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OsteoporosisPhase 2NCT00752557

Study Evaluating Changes In Bone Mineral Density (BMD), And Safety Of Rhbmp-2/CPM In Subjects With Decreased BMD

A Phase 2 study testing rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy) and bisphosphonates, calcium, and vitamin D in people with Osteoporosis, run by Pfizer at 35 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main purpose of this study is to assess whether a locally-administered rhBMP-2/CPM injection can rapidly increase bone mass in subjects at high risk for osteoporotic fractures of the hip. Read more about this study

Who is it for?
Ages 65 to 85 years, women only
Conditions the study is for
Osteoporosis
What is being tested?
rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy) and bisphosphonates, calcium, and vitamin D
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
35 sitesin 4 countries
Study dates
3 Dec 2008to 24 Apr 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 65 to 85 years
  • Women only
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Community-dwelling, ambulatory (with or without assistive device), postmenopausal females, age greater than 65 years.
  • BMD T-score (total hip or femoral neck) of -2.5 or less in at least 1 hip. Subjects with BMD T-scores of -2.0 or less may be enrolled if at least one of the following risk factors is also present:
  • Age greater than 75 years
  • Family (maternal) history of fragility fracture
  • Previous fragility fracture (self) after age 45
  • Subjects may either be treatment naïve or on a previously-established regimen ( greater than 1year, but less than 5 years duration) of bisphosphonate therapy. Subjects must be willing to comply with 1of the 3 protocol-designated oral bisphosphonates (risedronate, alendronate, or ibandronate sodium) with risedronate considered as first-line therapy.

Who cannot join

  • Metabolic bone disorder or disease affecting bone and mineral metabolism (eg, Paget's disease, vitamin D deficiency [ less than 20 ng/mL], hyperparathyroidism, renal osteodystrophy, osteomalacia, hypocalcemia, hypercalcemia).
  • Coagulopathy and/or history of venous thromboembolic events (deep vein thrombosis, pulmonary embolus, retinal vein thrombosis) within the past 12 months.
  • Inflammatory arthritis including rheumatoid, psoriatic, or crystal-induced (gouty) arthritis, or those associated with systemic lupus erythematosus (SLE), spondyloarthropathy, Reiters syndrome, or Crohns disease.

Trial locations and contacts

35 sites in 4 countries.

35 sites in 4 countries

United States28 sites
  • University Orthopedics Center

    Altoona, Pennsylvania, 16602

  • Florida Hospital Deland

    DeLand, Florida, 32720

  • Florida Orthopaedic Associates, P.A.

    DeLand, Florida, 32720

  • Florida Research Associates, LLC

    DeLand, Florida, 32720

  • Victoria Park Imaging

    DeLand, Florida, 32724

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Diagnostic Professionals, Inc.

    Fort Lauderdale, Florida, 33311

  • Shrock Orthopedic Research

    Fort Lauderdale, Florida, 33316

  • Cool Spring Interventional, PLLC

    Franklin, Tennessee, 37067

  • Center for Women's Health Research at Meharry Medical College

    Nashville, Tennessee, 37208-3599

  • Suncoast Clinical Research Inc

    New Port Richey, Florida, 34652

  • Coastal orthopedic and Sports Medicine

    New Port Richey, Florida, 34653

  • Columbia University Medical Center

    New York, New York, 10032

  • Creighton University Medical Center

    Omaha, Nebraska, 68131

  • Creighton University Osteoporosis Research Center

    Omaha, Nebraska, 68131

  • Arizona Research Center, Inc.

    Phoenix, Arizona, 85023

  • John C. Lincoln Hospital - Deer Valley

    Phoenix, Arizona, 85027

  • Westside Regional Medical Center

    Plantation, Florida, 33324

  • Florida Arthritis & Osteoporosis Center

    Port Richey, Florida, 34668

  • UC Davis Medical Center

    Sacramento, California, 95817

  • Intensive Research Unit

    St Louis, Missouri, 63110

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Center for Advanced Medicine

    St Louis, Missouri, 63310

  • University Orthopedics Center

    State College, Pennsylvania, 16801

  • Medical Center of Trinity

    Trinity, Florida, 34655

  • Tucson Orthopaedic Institute

    Tucson, Arizona, 85712

  • Prairie Lakes Healthcare Systems

    Watertown, South Dakota, 57201G

  • Brown Clinic

    Watertown, South Dakota, 57201

Other trials in United States

Poland3 sites
  • Synexus Polska Sp. z o.o.

    Warsaw, Masovian Voivodeship, 01-192

  • Radiologica, Pracownia Rezonansu Magnetycznego i Tomografii Komputerowej

    Warsaw, Masovian Voivodeship, 01-258

  • Centralny Szpital Kliniczny MSWiA, Zaklad Diagnostyki Radiologicznej

    Warsaw, Masovian Voivodeship, 02-507

Other trials in Poland

Belgium2 sites
  • Universitair Ziekenhuis Gent

    Ghent, 9000

  • Andre Dumont Ziekenhuis - ZOL, Campus Andre Dumont

    Waterschei (Genk), 3600

Other trials in Belgium

Spain2 sites
  • Clinica Ruber

    Madrid, 28006

  • Instituto Palacios de Salud y Medicina de la Mujer

    Madrid, 28009

Other trials in Spain

About this study

Official title: A PHASE 2, MULTICENTER, RANDOMIZED, ACTIVE-CONTROLLED, PARALLEL-GROUP, DOSE-FINDING AND SAFETY STUDY OF RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN-2 (RHBMP-2)/CALCIUM PHOSPHATE MATRIX(CPM) IN SUBJECTS WITH DECREASED BONE MINERAL DENSITY

The main purpose of this study is to assess whether a locally-administered rhBMP-2/CPM injection can rapidly increase bone mass in subjects at high risk for osteoporotic fractures of the hip. All subjects will receive standard treatment for low bone mass, consisting of bisphosphonates, calcium, and vitamin D (all taken by mouth). Subjects that are randomly selected to receive treatment with rhBMP-2 will receive an injection directly into the hip. The injection is given in a surgery room using a light anesthesia.

Conditions
Osteoporosis
Being tested
rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy), bisphosphonates, calcium, and vitamin D
Keywords
Bone mineral density, bone morphogenetic protein, osteoporosis
Medical subject headings
Osteoporosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy)Drug

    Single, unilateral intraosseous injection of 6mL of rhBMP-2/CPM , 1.0 mg/mL.

  • rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy)Drug

    Single, unilateral intraosseous injection of 6mL of rhBMP-2/CPM , 2.0 mg/mL.

  • bisphosphonates, calcium, and vitamin DDrug

    Oral bisphosphonate therapy

Study groups in NCT00752557
Study groupRoleWhat they receive
1ExperimentalrhBMP-2/CPM , 1.0 mg/mL
Receives: Drug: rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy)
2ExperimentalrhBMP-2/CPM , 2.0 mg/mL
Receives: Drug: rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy)
3Active comparatorOral bisphosphonate therapy (standard of care)
Receives: Drug: bisphosphonates, calcium, and vitamin D

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Bone Mineral Density (BMD) Measured by Dual-Energy X-ray Absorptiometry (DXA)

    Evaluating local changes (expected increases) in BMD after administration of rhBMP-2/CPM, compared to those observed with systemic osteoporosis therapy alone. Alternatively, if changes in the total area surrounding the proximal femur are observed, bone mineral content (BMC) may instead be applied for the primary measure. BMD is defined as a derived measure of bone density, generated by dividing the bone mineral content value obtained from a bone densitometry technique (for example, DXA) by the total area of the region scanned.

    Measured: Baseline, 12 months post dose

  2. Time Course Distribution of Volumetric BMD for the Hip Under Study (HUS) for Total Hip

    Time course distribution of volumetric Bone mineral density (BMD) for hip is assessed by volumetric Quantitative Computed Tomography (vQCT) technique which is a 4-detector spiral (helical) computed tomography (CT) scanner with designated calibration phantom, obtain a CT scan of the proximal femora (bilateral simultaneous acquisition with volumetric rendering) to identify the specified region of interests (ROIs) for volumetric parameter to be quantified, reconstruct images of both hips and send reconstructed data (in electronic format). The vQCT regions of interest are cortical, the subcortical and trabecular. Cortical and the subcortical BMD are distinguished from trabecular effects. Peeled trabecular BMD reflects the subtraction of the extended CPM. Integral BMD reflects the cortical, subcortical, and peeled trabecular regions (minus the extended Calcium phosphate matrix [CPM]).

    Measured: At Month 12

  3. Timecourse Distribution of Volumetric Bone Mineral Density (BMD) for the Hip Under Study (HUS). Volume of Interest: Femoral Neck

    Evaluating local changes (expected increases) in BMD after administration of rhBMP-2/CPM, compared to those observed with systemic osteoporosis therapy alone. Alternatively, if changes in the total area surrounding the proximal femur are observed, bone mineral content (BMC) may instead be applied for the primary measure.

    Measured: At Month 12

Secondary outcomes (4)
  1. Summary of Volumetric Density of Cortical and Trabecular Bone Calculated by Quantitative Computed Tomography (vQTC)

    Here, measurement of density of cortical and trabecular bone in various regions of interest (ROIs) in the femoral neck, proximal shaft, and individual trochanters and was calculated by Quantitative Computed Tomography (vQTC) in ROIs.

    Measured: 24 months

  2. Number Participant Responses to Injectability Questionnaire Injected Population

    Investigator documents preparation of the study medication evaluates injectability and product placement relative to desired location (for participants in active treatment groups). Surgeon performing the injection had to complete the questionnaire that evaluates ease of preparing the study medication, ability to administer study medication, and ability for the study medication to remain in the location it was administered.

    Measured: Participants were monitored after treatment administration (dosing period)

  3. Number of Participants With Any Significant Changes in Serum Biomarkers of Bone Turnover From Baseline

    Participants with significant change in serum biomarkers of bone formation and resorption from baseline are reported. Significant changes were judged by investigator.

    Measured: Baseline up to 12 months

  4. Percentage Change From Baseline in Areal Bone Mineral Density (BMD) for Contralateral Total Hip

    Evaluating local changes (expected increases) in BMD after administration of rhBMP-2/CPM, compared to those observed with systemic osteoporosis therapy alone. The percentage change from baseline in BMD for total hip (assessed by DXA) is presented for the contralateral (untreated) hip below.

    Measured: 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2008 (estimated)
  2. Study start3 Dec 2008
  3. Primary completion24 Apr 2015
  4. Study completion24 Apr 2015

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00752557
Sponsor's protocol ID
3100N0-2213
Other IDs
B1921002, 2007-007456-34
Status last verified
Mar 2020
First submitted
12 Sep 2008
Last updated
20 Mar 2020
Data monitoring committee
Yes
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy) and bisphosphonates, calcium, and vitamin D in people with Osteoporosis, run by Pfizer at 35 sites in 4 countries.

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 6 inclusion and 3 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 20 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, Poland, Belgium, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Mar 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline in Bone Mineral Density (BMD) Measured by Dual-Energy X-ray Absorptiometry (DXA) (time frame: Baseline, 12 months post dose). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Mar 2020.

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