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Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Denosumab (AMG 162) in Japanese Postmenopausal Women

A Randomized, Double-blind, Placebo-controlled, Single-dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AMG 162 Administered Subcutaneously to Japanese Postmenopausal Women

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03822078
Enrollment
45
Registered
2019-01-30
Start date
2003-09-30
Completion date
2004-12-24
Last updated
2019-07-24

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

Conditions

Osteoporosis

Keywords

Postmenopausal, Denosumab

Brief summary

The primary objective was to evaluate the safety and tolerability of denosumab (AMG 162) after a single subcutaneous administration in Japanese postmenopausal women.

Interventions

DRUGPlacebo

Administered by subcutaneous injection

BIOLOGICALDenosumab

Administered by subcutaneous injection

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

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

Eligibility

Healthy volunteers
No

Inclusion criteria

* ambulatory women between the ages of 40 and 64 years, inclusive * postmenopausal, defined as amenorrheic for at least 24 months * clinically acceptable physical exam * clinical laboratory tests (complete blood count \[CBC\], blood chemistries, urinalysis) within normal limits or clinically acceptable to the investigator/sponsor at the time of screening with the exception of aspartate transaminase (AST) and alkaline phosphatase (ALT), which must be \< 1.25 times the upper limit of normal, or gamma-glutamyl transpeptidase (GGT), which must be \< 1.5 times the upper limit of normal * normal or clinically acceptable electrocardiogram (ECG) (12-lead reporting ventricular rate and PR, QRS, QT, and QTc intervals) * body mass index between 17 and 27 * willing to sign an approved informed consent form before any study-specific assessments and oral consultations are performed

Exclusion criteria

* administration of medications within 6 months before investigational product administration that are known to effect bone metabolism, including but not limited to the following: calcitonin, parathyroid hormone (or any derivative), supplemental vitamin D (\> 1000 IU/day), glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the date of informed consent were allowed), anabolic steroids, calcitriol and available analogues, diuretics * administration of the following medications within 12 months before study drug administration: bisphosphonates, fluoride for osteoporosis * diagnosed with any condition that affects bone metabolism * greatly differing levels of physical activity compared with the 6 months before investigational product administration or constant levels of intense physical activities * routine alcohol intake of ≥ 2 drinks/day, on average, within 6 months of investigational product administration * known sensitivity to any drugs * positive test results for hepatitis B surface antigen, hepatitis C virus, human immunodeficiency virus antigen/antibody, syphilis * receiving or received any investigational drug (or was currently using an investigational device) within 4 months before receiving investigational product * donated any amount of blood within 16 weeks, or over 400 mL (Note: not 400 mL but 200 mL, for the subjects who were to be enrolled into cohorts 4 or 5) within 1 year of the start day of screening * subject had previously entered this study * any other condition that might have reduced the chance of obtaining data (eg, known poor compliance) required by the protocol or that might have compromised the ability to give truly informed consent

Design outcomes

Primary

MeasureTime frame
Number of Participants With Adverse EventsFrom day 1 up to 4 months for participants assigned to the 0.03 or 0.1 mg/kg dose cohorts, up to 6 months for participants assigned to the 0.3 mg/kg dose cohort and for up to 9 months for participants assigned to the 1.0 or 3.0 mg/kg dose cohorts

Secondary

MeasureTime frame
Area Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of DenosumabDay 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts
Maximum Observed Concentration of Denosumab (Cmax)Day 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts
Time to Maximum Observed Concentration (Tmax) of DenosumabDay 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts
Mean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum ConcentrationDay 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts
Percent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Baseline and day 2, 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113 (for all dose cohorts), 141, 169 (0.3, 1.0, and 3.0 mg/kg cohorts only), 197, 225, 253, 281, and 309 (1.0 and 3.0 mg/kg cohorts only).
Percent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Baseline and day 8, 15, 22, 29, 43, 57, 71, 85, 99, 113 (for all dose cohorts), 141, 169 (0.3, 1.0, and 3.0 mg/kg cohorts only), 197, 225, and 253, 281, and 309 (1.0 and 3.0 mg/kg cohorts only)
Percent Change From Baseline in Intact Parathyroid Hormone (iPTH)Baseline and day 2, 3, 5, 8, 15, 29, 57, 85, 99, 113 (for all dose cohorts), 141, 169 (0.3, 1.0, and 3.0 mg/kg cohorts only), 197, 225, 253, 281, and 309 (1.0 and 3.0 mg/kg cohorts only)
Apparent Clearance (CL/F) of DenosumabDay 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts

Participant flow

Recruitment details

This study was conducted at one clinical center in Japan.

Pre-assignment details

The study consisted of 5 dose cohorts of 8 participants. Within each dose cohort 6 participants were randomly assigned to receive denosumab and 2 participants to receive placebo.

Participants by arm

ArmCount
Placebo
Participants received a single subcutaneous injection of placebo to denosumab on day 1.
12
Denosumab 0.03 mg/kg
Participants received a single subcutaneous injection of 0.03 mg/kg denosumab on day 1.
6
Denosumab 0.1 mg/kg
Participants received a single subcutaneous injection of 0.1 mg/kg denosumab on day 1.
6
Denosumab 0.3 mg/kg
Participants received a single subcutaneous injection of 0.3 mg/kg denosumab on day 1.
8
Denosumab 1.0 mg/kg
Participants received a single subcutaneous injection of 1.0 mg/kg denosumab on day 1.
7
Denosumab 3.0 mg/kg
Participants received a single subcutaneous injection of 3.0 mg/kg denosumab on day 1.
6
Total45

Baseline characteristics

CharacteristicPlaceboDenosumab 0.03 mg/kgDenosumab 0.1 mg/kgDenosumab 0.3 mg/kgDenosumab 1.0 mg/kgDenosumab 3.0 mg/kgTotal
Age, Continuous59.83 years
STANDARD_DEVIATION 2.86
59.67 years
STANDARD_DEVIATION 2.34
59.50 years
STANDARD_DEVIATION 3.39
58.88 years
STANDARD_DEVIATION 3.8
56.43 years
STANDARD_DEVIATION 3.95
58.67 years
STANDARD_DEVIATION 2.34
58.91 years
STANDARD_DEVIATION 3.22
Race/Ethnicity, Customized
Japanese
12 Participants6 Participants6 Participants8 Participants7 Participants6 Participants45 Participants
Sex: Female, Male
Female
12 Participants6 Participants6 Participants8 Participants7 Participants6 Participants45 Participants
Sex: Female, Male
Male
0 Participants0 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
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
6 / 102 / 63 / 65 / 66 / 65 / 621 / 30
serious
Total, serious adverse events
0 / 100 / 60 / 60 / 60 / 60 / 60 / 30

Outcome results

Primary

Number of Participants With Adverse Events

Time frame: From day 1 up to 4 months for participants assigned to the 0.03 or 0.1 mg/kg dose cohorts, up to 6 months for participants assigned to the 0.3 mg/kg dose cohort and for up to 9 months for participants assigned to the 1.0 or 3.0 mg/kg dose cohorts

Population: All treated participants

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Adverse EventsAny adverse event6 Participants
PlaceboNumber of Participants With Adverse EventsTreatment-related adverse events4 Participants
PlaceboNumber of Participants With Adverse EventsDiscontinuation due to adverse events0 Participants
PlaceboNumber of Participants With Adverse EventsSerious adverse events0 Participants
PlaceboNumber of Participants With Adverse EventsDeaths on study0 Participants
Denosumab 0.03 mg/kgNumber of Participants With Adverse EventsSerious adverse events0 Participants
Denosumab 0.03 mg/kgNumber of Participants With Adverse EventsDiscontinuation due to adverse events0 Participants
Denosumab 0.03 mg/kgNumber of Participants With Adverse EventsTreatment-related adverse events0 Participants
Denosumab 0.03 mg/kgNumber of Participants With Adverse EventsAny adverse event2 Participants
Denosumab 0.03 mg/kgNumber of Participants With Adverse EventsDeaths on study0 Participants
Denosumab 0.1 mg/kgNumber of Participants With Adverse EventsAny adverse event3 Participants
Denosumab 0.1 mg/kgNumber of Participants With Adverse EventsDeaths on study0 Participants
Denosumab 0.1 mg/kgNumber of Participants With Adverse EventsDiscontinuation due to adverse events0 Participants
Denosumab 0.1 mg/kgNumber of Participants With Adverse EventsSerious adverse events0 Participants
Denosumab 0.1 mg/kgNumber of Participants With Adverse EventsTreatment-related adverse events1 Participants
Denosumab 0.3 mg/kgNumber of Participants With Adverse EventsTreatment-related adverse events3 Participants
Denosumab 0.3 mg/kgNumber of Participants With Adverse EventsDiscontinuation due to adverse events0 Participants
Denosumab 0.3 mg/kgNumber of Participants With Adverse EventsDeaths on study0 Participants
Denosumab 0.3 mg/kgNumber of Participants With Adverse EventsAny adverse event5 Participants
Denosumab 0.3 mg/kgNumber of Participants With Adverse EventsSerious adverse events0 Participants
Denosumab 1.0 mg/kgNumber of Participants With Adverse EventsAny adverse event6 Participants
Denosumab 1.0 mg/kgNumber of Participants With Adverse EventsTreatment-related adverse events4 Participants
Denosumab 1.0 mg/kgNumber of Participants With Adverse EventsDeaths on study0 Participants
Denosumab 1.0 mg/kgNumber of Participants With Adverse EventsSerious adverse events0 Participants
Denosumab 1.0 mg/kgNumber of Participants With Adverse EventsDiscontinuation due to adverse events0 Participants
Denosumab 3.0 mg/kgNumber of Participants With Adverse EventsDeaths on study0 Participants
Denosumab 3.0 mg/kgNumber of Participants With Adverse EventsDiscontinuation due to adverse events0 Participants
Denosumab 3.0 mg/kgNumber of Participants With Adverse EventsSerious adverse events0 Participants
Denosumab 3.0 mg/kgNumber of Participants With Adverse EventsTreatment-related adverse events4 Participants
Denosumab 3.0 mg/kgNumber of Participants With Adverse EventsAny adverse event5 Participants
Secondary

Apparent Clearance (CL/F) of Denosumab

Time frame: Day 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts

Population: All participants who received denosumab

ArmMeasureValue (MEAN)Dispersion
PlaceboApparent Clearance (CL/F) of Denosumab15.3 mL/day/kgStandard Deviation 4.2
Denosumab 0.03 mg/kgApparent Clearance (CL/F) of Denosumab8.31 mL/day/kgStandard Deviation 4.97
Denosumab 0.1 mg/kgApparent Clearance (CL/F) of Denosumab3.72 mL/day/kgStandard Deviation 0.89
Denosumab 0.3 mg/kgApparent Clearance (CL/F) of Denosumab2.20 mL/day/kgStandard Deviation 0.56
Denosumab 1.0 mg/kgApparent Clearance (CL/F) of Denosumab1.85 mL/day/kgStandard Deviation 0.58
Secondary

Area Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of Denosumab

Time frame: Day 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts

Population: All participants who received denosumab

ArmMeasureValue (MEAN)Dispersion
PlaceboArea Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of Denosumab2.06 μg*day/mLStandard Deviation 0.53
Denosumab 0.03 mg/kgArea Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of Denosumab15.2 μg*day/mLStandard Deviation 6.7
Denosumab 0.1 mg/kgArea Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of Denosumab84.3 μg*day/mLStandard Deviation 20.1
Denosumab 0.3 mg/kgArea Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of Denosumab481 μg*day/mLStandard Deviation 131
Denosumab 1.0 mg/kgArea Under the Serum Concentration Time Curve From Time 0 to Time of Last Quantifiable Serum Concentration (AUC0-t) of Denosumab1790 μg*day/mLStandard Deviation 650
Secondary

Maximum Observed Concentration of Denosumab (Cmax)

Time frame: Day 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts

ArmMeasureValue (MEAN)Dispersion
PlaceboMaximum Observed Concentration of Denosumab (Cmax)99.6 ng/mLStandard Deviation 25.8
Denosumab 0.03 mg/kgMaximum Observed Concentration of Denosumab (Cmax)492 ng/mLStandard Deviation 166
Denosumab 0.1 mg/kgMaximum Observed Concentration of Denosumab (Cmax)1910 ng/mLStandard Deviation 658
Denosumab 0.3 mg/kgMaximum Observed Concentration of Denosumab (Cmax)8690 ng/mLStandard Deviation 2170
Denosumab 1.0 mg/kgMaximum Observed Concentration of Denosumab (Cmax)27400 ng/mLStandard Deviation 7880
Secondary

Mean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum Concentration

Time frame: Day 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts

Population: All participants who received denosumab

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum Concentration15.5 daysStandard Deviation 4.7
Denosumab 0.03 mg/kgMean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum Concentration22.5 daysStandard Deviation 3.9
Denosumab 0.1 mg/kgMean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum Concentration33.6 daysStandard Deviation 5.8
Denosumab 0.3 mg/kgMean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum Concentration42.6 daysStandard Deviation 7
Denosumab 1.0 mg/kgMean Residence Time (MRT) From Time 0 to Time of Last Quantifiable Serum Concentration51.4 daysStandard Deviation 5.8
Secondary

Percent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)

Time frame: Baseline and day 8, 15, 22, 29, 43, 57, 71, 85, 99, 113 (for all dose cohorts), 141, 169 (0.3, 1.0, and 3.0 mg/kg cohorts only), 197, 225, and 253, 281, and 309 (1.0 and 3.0 mg/kg cohorts only)

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 1693.1 percent changeStandard Error 4.3
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 851.3 percent changeStandard Error 2.2
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 1978.6 percent changeStandard Error 5.8
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 141-0.2 percent changeStandard Error 4.9
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 1133.1 percent changeStandard Error 2.3
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 991.7 percent changeStandard Error 3.2
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 71-0.9 percent changeStandard Error 3
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 25311.7 percent changeStandard Error 6.5
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 572.7 percent changeStandard Error 1.6
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 295.3 percent changeStandard Error 2.9
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 433.6 percent changeStandard Error 3.1
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 2254.6 percent changeStandard Error 3
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 221.1 percent changeStandard Error 2.8
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 15-2.1 percent changeStandard Error 1.4
PlaceboPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 8-0.4 percent changeStandard Error 2.8
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 57-5.9 percent changeStandard Error 5.1
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 43-2.3 percent changeStandard Error 2.8
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 85-7.9 percent changeStandard Error 6.3
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 8-6.9 percent changeStandard Error 5.9
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 151.1 percent changeStandard Error 3.1
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 2212.7 percent changeStandard Error 3.1
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 298.9 percent changeStandard Error 3.6
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 71-5.5 percent changeStandard Error 4.8
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 99-13.1 percent changeStandard Error 3.3
Denosumab 0.03 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 113-0.5 percent changeStandard Error 7.1
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 225.8 percent changeStandard Error 2.3
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 71-29.0 percent changeStandard Error 5.7
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 816.6 percent changeStandard Error 4.7
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 99-33.4 percent changeStandard Error 5.5
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 113-32.6 percent changeStandard Error 5.4
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 57-19.2 percent changeStandard Error 2.8
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 2911.0 percent changeStandard Error 3.5
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 158.6 percent changeStandard Error 2
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 169-33.9 percent changeStandard Error 7.8
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 22519.5 percent change
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 43-7.6 percent changeStandard Error 4.3
Denosumab 0.1 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 85-27.2 percent changeStandard Error 6.1
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 99-49.4 percent changeStandard Error 3
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 281-10.7 percent changeStandard Error 6.1
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 43-20.3 percent changeStandard Error 3.2
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 57-33.1 percent changeStandard Error 3.1
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 85-47.7 percent changeStandard Error 3.2
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 71-41.0 percent changeStandard Error 2.2
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 1513.2 percent changeStandard Error 2
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 87.1 percent changeStandard Error 2
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 141-57.2 percent changeStandard Error 2.6
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 227.8 percent changeStandard Error 3.8
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 169-52.9 percent changeStandard Error 2.5
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 113-54.2 percent changeStandard Error 2.6
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 225-37.1 percent changeStandard Error 4.4
Denosumab 0.3 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 29-0.7 percent changeStandard Error 2.8
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 169-50.1 percent changeStandard Error 4.6
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 8-0.5 percent changeStandard Error 5.1
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 43-10.2 percent changeStandard Error 4
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 155.6 percent changeStandard Error 5.9
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 227.0 percent changeStandard Error 5.3
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 295.8 percent changeStandard Error 4.2
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 309-21.0 percent changeStandard Error 14.7
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 57-21.0 percent changeStandard Error 4.9
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 197-43.9 percent changeStandard Error 8.6
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 85-42.1 percent changeStandard Error 4.2
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 253-31.9 percent changeStandard Error 9.7
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 99-44.0 percent changeStandard Error 5.5
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 113-49.7 percent changeStandard Error 5.1
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 225-35.1 percent changeStandard Error 8.5
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 141-50.7 percent changeStandard Error 6.9
Denosumab 1.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 71-36.1 percent changeStandard Error 5.2
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 1511.5 percent changeStandard Error 7.8
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 99-47.5 percent changeStandard Error 2.7
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 225-48.4 percent changeStandard Error 3.6
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 29-0.4 percent changeStandard Error 4.5
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 309-26.8 percent changeStandard Error 4.8
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 229.7 percent changeStandard Error 5.8
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 83.1 percent changeStandard Error 6.4
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 113-51.4 percent changeStandard Error 2.6
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 71-33.9 percent changeStandard Error 4.7
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 253-44.0 percent changeStandard Error 4.1
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 141-52.9 percent changeStandard Error 3.8
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 85-43.9 percent changeStandard Error 1.9
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 169-53.7 percent changeStandard Error 2.9
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 197-52.5 percent changeStandard Error 2.7
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 57-24.0 percent changeStandard Error 2.6
Denosumab 3.0 mg/kgPercent Change From Baseline in Bone-Specific Alkaline Phosphatase (BSAP)Day 43-14.7 percent changeStandard Error 2.6
Secondary

Percent Change From Baseline in Intact Parathyroid Hormone (iPTH)

Time frame: Baseline and day 2, 3, 5, 8, 15, 29, 57, 85, 99, 113 (for all dose cohorts), 141, 169 (0.3, 1.0, and 3.0 mg/kg cohorts only), 197, 225, 253, 281, and 309 (1.0 and 3.0 mg/kg cohorts only)

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 995.6 percent changeStandard Error 7.4
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8517.1 percent changeStandard Error 10.2
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 575.3 percent changeStandard Error 8.3
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 3-8.2 percent changeStandard Error 6.1
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 26.9 percent changeStandard Error 8.7
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5-3.9 percent changeStandard Error 6
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 113-1.2 percent changeStandard Error 10.2
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 2538.5 percent changeStandard Error 12.6
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8-0.7 percent changeStandard Error 8.9
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 295.1 percent changeStandard Error 7.7
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 225-5.1 percent changeStandard Error 14.1
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 197-14.9 percent changeStandard Error 5.4
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 169-7.9 percent changeStandard Error 5.3
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 141-3.8 percent changeStandard Error 13.9
PlaceboPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 1511.2 percent changeStandard Error 8.9
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 328.9 percent changeStandard Error 9.7
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 547.6 percent changeStandard Error 12.2
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 837.7 percent changeStandard Error 20.4
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5764.6 percent changeStandard Error 18.4
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8511.9 percent changeStandard Error 9.6
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 9919.9 percent changeStandard Error 10.5
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 22.4 percent changeStandard Error 13
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 1591.5 percent changeStandard Error 8.2
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 2997.2 percent changeStandard Error 23.8
Denosumab 0.03 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 1133.9 percent changeStandard Error 15.4
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 9946.4 percent changeStandard Error 31.1
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 15117.3 percent changeStandard Error 33.4
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 315.0 percent changeStandard Error 18.8
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 169-16.7 percent changeStandard Error 10.6
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 11329.5 percent changeStandard Error 32.8
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 29110.9 percent changeStandard Error 40.7
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8536.6 percent changeStandard Error 24.5
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 57120.5 percent changeStandard Error 35.5
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 210.1 percent changeStandard Error 14.1
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 551.8 percent changeStandard Error 17.9
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 876.9 percent changeStandard Error 20.7
Denosumab 0.1 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 22515.9 percent change
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 2999.2 percent changeStandard Error 16.8
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5114.2 percent changeStandard Error 27.2
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 14116.9 percent changeStandard Error 11.1
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 244.0 percent changeStandard Error 13
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 281-26.1 percent changeStandard Error 9.4
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 9979.6 percent changeStandard Error 13.9
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 371.7 percent changeStandard Error 15.8
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 15146.4 percent changeStandard Error 29
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 225-30.9 percent changeStandard Error 5
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8576.9 percent changeStandard Error 20.2
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 16919.7 percent changeStandard Error 8.2
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5798.0 percent changeStandard Error 17.9
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 11338.5 percent changeStandard Error 13.5
Denosumab 0.3 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8182.4 percent changeStandard Error 40.2
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 19717.0 percent changeStandard Error 9.8
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8564.4 percent changeStandard Error 18.4
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 9944.0 percent changeStandard Error 10.9
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 14122.8 percent changeStandard Error 16.6
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8163.7 percent changeStandard Error 38.4
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 16921.9 percent changeStandard Error 16.1
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 2256.2 percent changeStandard Error 12.3
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 25310.9 percent changeStandard Error 18.1
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 30916.6 percent changeStandard Error 24.9
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 240.9 percent changeStandard Error 19.5
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 360.7 percent changeStandard Error 21.7
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5103.1 percent changeStandard Error 41.8
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 15109.4 percent changeStandard Error 36.3
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 2970.4 percent changeStandard Error 28.3
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 11346.5 percent changeStandard Error 10.5
Denosumab 1.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5790.9 percent changeStandard Error 20.8
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 225151.4 percent changeStandard Error 83.5
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 197100.7 percent changeStandard Error 42.1
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 57177.0 percent changeStandard Error 36.8
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 16990.2 percent changeStandard Error 27.6
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 141175.4 percent changeStandard Error 81.3
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 8353.6 percent changeStandard Error 92.4
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 113155.7 percent changeStandard Error 44.5
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 15203.2 percent changeStandard Error 27.2
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 99178.5 percent changeStandard Error 93.3
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 3146.1 percent changeStandard Error 46
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 30933.8 percent changeStandard Error 11.9
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 25370.8 percent changeStandard Error 31.5
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 5262.1 percent changeStandard Error 61.9
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 29215.2 percent changeStandard Error 79.4
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 2129.0 percent changeStandard Error 25.2
Denosumab 3.0 mg/kgPercent Change From Baseline in Intact Parathyroid Hormone (iPTH)Day 85170.5 percent changeStandard Error 40.8
Secondary

Percent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)

Time frame: Baseline and day 2, 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113 (for all dose cohorts), 141, 169 (0.3, 1.0, and 3.0 mg/kg cohorts only), 197, 225, 253, 281, and 309 (1.0 and 3.0 mg/kg cohorts only).

Population: Treated participants with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22-1 percent changeStandard Error 5
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 141-7 percent changeStandard Error 9
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 113-5 percent changeStandard Error 6
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 319 percent changeStandard Error 5
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 570 percent changeStandard Error 8
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 858 percent changeStandard Error 7
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 991 percent changeStandard Error 6
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 47 percent changeStandard Error 6
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 197-3 percent changeStandard Error 5
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 253-13 percent changeStandard Error 10
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 113 percent changeStandard Error 8
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 29-1 percent changeStandard Error 5
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 816 percent changeStandard Error 7
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 169-15 percent changeStandard Error 6
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 225-7 percent changeStandard Error 11
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 69 percent changeStandard Error 7
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 154 percent changeStandard Error 3
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 71-5 percent changeStandard Error 7
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 212 percent changeStandard Error 11
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 43-1 percent changeStandard Error 5
PlaceboPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 523 percent changeStandard Error 10
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 15-51 percent changeStandard Error 4
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 43-33 percent changeStandard Error 6
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22-41 percent changeStandard Error 4
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 29-39 percent changeStandard Error 5
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 26 percent changeStandard Error 4
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 11-36 percent changeStandard Error 5
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 1133 percent changeStandard Error 4
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 3-6 percent changeStandard Error 7
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 854 percent changeStandard Error 8
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 4-18 percent changeStandard Error 9
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 5-12 percent changeStandard Error 12
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 994 percent changeStandard Error 6
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 71-23 percent changeStandard Error 6
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 6-1 percent changeStandard Error 18
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 57-14 percent changeStandard Error 3
Denosumab 0.03 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 8-12 percent changeStandard Error 13
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 11-67 percent changeStandard Error 5
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 5-44 percent changeStandard Error 5
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 8-55 percent changeStandard Error 7
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 29-68 percent changeStandard Error 3
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 113-30 percent changeStandard Error 15
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22542.0 percent change
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22-71 percent changeStandard Error 6
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 6-53 percent changeStandard Error 8
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 99-37 percent changeStandard Error 15
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 57-59 percent changeStandard Error 6
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 43-67 percent changeStandard Error 4
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 85-48 percent changeStandard Error 12
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 1696 percent changeStandard Error 14
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 4-37 percent changeStandard Error 16
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 15-68 percent changeStandard Error 4
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 3-30 percent changeStandard Error 5
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 71-48 percent changeStandard Error 10
Denosumab 0.1 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 2-25 percent changeStandard Error 8
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 6-62 percent changeStandard Error 7
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 99-64 percent changeStandard Error 5
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 141-51 percent changeStandard Error 5
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 225-30 percent changeStandard Error 4
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 2-22 percent changeStandard Error 11
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 3-40 percent changeStandard Error 11
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 4-48 percent changeStandard Error 11
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 5-51 percent changeStandard Error 8
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 11-65 percent changeStandard Error 7
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 8-64 percent changeStandard Error 5
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 15-71 percent changeStandard Error 5
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22-70 percent changeStandard Error 7
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 29-67 percent changeStandard Error 6
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 43-68 percent changeStandard Error 7
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 57-64 percent changeStandard Error 8
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 71-65 percent changeStandard Error 6
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 85-58 percent changeStandard Error 9
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 113-53 percent changeStandard Error 10
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 169-41 percent changeStandard Error 11
Denosumab 0.3 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 281-13 percent changeStandard Error 8
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 5-53 percent changeStandard Error 8
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 43-69 percent changeStandard Error 8
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 8-57 percent changeStandard Error 7
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 6-59 percent changeStandard Error 6
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 11-69 percent changeStandard Error 6
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 57-56 percent changeStandard Error 10
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 253-25 percent changeStandard Error 14
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 71-68 percent changeStandard Error 5
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 4-55 percent changeStandard Error 6
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 3-51 percent changeStandard Error 8
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 85-68 percent changeStandard Error 4
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 99-72 percent changeStandard Error 4
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 2-40 percent changeStandard Error 7
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 225-20 percent changeStandard Error 17
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 113-77 percent changeStandard Error 3
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 141-62 percent changeStandard Error 5
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 309-19 percent changeStandard Error 13
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 169-48 percent changeStandard Error 9
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 197-47 percent changeStandard Error 8
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22-70 percent changeStandard Error 5
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 29-64 percent changeStandard Error 7
Denosumab 1.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 15-71 percent changeStandard Error 5
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 99-77 percent changeStandard Error 10
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 2-64 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 43-81 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 11-79 percent changeStandard Error 3
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 6-72 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 29-77 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 309-23 percent changeStandard Error 12
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 22-82 percent changeStandard Error 3
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 57-79 percent changeStandard Error 6
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 5-66 percent changeStandard Error 6
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 225-70 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 4-62 percent changeStandard Error 5
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 113-84 percent changeStandard Error 2
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 141-81 percent changeStandard Error 3
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 71-82 percent changeStandard Error 3
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 15-77 percent changeStandard Error 5
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 3-60 percent changeStandard Error 3
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 197-79 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 253-62 percent changeStandard Error 5
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 8-64 percent changeStandard Error 10
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 85-83 percent changeStandard Error 4
Denosumab 3.0 mg/kgPercent Change From Baseline in Urinary N-Telopeptide Corrected for Urine Creatinine (N-Tx/Cr)Day 169-78 percent changeStandard Error 5
Secondary

Time to Maximum Observed Concentration (Tmax) of Denosumab

Time frame: Day 1 predose and 5 minutes, 1, 4, 8, 12, 24, hours, days 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85, 99, 113, also days 141 and 169 for participants in the 0.3, 1.0, or 3.0 mg/kg cohorts and days 197, 225, and 253 for the 1.0 or 3.0 mg/kg dose cohorts

Population: All participants who received denosumab

ArmMeasureValue (MEDIAN)
PlaceboTime to Maximum Observed Concentration (Tmax) of Denosumab7.0 days
Denosumab 0.03 mg/kgTime to Maximum Observed Concentration (Tmax) of Denosumab12.0 days
Denosumab 0.1 mg/kgTime to Maximum Observed Concentration (Tmax) of Denosumab14.0 days
Denosumab 0.3 mg/kgTime to Maximum Observed Concentration (Tmax) of Denosumab14.0 days
Denosumab 1.0 mg/kgTime to Maximum Observed Concentration (Tmax) of Denosumab14.0 days

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