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VERtebral Fracture Treatment Comparisons in Osteoporotic Women (VERO)

9. September 2019 aktualisiert von: Eli Lilly and Company

Teriparatide and Risedronate in the Treatment of Patients With Severe Postmenopausal Osteoporosis: Comparative Effects on Vertebral Fractures

The primary purpose of participation in this study is to answer whether teriparatide is superior to risedronate in reducing the occurrence of new vertebral fractures during 24 months of therapy.

Studienübersicht

Studientyp

Interventionell

Einschreibung (Tatsächlich)

1366

Phase

  • Phase 4

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

      • Buenos Aires, Argentinien, C1128AAF
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      • Caba, Argentinien, C1425AGC
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      • Mar Del Plata, Argentinien, B7600DHK
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      • Brussels, Belgien, 1070
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      • Genk, Belgien, 3600
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      • Gent, Belgien, 9000
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      • Gilly, Belgien, 6060
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      • Laken, Belgien, 1020
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      • Leuven, Belgien, 3000
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      • Liège, Belgien, 4020
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      • Merksem, Belgien, 2170
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      • Mons, Belgien, 7000
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      • Brasilia, Brasilien, 71625-009
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      • Rio De Janeiro, Brasilien, 22271-100
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      • São Paulo, Brasilien, 05437-010
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      • Dresden, Deutschland, 01067
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      • Frankfurt, Deutschland, 60528
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      • Hamburg, Deutschland, 22415
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      • Leipzig, Deutschland, 04103
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      • Magdeburg, Deutschland, 39110
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      • Marburg, Deutschland, 35043
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      • Caen, Frankreich, 14033
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      • La Crau, Frankreich, 83260
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      • Lyon, Frankreich, 69003
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      • Orleans, Frankreich, 45032
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      • Saint-Etienne, Frankreich, 42055
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      • Toulouse, Frankreich, 31059
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      • Athens, Griechenland, 10676
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      • Kifissia, Griechenland, 14561
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      • Patras, Griechenland, 26500
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      • Thessaloniki, Griechenland, 54642
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      • Firenze, Italien, 50134
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      • Genova-Nervi, Italien, 16167
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      • Orbassano, Italien, 10043
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      • Padova, Italien, 35128
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      • Rome, Italien, 00161
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      • Torino, Italien, 10126
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      • Valeggio Sul Mincio, Italien, 37067
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    • British Columbia
      • Kelowna, British Columbia, Kanada, V1Y3G5
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      • Vancouver, British Columbia, Kanada, V5Z 4E1
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    • Nova Scotia
      • Halifax, Nova Scotia, Kanada, B3H 1V7
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    • Ontario
      • Hamilton, Ontario, Kanada, L8N 1Y2
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      • Toronto, Ontario, Kanada, M5G 2C4
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    • Quebec
      • 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
      • Saskatoon, Saskatchewan, Kanada, S7K 0H6
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      • Bialystok, Polen, 15-351
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      • Elblag, Polen, 82-300
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      • Lublin, Polen, 20-582
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      • Poznan, Polen, 60-218
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      • Swidnik, Polen, 21-040
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      • Warsaw, Polen, 02-118
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      • San Juan, Puerto Rico, 00918
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      • Alcira, Spanien, 46600
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      • Barcelona, Spanien, 08025
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      • Cadiz, Spanien, 11009
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      • Madrid, Spanien, 28046
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      • Sabadell, Spanien, 08208
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      • Valencia, Spanien, 46026
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      • Ceske Budejovice, Tschechien, 37005
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      • Klatovy, Tschechien, 33938
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      • Prague, Tschechien, 128 08
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      • Uherske Hradiste, Tschechien, 686 01
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      • Budapest, Ungarn, 1094
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      • Debrecen, Ungarn, 4043
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      • Eger, Ungarn, 3300
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      • Kaposvar, Ungarn, 7400
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      • Szeged, Ungarn, 6720
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    • Alabama
      • Birmingham, Alabama, Vereinigte Staaten, 35294
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    • California
      • Concord, California, Vereinigte Staaten, 94520
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      • Fresno, California, Vereinigte Staaten, 93720
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      • Laguna Hills, California, Vereinigte Staaten, 92653
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      • Lancaster, California, Vereinigte Staaten, 93534
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      • Tustin, California, Vereinigte Staaten, 92780
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    • Colorado
      • Lakewood, Colorado, Vereinigte Staaten, 80227
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    • Connecticut
      • Danbury, Connecticut, Vereinigte Staaten, 06810
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    • Florida
      • Orlando, Florida, Vereinigte Staaten, 32804
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    • Georgia
      • Gainesville, Georgia, Vereinigte Staaten, 30501
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    • Indiana
      • Evansville, Indiana, Vereinigte Staaten, 47714
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      • Indianapolis, Indiana, Vereinigte Staaten, 46202
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    • Kansas
      • Topeka, Kansas, Vereinigte Staaten, 66606
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    • Maryland
      • Bethesda, Maryland, Vereinigte Staaten, 20817
        • 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.
    • Michigan
      • Detroit, Michigan, Vereinigte Staaten, 48202
        • 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.
    • Nebraska
      • Omaha, Nebraska, Vereinigte Staaten, 68131
        • 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.
    • New Jersey
      • Clifton, New Jersey, Vereinigte Staaten, 07012
        • 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.
      • Freehold, New Jersey, Vereinigte Staaten, 07728
        • 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.
    • New Mexico
      • Albuquerque, New Mexico, Vereinigte Staaten, 87106
        • 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.
    • North Carolina
      • Asheville, North Carolina, Vereinigte Staaten, 28803
        • 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.
      • Greensboro, North Carolina, Vereinigte Staaten, 27408
        • 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.
    • North Dakota
      • Fargo, North Dakota, Vereinigte Staaten, 58103
        • 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.
    • Oregon
      • Bend, Oregon, Vereinigte Staaten, 97701
        • 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.
    • Pennsylvania
      • Duncansville, Pennsylvania, Vereinigte Staaten, 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.
      • Pittsburgh, Pennsylvania, Vereinigte Staaten, 15213
        • 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.
      • Wyomissing, Pennsylvania, Vereinigte Staaten, 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.
    • Texas
      • Dallas, Texas, Vereinigte Staaten, 75231
        • 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.
    • Washington
      • Seattle, Washington, Vereinigte Staaten, 98122
        • 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.
      • Spokane, Washington, Vereinigte Staaten, 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.
    • Wisconsin
      • Madison, Wisconsin, Vereinigte Staaten, 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.
      • Graz, Österreich, 8036
        • 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.
      • Hohenems, Österreich, 6845
        • 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.
      • Linz, Österreich, 4020
        • 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.
      • Vienna, Österreich, A-1060
        • 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.

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

45 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Weiblich

Beschreibung

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

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Vervierfachen

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: 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.

SC verabreicht
Andere Namen:
  • Forteo
  • LY333334
  • Forsteo
Oral verabreicht

Teriparatide arm placebo administered orally.

Risedronate arm placebo administered SC.

Administered orally
Aktiver Komparator: 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.

Oral verabreicht
Oral verabreicht

Teriparatide arm placebo administered orally.

Risedronate arm placebo administered SC.

Administered orally

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Proportion of Participants With New Vertebral Fractures
Zeitfenster: Baseline through 24 Months

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

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Proportion of Participants With Pooled New and Worsening Vertebral Fractures
Zeitfenster: Baseline through 24 Months
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).
Baseline through 24 Months
Proportion of Participants With Pooled Clinical Vertebral and Non-Vertebral Fragility Fractures
Zeitfenster: Baseline through 24 Months

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
Proportion of Participants With Non-Vertebral Fragility Fractures
Zeitfenster: Baseline through 24 Months
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.
Baseline through 24 Months
Proportion of Participants With Major Non-Vertebral Fragility Fractures
Zeitfenster: Baseline through 24 Months
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.
Baseline through 24 Months
Proportion of Participants With New Moderate and/or Severe Vertebral Fractures
Zeitfenster: Baseline through 24 Months
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).
Baseline through 24 Months
Proportion of Participants With New Multiple (2 or More) Vertebral Fractures
Zeitfenster: Baseline through 24 Months
Baseline through 24 Months
Proportion of Participants With Pooled Fragility and Traumatic Non-Vertebral Fractures
Zeitfenster: Baseline through 24 Months
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.
Baseline through 24 Months
Change From Baseline to 24 Months Endpoint in Height
Zeitfenster: Baseline, 24 Months
Baseline, 24 Months
Change From Baseline to 24 Months Endpoint in Back Pain Using an 11-point Numerical Pain Rating Scale
Zeitfenster: Baseline, 24 Months
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.
Baseline, 24 Months
Change From Baseline to 24 Months Endpoint in the European Quality of Life Questionnaire [EQ-5D-5L] (UK)
Zeitfenster: Baseline, 24 Months
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.
Baseline, 24 Months
Change From Baseline to 24 Months Endpoint in the European Quality of Life Questionnaire [EQ-5D-5L] (US)
Zeitfenster: Baseline, 24 Months
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.
Baseline, 24 Months

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Publikationen und hilfreiche Links

Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.

Allgemeine Veröffentlichungen

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn

1. Oktober 2012

Primärer Abschluss (Tatsächlich)

1. Juli 2016

Studienabschluss (Tatsächlich)

1. Juli 2016

Studienanmeldedaten

Zuerst eingereicht

16. Oktober 2012

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

16. Oktober 2012

Zuerst gepostet (Schätzen)

17. Oktober 2012

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

23. September 2019

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

9. September 2019

Zuletzt verifiziert

1. September 2019

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

JA

Beschreibung des IPD-Plans

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

IPD-Sharing-Zeitrahmen

Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

IPD-Sharing-Zugriffskriterien

A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.

Art der unterstützenden IPD-Freigabeinformationen

  • STUDIENPROTOKOLL
  • SAFT
  • CSR

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

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