1 to +21 days of their osteoporosis treatment date each month. Participant adherence was assessed by maintaining records of 'drug dispensed' and 'drug returned' on CRF and participant's self-report on Visit 2 (Month 3) and final study visit (Month 6). A drug dispensing log was maintained by the investigator. Participants were instructed at the baseline visit and Visit 2 to save and return unused or partially used medication packages on Visit 2 and final study visit, respectively.

Countries

Hungary, Latvia, Poland, Romania, Russia, Slovakia, Slovenia

Participant flow

Participants by arm

ArmCount
BMF Participants
Postmenopausal women received ibandronate 150 mg QM orally for 6 months. Participants, in this arm, received BMF at Month 3. BMF was given in terms of providing serum CTX level at Month 3. A BMF-form was provided to the physicians to allow offering the bone marker result in an easy way. Participants were informed that their results were within or outside of the desired range. In addition, participants were also supported by PRP, carried out by supplying alarm devices, specifically designed to support the participant's regular drug intake.
354
No BMF Participants
Postmenopausal women received ibandronate 150 mg QM orally for 6 months. Participants were supported by PRP, carried out by supplying alarm devices, specifically designed to support the participant's regular drug intake.
357
Total711

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event67
Overall StudyDid not meet entry criteria11
Overall StudyLost to Follow-up20
Overall StudyNon-compliance31
Overall StudyOther11
Overall StudyWithdrawal by Subject65

Baseline characteristics

CharacteristicBMF ParticipantsNo BMF ParticipantsTotal
Age, Continuous66.7 years
STANDARD_DEVIATION 7.12
65.6 years
STANDARD_DEVIATION 6.64
66.2 years
STANDARD_DEVIATION 6.9
Sex: Female, Male
Female
354 Participants357 Participants711 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
196 / 354224 / 357
serious
Total, serious adverse events
8 / 3545 / 357

Outcome results

Primary

Percentage of Participants With Adherence to Treatment

Participants were considered adherent to treatment if they took at least 83 percent (%) of their assigned medications (5 of the 6 monthly ibandronate tablets) within the -1 to +21 days of their osteoporosis treatment date each month. Participant adherence was assessed by maintaining records of 'drug dispensed' and 'drug returned' on case report form (CRF) and participant's self-report on Visit 2 (Month 3) and final study visit (Month 6). A drug dispensing log was maintained by the investigator. Participants were instructed at the baseline visit and Visit 2 to save and return unused or partially used medication packages on Visit 2 and final study visit, respectively.

Time frame: Up to 6 months

Population: Intent to treat (ITT) population included all randomized participants. Number of participants analyzed=number of participants evaluable for this outcome.

ArmMeasureValue (NUMBER)
BMF ParticipantsPercentage of Participants With Adherence to Treatment98.5 percentage of participants
No BMF ParticipantsPercentage of Participants With Adherence to Treatment98.6 percentage of participants
Secondary

Percentage of Participants With Osteoporosis Patient Perception Survey (OPPS) and Osteoporosis Medical Care Satisfaction Questionnaire (OMSQ) Composite Satisfaction High Score

OPPS: A standardized 6-item satisfaction questionnaire for osteoporosis medical care and treatment received during the study. Individual item score was transformed and converted to a 0 to 100 scale where higher score indicated greater satisfaction. The composite score was the average of individual item scores (transformed) and ranged from 0 to 100, where higher scores indicated greater satisfaction. OMSQ: A standardized 18-item satisfaction questionnaire for osteoporosis medical care, treatment received and blood test and their results during the study. Individual item score was transformed and converted to a 0 to 100 scale where higher score indicated greater satisfaction. The composite score was the average of individual item scores (transformed) and ranged from 0 to 100, where higher scores indicated greater satisfaction.

Time frame: At Month 6

Population: ITT population. Number of participants analyzed = participants evaluable for this outcome.

ArmMeasureValue (NUMBER)
BMF ParticipantsPercentage of Participants With Osteoporosis Patient Perception Survey (OPPS) and Osteoporosis Medical Care Satisfaction Questionnaire (OMSQ) Composite Satisfaction High Score74.9 percentage of participants
No BMF ParticipantsPercentage of Participants With Osteoporosis Patient Perception Survey (OPPS) and Osteoporosis Medical Care Satisfaction Questionnaire (OMSQ) Composite Satisfaction High Score72.2 percentage of participants
Comparison: Statistical analysis was done to compare the participant perception between the Biofeedback and No-feedback arms.p-value: =0.453ANOVA
Secondary

Percentage of Participants With Osteoporosis Patient Satisfaction Questionnaire (OPSAT-Q) Composite Satisfaction High Scores

The OPSAT-Q is a validated questionnaire designed to capture satisfaction with bisphosphonate treatment. It comprises four domains: convenience (questions 1 - 6), quality of life (questions 7 and 8), overall satisfaction (questions 9 and 10), and side effects (questions 11 - 16). Satisfaction with treatment was assessed using the OPSAT-Q composite satisfaction score, which was the average of the scores from the four domains of the OPSAT-Q converted to a 0 - 100-point scale. Higher scores indicated greater treatment satisfaction. A score of 80 or more was considered as high score.

Time frame: At Month 6

Population: ITT population. Number of participants analyzed = participants evaluable for this outcome.

ArmMeasureValue (NUMBER)
BMF ParticipantsPercentage of Participants With Osteoporosis Patient Satisfaction Questionnaire (OPSAT-Q) Composite Satisfaction High Scores87.72 percentage of participants
No BMF ParticipantsPercentage of Participants With Osteoporosis Patient Satisfaction Questionnaire (OPSAT-Q) Composite Satisfaction High Scores87.62 percentage of participants
Comparison: Statistical analysis was done to compare the participant satisfaction between the Biofeedback and No-feedback arms.p-value: =0.8989ANOVA
Secondary

Percent Change From Baseline in CTX Based on Adherence to Ibandronate

Serum CTX, a biochemical marker of bone resorption, was assessed for all participants at baseline and at final visit (Month 6). The sampling was done at the same time of the day each time to overcome the effect of circadian fluctuations. Participants were considered adherent to treatment if they took at least 83% of their assigned medications (5 of the 6 monthly ibandronate tablets) within the -1 to +21 days of their osteoporosis treatment date each month. Participant adherence was assessed by maintaining records of 'drug dispensed' and 'drug returned' on CRF and participant's self-report on Visit 2 (Month 3) and final study visit (Month 6). A drug dispensing log was maintained by the investigator. Participants were instructed at the baseline visit and Visit 2 to save and return unused or partially used medication packages on Visit 2 and final study visit, respectively.

Time frame: Baseline, Month 6

Population: ITT population. Number of participants analyzed = participants evaluable for this outcome and n represents number of participants analyzed for the specified category.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
BMF ParticipantsPercent Change From Baseline in CTX Based on Adherence to IbandronateAdherence-Yes (n=279, 281)-47.5 percent change
BMF ParticipantsPercent Change From Baseline in CTX Based on Adherence to IbandronateAdherence-No (n=1, 6)-71.74 percent change
No BMF ParticipantsPercent Change From Baseline in CTX Based on Adherence to IbandronateAdherence-Yes (n=279, 281)-47.5 percent change
No BMF ParticipantsPercent Change From Baseline in CTX Based on Adherence to IbandronateAdherence-No (n=1, 6)-25.8 percent change
Comparison: Statistical analysis was done to compare the effect of adherence (Yes/No) on percent change from baseline in CTX between the Biofeedback and No-feedback arms.p-value: =0.4917ANOVA

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