- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00343252
Effect of Teriparatide Compared to Risedronate on Back Pain in Women With a Spine Fracture Caused by Osteoporosis
20. maj 2011 opdateret af: Eli Lilly and Company
The Effect of Teriparatide Compared With Risedronate on Back Pain in Postmenopausal Women With Osteoporotic Vertebral Fractures
The purpose of the study is to determine if daily teriparatide reduces back pain more effectively than weekly risedronate in women with osteoporosis who have chronic back pain due to a spinal bone fracture.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
712
Fase
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Buenos Aires, Argentina, C1117ABH
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Malvern East, Australien, 3145
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New South Wales
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Kogarah, New South Wales, Australien, 2217
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Randwick, Sydney, New South Wales, Australien, 2031
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Queensland
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Maroochydore, Queensland, Australien, 4558
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South Australia
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Keswick, South Australia, Australien, 5035
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Brussels, Belgien, 1180
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Gent, Belgien, 9000
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Gozee, Belgien, 6534
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Leuven, Belgien, 3000
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Liege, Belgien, 4000
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Tienen, Belgien, 3300
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Yvoir, Belgien, 5530
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Campinas, Brasilien, 13073-350
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Rio De Janeiro, Brasilien, 22271-100
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Sao Paulo, Brasilien, 01246-903
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British Columbia
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Vancouver, British Columbia, Canada, V6H 3X8
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Manitoba
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Winnipeg, Manitoba, Canada, R3A 1M3
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Ontario
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Hamilton, Ontario, Canada, L8N 1Y2
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London, Ontario, Canada, N6A 4V2
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Quebec
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Montreal, Quebec, Canada, H3A 1A1
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Sainte-Foy, Quebec, Canada, G1V 3M7
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Trois-Rivieres, Quebec, Canada, G8Z 1Y2
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7K 0H6
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Alabama
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Birmingham, Alabama, Forenede Stater, 35294
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Montgomery, Alabama, Forenede Stater, 36111
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Arizona
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Peoria, Arizona, Forenede Stater, 85381
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California
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Laguna Hills, California, Forenede Stater, 92653
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Oakland, California, Forenede Stater, 94609
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Connecticut
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Farmington, Connecticut, Forenede Stater, 06030
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Florida
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Palm Harbor, Florida, Forenede Stater, 34684
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Georgia
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Decatur, Georgia, Forenede Stater, 30033
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Gainesville, Georgia, Forenede Stater, 30501
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Illinois
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Morton Grove, Illinois, Forenede Stater, 60053
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46202
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Iowa
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Urbandale, Iowa, Forenede Stater, 50322
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Nebraska
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Omaha, Nebraska, Forenede Stater, 68131
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Ohio
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Cleveland, Ohio, Forenede Stater, 44195
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Texas
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Houston, Texas, Forenede Stater, 77054
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Washington
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Seattle, Washington, Forenede Stater, 98144
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Spokane, Washington, Forenede Stater, 99204
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West Virginia
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Beckley, West Virginia, Forenede Stater, 25801
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Wisconsin
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Madison, Wisconsin, Forenede Stater, 53705
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Marshfield, Wisconsin, Forenede Stater, 54449
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Amiens, Frankrig, 80084
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Orleans, Frankrig, 45000
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Paris, Frankrig, 75679
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Poitiers, Frankrig, 86000
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Siena, Italien, 53100
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Treviglio, Italien, 24047
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Valeggio Sul Mincio, Italien, 37067
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Leon, Mexico, 37000
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Mexico City, Mexico, 14000
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Monterrey, Mexico, 64461
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Ponce, Puerto Rico, 00716
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San Juan, Puerto Rico, 00918
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Granada, Spanien, 18012
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Madrid, Spanien, 28046
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Salamanca, Spanien, 37007
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Valencia, Spanien, 46017
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Malmo, Sverige, 21120
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Solna, Sverige, 17176
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Umeå, Sverige, 90185
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Uppsala, Sverige, 75185
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Braunfels, Tyskland, 35619
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Frankfurt, Tyskland, 60528
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Hamburg, Tyskland, 20354
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Heidelberg, Tyskland, D-69120
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Heinsberg, Tyskland, 52525
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Leipzig, Tyskland, 04207
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Marburg, Tyskland, 35033
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München, Tyskland, 80335
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
45 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Kvinde
Beskrivelse
Inclusion Criteria:
- Postmenopausal women 45 years or older. No period for at least two years.
- History of back pain that started at least 2 months prior to the initial visit (likely due to spinal bone fracture determined by investigator).
- Minimum of one moderate spinal bone fracture.
- Beginning pain level of at least four on an eleven point scale.
- Bone Mineral Density (BMD) must meet criteria
- Able to read, understand, and administer self-questionnaires.
- Be willing and able to use a pen-injector to deliver the medication.
Exclusion Criteria:
- Are at increased risk for osteosarcoma.
- Have an active or suspected diseases that affects bone metabolism other than osteoporosis.
- Participants that already know that they will require procedures to repair their spinal bone fractures.
- Abnormal values of certain lab tests.
- Anything that would make it difficult to determine if the back pain was due to the fracture.
- Poor medical or psychiatric condition.
- Alcohol or drug abuse within a year of the study start.
- Certain malignant neoplasms in the 5 years prior to enrollment.
- Active liver disease or clinical jaundice.
- Significantly impaired renal function.
- History of nephrolithiasis or urolithiasis within 2 years prior to enrollment.
- Known contraindication or intolerance to risedronate and/or teriparatide therapy.
- Treatment with oral strontium or certain therapeutic doses of fluoride.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Teriparatide
Teriparatide 20 micrograms (ug)/day, subcutaneous, 18 months plus once weekly oral placebo
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20 ug/day, subcutaneous, 18 months
Andre navne:
once weekly, oral, 18 months
Andre navne:
daily, subcutaneous, 18 months
Andre navne:
|
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Aktiv komparator: Risedronate
Risedronate 35 milligrams (mg)/once weekly, oral, 18 months plus daily subcutaneous injection placebo
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once weekly, oral, 18 months
Andre navne:
daily, subcutaneous, 18 months
Andre navne:
35 mg/once weekly, oral, 18 months
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Participants Responding With at Least a 30% Reduction in 24-Hour Worst Back Pain Severity at the 6-Month Endpoint
Tidsramme: 6 Months
|
24-hour worst back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
The 11-point scale is used for assessment of worst back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
Responders are defined as participants with at least a 30% reduction in the severity of worst back pain from baseline to the 6-month last observation carried forward (LOCF) endpoint.
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6 Months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Number of Participants Responding With at Least a 30% Reduction in 24-Hour Worst Back Pain Severity at the 12-Month Endpoint
Tidsramme: 12 Months
|
24-hour worst back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
The 11-point scale is used for assessment of worst back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
Responders are defined as participants with at least a 30% reduction in the severity of worst back pain from baseline to the 12-month last observation carried forward (LOCF) endpoint.
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12 Months
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Number of Participants Responding With at Least a 30% Reduction in 24-Hour Average Back Pain Severity at the 6-Month Endpoint
Tidsramme: 6 Months
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24-hour average back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
The 11-point scale is used for assessment of average back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
Responders are defined as participants with at least a 30% reduction in the severity of average back pain from baseline to the 6-month last observation carried forward (LOCF) endpoint.
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6 Months
|
|
Number of Participants Responding With at Least a 30% Reduction in 24-Hour Average Back Pain Severity at the 12-Month Endpoint
Tidsramme: 12 Months
|
24-hour average back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
The 11-point scale is used for assessment of average back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
Responders are defined as participants with at least a 30% reduction in the severity of average back pain from baseline to the 12-month last observation carried forward (LOCF) endpoint.
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12 Months
|
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Number of Participants With Time to First Occurrence of at Least 30% Reduction in 24-Hour Worst Back Pain up to 6 Months
Tidsramme: Days 0, 30, 60, 90, 120, 150, 180, 210, 240, 270, and 300
|
Time to first occurrence of >= 30% pain reduction in worst back pain from baseline to 6 months.
Worst back pain is assessed using an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain), to rate the worst back pain experienced in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
The results are reported as the number of participants reporting at least a 30% reduction in the severity of worst back pain up to time (t) in days.
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Days 0, 30, 60, 90, 120, 150, 180, 210, 240, 270, and 300
|
|
Number of Participants With Time to First Occurrence of at Least 30% Reduction in 24-Hour Worst Back Pain up to 12 Months
Tidsramme: Days 0, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600
|
Time to first occurrence of >= 30% pain reduction in worst back pain from baseline to 12 months.
Worst back pain is assessed using an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain), to rate the worst back pain experienced in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
The results are reported as the number of participants reporting at least a 30% reduction in the severity of worst back pain up to time (t) in days.
|
Days 0, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600
|
|
Number of Participants With Time to First Occurrence of at Least a 30% Reduction in 24-Hour Average Back Pain up to 6 Months
Tidsramme: Days 0, 30, 60, 90, 120, 150, 180, 210, 240, 270, and 300
|
Time to first occurrence of >=30% pain reduction in average back pain from baseline to 6 months.
Average back pain is assessed using an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain), to rate the average back pain experienced in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
The results are reported as the number of participants reporting at least a 30% reduction in the severity of average back pain up to time (t) in days.
|
Days 0, 30, 60, 90, 120, 150, 180, 210, 240, 270, and 300
|
|
Number of Participants With Time to First Occurrence of at Least a 30% Reduction in 24-Hour Average Back Pain up to 12 Months
Tidsramme: Days 0, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600
|
Time to first occurrence of >= 30% pain reduction in average back pain from baseline to 12 months.
Average back pain is assessed using an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain), to rate the average back pain experienced in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
The results are reported as the number of participants reporting at least a 30% reduction in the severity of average back pain up to time (t) in days.
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Days 0, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600
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|
Change From Baseline to 3-Month Endpoint in the Roland-Morris Disability Questionnaire.
Tidsramme: Baseline, 3 Months
|
Roland-Morris Disability Questionnaire (RMDQ-24) is completed by the participant and measures the degree of disability due to back pain.
The questionnaire consists of 24 statements and the participant is instructed to put a mark next to each appropriate statement.
The number of statements marked are added up by the clinician and a total score is given.
The total score ranges from 0 (no disability) to 24 (severe disability).
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Baseline, 3 Months
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Change From Baseline to 6-Month Endpoint in the Roland-Morris Disability Questionnaire.
Tidsramme: Baseline, 6 Months
|
Roland-Morris Disability Questionnaire (RMDQ-24) is completed by the participant and measures the degree of disability due to back pain.
The questionnaire consists of 24 statements and the participant is instructed to put a mark next to each appropriate statement.
The number of statements marked are added up by the clinician and a total score is given.
The total score ranges from 0 (no disability) to 24 (severe disability).
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Baseline, 6 Months
|
|
Change From Baseline to 12-Month Endpoint in the Roland-Morris Disability Questionnaire.
Tidsramme: Baseline, 12 Months
|
Roland-Morris Disability Questionnaire (RMDQ-24) is completed by the participant and measures the degree of disability due to back pain.
The questionnaire consists of 24 statements and the participant is instructed to put a mark next to each appropriate statement.
The number of statements marked are added up by the clinician and a total score is given.
The total score ranges from 0 (no disability) to 24 (severe disability).
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Baseline, 12 Months
|
|
Change From Baseline to 6-Month Endpoint, European Foundation for Osteoporosis Quality of Life Instrument (QUALEFFO)
Tidsramme: Baseline, 6 Months
|
QUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life.
The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function.
The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation.
Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life.
|
Baseline, 6 Months
|
|
Change From Baseline to 12-Month Endpoint, European Foundation for Osteoporosis Quality of Life Instrument (QUALEFFO)
Tidsramme: Baseline, 12 Months
|
QUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life.
The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function.
The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation.
Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life.
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Baseline, 12 Months
|
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Number of Participants With Adverse Events (Safety) During 12 Months
Tidsramme: Baseline through 12 Months
|
Safety was assessed via serious adverse events and all other non-serious adverse events and the data are located in the Reported Adverse Events Section.
|
Baseline through 12 Months
|
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Number of Participants With Adverse Events (Safety) During 18 Months
Tidsramme: Baseline through 18 Months
|
Safety is assessed via serious adverse events and all other non-serious adverse events and the data are located in the Reported Adverse Events Section.
|
Baseline through 18 Months
|
|
Number of Participants Responding With at Least a 30% Reduction in 24-Hour Worst Back Pain Severity at the 18-Month Endpoint
Tidsramme: 18 Months
|
24-hour worst back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
The 11-point scale is used for assessment of worst back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
Responders are defined as participants with at least a 30% reduction in the severity of worst back pain from baseline to the 18-month last observation carried forward (LOCF) endpoint.
|
18 Months
|
|
Number of Participants Responding With at Least a 30% Reduction in 24-Hour Average Back Pain Severity at the 18-Month Endpoint
Tidsramme: 18 Months
|
24-hour average back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
The 11-point scale is used for assessment of average back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
Responders are defined as participants with at least a 30% reduction in the severity of average back pain from baseline to the 18-month last observation carried forward (LOCF) endpoint.
|
18 Months
|
|
Number of Participants With Time to First Occurrence of at Least 30% Reduction in 24-Hour Worst Back Pain up to 18 Months
Tidsramme: Baseline through 18 Months
|
Time to first occurrence of >= 30% pain reduction in worst back pain from baseline to 18 months.
Worst back pain is assessed using an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain), to rate the worst back pain experienced in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
The results are reported as the number of participants reporting at least a 30% reduction in the severity of worst back pain up to time (t) in days.
|
Baseline through 18 Months
|
|
Number of Participants With Time to First Occurrence of at Least a 30% Reduction in 24-Hour Average Back Pain up to 18 Months
Tidsramme: Baseline through 18 Months
|
Time to first occurrence of >=30% pain reduction in average back pain from baseline to 18 months.
Average back pain is assessed using an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain), to rate the average back pain experienced in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit.
The results are reported as the number of participants reporting at least a 30% reduction in the severity of average back pain up to time (t) in days.
|
Baseline through 18 Months
|
|
Change From Baseline to 18-Month Endpoint in the Roland-Morris Disability Questionnaire.
Tidsramme: Baseline, 18 Months
|
Roland-Morris Disability Questionnaire (RMDQ-24) is completed by the participant and measures the degree of disability due to back pain.
The questionnaire consists of 24 statements and the participant is instructed to put a mark next to each appropriate statement.
The number of statements marked are added up by the clinician and a total score is given.
The total score ranges from 0 (no disability) to 24 (severe disability).
Pooled site, baseline glucocorticoid usage status (yes/no) and baseline score were controlled for.
|
Baseline, 18 Months
|
|
Change From Baseline to 18-Month Endpoint in European Foundation for Osteoporosis Quality of Life Instrument (QUALEFFO)
Tidsramme: Baseline, 18 Months
|
QUALEFFO is an osteoporosis-specific health instrument developed specifically for participants with vertebral deformities used to evaluate the effect of back pain and treatment on quality of life.
The QUALEFFO questionnaire includes 41 items in 5 domains: pain, physical function, social function, general health perception, and mental function.
The total score is calculated according to the scoring algorithm developed by the International Osteoporosis Foundation.
Total scores are reported from 0 to 100, with lower scores corresponding to better quality of life.
|
Baseline, 18 Months
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Hjælpsomme links
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. juni 2006
Primær færdiggørelse (Faktiske)
1. juni 2009
Studieafslutning (Faktiske)
1. juni 2010
Datoer for studieregistrering
Først indsendt
20. juni 2006
Først indsendt, der opfyldte QC-kriterier
20. juni 2006
Først opslået (Skøn)
22. juni 2006
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
26. maj 2011
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
20. maj 2011
Sidst verificeret
1. maj 2011
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Metaboliske sygdomme
- Smerte
- Neurologiske manifestationer
- Sår og skader
- Muskuloskeletale sygdomme
- Knoglesygdomme
- Knoglesygdomme, metaboliske
- Rygmarvsskader
- Rygskader
- Rygsmerte
- Brud, Knogle
- Osteoporose
- Osteoporose, postmenopausal
- Spinalfrakturer
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Membrantransportmodulatorer
- Knogletæthedsbevarende midler
- Calciumregulerende hormoner og midler
- Calciumkanalblokkere
- Teriparatid
- Risedronsyre
- Etidronsyre
Andre undersøgelses-id-numre
- 9041 (Anden identifikator: CTEP)
- B3D-MC-GHCY (Anden identifikator: Eli Lilly and Company)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .