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VERtebral Fracture Treatment Comparisons in Osteoporotic Women (VERO)

9 september 2019 uppdaterad av: 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.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Faktisk)

1366

Fas

  • Fas 4

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • 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, 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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      • Caen, Frankrike, 14033
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      • La Crau, Frankrike, 83260
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      • Lyon, Frankrike, 69003
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      • Orleans, Frankrike, 45032
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      • Saint-Etienne, Frankrike, 42055
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      • Toulouse, Frankrike, 31059
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    • Alabama
      • Birmingham, Alabama, Förenta staterna, 35294
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    • California
      • Concord, California, Förenta staterna, 94520
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      • Fresno, California, Förenta staterna, 93720
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      • Laguna Hills, California, Förenta staterna, 92653
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      • Lancaster, California, Förenta staterna, 93534
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      • Tustin, California, Förenta staterna, 92780
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    • Colorado
      • Lakewood, Colorado, Förenta staterna, 80227
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    • Connecticut
      • Danbury, Connecticut, Förenta staterna, 06810
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    • Florida
      • Orlando, Florida, Förenta staterna, 32804
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    • Georgia
      • Gainesville, Georgia, Förenta staterna, 30501
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    • Indiana
      • Evansville, Indiana, Förenta staterna, 47714
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      • Indianapolis, Indiana, Förenta staterna, 46202
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    • Kansas
      • Topeka, Kansas, Förenta staterna, 66606
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    • Maryland
      • Bethesda, Maryland, Förenta staterna, 20817
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    • Michigan
      • Detroit, Michigan, Förenta staterna, 48202
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    • Nebraska
      • Omaha, Nebraska, Förenta staterna, 68131
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    • New Jersey
      • Clifton, New Jersey, Förenta staterna, 07012
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      • Freehold, New Jersey, Förenta staterna, 07728
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    • New Mexico
      • Albuquerque, New Mexico, Förenta staterna, 87106
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    • North Carolina
      • Asheville, North Carolina, Förenta staterna, 28803
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      • Greensboro, North Carolina, Förenta staterna, 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, Förenta staterna, 58103
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    • Oregon
      • Bend, Oregon, Förenta staterna, 97701
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    • Pennsylvania
      • Duncansville, Pennsylvania, Förenta staterna, 16635
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      • Pittsburgh, Pennsylvania, Förenta staterna, 15213
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      • Wyomissing, Pennsylvania, Förenta staterna, 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, Förenta staterna, 75231
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    • Washington
      • Seattle, Washington, Förenta staterna, 98122
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      • Spokane, Washington, Förenta staterna, 99204
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    • Wisconsin
      • Madison, Wisconsin, Förenta staterna, 53705
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      • Athens, Grekland, 10676
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      • Kifissia, Grekland, 14561
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      • Patras, Grekland, 26500
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      • Thessaloniki, Grekland, 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, Tjeckien, 37005
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      • Klatovy, Tjeckien, 33938
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      • Prague, Tjeckien, 128 08
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      • Uherske Hradiste, Tjeckien, 686 01
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      • Dresden, Tyskland, 01067
        • 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.
      • Frankfurt, Tyskland, 60528
        • 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.
      • Hamburg, Tyskland, 22415
        • 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.
      • Leipzig, Tyskland, 04103
        • 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.
      • Magdeburg, Tyskland, 39110
        • 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.
      • Marburg, Tyskland, 35043
        • 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.
      • Budapest, Ungern, 1094
        • 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.
      • Debrecen, Ungern, 4043
        • 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.
      • Eger, Ungern, 3300
        • 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.
      • Kaposvar, Ungern, 7400
        • 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.
      • Szeged, Ungern, 6720
        • 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, Österrike, 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, Österrike, 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, Österrike, 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, Österrike, 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.

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

45 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Kvinna

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Fyrdubbla

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.

Administreras SC
Andra namn:
  • Forteo
  • LY333334
  • Forsteo
Administreras oralt

Teriparatide arm placebo administered orally.

Risedronate arm placebo administered SC.

Administered orally
Aktiv 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.

Administreras oralt
Administreras oralt

Teriparatide arm placebo administered orally.

Risedronate arm placebo administered SC.

Administered orally

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Proportion of Participants With New Vertebral Fractures
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Proportion of Participants With Pooled New and Worsening Vertebral Fractures
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: Baseline through 24 Months
Baseline through 24 Months
Proportion of Participants With Pooled Fragility and Traumatic Non-Vertebral Fractures
Tidsram: 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
Tidsram: Baseline, 24 Months
Baseline, 24 Months
Change From Baseline to 24 Months Endpoint in Back Pain Using an 11-point Numerical Pain Rating Scale
Tidsram: 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)
Tidsram: 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)
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 oktober 2012

Primärt slutförande (Faktisk)

1 juli 2016

Avslutad studie (Faktisk)

1 juli 2016

Studieregistreringsdatum

Först inskickad

16 oktober 2012

Först inskickad som uppfyllde QC-kriterierna

16 oktober 2012

Första postat (Uppskatta)

17 oktober 2012

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

23 september 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

9 september 2019

Senast verifierad

1 september 2019

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

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.

Tidsram för IPD-delning

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.

Kriterier för IPD Sharing Access

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

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • CSR

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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