- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06164795
Sequential Therapies After Osteoanabolic Treatment (START)
Efficacy of Sequential Therapies After Osteoanabolic Treatment in Postmenopausal Women With Severe Osteoporosis: the Sequential Treatment After Romosozumab and Teriparatide (START) Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Caucasian women with severe postmenopausal osteoporosis who have completed their course with romosozumab or teriparatide will be assigned to one of the following 3 options: i) zoledronate 5mg infusion or ii) denosumab subcutaneous injections or iii) teriparatide (for those previously treated with romosozumab) or romosozumab (for those previously treated with teriparatide).
Endpoints: Primary: BMD changes at the lumbar spine at 12 months. Secondary: i) BMD changes at the non-dominant femoral neck and total hip at 12 and 24 months; ii) changes at levels of bone turnover markers throughout the study; iii) incident fractures: vertebral (clinical and morphometric identified on VFA scans) and non-vertebral
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Athanasios D Anastasilakis, PhD
- Phone Number: +30 2310381431
- Email: a.anastasilakis@gmail.com
Study Contact Backup
- Name: John Carey, Prof
- Email: john.j.carey@universityofgalway.ie
Study Locations
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Dresden, Germany
- Not yet recruiting
- Department of Medicine III and Center for Healthy Aging, Technische Universität Dresden
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Contact:
- Elena Tsourdi
- Email: Elena.Tsourdi@uniklinikum-dresden.de
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Athens, Greece, 11527
- Recruiting
- First Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens
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Contact:
- Maria P Yavropoulou, Consultant
- Phone Number: +30 2132060800
- Email: myavropoulou@med.uoa.gr
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Athens, Greece, 14561
- Not yet recruiting
- , KAT General Hospital
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Contact:
- Symeon Tournis, PhD
- Phone Number: +30 2132086000
- Email: stournis@med.uoa.gr
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Athens, Greece, 11525
- Recruiting
- 251 Airforce & VA General Hospital
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Contact:
- Polyzois Makras, PhD
- Phone Number: +302107463606
- Email: pmakras@gmail.com
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Thessaloniki, Greece, 56429
- Recruiting
- 424 General Military Hospital
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Contact:
- Athanasios D Anastasilakis, PhD
- Phone Number: +302310381697
- Email: a.anastasilakis@gmail.com
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Contact:
- Stergios A Polyzos, PhD
- Phone Number: +302310455780
- Email: stergios@endo.gr
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Milan, Italy
- Not yet recruiting
- Fondazione IRCCS Cà Granda-Ospedale Maggiore Policlinico
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Contact:
- Cristina Eller-Vainicher
- Email: eller.vainicher@gmail.com
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Sub-Investigator:
- Giorgia Grassi, MD
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Roma, Italy, 00128
- Not yet recruiting
- Campus Bio-Medico University
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Contact:
- Andrea Palermo, Ass Prof
- Email: A.Palermo@unicampus.it
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Contact:
- Gaia Tabacco, PhD
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Sub-Investigator:
- Anda Naciu, PhD
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Sub-Investigator:
- Gaia Tabacco, PhD
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Siena, Italy, 53100
- Not yet recruiting
- Department of Medicine, Surgery and Neurosciences, University of Siena
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Contact:
- Luigi Gennari, prof
- Email: gennari@unisi.it
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Contact:
- Daniela Merlotti
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Sub-Investigator:
- Daniela Merlotti
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Udine, Italy
- Not yet recruiting
- University-Hospital S. Maria della Misericordia
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Contact:
- Fabio Vescini
- Email: fabio.vescini@asufc.sanita.fvg.it
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Sub-Investigator:
- Antonio Salcuni
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
• Postmenopausal women treated with severe osteoporosis completing their course with romosozumab or teriparatide
Exclusion Criteria:
- a bone disease other than postmenopausal osteoporosis
- use of medications other than romosozumab or teriparatide affecting bone metabolism during the last 12 months before entering the study
- creatinine clearance <60 mL/min/1.73 m2
- liver failure
- any type of cancer
- uncontrolled endocrine diseases
- serum 25-hydroxy vitamin D (25-OHD) concentrations lower than 20 ng/mL (50 nmol/L)
- hypersensitivity to denosumab or zoledronate or teriparatide or romosozumab or any of the excipients
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Romo-Zol group
Postmenopausal women treated with romosozumab for 12 months will receive a single zoledronate infusion (5mg) at 1 month after the last romosozumab dose
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intravenous infusion
Other Names:
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Romo-Dmab group
Postmenopausal women treated with romosozumab for 12 months will receive subcutaneous denosumab injections (60mg) bi-annually for 12 months starting at 1 month after the last romosozumab dose
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subcutaneous injection
Other Names:
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Romo-TPTD group
Postmenopausal women treated with romosozumab for 12 months will receive daily injections of teriparatide 20μg for 12 months starting at 1 month after the last romosozumab dose
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subcutaneous injection
Other Names:
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TPTD-Zol group
Postmenopausal women treated with teriparatide for 24 months will receive a single zoledronate infusion (5mg) at 1 month after the last romosozumab dose
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intravenous infusion
Other Names:
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TPTD-Dmab group
Postmenopausal women treated with teriparatide for 24 months will receive subcutaneous denosumab injections (60mg) bi-annually for 12 months
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subcutaneous injection
Other Names:
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TPTD-Romo group
Postmenopausal women treated with teriparatide for 24 months will receive month injections of romosozumab for 12 months
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subcutaneous injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
lumbar spine bone mineral density
Time Frame: baseline to 12 months
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bone mineral density changes at the lumbar spine at 12 months measured by dual-energy absorptiometry (DXA)
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baseline to 12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
P1NP
Time Frame: baseline, 3 months, 6 months, 12 months
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bone turnover (formation) marker
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baseline, 3 months, 6 months, 12 months
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CTx
Time Frame: baseline, 3 months, 6 months, 12 months
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bone turnover (resorption) marker
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baseline, 3 months, 6 months, 12 months
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Fractures
Time Frame: 12 months
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incident fractures: vertebral (clinical and morphometric identified on VFA scans) and non-vertebral
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12 months
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femoral neck bone mineral density
Time Frame: baseline to 12 months
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bone mineral density changes at the femoral neck at 12 months measured by dual-energy absorptiometry (DXA)
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baseline to 12 months
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total hip bone mineral density
Time Frame: baseline to 12 months
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bone mineral density changes at the total hip at 12 months measured by dual-energy absorptiometry (DXA)
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baseline to 12 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Willem Lems, Prof, ECTS Clinical Action Group
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- START
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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