Osteoporosis
Conditions
Keywords
Risedronate, cholecalciferol, BMD
Brief summary
The purpose of this study is to evaluate the efficacy and the safety of Risedronate, cholecalciferol combination tablet in patients with Osteoporosis.
Detailed description
The purpose of this study is to evaluate the efficacy and the safety of Risedronate with and without cholecalciferol on vitamin D status, Bone Mineral Density (BMD) and bone markers.
Interventions
Risendronate/Cholecalciferol combination once a week
Risedronate once a week
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male osteoporosis patients over 19 years of age 2. Female osteoporosis patients with menopause * Definition of osteoporosis * They had a BMD T-score -2.5 or less at mean Lumbar spine(L1-L4), Femoral neck or total. Or evidence of at least one vertebral fracture * Definition of menopause(can be one of three condition) * For 12months spontaneous amenorrhea * For 6months spontaneous amenorrhea with serum FSH(Follicle stimulating hormone) is 40mlU/mL and over * 6weeks after bilateral ovariectomy whether hysterectomy or not.
Exclusion criteria
1. Patients with esophagus disorder (i.e:esophagostenosis) 2. Patients administered with osteoporosis therapy(except calcium, Vit.D medication)within the previous 3 Months 3. Patients with serum calcium concentrations 8.0mg under 4. Patients with severe nephropathy (CCr 30mL/min less) 5. Patients with unable to sit upright or stand for 30minutes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Change of Bone Mineral Density (BMD) Value | baseline and 12 months | Higher Bone Mineral Density(BMD) value mean a better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Change of 25OHD(25-hydroxyvitamin D) | baseline, 6months, 12months | range of 25OHD: 4.80\ 52.80 Higher 25OHD scores mean a better outcome. If there is missing data, LOCF(Last Observation Carried Forward) was applied and analyzed. |
| PTH(Parathyroid Hormone Value) | baseline, 6months, 12months | range of PTH: 13\ 54 Higher PTH scores mean a worse outcome. If there is missing data, LOCF(Last Observation Carried Forward) was applied and analyzed. |
Countries
South Korea
Participant flow
Recruitment details
medical clinic
Pre-assignment details
wash out 7\ 14days
Participants by arm
| Arm | Count |
|---|---|
| Risendronate/Cholecalciferol Combination Risendronate/Cholecalciferol combination Risenex Plus tablet: one tablet once a week for 12months
Risedronate/Cholecalciferol combination: Risendronate/Cholecalciferol combination once a week | 806 |
| Risedronate Sedron tablet: one tablet once a week for 12months
Risedronate: Risedronate once a week | 247 |
| Total | 1,053 |
Baseline characteristics
| Characteristic | Risedronate | Total | Risendronate/Cholecalciferol Combination |
|---|---|---|---|
| Age, Continuous | 65.51 years STANDARD_DEVIATION 8.59 | 65.71 years STANDARD_DEVIATION 8.04 | 65.77 years STANDARD_DEVIATION 7.87 |
| Body Mass Index (BMI) | 23.00 kg/m^2 STANDARD_DEVIATION 3 | 23.31 kg/m^2 STANDARD_DEVIATION 3.25 | 23.40 kg/m^2 STANDARD_DEVIATION 3.32 |
| Osteoporosis disease period | 27.07 years STANDARD_DEVIATION 40.44 | 24.65 years STANDARD_DEVIATION 38.21 | 23.90 years STANDARD_DEVIATION 37.49 |
| Sex: Female, Male Female | 236 Participants | 990 Participants | 754 Participants |
| Sex: Female, Male Male | 11 Participants | 63 Participants | 52 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 9 / 806 | 1 / 247 |
| other Total, other adverse events | 61 / 806 | 29 / 247 |
| serious Total, serious adverse events | 61 / 806 | 19 / 247 |
Outcome results
The Change of Bone Mineral Density (BMD) Value
Higher Bone Mineral Density(BMD) value mean a better outcome.
Time frame: baseline and 12 months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Risendronate/Cholecalciferol Combination | The Change of Bone Mineral Density (BMD) Value | baseline | 0.77 g/cm^2 | Standard Deviation 0.11 |
| Risendronate/Cholecalciferol Combination | The Change of Bone Mineral Density (BMD) Value | 12 months | 0.81 g/cm^2 | Standard Deviation 0.12 |
| Risendronate/Cholecalciferol Combination | The Change of Bone Mineral Density (BMD) Value | change(12months-baseline) | 0.04 g/cm^2 | Standard Deviation 0.05 |
| Risedronate | The Change of Bone Mineral Density (BMD) Value | baseline | 0.77 g/cm^2 | Standard Deviation 0.1 |
| Risedronate | The Change of Bone Mineral Density (BMD) Value | 12 months | 0.80 g/cm^2 | Standard Deviation 0.11 |
| Risedronate | The Change of Bone Mineral Density (BMD) Value | change(12months-baseline) | 0.03 g/cm^2 | Standard Deviation 0.04 |
PTH(Parathyroid Hormone Value)
range of PTH: 13\ 54 Higher PTH scores mean a worse outcome. If there is missing data, LOCF(Last Observation Carried Forward) was applied and analyzed.
Time frame: baseline, 6months, 12months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Risendronate/Cholecalciferol Combination | PTH(Parathyroid Hormone Value) | PTH(6months) | 37.34 pg/ml | Standard Deviation 23.82 |
| Risendronate/Cholecalciferol Combination | PTH(Parathyroid Hormone Value) | PTH change(6months-baseline) | -2.78 pg/ml | Standard Deviation 23.36 |
| Risendronate/Cholecalciferol Combination | PTH(Parathyroid Hormone Value) | PTH(12months) | 39.17 pg/ml | Standard Deviation 19.37 |
| Risendronate/Cholecalciferol Combination | PTH(Parathyroid Hormone Value) | PTH change(12months-baseline) | -1.34 pg/ml | Standard Deviation 27.31 |
| Risendronate/Cholecalciferol Combination | PTH(Parathyroid Hormone Value) | PTH(baseline) | 40.48 pg/ml | Standard Deviation 30.95 |
| Risedronate | PTH(Parathyroid Hormone Value) | PTH change(12months-baseline) | 6.16 pg/ml | Standard Deviation 33.33 |
| Risedronate | PTH(Parathyroid Hormone Value) | PTH(baseline) | 39.17 pg/ml | Standard Deviation 34.04 |
| Risedronate | PTH(Parathyroid Hormone Value) | PTH(6months) | 42.40 pg/ml | Standard Deviation 27.79 |
| Risedronate | PTH(Parathyroid Hormone Value) | PTH(12months) | 45.27 pg/ml | Standard Deviation 23.68 |
| Risedronate | PTH(Parathyroid Hormone Value) | PTH change(6months-baseline) | 3.39 pg/ml | Standard Deviation 35.57 |
The Change of 25OHD(25-hydroxyvitamin D)
range of 25OHD: 4.80\ 52.80 Higher 25OHD scores mean a better outcome. If there is missing data, LOCF(Last Observation Carried Forward) was applied and analyzed.
Time frame: baseline, 6months, 12months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Risendronate/Cholecalciferol Combination | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD(6months) | 28.93 ng/ml | Standard Deviation 11.16 |
| Risendronate/Cholecalciferol Combination | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD change(6months-baseline) | 10.74 ng/ml | Standard Deviation 11.53 |
| Risendronate/Cholecalciferol Combination | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD(12months) | 30.57 ng/ml | Standard Deviation 11.89 |
| Risendronate/Cholecalciferol Combination | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD change(12months-baseline) | 12.33 ng/ml | Standard Deviation 13.33 |
| Risendronate/Cholecalciferol Combination | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD(baseline) | 18.23 ng/ml | Standard Deviation 11.59 |
| Risedronate | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD change(12months-baseline) | 0.53 ng/ml | Standard Deviation 12.74 |
| Risedronate | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD(baseline) | 17.83 ng/ml | Standard Deviation 10.99 |
| Risedronate | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD(6months) | 19.47 ng/ml | Standard Deviation 12.53 |
| Risedronate | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD(12months) | 18.35 ng/ml | Standard Deviation 11.73 |
| Risedronate | The Change of 25OHD(25-hydroxyvitamin D) | 25OHD change(6months-baseline) | 1.68 ng/ml | Standard Deviation 9.47 |