Safety And Tolerability Study Of RN564 In Women With Osteopenia And Healthy Men.
A PHASE 1 STUDY TO EVALUATE THE SAFETY, TOLERABILITY, IMMUNOGENICITY, PHARMACOKINETICS AND PHARMACODYNAMICS OF ESCALATING DOSES OF RN564 IN WOMEN WITH OSTEOPENIA AND IN HEALTHY MEN
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Florida
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Coral Gables, Florida, United States, 33134
- Ambulatory Diagnostic Center
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Coral Gables, Florida, United States, 33134
- Gable Diagnostics
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Coral Gables, Florida, United States, 33134
- Gables Diagnostics
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Miami, Florida, United States, 33143
- Miami Research Associates
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Miami, Florida, United States, 33126
- SeaView Research, Inc.
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Miami, Florida, United States, 33134
- SeaView Research, Inc.
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South Miami, Florida, United States, 33143
- MRA Clinical Research
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Kansas
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Overland Park, Kansas, United States, 66212
- Vince and Associates Clinical Research
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of osteopenia for women (BMD T-scores between -1.0 and - 2.5 SD at the lumbar spine, the femoral neck or total hip)
- Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >45 kg (99 lbs).
- Have at least 3 vertebral bodies in the L1-L4 region and one femoral neck site that are accessible by DXA.
Exclusion Criteria:
- Evidence or history of any underlying condition, other than primary osteopenia, that affect bone metabolism (eg, hyperparathyroidism, hypoparathyroidism).
- Subjects with pre-existing periodontal/dental disease or those who have undergone invasive dental procedures (eg, tooth extraction, oral surgery) within 60 days prior to Day -1.
- If QTcF exceeds 455 msec, the ECG should be repeated two more times and the average of the three QTcF values should be used to determine the subject's eligibility.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Arm 1
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Intravenous, single dose with experimental dose
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Dose-Limiting or Intolerable Treatment Related Adverse Events (AEs)
Time Frame: Day 1 to Day 85
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Dose-limiting or intolerable treatment related AEs was defined as any of the following criteria occurred in 2 or more participants: Serious adverse events, Increased liver transaminases, Increased bilirubin (in absence of ALT/AST elevations, allergic / hypersensitivity reactions, vasculitis, Musculoskeletal pain, Increased serum creatinine, Diarrhea, enteritis or nausea, Prolongation of QTcF interval or any other criteria If considered appropriate by the Medical Monitor and Investigator.
A dose level was also be considered intolerable if, in the judgment of the Investigator and Sponsor, the type, frequency, or severity of AEs becomes unacceptable.
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Day 1 to Day 85
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Percentage of Participants With All-Causality AEs by Grade
Time Frame: Day 1 to Day 85
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An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Severity was graded as Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE.
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Day 1 to Day 85
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Percentage of Participants With Treatment-Related AEs by Grade
Time Frame: Day 1 to Day 85
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An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Severity was graded as Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. Relatedness to drug was assessed by investigator.
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Day 1 to Day 85
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Number of Participants With Any Laboratory Abnormality
Time Frame: Day 1 to 85
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Criteria for abnormality: hematology: hemoglobin, hematocrit, red blood cell count: less than(<) 0.8*lower limit of normal (LLN); platelets: <0.5*LLN,>1.75*ULN,
white blood cell count: <0.6*LLN, >1.5*ULN; lymphocytes, total neutrophils: <0.8*LLN, >1.2*ULN; eosinophils, basophils, monocytes: >1.2*ULN; coagulation: activated partial thromboplastin time, prothrombin, prothrombin international ratio: >1.1*ULN; liver function: bilirubin: >1.5*ULN; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: >3.0*ULN; protein, albumin: <0.8*LLN></0>1.2*ULN;
renal function: blood urea nitrogen, creatinine: >1.3*ULN; uric acid: >1.2*ULN; electrolytes: sodium>1.05*ULN,
potassium, chloride, calcium, bicarbonate: <0.9*LLN,>1.1*ULN;
urinalysis: pH<4.5, >8; glucose, protein, blood, ketones, urobilinogen, bilirubin, nitrite; Other(glucose: <0.6*LLN,>1.5*ULN),
urine casts, granular casts, hyaline casts>1 LPF; hormones: T4, T3, TSH<0.8*LLN.
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Day 1 to 85
|
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Median Change From Baseline in Platelets and White Blood Cell [WBC] Count (With Differentials) at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Median change from baseline in platelets, WBC count, lymphocytes (absolute [Abs]), total neutrophils (Abs), basophils (Abs), eosinophils (Abs), and monocytes (Abs)
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Baseline, last observation (up to Day 85)
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Median Change From Baseline in Red Blood Cell (RBC) Count at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Baseline, last observation (up to Day 85)
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Median Change From Baseline in Hematocrit at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Baseline, last observation (up to Day 85)
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Median Change From Baseline in Hemoglobin, Total Protein, and Albumin at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
|
Baseline, last observation (up to Day 85)
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Median Change From Baseline in Select Clinical Chemistry Parameters at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
|
Includes median changes from baseline in total bilirubin, direct bilirubin, indirect bilirubin, blood urea nitrogen (BUN), creatinine, uric acid, calcium, magnesium, and glucose
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Baseline, last observation (up to Day 85)
|
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Median Change From Baseline in Sodium, Potassium, Chloride, and Bicarbonate at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
|
Baseline, last observation (up to Day 85)
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|
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Median Change From Baseline in Liver Function Tests at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Includes median changes in aspartate aminotransferase (AST), alanine aminotransferase (AST), gamma glutamyltransferase (GGT), and alkaline phosphatase
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Baseline, last observation (up to Day 85)
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Median Change From Baseline in Thyroid-Stimulating Hormone (TSH) at Last Observation
Time Frame: Baseline, Last observation (up to Day 85)
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Baseline, Last observation (up to Day 85)
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|
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Median Change From Baseline in Serum Creatine Kinase (CK), Amylase, and Lipase at Last Observation
Time Frame: Baseline, Last Observation (up to Day 85)
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Baseline, Last Observation (up to Day 85)
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Median Change From Baseline in Free Triiodothyronine (T3) and Free Thyroxine (T4) at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Baseline, last observation (up to Day 85)
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Median Change From Baseline in T4 at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Baseline, last observation (up to Day 85)
|
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Median Change From Baseline in Urine WBC at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Baseline, last observation (up to Day 85)
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Median Change From Baseline in Urine pH at Last Observation
Time Frame: Baseline, last observation (up to Day 85)
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Baseline, last observation (up to Day 85)
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Number of Participants With Abnormal and Clinically Relevant Changes in Blood Pressure
Time Frame: Day 1 up to 85
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Participants with maximum changes from baseline (defined as increases or decreases of greater than or equal to [≥]20 mmHg or ≥30 mmHg) in either standing or supine systolic blood pressure (SBP) or diastolic blood pressure (DBP) measured in millimeters mercury (mmHg).
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Day 1 up to 85
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Number of Participants With Abnormal and Clinically Relevant Changes in Electrocardiogram (ECG) Parameters
Time Frame: Day 1 up to 85
|
Participants with maximum changes from baseline (BSL) defined as: ≥25 to 50 percent (%) increase in maximum PR interval or QRS complex; increase from BSL of ≥30 milliseconds (msec) but <60 msec in corrected QT (QTc) interval or QTcF interval (QTc interval corrected using Fridericia's correction); or increase from BSL ≥60 msec in either QTc interval or QTcF interval.
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Day 1 up to 85
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Number of Participants With Positive Anti-Drug Antibodies (ADAs) by Study Visit
Time Frame: Days -1, 8, 15, 29, 43, 57, and 85
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Days -1, 8, 15, 29, 43, 57, and 85
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
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Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
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Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
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Maximum Observed Serum Concentration (Cmax)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
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Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
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Time to Reach Maximum Observed Serum Concentration (Tmax)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
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Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
|
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Volume of Distribution at Steady State (Vss)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug.
Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state.
|
Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
|
Clearance (CL)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
CL is a quantitative measure of the rate at which a drug substance is removed from the body.
|
Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
|
Terminal Elimination Half-Life (t1/2)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.
|
Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
|
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - Inf)]
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
AUC (0 - inf)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - inf).
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Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
|
Apparent Volume of Distribution (Vz/F)
Time Frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.
Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.
Based on internal clinical pharmacology guidance on the most appropriate parameter calculations for this study design, data for Vz/F was not collected instead Vss was reported.
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Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion
|
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Percentage Change From Baseline in Total Dickkopf-1 (DKK-1) Concentrations Over Time
Time Frame: Day -1, Day 1 (predose and at end of infusion) and at 2, 4, 8, and 12 hours postdose, and Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57, and 85
|
Day -1, Day 1 (predose and at end of infusion) and at 2, 4, 8, and 12 hours postdose, and Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57, and 85
|
|
|
Mean Percentage Change From Baseline in Serum Procollagen Type 1 Amino-Terminal Propeptide (PINP) (ng/mL) Over Time
Time Frame: Baseline (Days -1, 1), Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082
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Baseline (Days -1, 1), Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
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Mean Percentage Change From Baseline in Serum n-Terminal Telopeptide(NTX) Over Time
Time Frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
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Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082
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Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
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Mean Percentage Change From Baseline in Serum Carboxy (C) Terminal Telopeptide (CTX) Over Time
Time Frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082
|
Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
|
Mean Percentage Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) Over Time
Time Frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082
|
Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
|
Mean Percentage Change From Baseline in Serum Osteocalcin Over Time
Time Frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
|
Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082
|
Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85
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Mean Percentage Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at Day 85
Time Frame: Days -1 and 85
|
Days -1 and 85
|
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Femoral Neck BMD at Day 85
Time Frame: Day 85
|
BMD was evaluated by dual energy X-ray absorptiometry (DXA).
|
Day 85
|
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Femoral Neck T-Score at Day 85
Time Frame: Day 85
|
BMD was evaluated by DXA.
T-score was calculated based on actual measured bone density value and is the standardized scores that reflect the standard deviations (SDs) above/below the mean.
A BMD T-score of -1.0 or more indicates normal bone density.
T-score between -1.0 and -2.5 indicates low bone density known as osteopenia.
A T-score of -2.5 or less is diagnostic of osteoporosis.
|
Day 85
|
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Mean Percentage Change From Baseline in Distal Radius BMD at Day 85
Time Frame: Baseline (Day -1), Day 85
|
BMD was evaluated by DXA.
|
Baseline (Day -1), Day 85
|
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PK/PD Model Describing the Relationship Between PF-04840082 PK Parameter Estimates/Concentrations and Changes in PD Endpoints
Time Frame: Day 1 to Day 85
|
Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study.
ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.
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Day 1 to Day 85
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- B1151001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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