- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT01709110
VERtebral Fracture Treatment Comparisons in Osteoporotic Women (VERO)
Teriparatide and Risedronate in the Treatment of Patients With Severe Postmenopausal Osteoporosis: Comparative Effects on Vertebral Fractures
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Typ studie
Zápis (Aktuální)
Fáze
- Fáze 4
Kontakty a umístění
Studijní místa
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Buenos Aires, Argentina, C1128AAF
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Caba, Argentina, C1425AGC
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Mar Del Plata, Argentina, B7600DHK
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Brussels, Belgie, 1070
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Genk, Belgie, 3600
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Gent, Belgie, 9000
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Gilly, Belgie, 6060
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Laken, Belgie, 1020
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Leuven, Belgie, 3000
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Liège, Belgie, 4020
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Merksem, Belgie, 2170
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Mons, Belgie, 7000
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Brasilia, Brazílie, 71625-009
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Rio De Janeiro, Brazílie, 22271-100
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São Paulo, Brazílie, 05437-010
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Caen, Francie, 14033
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La Crau, Francie, 83260
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Lyon, Francie, 69003
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Orleans, Francie, 45032
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Saint-Etienne, Francie, 42055
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Toulouse, Francie, 31059
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Firenze, Itálie, 50134
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Genova-Nervi, Itálie, 16167
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Orbassano, Itálie, 10043
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Padova, Itálie, 35128
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Rome, Itálie, 00161
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Torino, Itálie, 10126
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Valeggio Sul Mincio, Itálie, 37067
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British Columbia
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Kelowna, British Columbia, Kanada, V1Y3G5
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Vancouver, British Columbia, Kanada, V5Z 4E1
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Nova Scotia
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Halifax, Nova Scotia, Kanada, B3H 1V7
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Ontario
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Hamilton, Ontario, Kanada, L8N 1Y2
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Toronto, Ontario, Kanada, M5G 2C4
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Quebec
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Montreal, Quebec, Kanada, H3T 1E2
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Sainte-Foy, Quebec, Kanada, G1V 3M7
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Trois-Rivieres, Quebec, Kanada, G8Z 1Y2
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Saskatchewan
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Saskatoon, Saskatchewan, Kanada, S7K 0H6
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Budapest, Maďarsko, 1094
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Debrecen, Maďarsko, 4043
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Eger, Maďarsko, 3300
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Kaposvar, Maďarsko, 7400
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Szeged, Maďarsko, 6720
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Dresden, Německo, 01067
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Frankfurt, Německo, 60528
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Hamburg, Německo, 22415
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Leipzig, Německo, 04103
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Magdeburg, Německo, 39110
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Marburg, Německo, 35043
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Bialystok, Polsko, 15-351
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Elblag, Polsko, 82-300
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Lublin, Polsko, 20-582
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Poznan, Polsko, 60-218
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Swidnik, Polsko, 21-040
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Warsaw, Polsko, 02-118
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San Juan, Portoriko, 00918
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Graz, Rakousko, 8036
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Hohenems, Rakousko, 6845
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Linz, Rakousko, 4020
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Vienna, Rakousko, A-1060
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Alabama
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Birmingham, Alabama, Spojené státy, 35294
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California
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Concord, California, Spojené státy, 94520
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Fresno, California, Spojené státy, 93720
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Laguna Hills, California, Spojené státy, 92653
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Lancaster, California, Spojené státy, 93534
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Tustin, California, Spojené státy, 92780
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Colorado
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Lakewood, Colorado, Spojené státy, 80227
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Connecticut
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Danbury, Connecticut, Spojené státy, 06810
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Florida
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Orlando, Florida, Spojené státy, 32804
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Georgia
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Gainesville, Georgia, Spojené státy, 30501
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Indiana
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Evansville, Indiana, Spojené státy, 47714
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Indianapolis, Indiana, Spojené státy, 46202
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Kansas
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Topeka, Kansas, Spojené státy, 66606
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Maryland
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Bethesda, Maryland, Spojené státy, 20817
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Michigan
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Detroit, Michigan, Spojené státy, 48202
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Nebraska
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Omaha, Nebraska, Spojené státy, 68131
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New Jersey
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Clifton, New Jersey, Spojené státy, 07012
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Freehold, New Jersey, Spojené státy, 07728
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New Mexico
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Albuquerque, New Mexico, Spojené státy, 87106
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North Carolina
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Asheville, North Carolina, Spojené státy, 28803
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Greensboro, North Carolina, Spojené státy, 27408
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North Dakota
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Fargo, North Dakota, Spojené státy, 58103
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Oregon
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Bend, Oregon, Spojené státy, 97701
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Pennsylvania
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Duncansville, Pennsylvania, Spojené státy, 16635
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Pittsburgh, Pennsylvania, Spojené státy, 15213
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Wyomissing, Pennsylvania, Spojené státy, 19610
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Texas
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Dallas, Texas, Spojené státy, 75231
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Washington
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Seattle, Washington, Spojené státy, 98122
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Spokane, Washington, Spojené státy, 99204
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Wisconsin
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Madison, Wisconsin, Spojené státy, 53705
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Ceske Budejovice, Česko, 37005
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Klatovy, Česko, 33938
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Prague, Česko, 128 08
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Uherske Hradiste, Česko, 686 01
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Athens, Řecko, 10676
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Kifissia, Řecko, 14561
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Patras, Řecko, 26500
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Thessaloniki, Řecko, 54642
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Alcira, Španělsko, 46600
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Barcelona, Španělsko, 08025
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Cadiz, Španělsko, 11009
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Madrid, Španělsko, 28046
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Sabadell, Španělsko, 08208
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Valencia, Španělsko, 46026
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Postmenopausal women with osteoporosis, as defined by low bone mineral density (BMD), i.e. anterior-posterior lumbar spine, total hip or femoral neck BMD ≥1.5 standard deviations below the average BMD for young, healthy, non-Hispanic, Caucasian women
- A minimum of 2 moderate or 1 severe vertebral fragility fractures (confirmed by central reader) were required
Exclusion Criteria:
- Increased risk of osteosarcoma
- History of unresolved skeletal diseases that affect bone metabolism
- History of atypical subtrochanteric or diaphyseal femoral fractures
- Abnormally high or low calcium levels
- Abnormally high parathyroid hormone (PTH) levels
- Severe vitamin D deficiency
- Abnormal thyroid function not corrected by therapy
- History of malignant neoplasms in the last 5 years
- Active liver disease, clinical jaundice
- Significant impairment of hepatic or renal function
- History of nephro- or urolithiasis
- Previous or planned kypho- or vertebroplasty
- Active or risk for osteonecrosis of the jaw
- Active or recent history of upper gastrointestinal disorders
- Unable to stand or sit in the upright position for at least 30 minutes
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Čtyřnásobek
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
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Experimentální: Teriparatide
Teriparatide 20 microgram (µg) administered by subcutaneous (SC) injection once daily for 24 months. Placebo given orally once weekly for 24 months. Elemental Calcium 500 to 1000 milligram per day and Vitamin D 400 to 800 International Units per day, both administered orally once daily while receiving treatment. |
Spravováno SC
Ostatní jména:
Podává se ústně
Teriparatide arm placebo administered orally. Risedronate arm placebo administered SC.
Administered orally
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Aktivní komparátor: Risedronate
Risedronate 35 milligram (mg) administered orally once weekly for 24 months. Placebo given by SC injection once daily for 24 months. Elemental Calcium 500 to 1000 milligram per day and Vitamin D 400 to 800 International Units per day, both administered orally once daily while receiving treatment. |
Podává se ústně
Podává se ústně
Teriparatide arm placebo administered orally. Risedronate arm placebo administered SC.
Administered orally
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Proportion of Participants With New Vertebral Fractures
Časové okno: Baseline through 24 Months
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The incidence of new vertebral fractures was assessed by quantitative vertebral morphometry measurements (QM) with qualitative visual semiquantitative grading (SQ) confirmation. A new vertebral fracture was diagnosed in a vertebra that was non-fractured at the baseline radiological examination. It was defined as a loss of vertebral body height of at least 20% and 4 mm from the baseline radiograph by vertebral QM, based upon placement of six points by a trained, central reader. Any fractures identified by QM were confirmed using SQ: if the vertebral body also had an increase of one or more severity grade, it was considered an incident vertebral fracture. |
Baseline through 24 Months
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Proportion of Participants With Pooled New and Worsening Vertebral Fractures
Časové okno: Baseline through 24 Months
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Worsening of a pre-existing fracture was considered if the decrease in vertebral height was at least one severity grade in the semi-quantitative assessment, confirmed by a trained central reader, where vertebrae were graded as normal (SQ0) or as with mild (SQ1), moderate (SQ2), or severe (SQ3) fractures, defined as ~20 to 25% (mild), ~25 to 40% (moderate) or ~40% or more (severe) decrease in anterior, central, or posterior vertebral height (T4 to L4).
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Baseline through 24 Months
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Proportion of Participants With Pooled Clinical Vertebral and Non-Vertebral Fragility Fractures
Časové okno: Baseline through 24 Months
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A clinical vertebral fracture was defined as a new or worsening vertebral fracture, confirmed by radiography, that was associated with signs and symptoms highly suggestive of a vertebral fracture. All non-vertebral fractures that occurred and were diagnosed between visits required the confirmation by the site investigators after evaluating the original x-ray film(s), the radiology or surgical report. For clinical vertebral fractures, the final confirmation of the diagnosis required the centralized evaluation by a trained, independent reader. |
Baseline through 24 Months
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Proportion of Participants With Non-Vertebral Fragility Fractures
Časové okno: Baseline through 24 Months
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A non-vertebral fracture is a fracture at any of the following non-vertebral sites: clavicle, scapula, ribs, sternum, sacrum, coccyx, humerus, radius, ulna, carpus, pelvis, hip, femur, patella, tibia, fibula, ankle, calcaneus, tarsus, and metatarsal.
Non-vertebral fractures were determined by direct questioning at each visit, and confirmed by the site investigators by x-ray, radiology or surgical report.
Fractures resulting from a severe trauma such as a traffic collision, a beating, or having been struck by a falling or moving object were not considered fragility fractures but traumatic fractures.
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Baseline through 24 Months
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Proportion of Participants With Major Non-Vertebral Fragility Fractures
Časové okno: Baseline through 24 Months
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A major non-vertebral fracture is a fracture at any of the following non-vertebral sites hip, radius, humerus, ribs, pelvis, tibia and femur.
Non-vertebral fractures were determined by direct questioning at each visit, and confirmed by the site investigators by x-ray, radiology or surgical report.
Fractures resulting from a severe trauma such as a traffic collision, a beating, or having been struck by a falling or moving.
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Baseline through 24 Months
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Proportion of Participants With New Moderate and/or Severe Vertebral Fractures
Časové okno: Baseline through 24 Months
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Vertebrae were graded as moderate (SQ2), or severe (SQ3) fractures, based on ~25 to 40% (moderate) or ~40% or more (severe) decrease in anterior, central, or posterior vertebral height (T4 through L4).
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Baseline through 24 Months
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Proportion of Participants With New Multiple (2 or More) Vertebral Fractures
Časové okno: Baseline through 24 Months
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Baseline through 24 Months
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Proportion of Participants With Pooled Fragility and Traumatic Non-Vertebral Fractures
Časové okno: Baseline through 24 Months
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Traumatic fractures were considered if resulting from a severe trauma such as a traffic collision, a beating, or having been struck by a falling or moving object.
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Baseline through 24 Months
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Change From Baseline to 24 Months Endpoint in Height
Časové okno: Baseline, 24 Months
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Baseline, 24 Months
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Change From Baseline to 24 Months Endpoint in Back Pain Using an 11-point Numerical Pain Rating Scale
Časové okno: Baseline, 24 Months
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Participants rated the worst back pain during the 24 hours preceding the visit at baseline and each post-baseline visit.
An 11-point numerical back pain rating scale (rated from 0 = no back pain to 10 = worst possible back pain) was used.
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Baseline, 24 Months
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Change From Baseline to 24 Months Endpoint in the European Quality of Life Questionnaire [EQ-5D-5L] (UK)
Časové okno: Baseline, 24 Months
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The EQ-5D-5L is a generic, multidimensional, health-related, quality-of-life instrument completed on five dimensions to measure health-related quality of life.
The profile allowed participants to rate their health state in five health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a five level scale (no problems, slight problems, moderate problems, severe problems, and unable to/extreme problems).
The responses are used to derive the health state index scores using the United Kingdom (UK) algorithm, with scores ranging from -0.59 to 1.0.
A higher score indicates better health state.
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Baseline, 24 Months
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Change From Baseline to 24 Months Endpoint in the European Quality of Life Questionnaire [EQ-5D-5L] (US)
Časové okno: Baseline, 24 Months
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The EQ-5D-5L is a generic, multidimensional, health-related, quality-of-life instrument completed on five dimensions to measure health-related quality of life.
The profile allowed participants to rate their health state in five health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a five level scale (no problems, slight problems, moderate problems, severe problems, and unable to/extreme problems).
The responses are used to derive the health state index scores using the United States (US) cross walk algorithm, with scores ranging from -0.11 to 1.0.
A higher score indicates better health state.
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Baseline, 24 Months
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Spolupracovníci a vyšetřovatelé
Sponzor
Publikace a užitečné odkazy
Obecné publikace
- Body JJ, Marin F, Kendler DL, Zerbini CAF, Lopez-Romero P, Moricke R, Casado E, Fahrleitner-Pammer A, Stepan JJ, Lespessailles E, Minisola S, Geusens P. Efficacy of teriparatide compared with risedronate on FRAX(R)-defined major osteoporotic fractures: results of the VERO clinical trial. Osteoporos Int. 2020 Oct;31(10):1935-1942. doi: 10.1007/s00198-020-05463-4. Epub 2020 May 30.
- Geusens P, Kendler DL, Fahrleitner-Pammer A, Lopez-Romero P, Marin F. Distribution of Prevalent and Incident Vertebral Fractures and Their Association with Bone Mineral Density in Postmenopausal Women in the Teriparatide Versus Risedronate VERO Clinical Trial. Calcif Tissue Int. 2020 Jun;106(6):646-654. doi: 10.1007/s00223-020-00683-6. Epub 2020 Mar 10.
- Minisola S, Marin F, Kendler DL, Geusens P, Zerbini CAF, Russo LA, Casado E, Fahrleitner-Pammer A, Stepan JJ, Lespessailles E, Moericke R, Bagur A, Lakatos P, Lopez-Romero P, Body JJ. Serum 25-hydroxy-vitamin D and the risk of fractures in the teriparatide versus risedronate VERO clinical trial. Arch Osteoporos. 2019 Jan 18;14(1):10. doi: 10.1007/s11657-019-0561-x.
- Geusens P, Marin F, Kendler DL, Russo LA, Zerbini CA, Minisola S, Body JJ, Lespessailles E, Greenspan SL, Bagur A, Stepan JJ, Lakatos P, Casado E, Moericke R, Lopez-Romero P, Fahrleitner-Pammer A. Effects of Teriparatide Compared with Risedronate on the Risk of Fractures in Subgroups of Postmenopausal Women with Severe Osteoporosis: The VERO Trial. J Bone Miner Res. 2018 May;33(5):783-794. doi: 10.1002/jbmr.3384. Epub 2018 Feb 9.
- Kendler DL, Marin F, Zerbini CAF, Russo LA, Greenspan SL, Zikan V, Bagur A, Malouf-Sierra J, Lakatos P, Fahrleitner-Pammer A, Lespessailles E, Minisola S, Body JJ, Geusens P, Moricke R, Lopez-Romero P. Effects of teriparatide and risedronate on new fractures in post-menopausal women with severe osteoporosis (VERO): a multicentre, double-blind, double-dummy, randomised controlled trial. Lancet. 2018 Jan 20;391(10117):230-240. doi: 10.1016/S0140-6736(17)32137-2. Epub 2017 Nov 9. Erratum In: Lancet. 2017 Nov 30;: Lancet. 2018 Dec 1;392(10162):2352.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Metabolické choroby
- Zlomeniny, kosti
- Rány a zranění
- Nemoci pohybového aparátu
- Nemoci kostí
- Nemoci kostí, Metabolické
- Poranění páteře
- Zranění zad
- Osteoporóza
- Osteoporóza, postmenopauza
- Zlomeniny páteře
- Fyziologické účinky léků
- Molekulární mechanismy farmakologického působení
- Mikroživiny
- Membránové transportní modulátory
- Vitamíny
- Činidla pro zachování hustoty kostí
- Hormony a látky regulující vápník
- Blokátory vápníkových kanálů
- Vitamín D
- Vápník
- Teriparatid
- Kyselina risedronová
Další identifikační čísla studie
- 14536
- B3D-EW-GHDW (Jiný identifikátor: Eli Lilly and Company)
- 2012-000123-41 (Číslo EudraCT)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Časový rámec sdílení IPD
Kritéria přístupu pro sdílení IPD
Typ podpůrných informací pro sdílení IPD
- PROTOKOL STUDY
- MÍZA
- CSR
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .
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