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Phase 2 Study of BA058 (Abaloparatide) Transdermal Delivery in Postmenopausal Women With Osteoporosis

A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study of BA058 Administered Via a Coated Transdermal Microarray Delivery System (BA058 Transdermal) in Healthy Postmenopausal Women With Osteoporosis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01674621
Enrollment
250
Registered
2012-08-29
Start date
2012-09-25
Completion date
2013-08-02
Last updated
2020-06-16

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

Conditions

Post Menopausal Osteoporosis

Keywords

BA058, Abaloparatide-SC, abaloparatide, Abaloparatide-TD, Osteo, Osteoporosis, Transdermal, Patch

Brief summary

To determine the clinical safety and efficacy of abaloparatide transdermal in otherwise healthy postmenopausal women with osteoporosis as assessed by changes in bone mineral density (BMD) and serum markers of bone metabolism when compared to transdermal placebo and abaloparatide injection for 6 months of treatment.

Interventions

DRUGAbaloparatide Transdermal (50 mcg)

Abaloparatide Transdermal Microneedle Active Patch

DRUGAbaloparatide Transdermal (100 mcg)

Abaloparatide Transdermal Microneedle Active Patch

DRUGAbaloparatide Transdermal (150 mcg)

Abaloparatide Transdermal Microneedle Active Patch

Abaloparatide Subcutaneous Injection

DRUGAbaloparatide Placebo

Abaloparatide Transdermal Microneedle Placebo Patch

Sponsors

Nordic Bioscience A/S
CollaboratorINDUSTRY
Radius Health, Inc.
Lead SponsorINDUSTRY

Study design

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

Masking description

Since the abaloparatide injection arm was administered subcutaneously (SC), it was not possible to blind this arm of the study. Therefore, abaloparatide-SC was considered a reference drug, but the centralized BMD assessments and bone marker evaluations remained blinded to all treatment assignments.

Eligibility

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

Inclusion criteria

* Postmenopausal woman, less than 85 years old. * BMD T-score ≤-2.5 of spine or hip (femoral neck) or ≤-2.0 with previous fracture (within 5 years). * Normal physical exam, vital signs, electrocardiogram (ECG), and medical history. * Laboratory tests within the normal range, including serum calcium, Vitamin D, parathyroid hormone (PTH) (1-84), serum phosphorus, and alkaline phosphatase.

Exclusion criteria

* BMD T-score ≤-5.0 at the lumbar spine or hip. * History of bone disorders (for example, Paget's disease) other than postmenopausal osteoporosis. * Significantly impaired renal function. * History of any cancer.

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 MonthsBaseline, 6 MonthsPercent change in BMD as specified by dual energy x-ray absorptiometry (DXA) scans of the lumbar spine.

Secondary

MeasureTime frameDescription
Percent Change From Baseline in BMD of Forearm at 6 MonthsBaseline, 6 MonthsPercent change in BMD as specified by DXA scans of the forearm.
Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 MonthsBaseline, 6 Months
Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 MonthsBaseline, 6 Months
Percent Change From Baseline in Serum Osteocalcin at 6 MonthsBaseline, 6 Months
Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 MonthsBaseline, 6 Months
Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 MonthsBaseline, 6 Months
Percent Change From Baseline in BMD of Total Hip at 6 MonthsBaseline, 6 MonthsPercent change in BMD as specified by DXA scans of the total hip.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesBaseline up to 7 MonthsVital sign parameters included respiration rate (breaths/minute), body temperature (°C), systolic blood pressure (SBP) and diastolic blood pressure (DBP) (mmHg), and heart rate (bpm). Number of participants for each TEAE is presented. The same participant may be included in more than one TEAE category. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test ResultBaseline up to 7 MonthsThe following ECG parameters were recorded: rhythm, heart rate, PR interval, QRS duration and QT/QTc. ECG results that were considered clinically meaningful were to be determined by the Investigator. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 4Baseline up to 6 MonthsHematology laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: white blood cell (Grade 3: 1.0-1.9\*10\^9/liter \[L\]; Grade 4 \<1.0\*10\^9/L), platelets (Grade 3: 25.0-49.9\*10\^9/L; Grade 4: \<25.0\*10\^9/L), haemoglobin (Grade 3: 65.0-79.0 grams \[g\]/L or 4.0-4.9 mmol/L; Grade 4: \<65.0 g/L or \<4.0 millimole \[mmol\]/L), granulocytes/bands (Grade 3: 0.5-0.9\*10\^9/L; Grade 4: \<0.5\*10\^9/L), lymphocytes (Grade 3: 0.5-0.9\*10\^9/L; Grade 4: \<0.5 \*10\^9/L), haemorrhage (Grade 3: gross, 3 - 4 units transfusion per episode; Grade 4: massive, \> 4 units transfusion per episode). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 4Baseline up to 6 MonthsChemistry laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: sodium, potassium, chloride, inorganic phosphorus, albumin, total protein (Grade 3: 4 (+), \>1.0 g%, or \>10 g/L; Grade 4: nephrotic syndrome), glucose, blood urea nitrogen (BUN), creatinine (Grade 3: 3.1-6.0\*normal; Grade 4: \>6.0\*normal), uric acid, aspartate aminotransferase (AST) (Grade 3: 5.1-20.0 units \[U\]/L\*normal, Grade 4: \>20.0 U/L\*normal), alanine aminotransferase (ALT) (Grade 3: 5.1-20.0 U/L\*normal; Grade 4: \>20.0 U/L\*normal), gamma-glutamyltranspeptidase (GGT), creatine phosphokinase (CPK), alkaline phosphatase (Grade 3: 5.1-20.0 U/L\*normal; Grade 4: \>20.0 U/L\*normal), total bilirubin (Grade 3: 1.5-3.0\*normal; Grade 4: \>3.0\*normal), lactate dehydrogenase (LDH), cholesterol, triglycerides, total calcium. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 4Baseline up to 6 MonthsCoagulation laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: prothrombin time (quick) (Grade 3: 1.51%-2.00%\*normal, Grade 4: \>2.00%\*normal), partial thromboplastin time (Grade 3: 2.34-3.00 seconds \[sec\], Grade 4: \>3.00 secs\*normal). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Baseline up to 6 MonthsA full physical examination included, at a minimum: general appearance, skin, head/ears/eyes/nose/throat, lungs/chest, breasts, heart, abdomen, lymph nodes, musculoskeletal, extremities, and neurologic. Physical examination results that were considered abnormal were determined by the Investigator. A summary of other non-serious adverse events (AEs) and all serious AEs (SAEs), regardless of causality is located in Reported AE section.

Countries

Denmark, Estonia, Poland, United States

Participant flow

Participants by arm

ArmCount
Abaloparatide Transdermal (50 mcg)
Abaloparatide Transdermal Microneedle Patch - 50 mcg daily applications for up to 6 months
47
Abaloparatide Transdermal (100 mcg)
Abaloparatide Transdermal Microneedle Patch - 100 mcg daily applications for up to 6 months
46
Abaloparatide Transdermal (150 mcg)
Abaloparatide Transdermal Microneedle Patch - 150 mcg daily applications for up to 6 months
43
Abaloparatide Injection (80 mcg)
Abaloparatide-SC Subcutaneous Injection - 80 mcg daily injections for up to 6 months
49
Abaloparatide Transdermal Placebo (0 mcg)
Abaloparatide Transdermal Microneedle Patch - 0 mcg daily applications for up to 6 months
46
Total231

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event32551
Overall StudyInability to Complete Study Procedures00002
Overall StudyOther than specified01002
Overall StudySevere Abaloparatide-SC Hypersensitivity00010
Overall StudyWithdrawal by Subject25201

Baseline characteristics

CharacteristicAbaloparatide Transdermal (50 mcg)Abaloparatide Transdermal (100 mcg)Abaloparatide Transdermal (150 mcg)Abaloparatide Injection (80 mcg)Abaloparatide Transdermal Placebo (0 mcg)Total
Age, Continuous65.9 years
STANDARD_DEVIATION 4.83
65.7 years
STANDARD_DEVIATION 5.26
66.3 years
STANDARD_DEVIATION 6.46
66.4 years
STANDARD_DEVIATION 5.48
66.5 years
STANDARD_DEVIATION 7.27
66.2 years
STANDARD_DEVIATION 5.87
Sex: Female, Male
Female
47 Participants46 Participants43 Participants49 Participants46 Participants231 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
40 / 5040 / 5137 / 4741 / 5139 / 50
serious
Total, serious adverse events
0 / 502 / 512 / 474 / 511 / 50

Outcome results

Primary

Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months

Percent change in BMD as specified by dual energy x-ray absorptiometry (DXA) scans of the lumbar spine.

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months1.87 Percent changeStandard Deviation 2.87
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months2.33 Percent changeStandard Deviation 2.96
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months2.95 Percent changeStandard Deviation 3.13
Abaloparatide Injection (80 mcg)Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months5.80 Percent changeStandard Deviation 4.21
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at 6 Months0.04 Percent changeStandard Deviation 2.47
p-value: 0.0066Dunnett's test
p-value: 0.0005Dunnett's test
p-value: <0.0001Dunnett's test
95% CI: [-5.555, -2.305]
95% CI: [-5.104, -1.837]
95% CI: [-4.519, -1.193]
Secondary

Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)

A full physical examination included, at a minimum: general appearance, skin, head/ears/eyes/nose/throat, lungs/chest, breasts, heart, abdomen, lymph nodes, musculoskeletal, extremities, and neurologic. Physical examination results that were considered abnormal were determined by the Investigator. A summary of other non-serious adverse events (AEs) and all serious AEs (SAEs), regardless of causality is located in Reported AE section.

Time frame: Baseline up to 6 Months

Population: Safety population included all participants who received 1 or more doses of study medication. The participants were analyzed as treated.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at 6 months0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at Screening7 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at Screening4 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at 6 months4 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at Screening0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at 6 months0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at Screening28 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at Screening21 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at 6 months1 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at 6 months29 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at 6 months23 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at Screening1 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at Screening6 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at 6 months0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at 6 months0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at 6 months6 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at Screening0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at Screening0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at Screening0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at 6 months6 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at 6 months7 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at 6 months0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at Screening8 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at 6 months26 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at 6 months0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at Screening7 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at Screening0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at 6 months7 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at Screening3 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at 6 months4 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at Screening0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at 6 months0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at Screening0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at 6 months10 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at Screening13 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at Screening3 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at Screening24 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at Screening0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at 6 months2 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at 6 months0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at 6 months1 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at Screening0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at Screening17 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at 6 months16 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at Screening2 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at 6 months3 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at Screening0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at 6 months0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at Screening3 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at 6 months3 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at Screening4 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at 6 months3 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at Screening1 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at 6 months0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at Screening7 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at 6 months7 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at Screening14 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at 6 months14 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at Screening0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at 6 months0 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at Screening5 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at 6 months3 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at 6 months3 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at 6 months0 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at 6 months4 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at Screening23 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at Screening1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at 6 months1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at Screening0 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at 6 months14 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at Screening3 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at 6 months25 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at Screening2 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at Screening4 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at 6 months1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at 6 months9 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at Screening9 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at 6 months4 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at Screening14 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at Screening1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at Screening1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at 6 months3 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at 6 months2 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at Screening0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Head at Screening1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lymph nodes at 6 months1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at 6 months17 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at Screening1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Skin at Screening21 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at Screening0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Columna at 6 months1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)General appearance at 6 months0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at Screening21 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Neurologic at 6 months1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at Screening11 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Breasts at 6 months10 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at 6 months0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Extremities at 6 months21 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Abdomen at Screening4 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Abnormal Physical Examinations at Screening and End of Treatment (6 Months)Lungs at Screening1 Participants
Secondary

Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result

The following ECG parameters were recorded: rhythm, heart rate, PR interval, QRS duration and QT/QTc. ECG results that were considered clinically meaningful were to be determined by the Investigator. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Baseline up to 7 Months

Population: Safety population included all participants who received 1 or more doses of study medication. The participants were analyzed as treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Abaloparatide Transdermal (50 mcg)Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result2 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With a Clinically Meaningful Abnormal Electrocardiogram (ECG) Test Result0 Participants
Secondary

Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 4

Chemistry laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: sodium, potassium, chloride, inorganic phosphorus, albumin, total protein (Grade 3: 4 (+), \>1.0 g%, or \>10 g/L; Grade 4: nephrotic syndrome), glucose, blood urea nitrogen (BUN), creatinine (Grade 3: 3.1-6.0\*normal; Grade 4: \>6.0\*normal), uric acid, aspartate aminotransferase (AST) (Grade 3: 5.1-20.0 units \[U\]/L\*normal, Grade 4: \>20.0 U/L\*normal), alanine aminotransferase (ALT) (Grade 3: 5.1-20.0 U/L\*normal; Grade 4: \>20.0 U/L\*normal), gamma-glutamyltranspeptidase (GGT), creatine phosphokinase (CPK), alkaline phosphatase (Grade 3: 5.1-20.0 U/L\*normal; Grade 4: \>20.0 U/L\*normal), total bilirubin (Grade 3: 1.5-3.0\*normal; Grade 4: \>3.0\*normal), lactate dehydrogenase (LDH), cholesterol, triglycerides, total calcium. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Baseline up to 6 Months

Population: Safety population included all participants who received 1 or more doses of study medication. The participants were analyzed as treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Abaloparatide Transdermal (50 mcg)Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 41 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Injection (80 mcg)Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With an Abnormal Clinical Chemistry Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Secondary

Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 4

Coagulation laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: prothrombin time (quick) (Grade 3: 1.51%-2.00%\*normal, Grade 4: \>2.00%\*normal), partial thromboplastin time (Grade 3: 2.34-3.00 seconds \[sec\], Grade 4: \>3.00 secs\*normal). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Baseline up to 6 Months

Population: Safety population included all participants who received 1 or more doses of study medication. The participants were analyzed as treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Abaloparatide Transdermal (50 mcg)Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Injection (80 mcg)Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With an Abnormal Clinical Coagulation Laboratory Parameter With an ECOG Score of Grade 3 or Grade 40 Participants
Secondary

Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 4

Hematology laboratory parameters that were evaluated via ECOG Grade 3 and Grade 4 criteria (presented in parentheses) included: white blood cell (Grade 3: 1.0-1.9\*10\^9/liter \[L\]; Grade 4 \<1.0\*10\^9/L), platelets (Grade 3: 25.0-49.9\*10\^9/L; Grade 4: \<25.0\*10\^9/L), haemoglobin (Grade 3: 65.0-79.0 grams \[g\]/L or 4.0-4.9 mmol/L; Grade 4: \<65.0 g/L or \<4.0 millimole \[mmol\]/L), granulocytes/bands (Grade 3: 0.5-0.9\*10\^9/L; Grade 4: \<0.5\*10\^9/L), lymphocytes (Grade 3: 0.5-0.9\*10\^9/L; Grade 4: \<0.5 \*10\^9/L), haemorrhage (Grade 3: gross, 3 - 4 units transfusion per episode; Grade 4: massive, \> 4 units transfusion per episode). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Baseline up to 6 Months

Population: Safety population included all participants who received 1 or more doses of study medication. The participants were analyzed as treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Abaloparatide Transdermal (50 mcg)Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 46 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 45 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 44 Participants
Abaloparatide Injection (80 mcg)Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 41 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With an Abnormal Clinical Hematology Laboratory Parameter With an Eastern Cooperative Oncology Group (ECOG) Score of Grade 3 or Grade 45 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign Changes

Vital sign parameters included respiration rate (breaths/minute), body temperature (°C), systolic blood pressure (SBP) and diastolic blood pressure (DBP) (mmHg), and heart rate (bpm). Number of participants for each TEAE is presented. The same participant may be included in more than one TEAE category. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Baseline up to 7 Months

Population: Safety population included all participants who received 1 or more doses of study medication. The participants were analyzed as treated.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Abaloparatide Transdermal (50 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDizziness0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHypertension0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesBlood Pressure Increased0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHeart Rate increased0 Participants
Abaloparatide Transdermal (50 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDyspnoea0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDyspnoea0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesBlood Pressure Increased0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHypertension1 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDizziness0 Participants
Abaloparatide Transdermal (100 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHeart Rate increased0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDyspnoea0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHypertension0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesBlood Pressure Increased1 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDizziness0 Participants
Abaloparatide Transdermal (150 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHeart Rate increased1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHeart Rate increased0 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHypertension0 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDizziness1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesBlood Pressure Increased1 Participants
Abaloparatide Injection (80 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDyspnoea1 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDizziness0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHypertension0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesHeart Rate increased0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesDyspnoea0 Participants
Abaloparatide Transdermal Placebo (0 mcg)Number of Participants With Treatment Emergent Adverse Events (TEAEs) That Occurred During the Study That Were Associated With Vital Sign ChangesBlood Pressure Increased0 Participants
Secondary

Percent Change From Baseline in BMD of Forearm at 6 Months

Percent change in BMD as specified by DXA scans of the forearm.

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in BMD of Forearm at 6 Months-0.24 Percent changeStandard Deviation 2.74
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in BMD of Forearm at 6 Months-0.16 Percent changeStandard Deviation 3.71
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in BMD of Forearm at 6 Months0.84 Percent changeStandard Deviation 2.96
Abaloparatide Injection (80 mcg)Percent Change From Baseline in BMD of Forearm at 6 Months0.33 Percent changeStandard Deviation 3.41
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in BMD of Forearm at 6 Months0.05 Percent changeStandard Deviation 3.18
p-value: 0.9493Dunnett's test
p-value: 0.9806Dunnett's test
p-value: 0.5191Dunnett's test
95% CI: [-2.168, 1.04]
95% CI: [-2.115, 1.15]
95% CI: [-1.106, 2.139]
Secondary

Percent Change From Baseline in BMD of Total Hip at 6 Months

Percent change in BMD as specified by DXA scans of the total hip.

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pre-treatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in BMD of Total Hip at 6 Months0.97 Percent changeStandard Deviation 1.95
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in BMD of Total Hip at 6 Months1.32 Percent changeStandard Deviation 1.96
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in BMD of Total Hip at 6 Months1.49 Percent changeStandard Deviation 1.73
Abaloparatide Injection (80 mcg)Percent Change From Baseline in BMD of Total Hip at 6 Months2.74 Percent changeStandard Deviation 3.05
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in BMD of Total Hip at 6 Months-0.02 Percent changeStandard Deviation 2.39
p-value: 0.0547Dunnett's test
p-value: 0.0056Dunnett's test
p-value: 0.0018Dunnett's test
95% CI: [-2.864, -0.672]
95% CI: [-2.522, -0.318]
95% CI: [-2.368, -0.126]
Secondary

Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months-4.84 Percent changeStandard Deviation 23.87
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months5.22 Percent changeStandard Deviation 43.66
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months-5.52 Percent changeStandard Deviation 37.86
Abaloparatide Injection (80 mcg)Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months17.30 Percent changeStandard Deviation 42.76
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) at 6 Months10.23 Percent changeStandard Deviation 64.93
p-value: 0.2549Dunnett's test
p-value: 0.9115Dunnett's test
p-value: 0.239Dunnett's test
95% CI: [-40.501, -3.79]
95% CI: [-30.543, 6.372]
95% CI: [-41.614, -4.041]
Secondary

Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months-2.61 Percent changeStandard Deviation 28.77
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months1.65 Percent changeStandard Deviation 48.66
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months-8.22 Percent changeStandard Deviation 54.84
Abaloparatide Injection (80 mcg)Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months41.11 Percent changeStandard Deviation 104.12
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (CTXI) at 6 Months9.42 Percent changeStandard Deviation 22.57
p-value: 0.3483Dunnett's test
p-value: 0.6839Dunnett's test
p-value: 0.1067Dunnett's test
95% CI: [-75.748, -11.694]
95% CI: [-71.665, -7.257]
95% CI: [-82.113, -16.555]
Secondary

Percent Change From Baseline in Serum Osteocalcin at 6 Months

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in Serum Osteocalcin at 6 Months-4.37 Percent changeStandard Deviation 19.36
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in Serum Osteocalcin at 6 Months6.67 Percent changeStandard Deviation 33.38
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in Serum Osteocalcin at 6 Months-3.83 Percent changeStandard Deviation 22.01
Abaloparatide Injection (80 mcg)Percent Change From Baseline in Serum Osteocalcin at 6 Months69.54 Percent changeStandard Deviation 81.79
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in Serum Osteocalcin at 6 Months-4.21 Percent changeStandard Deviation 27.55
p-value: 1Dunnett's test
p-value: 0.12Dunnett's test
p-value: 0.9998Dunnett's test
95% CI: [-96.926, -50.886]
95% CI: [-86.019, -39.725]
95% CI: [-96.927, -49.807]
Secondary

Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months-17.26 Percent changeStandard Deviation 22.86
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months-8.42 Percent changeStandard Deviation 29.51
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months-16.63 Percent changeStandard Deviation 25.11
Abaloparatide Injection (80 mcg)Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months10.28 Percent changeStandard Deviation 72.31
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in Serum Procollagen Type I C Propeptide (PICP) at 6 Months-6.76 Percent changeStandard Deviation 31.35
p-value: 0.1632Dunnett's test
p-value: 0.9834Dunnett's test
p-value: 0.2179Dunnett's test
95% CI: [-48.557, -6.525]
95% CI: [-39.835, 2.43]
95% CI: [-48.424, -5.405]
Secondary

Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months

Time frame: Baseline, 6 Months

Population: mITT population included all participants with pretreatment and end-of-treatment evaluable radiologic assessments. The participants were analyzed as randomized.

ArmMeasureValue (MEAN)Dispersion
Abaloparatide Transdermal (50 mcg)Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months-12.76 Percent changeStandard Deviation 26.81
Abaloparatide Transdermal (100 mcg)Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months1.52 Percent changeStandard Deviation 57.29
Abaloparatide Transdermal (150 mcg)Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months-6.78 Percent changeStandard Deviation 38.91
Abaloparatide Injection (80 mcg)Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months97.64 Percent changeStandard Deviation 172.52
Abaloparatide Transdermal Placebo (0 mcg)Percent Change From Baseline in Serum Procollagen Type I N Propeptide (PINP) at 6 Months-7.26 Percent changeStandard Deviation 35.49
95% CI: [-152.079, -56.758]
p-value: 0.8569Dunnett's test
p-value: 0.6091Dunnett's test
p-value: 0.9999Dunnett's test
95% CI: [-156.966, -63.831]
95% CI: [-142.94, -49.29]

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