Postmenopausal OsteoporosisPhase 3FACTNCT00092014
A Study to Evaluate and Compare Alendronate and Risedronate on Bone Mineral Density in Women With Postmenopausal Osteoporosis (MK-0217-211)
A Phase 3 study testing Alendronate, Risedronate 35 mg and Elemental Calcium in people with Postmenopausal Osteoporosis, run by Organon and Co.
Trial summary
This study is to evaluate and compare the effects of Alendronate and Risedronate to treat women with postmenopausal osteoporosis. The primary hypothesis for this study is that in postmenopausal women with osteoporosis, treatment with oral alendronate 70 mg once weekly will produce a mean percent increase from baseline… Read more about this study
- Who is it for?
- Ages 25 years and older, women only
- Conditions the study is for
- Postmenopausal Osteoporosis
- What is being tested?
- Alendronate, Risedronate 35 mg and Elemental Calcium
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,053 participants
- Where
- No sites listed yet
- Study dates
- 1 Sep 2002to 1 Apr 2004
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Women with postmenopausal osteoporosis
Who cannot join
- Bilateral hip replacements
- Esophageal abnormalities
- Metabolic bone disease (example - Vitamin D deficiency)
- Medications that would affect the breakdown or build-up of bone turnover
About this study
Official title: A 12-Month Extension to: A Randomized, Double-Blind, Double-Dummy, Parallel-Group, Multicenter Study to Evaluate and Compare the Effects of Once Weekly Alendronate and Risedronate on Bone Mineral Density in Postmenopausal Women With Osteoporosis
This study is to evaluate and compare the effects of Alendronate and Risedronate to treat women with postmenopausal osteoporosis. The primary hypothesis for this study is that in postmenopausal women with osteoporosis, treatment with oral alendronate 70 mg once weekly will produce a mean percent increase from baseline in hip trochanter bone mineral density (BMD) at 12 and 24 months which is greater than that observed with oral risedronate 35 mg once weekly.
- Conditions
- Postmenopausal Osteoporosis
- Being tested
- Alendronate, Risedronate 35 mg, Elemental Calcium, Vitamin D, Risendronate placebo
- Medical subject headings
- Osteoporosis, Postmenopausal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AlendronateDrug
Also called MK-0217, FOSAMAX®
Alendronate sodium, 70 mg, once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
Risedronate 35 mgDrug
Also called Actonel®, Atelvia®
Risendronate, 35 mg, once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
Elemental CalciumDietary supplement
Elemental calcium at least 1,000 mg daily (diet plus supplements). Medications were taken fasting which was maintained for 30 minutes postdose.
Vitamin DDietary supplement
Vitamin D at least 400 international units daily (diet plus supplements). Medications were taken fasting which was maintained for 30 minutes postdose.
Risendronate placeboDrug
Risendronate placebo was taken once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
Alendronate placeboDrug
Alendronate placebo was taken once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose.
| Study group | Role | What they receive |
|---|---|---|
| Alendronate 70 mg | Experimental | Alendronate sodium, 70 mg, orally once weekly for up to 24 months Receives: Drug: Alendronate; Dietary Supplement: Elemental Calcium; Dietary Supplement: Vitamin D; Drug: Risendronate placebo |
| Risendronate 35 mg | Active comparator | Risendronate, 35 mg, orally once weekly for up to 24 months Receives: Drug: Risedronate 35 mg; Dietary Supplement: Elemental Calcium; Dietary Supplement: Vitamin D; Drug: Alendronate placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean percent change from baseline in hip trochanter bone mineral density (BMD) at 12 months
Measured: Baseline and 12 months
Mean percent change from baseline in hip trochanter BMD at 24 months
Measured: Baseline and 24 months
Secondary outcomes (8)
Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 12 months
Measured: Baseline and 12 months
Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 24 months
Measured: Baseline and 24 months
Change from baseline in biochemical markers of bone turnover at 12 months
Measured: Baseline and 12 months
Change from baseline in biochemical markers of bone turnover at 24 months
Measured: Baseline and 24 months
Percent responders (>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 12 months
Measured: 12 months
Percent responders ((>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 24 months
Measured: 24 months
Number of participants who experienced one or more adverse events (AE)
Measured: Up to 24 months
Number of participants who discontinued study medication due to an AE
Measured: Up to 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Sep 2004 (estimated)
- Study start1 Sep 2002
- Primary completion1 Apr 2004
- Study completion1 Apr 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Postmenopausal OsteoporosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,053 participants (actual)
Sponsor and investigators
- Lead sponsor
- Organon and Co
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00092014
- Sponsor's protocol ID
- 0217-211
- Other IDs
- 2004_016
- Acronym
- FACT
- Status last verified
- Apr 2024
- First submitted
- 21 Sep 2004
- Last updated
- 14 Aug 2024
- Results posted
- No
- Data monitoring committee
- No
Publications
Rosen CJ, Hochberg MC, Bonnick SL, McClung M, Miller P, Broy S, Kagan R, Chen E, Petruschke RA, Thompson DE, de Papp AE; Fosamax Actonel Comparison Trial Investigators. Treatment with once-weekly alendronate 70 mg compared with once-weekly risedronate 35 mg in women with postmenopausal osteoporosis: a randomized double-blind study. J Bone Miner Res. 2005 Jan;20(1):141-51. doi: 10.1359/JBMR.040920. Epub 2004 Sep 29.
PubMed 15619680Sebba AI, Bonnick SL, Kagan R, Thompson DE, Skalky CS, Chen E, de Papp AE; Fosamax Actonel Comparison Trial investigators. Response to therapy with once-weekly alendronate 70 mg compared to once-weekly risedronate 35 mg in the treatment of postmenopausal osteoporosis. Curr Med Res Opin. 2004 Dec;20(12):2031-41. doi: 10.1185/030079904x16768.
PubMed 15706659Bonnick S, Saag KG, Kiel DP, McClung M, Hochberg M, Burnett SM, Sebba A, Kagan R, Chen E, Thompson DE, de Papp AE. Comparison of weekly treatment of postmenopausal osteoporosis with alendronate versus risedronate over two years. J Clin Endocrinol Metab. 2006 Jul;91(7):2631-7. doi: 10.1210/jc.2005-2602. Epub 2006 Apr 24.
PubMed 16636120Burnett-Bowie SM, Saag K, Sebba A, de Papp AE, Chen E, Rosenberg E, Greenspan SL. Prediction of changes in bone mineral density in postmenopausal women treated with once-weekly bisphosphonates. J Clin Endocrinol Metab. 2009 Apr;94(4):1097-103. doi: 10.1210/jc.2008-1122. Epub 2009 Jan 13.
PubMed 19141590
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 12-Month Extension to: A Randomized, Double-Blind, Double-Dummy, Parallel-Group, Multicenter Study to Evaluate and Compare the Effects of Once Weekly Alendronate and Risedronate on Bone Mineral Density in Postmenopausal Women With Osteoporosis
- ClinicalTrials.gov ID
- NCT00092014
- Acronym / sponsor ID
- FACT / 0217-211
- Conditions
- Postmenopausal Osteoporosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,053 participants (actual)
- Lead sponsor
- Organon and CoIndustry (pharma, biotech, devices)
- Study start
- 1 Sep 2002 (actual)
- Primary completion
- 1 Apr 2004 (actual)
- Study completion
- 1 Apr 2004 (actual)
- First posted
- 24 Sep 2004 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to evaluate and compare the effects of Alendronate and Risedronate to treat women with postmenopausal osteoporosis. The primary hypothesis for this study is that in postmenopausal women with osteoporosis, treatment with oral alendronate 70 mg once weekly will produce a mean percent increase from baseline in hip trochanter bone mineral density (BMD) at 12 and 24 months which is greater than that observed with oral risedronate 35 mg once weekly.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Alendronate 70 mg | Experimental | Drug: Alendronate, Dietary Supplement: Elemental Calcium, Dietary Supplement: Vitamin D, Drug: Risendronate placeboAlendronate sodium, 70 mg, orally once weekly for up to 24 months |
| Risendronate 35 mg | Active comparator | Drug: Risedronate 35 mg, Dietary Supplement: Elemental Calcium, Dietary Supplement: Vitamin D, Drug: Alendronate placeboRisendronate, 35 mg, orally once weekly for up to 24 months |
Who may qualify
- Ages
- 25 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Women with postmenopausal osteoporosis
Key exclusion criteria (4 listed)
- Bilateral hip replacements
- Esophageal abnormalities
- Metabolic bone disease (example - Vitamin D deficiency)
- Medications that would affect the breakdown or build-up of bone turnover
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AlendronateAlso: MK-0217, FOSAMAX®Alendronate sodium, 70 mg, once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose. | Drug | Alendronate 70 mg |
| Risedronate 35 mgAlso: Actonel®, Atelvia®Risendronate, 35 mg, once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose. | Drug | Risendronate 35 mg |
| Elemental CalciumElemental calcium at least 1,000 mg daily (diet plus supplements). Medications were taken fasting which was maintained for 30 minutes postdose. | Dietary supplement | Alendronate 70 mg, Risendronate 35 mg |
| Vitamin DVitamin D at least 400 international units daily (diet plus supplements). Medications were taken fasting which was maintained for 30 minutes postdose. | Dietary supplement | Alendronate 70 mg, Risendronate 35 mg |
| Risendronate placeboRisendronate placebo was taken once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose. | Drug | Alendronate 70 mg |
| Alendronate placeboAlendronate placebo was taken once weekly for up to 24 months. Medications were taken fasting which was maintained for 30 minutes postdose. | Drug | Risendronate 35 mg |
Primary outcome
Mean percent change from baseline in hip trochanter bone mineral density (BMD) at 12 months
Time frame: Baseline and 12 months
Mean percent change from baseline in hip trochanter BMD at 24 months
Time frame: Baseline and 24 months
8 secondary outcomes
Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 12 months
Time frame: Baseline and 12 months
Mean percent change from baseline in total hip, femoral neck, posteroanterior (PA) lumbar BMD at 24 months
Time frame: Baseline and 24 months
Change from baseline in biochemical markers of bone turnover at 12 months
Time frame: Baseline and 12 months
Change from baseline in biochemical markers of bone turnover at 24 months
Time frame: Baseline and 24 months
Percent responders (>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 12 months
Time frame: 12 months
Percent responders ((>=0% and >=3% change from baseline in hip trochanter and lumbar spine BMD) at 24 months
Time frame: 24 months
Number of participants who experienced one or more adverse events (AE)
Time frame: Up to 24 months
Number of participants who discontinued study medication due to an AE
Time frame: Up to 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2024.
- Background: PubMed 15619680Rosen CJ, Hochberg MC, Bonnick SL, McClung M, Miller P, Broy S, Kagan R, Chen E, Petruschke RA, Thompson DE, de Papp AE; Fosamax Actonel Comparison Trial Investigators. Treatment with once-weekly alendronate 70 mg compared with once-weekly risedronate 35 mg in women with postmenopausal osteoporosis: a randomized double-blind study. J Bone Miner Res. 2005 Jan;20(1):141-51. doi: 10.1359/JBMR.040920. Epub 2004 Sep 29.
- Background: PubMed 15706659Sebba AI, Bonnick SL, Kagan R, Thompson DE, Skalky CS, Chen E, de Papp AE; Fosamax Actonel Comparison Trial investigators. Response to therapy with once-weekly alendronate 70 mg compared to once-weekly risedronate 35 mg in the treatment of postmenopausal osteoporosis. Curr Med Res Opin. 2004 Dec;20(12):2031-41. doi: 10.1185/030079904x16768.
- Background: PubMed 16636120Bonnick S, Saag KG, Kiel DP, McClung M, Hochberg M, Burnett SM, Sebba A, Kagan R, Chen E, Thompson DE, de Papp AE. Comparison of weekly treatment of postmenopausal osteoporosis with alendronate versus risedronate over two years. J Clin Endocrinol Metab. 2006 Jul;91(7):2631-7. doi: 10.1210/jc.2005-2602. Epub 2006 Apr 24.
- Background: PubMed 19141590Burnett-Bowie SM, Saag K, Sebba A, de Papp AE, Chen E, Rosenberg E, Greenspan SL. Prediction of changes in bone mineral density in postmenopausal women treated with once-weekly bisphosphonates. J Clin Endocrinol Metab. 2009 Apr;94(4):1097-103. doi: 10.1210/jc.2008-1122. Epub 2009 Jan 13.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Merck Sharp & Dohme LLC
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Alendronate, Risedronate 35 mg and Elemental Calcium in people with Postmenopausal Osteoporosis, run by Organon and Co.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean percent change from baseline in hip trochanter bone mineral density (BMD) at 12 months (time frame: Baseline and 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00092014, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2024.