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A Study to Evaluate the Effect of Romosozumab (AMG 785) on Bone Quality of the Forearm in Postmenopausal Women With Low Bone Mass

A Randomized, Double-blind, Placebo-controlled, Multiple Dose Study to Evaluate the Effect of AMG 785 on Parameters of Bone Quality of the Forearm Using pQCT in Postmenopausal Women With Low Bone Mineral Density

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00950950
Enrollment
24
Registered
2009-08-03
Start date
2009-08-18
Completion date
2010-08-19
Last updated
2019-07-05

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

Conditions

Osteopenia

Keywords

Amgen, Postmenopausal, Bone Density

Brief summary

The purpose of this study is to evaluate the effect of romosozumab on parameters of bone quality of the forearm using peripheral quantitative computed tomography (pQCT) following multiple subcutaneous dose administrations of romosozumab in postmenopausal women with low bone mass.

Interventions

DRUGRomosozumab

Administered by subcutaneous injection

DRUGPlacebo

Administered by subcutaneous injection

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
FEMALE
Age
55 Years to 80 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy females between 55 to 80 years of age * Postmenopausal females (based on medical history) defined as 12 continuous months of spontaneous amenorrhea * Women 60 years of age and older will be considered postmenopausal * Women 55-59 must have a serum follicle-stimulating hormone result \> 40 mIU/mL and serum estradiol ≤ 20 pg/mL * Low bone mineral density (BMD), defined as a BMD T-score between -1.0 and -2.5 at the lumbar spine (L1-L4) and/or femoral neck * Weight ≤ 98 kg (216 lb) and/or height ≤ 196 cm (77 in) * 25-hydroxyvitamin D ≥ 20 ng/mL at screening * Willing and able to take ≥ 500 mg calcium and ≥ 400 IU (but ≤ 1,000 IU) vitamin D daily

Exclusion criteria

* Osteoporosis, defined as a BMD T-score ≤ -2.5 at the lumbar spine or femoral neck * History of vertebral fracture, or fragility fracture of the wrist, humerus, hip or pelvis * Diagnosed with any condition that will affect bone metabolism * Subjects with fewer than 2 evaluable vertebrae; metal in forearms bilaterally that would not allow for at least one evaluable forearm * Administration of the following medications within 6 months before study drug administration. This includes all routes of administration, for example intranasal and topical skin patches, unless otherwise noted: * Hormone replacement therapy \[(eg, estrogen, estrogen-like compounds such as raloxifene). Infrequent use of estrogen vaginal creams (\< 3 times per week) is allowed.\] * Calcitonin * Parathyroid hormone (or any derivative) * Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed) * Anabolic steroids * Calcitriol, and available analogues * Administration of daily, weekly, or monthly bisphosphonates (BP) unless meeting the following criteria: * \< 2 weeks of BP use requires a 2-month washout period * 2 weeks to 3 months of BP use requires a 9-month washout period * 3 to 6 months of BP use requires a 1-year washout period * \> 6 months of BP use requires a 3-year washout period; * Greatly differing levels of physical activity or constant levels of intense physical exercise during the 6 months before study drug administration * Known sensitivity to mammalian-derived drug preparations * Known to be hepatitis B surface antigen, hepatitis C virus or human Immunodeficiency virus (HIV) positive or a known diagnosis of acquired immunodeficiency syndrome (AIDS) * Any organic or psychiatric disorder, which, in the opinion of the investigator, poses a risk to subject safety and may prevent the subject from completing the study or interfere with the interpretation of the study results * Unavailable for follow-up assessment or any concerns for subject's compliance with the protocol procedures * Any other condition that might reduce the chance of obtaining data required by the protocol or that might compromise the ability to give truly informed consent * History or evidence of a clinically significant disorder, condition or disease that, in the opinion of the Investigator or Amgen physician would pose a risk to subject safety or interfere with the study evaluation, procedures or completion * Clinically significant abnormality during the screening physical examination, electrocardiogram (ECG) or laboratory evaluation * Participation in another clinical study within 4 weeks of screening or within 5 times the half-life of the investigational agent in the other clinical study, if known * Has donated or lost 400 mL or more of blood or plasma within 8 weeks of study drug administration * Previous AMG 785 exposure

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169The polar moment of inertia is a geometric measurement used to predict bone quality, specifically the ability to resist torsion (twisting), and is highly correlated with fracture load at the distal radius. The polar cross-sectional moment of inertia was assessed using peripheral quantitative computed tomography (pQCT), a 3-dimensional imaging technology which can be used for volumetric analysis of appendicular skeletal sites such as the arms and the legs. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Secondary

MeasureTime frameDescription
Percent Change From Baseline in Total Bone Mineral Content at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Total bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Total Bone Mineral Density at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Total bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Cortical Bone Area at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Cortical bone area was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Cortical bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Cortical bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Endocortical Circumference at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Endocortical circumference was derived from pQCT measurements based on applying a circular ring model to the cortical shell. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Periosteal Circumference at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Periosteal circumference was derived from pQCT measurements based on applying a circular ring model to the cortical shell. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Cortical Thickness at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Cortical thickness was derived from pQCT measurements based on applying a circular ring model to the cortical shell. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Polar Section Modulus at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Polar section modulus is a measurement of bone strength and was derived from pQCT measurements. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Polar Strength Strain Index at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169The polar strength strain index is a measurement of bone strength and was derived from pQCT measurements. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Axial Moment of Inertia at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Axial moment of inertia is an indicator of the ability of bone to resist bending, and was derived from pQCT measurements based on a circular ring model. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Total Bone Area at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169Total bone area was assessed using peripheral quantitative computed tomography (pQCT), a 3-dimensional imaging technology which can be used for volumetric analysis of appendicular skeletal sites such as the arms and the legs. The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169Total bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169Total bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169Trabecular bone area was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Total Bone Area at the Distal RadiusBaseline and days 29, 57, 85, 127, and 169Total bone area was assessed using peripheral quantitative computed tomography (pQCT), a 3-dimensional imaging technology which can be used for volumetric analysis of appendicular skeletal sites such as the arms and the legs. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169Trabecular bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169The polar strength strain index is a measurement of bone strength and was derived from pQCT measurements. The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.
Percent Change From Baseline in Bone Mineral Density at the One-third RadiusBaseline and days 29, 57, 85, 127, and 169Bone mineral density was assessed using dual energy x-ray absorptiometry (DXA). Scans were analyzed by a central reader.
Percent Change From Baseline in Bone Mineral Density at the Total WristBaseline and days 29, 57, 85, 127, and 169Bone mineral density was assessed using dual energy x-ray absorptiometry (DXA). Scans were analyzed by a central reader.
Percent Change From Baseline in Bone Mineral Density at the Total Lumbar SpineBaseline and days 85 and 169Bone mineral density was assessed using dual energy x-ray absorptiometry (DXA). Scans were analyzed by a central reader.
Percent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Baseline and days 4, 15, 29, 57, 62, 71, 85, 99, 127, and 169
Percent Change From Baseline in Serum C-Telopeptide (sCTX)Baseline and days 4, 15, 29, 57, 62, 71, 85, 99, 127, and 169
Time to Maximum Serum Concentration (Tmax) of RomosozumabFirst Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.
Maximum Serum Concentration (Cmax) of RomosozumabFirst Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.
Area Under the Serum Concentration-time Curve From Time 0 to Tau (AUC0-28)First Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL. The area under the serum drug concentration-time curve from time zero to tau (tau = 28 days) (AUC0-28) was calculated by the linear trapezoidal method.
Area Under the Serum Concentration-time Curve From Time 0 to Infinity (AUCinf)Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.
Apparent Clearance (CL/F) of RomosozumabLast Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.
Terminal Half-life (t1/2,z) of RomosozumabLast Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.
Accumulation RatioFirst Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169Accumulation ratio was calculated as the ratio of AUC0-28 after the last dose to AUC0-28 after the first dose.
Percent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusBaseline and days 29, 57, 85, 127, and 169Trabecular bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Participant flow

Recruitment details

This study was conducted at a single center in the United States.

Pre-assignment details

Participants were equally randomized to receive romosozumab or placebo.

Participants by arm

ArmCount
Placebo
Participants were randomized to receive matching placebo administered by subcutaneous injection once every 4 weeks (Q4W) for 3 months.
12
Romosozumab
Participants were randomized to receive 3 mg/kg romosozumab administered by subcutaneous injection once every 4 weeks (Q4W) for 3 months.
12
Total24

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicPlaceboRomosozumabTotal
Age, Continuous62.3 years
STANDARD_DEVIATION 5.6
65.6 years
STANDARD_DEVIATION 7.2
63.9 years
STANDARD_DEVIATION 6.5
Age, Customized
18 - 64 years
9 Participants6 Participants15 Participants
Age, Customized
65 - 74 years
3 Participants4 Participants7 Participants
Age, Customized
≥ 75 years
0 Participants2 Participants2 Participants
Polar Moment of Inertia1545.14 mm⁴1496.50 mm⁴1501.96 mm⁴
Race/Ethnicity, Customized
White
12 Participants12 Participants24 Participants
Sex: Female, Male
Female
12 Participants12 Participants24 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
10 / 1210 / 12
serious
Total, serious adverse events
1 / 121 / 12

Outcome results

Primary

Percent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal Radius

The polar moment of inertia is a geometric measurement used to predict bone quality, specifically the ability to resist torsion (twisting), and is highly correlated with fracture load at the distal radius. The polar cross-sectional moment of inertia was assessed using peripheral quantitative computed tomography (pQCT), a 3-dimensional imaging technology which can be used for volumetric analysis of appendicular skeletal sites such as the arms and the legs. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 57-1.03 percent changeStandard Error 1
PlaceboPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 127-1.93 percent changeStandard Error 1.22
PlaceboPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 85-2.28 percent changeStandard Error 1.21
PlaceboPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 169-1.66 percent changeStandard Error 1.22
PlaceboPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 29-1.16 percent changeStandard Error 1.4
RomosozumabPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 169-0.08 percent changeStandard Error 1.12
RomosozumabPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 290.16 percent changeStandard Error 0.95
RomosozumabPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 57-1.03 percent changeStandard Error 1.19
RomosozumabPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 851.45 percent changeStandard Error 1.03
RomosozumabPercent Change From Baseline in Polar Cross-sectional Moment of Inertia at the Distal RadiusDay 1270.87 percent changeStandard Error 0.89
Secondary

Accumulation Ratio

Accumulation ratio was calculated as the ratio of AUC0-28 after the last dose to AUC0-28 after the first dose.

Time frame: First Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureValue (MEAN)Dispersion
PlaceboAccumulation Ratio1.15 ratioStandard Deviation 0.27
Secondary

Apparent Clearance (CL/F) of Romosozumab

Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.

Time frame: Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureValue (MEAN)Dispersion
PlaceboApparent Clearance (CL/F) of Romosozumab5.82 mL/day/kgStandard Deviation 2.12
Secondary

Area Under the Serum Concentration-time Curve From Time 0 to Infinity (AUCinf)

Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.

Time frame: Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureValue (MEAN)Dispersion
PlaceboArea Under the Serum Concentration-time Curve From Time 0 to Infinity (AUCinf)590 μg*day/mLStandard Deviation 240
Secondary

Area Under the Serum Concentration-time Curve From Time 0 to Tau (AUC0-28)

Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL. The area under the serum drug concentration-time curve from time zero to tau (tau = 28 days) (AUC0-28) was calculated by the linear trapezoidal method.

Time frame: First Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboArea Under the Serum Concentration-time Curve From Time 0 to Tau (AUC0-28)First dose422 μg*day/mLStandard Deviation 75
PlaceboArea Under the Serum Concentration-time Curve From Time 0 to Tau (AUC0-28)Last dose501 μg*day/mLStandard Deviation 179
Secondary

Maximum Serum Concentration (Cmax) of Romosozumab

Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.

Time frame: First Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboMaximum Serum Concentration (Cmax) of RomosozumabFirst dose26.8 μg/mLStandard Deviation 6.4
PlaceboMaximum Serum Concentration (Cmax) of RomosozumabLast dose32.3 μg/mLStandard Deviation 9.6
Secondary

Percent Change From Baseline in Axial Moment of Inertia at the Distal Radius

Axial moment of inertia is an indicator of the ability of bone to resist bending, and was derived from pQCT measurements based on a circular ring model. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 57-0.19 percent changeStandard Error 0.74
PlaceboPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 127-0.90 percent changeStandard Error 0.65
PlaceboPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 85-1.90 percent changeStandard Error 1.09
PlaceboPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 169-1.25 percent changeStandard Error 0.75
PlaceboPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 29-0.22 percent changeStandard Error 0.91
RomosozumabPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 169-0.28 percent changeStandard Error 0.98
RomosozumabPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 29-0.23 percent changeStandard Error 0.73
RomosozumabPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 57-0.49 percent changeStandard Error 0.88
RomosozumabPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 850.94 percent changeStandard Error 0.83
RomosozumabPercent Change From Baseline in Axial Moment of Inertia at the Distal RadiusDay 1271.41 percent changeStandard Error 1.04
Secondary

Percent Change From Baseline in Bone Mineral Density at the One-third Radius

Bone mineral density was assessed using dual energy x-ray absorptiometry (DXA). Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 570.832 percent changeStandard Error 1.155
PlaceboPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 127-0.118 percent changeStandard Error 1.405
PlaceboPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 850.790 percent changeStandard Error 1.117
PlaceboPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 1691.866 percent changeStandard Error 0.905
PlaceboPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 291.715 percent changeStandard Error 0.808
RomosozumabPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 169-0.328 percent changeStandard Error 0.702
RomosozumabPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 291.210 percent changeStandard Error 0.814
RomosozumabPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 57-0.694 percent changeStandard Error 0.827
RomosozumabPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 85-1.941 percent changeStandard Error 0.986
RomosozumabPercent Change From Baseline in Bone Mineral Density at the One-third RadiusDay 127-0.439 percent changeStandard Error 1.346
Secondary

Percent Change From Baseline in Bone Mineral Density at the Total Lumbar Spine

Bone mineral density was assessed using dual energy x-ray absorptiometry (DXA). Scans were analyzed by a central reader.

Time frame: Baseline and days 85 and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total Lumbar SpineDay 850.345 percent changeStandard Error 1.224
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total Lumbar SpineDay 1690.149 percent changeStandard Error 0.905
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total Lumbar SpineDay 854.786 percent changeStandard Error 0.846
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total Lumbar SpineDay 1697.876 percent changeStandard Error 1.351
Secondary

Percent Change From Baseline in Bone Mineral Density at the Total Wrist

Bone mineral density was assessed using dual energy x-ray absorptiometry (DXA). Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total WristDay 291.829 percent changeStandard Error 0.617
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total WristDay 570.940 percent changeStandard Error 1.081
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total WristDay 850.233 percent changeStandard Error 0.996
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total WristDay 1270.001 percent changeStandard Error 1.081
PlaceboPercent Change From Baseline in Bone Mineral Density at the Total WristDay 1690.357 percent changeStandard Error 1.237
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total WristDay 169-0.649 percent changeStandard Error 0.522
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total WristDay 127-0.369 percent changeStandard Error 0.765
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total WristDay 57-1.651 percent changeStandard Error 0.574
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total WristDay 29-0.555 percent changeStandard Error 0.428
RomosozumabPercent Change From Baseline in Bone Mineral Density at the Total WristDay 85-1.690 percent changeStandard Error 0.733
Secondary

Percent Change From Baseline in Cortical Bone Area at the Distal Radius

Cortical bone area was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 127-1.41 percent changeStandard Error 0.81
PlaceboPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 29-0.27 percent changeStandard Error 0.58
PlaceboPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 169-1.59 percent changeStandard Error 0.58
PlaceboPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 57-0.05 percent changeStandard Error 0.54
PlaceboPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 85-1.39 percent changeStandard Error 0.77
RomosozumabPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 57-0.53 percent changeStandard Error 0.64
RomosozumabPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 850.69 percent changeStandard Error 0.67
RomosozumabPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 1270.28 percent changeStandard Error 0.63
RomosozumabPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 169-0.50 percent changeStandard Error 0.74
RomosozumabPercent Change From Baseline in Cortical Bone Area at the Distal RadiusDay 290.06 percent changeStandard Error 0.63
Secondary

Percent Change From Baseline in Cortical Bone Mineral Content at the Distal Radius

Cortical bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 169-1.69 percent changeStandard Error 0.55
PlaceboPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 57-0.29 percent changeStandard Error 0.52
PlaceboPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 29-0.33 percent changeStandard Error 0.57
PlaceboPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 85-1.08 percent changeStandard Error 0.66
PlaceboPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 127-1.45 percent changeStandard Error 0.82
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 127-0.66 percent changeStandard Error 0.57
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 85-0.07 percent changeStandard Error 0.66
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 169-1.29 percent changeStandard Error 0.67
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 290.07 percent changeStandard Error 0.46
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Content at the Distal RadiusDay 57-0.86 percent changeStandard Error 0.45
Secondary

Percent Change From Baseline in Cortical Bone Mineral Density at the Distal Radius

Cortical bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 169-0.10 percent changeStandard Error 0.23
PlaceboPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 29-0.06 percent changeStandard Error 0.1
PlaceboPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 57-0.24 percent changeStandard Error 0.21
PlaceboPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 850.32 percent changeStandard Error 0.24
PlaceboPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 127-0.04 percent changeStandard Error 0.23
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 127-0.92 percent changeStandard Error 0.4
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 85-0.76 percent changeStandard Error 0.23
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 290.02 percent changeStandard Error 0.21
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 169-0.79 percent changeStandard Error 0.31
RomosozumabPercent Change From Baseline in Cortical Bone Mineral Density at the Distal RadiusDay 57-0.32 percent changeStandard Error 0.28
Secondary

Percent Change From Baseline in Cortical Thickness at the Distal Radius

Cortical thickness was derived from pQCT measurements based on applying a circular ring model to the cortical shell. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 570.09 percent changeStandard Error 0.79
PlaceboPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 127-1.69 percent changeStandard Error 1.14
PlaceboPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 85-1.14 percent changeStandard Error 0.72
PlaceboPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 169-1.82 percent changeStandard Error 0.78
PlaceboPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 29-0.29 percent changeStandard Error 0.82
RomosozumabPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 169-0.62 percent changeStandard Error 1.09
RomosozumabPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 290.22 percent changeStandard Error 0.77
RomosozumabPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 57-0.56 percent changeStandard Error 0.85
RomosozumabPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 850.64 percent changeStandard Error 0.99
RomosozumabPercent Change From Baseline in Cortical Thickness at the Distal RadiusDay 127-0.31 percent changeStandard Error 0.8
Secondary

Percent Change From Baseline in Endocortical Circumference at the Distal Radius

Endocortical circumference was derived from pQCT measurements based on applying a circular ring model to the cortical shell. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 57-0.23 percent changeStandard Error 0.73
PlaceboPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 1270.77 percent changeStandard Error 0.8
PlaceboPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 85-0.03 percent changeStandard Error 0.39
PlaceboPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 1690.85 percent changeStandard Error 0.66
PlaceboPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 290.20 percent changeStandard Error 0.74
RomosozumabPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 1690.49 percent changeStandard Error 0.84
RomosozumabPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 29-0.19 percent changeStandard Error 0.5
RomosozumabPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 570.26 percent changeStandard Error 0.67
RomosozumabPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 85-0.07 percent changeStandard Error 0.72
RomosozumabPercent Change From Baseline in Endocortical Circumference at the Distal RadiusDay 1270.89 percent changeStandard Error 0.66
Secondary

Percent Change From Baseline in Periosteal Circumference at the Distal Radius

Periosteal circumference was derived from pQCT measurements based on applying a circular ring model to the cortical shell. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 57-0.04 percent changeStandard Error 0.24
PlaceboPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 1270.02 percent changeStandard Error 0.22
PlaceboPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 85-0.40 percent changeStandard Error 0.25
PlaceboPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 169-0.12 percent changeStandard Error 0.23
PlaceboPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 29-0.04 percent changeStandard Error 0.28
RomosozumabPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 169-0.02 percent changeStandard Error 0.35
RomosozumabPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 29-0.11 percent changeStandard Error 0.2
RomosozumabPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 57-0.07 percent changeStandard Error 0.28
RomosozumabPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 850.19 percent changeStandard Error 0.31
RomosozumabPercent Change From Baseline in Periosteal Circumference at the Distal RadiusDay 1270.43 percent changeStandard Error 0.33
Secondary

Percent Change From Baseline in Polar Section Modulus at the Distal Radius

Polar section modulus is a measurement of bone strength and was derived from pQCT measurements. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 57-0.11 percent changeStandard Error 1.08
PlaceboPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 127-2.31 percent changeStandard Error 1.55
PlaceboPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 85-2.14 percent changeStandard Error 1.4
PlaceboPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 169-1.67 percent changeStandard Error 1.14
PlaceboPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 290.18 percent changeStandard Error 0.78
RomosozumabPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 169-1.05 percent changeStandard Error 1.2
RomosozumabPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 290.02 percent changeStandard Error 0.78
RomosozumabPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 57-0.46 percent changeStandard Error 1.05
RomosozumabPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 850.93 percent changeStandard Error 1.22
RomosozumabPercent Change From Baseline in Polar Section Modulus at the Distal RadiusDay 1271.76 percent changeStandard Error 1.32
Secondary

Percent Change From Baseline in Polar Strength Strain Index at the Distal Radius

The polar strength strain index is a measurement of bone strength and was derived from pQCT measurements. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 57-1.32 percent changeStandard Error 0.75
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 127-0.71 percent changeStandard Error 0.95
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 850.36 percent changeStandard Error 0.99
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 169-0.41 percent changeStandard Error 0.98
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 29-1.85 percent changeStandard Error 0.81
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 169-1.25 percent changeStandard Error 0.78
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 29-0.78 percent changeStandard Error 0.51
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 57-1.47 percent changeStandard Error 1.21
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 85-1.91 percent changeStandard Error 1.49
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Distal RadiusDay 127-1.57 percent changeStandard Error 0.94
Secondary

Percent Change From Baseline in Polar Strength Strain Index at the Ultradistal Radius

The polar strength strain index is a measurement of bone strength and was derived from pQCT measurements. The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 851.08 percent changeStandard Error 1.71
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 127-0.87 percent changeStandard Error 1.29
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 169-0.25 percent changeStandard Error 1.61
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 292.69 percent changeStandard Error 2.36
PlaceboPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 572.28 percent changeStandard Error 1.47
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 571.28 percent changeStandard Error 2.06
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 85-0.90 percent changeStandard Error 2.3
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 29-0.14 percent changeStandard Error 1
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 127-0.89 percent changeStandard Error 1.95
RomosozumabPercent Change From Baseline in Polar Strength Strain Index at the Ultradistal RadiusDay 169-1.51 percent changeStandard Error 1.86
Secondary

Percent Change From Baseline in Serum C-Telopeptide (sCTX)

Time frame: Baseline and days 4, 15, 29, 57, 62, 71, 85, 99, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 577.87 percent changeStandard Error 6.49
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 46.62 percent changeStandard Error 4.33
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 15-2.29 percent changeStandard Error 5.15
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 29-3.19 percent changeStandard Error 8.83
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 628.69 percent changeStandard Error 5.78
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 715.60 percent changeStandard Error 5.59
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 85-3.00 percent changeStandard Error 7.94
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 99-9.14 percent changeStandard Error 8.17
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 127-10.00 percent changeStandard Error 8.91
PlaceboPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 169-3.61 percent changeStandard Error 8.95
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 9914.29 percent changeStandard Error 23.73
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 71-14.72 percent changeStandard Error 13.84
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 4-23.77 percent changeStandard Error 7.78
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 16916.06 percent changeStandard Error 20.53
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 15-33.10 percent changeStandard Error 8.85
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 854.85 percent changeStandard Error 19.28
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 29-21.42 percent changeStandard Error 13.98
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 577.26 percent changeStandard Error 16.28
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 1276.32 percent changeStandard Error 16.6
RomosozumabPercent Change From Baseline in Serum C-Telopeptide (sCTX)Day 62-12.67 percent changeStandard Error 15.15
Secondary

Percent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)

Time frame: Baseline and days 4, 15, 29, 57, 62, 71, 85, 99, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 4-4.40 percent changeStandard Error 6.13
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 153.46 percent changeStandard Error 5.64
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 29-0.33 percent changeStandard Error 3.44
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 57-6.93 percent changeStandard Error 4.52
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 620.27 percent changeStandard Error 9.2
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 7119.61 percent changeStandard Error 16.22
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 8523.83 percent changeStandard Error 17.11
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 9910.94 percent changeStandard Error 15.57
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 1275.49 percent changeStandard Error 10.26
PlaceboPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 16920.85 percent changeStandard Error 10.44
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 9917.07 percent changeStandard Error 11.79
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 436.37 percent changeStandard Error 10.02
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 71106.91 percent changeStandard Error 14.08
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 15146.39 percent changeStandard Error 20
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 16933.80 percent changeStandard Error 13.64
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 29101.85 percent changeStandard Error 19.97
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 8567.85 percent changeStandard Error 19.11
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 5774.77 percent changeStandard Error 10.91
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 12712.56 percent changeStandard Error 8.57
RomosozumabPercent Change From Baseline in Serum Procollagen Type 1 N-terminal Propeptide (P1NP)Day 6292.22 percent changeStandard Error 14.71
Secondary

Percent Change From Baseline in Total Bone Area at the Distal Radius

Total bone area was assessed using peripheral quantitative computed tomography (pQCT), a 3-dimensional imaging technology which can be used for volumetric analysis of appendicular skeletal sites such as the arms and the legs. The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 29-0.07 percent changeStandard Error 0.56
PlaceboPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 57-0.08 percent changeStandard Error 0.48
PlaceboPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 85-0.79 percent changeStandard Error 0.49
PlaceboPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 169-0.23 percent changeStandard Error 0.46
PlaceboPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 1270.05 percent changeStandard Error 0.43
RomosozumabPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 1270.87 percent changeStandard Error 0.66
RomosozumabPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 29-0.21 percent changeStandard Error 0.4
RomosozumabPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 850.38 percent changeStandard Error 0.61
RomosozumabPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 57-0.13 percent changeStandard Error 0.56
RomosozumabPercent Change From Baseline in Total Bone Area at the Distal RadiusDay 169-0.04 percent changeStandard Error 0.7
Secondary

Percent Change From Baseline in Total Bone Area at the Ultradistal Radius

Total bone area was assessed using peripheral quantitative computed tomography (pQCT), a 3-dimensional imaging technology which can be used for volumetric analysis of appendicular skeletal sites such as the arms and the legs. The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 85-0.27 percent changeStandard Error 2.37
PlaceboPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 29-2.30 percent changeStandard Error 3.64
PlaceboPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 127-0.43 percent changeStandard Error 2.46
PlaceboPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 1691.90 percent changeStandard Error 2.5
PlaceboPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 57-5.11 percent changeStandard Error 2.44
RomosozumabPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 1690.91 percent changeStandard Error 3.32
RomosozumabPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 29-0.72 percent changeStandard Error 2.35
RomosozumabPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 857.35 percent changeStandard Error 3.21
RomosozumabPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 1273.27 percent changeStandard Error 2.96
RomosozumabPercent Change From Baseline in Total Bone Area at the Ultradistal RadiusDay 57-0.01 percent changeStandard Error 3.66
Secondary

Percent Change From Baseline in Total Bone Mineral Content at the Distal Radius

Total bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 57-0.33 percent changeStandard Error 0.37
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 127-0.66 percent changeStandard Error 0.36
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 85-0.86 percent changeStandard Error 0.47
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 169-1.34 percent changeStandard Error 0.3
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 29-0.39 percent changeStandard Error 0.4
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 169-1.09 percent changeStandard Error 0.36
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 29-0.27 percent changeStandard Error 0.41
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 57-0.49 percent changeStandard Error 0.27
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 85-0.51 percent changeStandard Error 0.36
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Distal RadiusDay 127-0.43 percent changeStandard Error 0.37
Secondary

Percent Change From Baseline in Total Bone Mineral Content at the Ultradistal Radius

Total bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 1270.46 percent changeStandard Error 0.56
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 290.63 percent changeStandard Error 0.43
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 570.13 percent changeStandard Error 0.53
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 850.63 percent changeStandard Error 0.56
PlaceboPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 1690.15 percent changeStandard Error 0.59
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 169-0.64 percent changeStandard Error 0.97
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 851.16 percent changeStandard Error 0.39
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 29-0.30 percent changeStandard Error 0.7
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 127-0.14 percent changeStandard Error 0.46
RomosozumabPercent Change From Baseline in Total Bone Mineral Content at the Ultradistal RadiusDay 57-0.09 percent changeStandard Error 0.63
Secondary

Percent Change From Baseline in Total Bone Mineral Density at the Distal Radius

Total bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The distal slice was acquired at 20% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 57-0.24 percent changeStandard Error 0.38
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 127-0.69 percent changeStandard Error 0.48
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 85-0.07 percent changeStandard Error 0.19
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 169-0.10 percent changeStandard Error 0.42
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 29-0.30 percent changeStandard Error 0.48
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 169-1.02 percent changeStandard Error 0.55
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 29-0.06 percent changeStandard Error 0.3
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 57-0.34 percent changeStandard Error 0.44
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 85-0.86 percent changeStandard Error 0.53
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Distal RadiusDay 127-1.26 percent changeStandard Error 0.53
Secondary

Percent Change From Baseline in Total Bone Mineral Density at the Ultradistal Radius

Total bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 576.22 percent changeStandard Error 3.19
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 1271.43 percent changeStandard Error 2.35
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 851.52 percent changeStandard Error 2.64
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 169-1.14 percent changeStandard Error 2.72
PlaceboPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 294.45 percent changeStandard Error 4.42
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 169-0.81 percent changeStandard Error 2.59
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 290.91 percent changeStandard Error 1.97
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 571.19 percent changeStandard Error 2.98
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 85-4.95 percent changeStandard Error 2.33
RomosozumabPercent Change From Baseline in Total Bone Mineral Density at the Ultradistal RadiusDay 127-2.53 percent changeStandard Error 2.38
Secondary

Percent Change From Baseline in Trabecular Bone Area at the Ultradistal Radius

Trabecular bone area was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 29-3.54 percent changeStandard Error 5.68
PlaceboPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 127-1.86 percent changeStandard Error 4.01
PlaceboPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 57-8.06 percent changeStandard Error 3.86
PlaceboPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 1692.84 percent changeStandard Error 4.18
PlaceboPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 85-0.55 percent changeStandard Error 3.82
RomosozumabPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 1691.57 percent changeStandard Error 5.2
RomosozumabPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 8512.00 percent changeStandard Error 5.84
RomosozumabPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 29-0.64 percent changeStandard Error 3.59
RomosozumabPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 570.43 percent changeStandard Error 6.21
RomosozumabPercent Change From Baseline in Trabecular Bone Area at the Ultradistal RadiusDay 1275.60 percent changeStandard Error 5.22
Secondary

Percent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal Radius

Trabecular bone mineral content was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 57-9.52 percent changeStandard Error 4.68
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 127-0.70 percent changeStandard Error 6.15
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 851.02 percent changeStandard Error 5.51
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 1695.12 percent changeStandard Error 5.55
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 29-3.26 percent changeStandard Error 7.35
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 1691.74 percent changeStandard Error 6.71
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 29-0.52 percent changeStandard Error 4.78
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 570.02 percent changeStandard Error 7.61
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 8514.64 percent changeStandard Error 7.06
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Content at the Ultradistal RadiusDay 1275.68 percent changeStandard Error 6.54
Secondary

Percent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal Radius

Trabecular bone mineral density was assessed using peripheral quantitative computed tomography (pQCT). The ultradistal slice was acquired at 4% of the length of the ulna proximal to the radial endplate. Scans were analyzed by a central reader.

Time frame: Baseline and days 29, 57, 85, 127, and 169

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 57-1.98 percent changeStandard Error 1.16
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 1270.53 percent changeStandard Error 1.92
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 850.98 percent changeStandard Error 1.64
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 1691.74 percent changeStandard Error 1.47
PlaceboPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 29-0.78 percent changeStandard Error 1.88
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 169-0.51 percent changeStandard Error 1.64
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 29-0.34 percent changeStandard Error 1.33
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 57-1.30 percent changeStandard Error 1.59
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 852.00 percent changeStandard Error 0.88
RomosozumabPercent Change From Baseline in Trabecular Bone Mineral Density at the Ultradistal RadiusDay 127-0.49 percent changeStandard Error 1.19
Secondary

Terminal Half-life (t1/2,z) of Romosozumab

Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.

Time frame: Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureValue (MEAN)Dispersion
PlaceboTerminal Half-life (t1/2,z) of Romosozumab6.82 daysStandard Deviation 0.92
Secondary

Time to Maximum Serum Concentration (Tmax) of Romosozumab

Serum concentrations of romosozumab were measured by a validated enzyme-linked immunosorbent assay. The lower limit of quantification (LLOQ) was 50 ng/mL.

Time frame: First Dose: Day 1 (predose) and on days 4, 15, and 29 (predose). Last Dose: Days 57 (predose), 62, 71, 85, 99, 127, and 169

Population: All participants who received romosozumab and for whom the pharmacokinetic parameter could be calculated

ArmMeasureGroupValue (MEDIAN)
PlaceboTime to Maximum Serum Concentration (Tmax) of RomosozumabFirst dose3.0 days
PlaceboTime to Maximum Serum Concentration (Tmax) of RomosozumabLast dose5.0 days

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