Postmenopausal OsteoporosisNCT01668589
Observational Study of Denosumab (Prolia®) in Postmenopausal Women With Osteoporosis
An observational study of Postmenopausal Osteoporosis, run by Amgen at 144 sites in 4 countries.
Trial summary
The main objective of this observational study was to describe medication-taking behavior of patients treated with denosumab for postmenopausal osteoporosis (PMO) at 12 and 24 months. Read more about this study
- Who is it for?
- Any age, women only
- Conditions the study is for
- Postmenopausal Osteoporosis
- How many people
- 1,501 participants
- Where
- 144 sitesin 4 countries
- Study dates
- 28 Nov 2011to 31 Aug 2015
- Phase
- Observational
- 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 Any age
- Women only
- No healthy volunteers
- Child, Adult, Older adult
Study population: Postmenopausal women indicated for treatment of osteoporosis at increased risk of fractures according to the approval regional prescribing information, e.g. EU SmPC
Who may be able to join
- Indicated for treatment of osteoporosis in postmenopausal women at increased risk of fractures according to the approved Regional Prescribing Information (eg, EU SmPC in Germany, Austria, Greece and Belgium).
- Enrolled into the study within 4 weeks of receiving their first injection of Prolia® according to the approved Regional Prescribing Information (eg, EU SmPC in Germany, Austria, Greece and Belgium).
- Appropriate written informed consent has been obtained (as required per local country regulations).
Who cannot join
- Patient is currently enrolled in or has been enrolled within the prior 6 months in a study involving any investigational procedure, device or drug.
- Contraindicated for treatment with Prolia® according to the approved Regional Prescribing Information (eg, EU SmPC in Germany, Austria, Greece and Belgium).
- Participation in ongoing or previous denosumab clinical trials.
- Patient has any kind of disorder that, in the opinion of the investigator, may compromise the ability of the patient to give written informed consent.
Trial locations and contacts
144 sites in 4 countries.
144 sites in 4 countries
Germany53 sites
Research Site
Aachen, 52064
Research Site
Augsburg, 86150
Research Site
Bad Kreuznach, 55543
Research Site
Bad Reichenhall, 83453
Research Site
Bammental, 69245
Research Site
Bautzen, 02625
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Berlin, 10559
Research Site
Berlin, 10717
Research Site
Berlin, 12051
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Berlin, 14199
Research Site
Cottbus, 03050
Research Site
Düsseldorf, 40223
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Dresden, 01129
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Erfurt, 99096
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Erlangen, 91054
Research Site
Freiburg im Breisgau, 79106
Research Site
Freudenstadt, 72250
Research Site
Friedrichroda, 99894
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Hamburg, 20354
Research Site
Hamburg, 22143
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Hamburg, 22415
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Hanover, 30459
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Hattingen, 45525
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Heidelberg, 69120
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Heinsberg, 52525
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Herne, 44652
Research Site
Hettstedt, 06333
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Hildesheim, 31134
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Immenstadt im Allgäu, 87509
Research Site
Lahnstein, 56112
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Leipzig, 04109
Research Site
Leipzig, 04299
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Leverkusen, 51375
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Mönchengladbach-Rheydt, 41239
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Müllheim, 79379
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München, 80335
Research Site
München, 80634
Research Site
München, 81675
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Münster, 48149
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Marburg, 35043
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Nürnbrecht, 51588
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Neustadt, 31535
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Nienburg, 31582
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Osnabrück, 49074
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Potsdam, 14469
Research Site
Saarbrücken, 66111
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Stockach, 78333
Research Site
Ulm, 89073
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Völklingen, 66333
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Würzburg, 97074
Research Site
Wadgassen, 66787
Research Site
Wittstock, 16909
Research Site
Zerbst, 39261
Belgium48 sites
Research Site
Aalst, 9300
Research Site
Aarschot, 3200
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Alsemberg, 1652
Research Site
Baisy-Thy, 1470
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Blankenberge, 8370
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Bornem, 2880
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Brain-Le-Comte, 7090
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Bruges, 8310
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Brussels, 1050
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Brussels, 1070
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Chênée, 4032
Research Site
Dour, 7370
Research Site
Eisden Maasmechelen, 3630
Research Site
Genk, 3600
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Ghent, 9000
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Gribomont, 6887
Research Site
Grimbergen, 1850
Research Site
Haine-Saint-Paul, 7100
Research Site
Halen, 3545
Research Site
Ham, 3945
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Ham-sur-Heure, 6120
Research Site
Harelbeke, 8530
Research Site
Hasselt, 3500
Research Site
Heusden, 9070
Research Site
Heusy, 4802
Research Site
Hoeilaart, 1560
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Knokke-Heist, 8300
Research Site
Kortrijk, 8500
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Kraainem, 1950
Research Site
Landen, 3400
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Leuven, 3000
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Liège, 4000
Research Site
Lummen, 3650
Research Site
Marchovelette, 5380
Research Site
Mont-Godinne, 5530
Research Site
Mont-sur-Marchienne, 6032
Research Site
Mouscron, 7700
Research Site
Natoye, 5360
Research Site
Paal-Beringen, 3583
Research Site
Retie, 2470
Research Site
Seraing, 4100
Research Site
Steenokkerzeel, 1820
Research Site
Stoumont, 4987
Research Site
Thuilles, 6536
Research Site
Tongeren, 3700
Research Site
Vilvoorde, 1800
Research Site
Vlijtingen-Riemst, 3770
Research Site
Wetteren, 9230
Greece24 sites
Research Site
Athens, 11521
Research Site
Athens, 11525
Research Site
Athens, 11526
Research Site
Athens, 11528
Research Site
Athens, 14561
Research Site
Athens, 15562
Research Site
Athens, 15771
Research Site
Athens, 16673
Research Site
Athens, 16674
Research Site
Chaidari, Athens, 12462
Research Site
Chania, Crete, 73136
Research Site
Heraklion, 71110
Research Site
Heraklion, Crete, 71409
Research Site
Livadeia, 32100
Research Site
Maroussi, Athens, 15123
Research Site
Pátrai, 26443
Research Site
Pátrai, 26500
Research Site
Thessaloniki, 54622
Research Site
Thessaloniki, 54635
Research Site
Thessaloniki, 54636
Research Site
Thessaloniki, 55131
Research Site
Thessaloniki, 56403
Research Site
Thessaloniki, 56429
Research Site
Thessaloniki, 57001
Austria19 sites
Research Site
Graz, 8010
Research Site
Graz, 8036
Research Site
Klagenfurt, 9020
Research Site
Landeck, 6500
Research Site
Leibnitz, Styria, 8430
Research Site
Lieboch, 8501
Research Site
Salzburg, 5020
Research Site
Sankt Stefan, 8511
Research Site
Vienna, 1040
Research Site
Vienna, 1060
Research Site
Vienna, 1070
Research Site
Vienna, 1090
Research Site
Vienna, 1100
Research Site
Vienna, 1160
Research Site
Vienna, 1190
Research Site
Vienna, 1220
Research Site
Vienna, 1230
Research Site
Vöcklabruck, 4840
Research Site
Voitsberg, 8570
About this study
Official title: Prospective Observational Study to Evaluate Medication-taking Behavior With Denosumab (Prolia) and Patient Characteristics in Postmenopausal Women With Osteoporosis in Routine Clinical Practice in Germany, Austria, Greece and Belgium
The main objective of this observational study was to describe medication-taking behavior of patients treated with denosumab for postmenopausal osteoporosis (PMO) at 12 and 24 months.
Read the detailed description
The decision to treat patients with denosumab was made independent of and before their enrolment in the study. No study drug was administered as part of the study.
- Conditions
- Postmenopausal Osteoporosis
- Medical subject headings
- Osteoporosis, Postmenopausal
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Persistent With Denosumab Injections at 12 Months and 24 Months
A participant was considered persistent with denosumab at 12 months if they received at least 1 denosumab injection following the pre-enrolment denosumab injection no later than 6 months + 8 weeks (ie, no greater than 239 days apart).
A participant was considered persistent with denosumab at 24 months if they received at least 3 denosumab injections following the pre-enrolment denosumab injection, and the length of time between any 2 consecutive denosumab injections did not exceed 6 months + 8 weeks (ie, no greater than 239 days apart).
Measured: 12 months and 24 months
Percentage of Participants Adherent to Denosumab Injection at 12 Months and 24 Months
A participant was considered adherent to denosumab at 12 months if they received at least 1 denosumab injection over the 12-month period following the pre-enrolment denosumab injection, with the time between any 2 consecutive injections being at most 6 months ± 4 weeks (between 155 and 211 days apart).
A participant was considered adherent to denosumab at 24 months if they received at least 3 denosumab injections over the 24-month period following the pre-enrolment denosumab injection, with the time between any 2 consecutive injections being at most 6 months ± 4 weeks (between 155 and 211 days apart).
Measured: 12 months and 24 months
Medication Coverage Ratio (MCR) for Denosumab Injection at 12 Months and 24 Months
MCR at 12 months was defined as the accumulative number of days covered with denosumab treatment during the first 12 months divided by 366 days, expressed as a percentage.
MCR at 24 months was defined as the accumulative number of days covered with denosumab treatment during the first 24 months divided by 732 days, expressed as a percentage.
It was assumed that each injection of denosumab treatment provided 6 months of coverage (or 183 days) from the date of injection or until the date of the next injection, whichever comes first. So, a participant who received only 1 injection in the first year would have MCR at 12 months equal to 50%.
Measured: From baseline to 12 months and 24 months
Secondary outcomes (5)
Time to Non-persistence With Denosumab Injection
Time to non-persistence for non-persistent patients was calculated as the time between the date of the first denosumab injection and the date of last denosumab injection received during the period where the patient was still classified as persistent, plus 6 months (183 days). Participants were considered persistent at 24 months if they received at least 4 injections, including the baseline injection, with no more than 6 months + 8 weeks apart between any 2 consecutive injections.
Measured: 24 months
Percentage of Participants Who Received Denosumab Injections Within the Specified Window
The percentage of participants who received 0, 1, 2, or 3 denosumab injections within the specified window (defined by the persistence definition as 6 months + 8 weeks). The number of injections that a participant took during the 2-year period after the first pre-enrolment injection, and that were given within the appropriate window from the previous injection, irrespective of when the previous injection was given. Only the first 3 post-baseline injections are considered.
Measured: 24 months
Percent Change From Baseline in Total Hip Bone Mineral Density (BMD) at 24 Months
Bone mineral density was measured using dual energy X-ray absorptiometry (DXA).
Measured: Baseline and Month 24
Percent Change From Baseline in Femoral Neck Bone Mineral Density (BMD) at 24 Months
Bone mineral density was measured using dual energy X-ray absorptiometry (DXA).
Measured: Baseline and Month 24
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at 24 Months
Bone mineral density was measured using dual energy X-ray absorptiometry (DXA).
Measured: Baseline and Month 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Aug 2012 (estimated)
- Study start28 Nov 2011
- Primary completion31 Aug 2015
- Study completion31 Aug 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Postmenopausal OsteoporosisStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,501 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01668589
- Sponsor's protocol ID
- 20110126
- Status last verified
- Jan 2018
- First submitted
- 16 Aug 2012
- Last updated
- 30 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Fahrleitner-Pammer A, Papaioannou N, Gielen E, Feudjo Tepie M, Toffis C, Frieling I, Geusens P, Makras P, Boschitsch E, Callens J, Anastasilakis AD, Niedhart C, Resch H, Kalouche-Khalil L, Hadji P. Factors associated with high 24-month persistence with denosumab: results of a real-world, non-interventional study of women with postmenopausal osteoporosis in Germany, Austria, Greece, and Belgium. Arch Osteoporos. 2017 Dec;12(1):58. doi: 10.1007/s11657-017-0351-2. Epub 2017 Jun 22.
PubMed 28643265
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Observational Study to Evaluate Medication-taking Behavior With Denosumab (Prolia) and Patient Characteristics in Postmenopausal Women With Osteoporosis in Routine Clinical Practice in Germany, Austria, Greece and Belgium
- ClinicalTrials.gov ID
- NCT01668589
- Acronym / sponsor ID
- 20110126
- Conditions
- Postmenopausal Osteoporosis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,501 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 28 Nov 2011 (actual)
- Primary completion
- 31 Aug 2015 (actual)
- Study completion
- 31 Aug 2015 (actual)
- First posted
- 20 Aug 2012 (estimated)
- Results
- Posted 20 Sep 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this observational study was to describe medication-taking behavior of patients treated with denosumab for postmenopausal osteoporosis (PMO) at 12 and 24 months.
Detailed description
The decision to treat patients with denosumab was made independent of and before their enrolment in the study. No study drug was administered as part of the study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Postmenopausal women indicated for treatment of osteoporosis at increased risk of fractures according to the approval regional prescribing information, e.g. EU SmPC
Key inclusion criteria (3 listed)
- Indicated for treatment of osteoporosis in postmenopausal women at increased risk of fractures according to the approved Regional Prescribing Information (eg, EU SmPC in Germany, Austria, Greece and Belgium).
- Enrolled into the study within 4 weeks of receiving their first injection of Prolia® according to the approved Regional Prescribing Information (eg, EU SmPC in Germany, Austria, Greece and Belgium).
- Appropriate written informed consent has been obtained (as required per local country regulations).
Key exclusion criteria (4 listed)
- Patient is currently enrolled in or has been enrolled within the prior 6 months in a study involving any investigational procedure, device or drug.
- Contraindicated for treatment with Prolia® according to the approved Regional Prescribing Information (eg, EU SmPC in Germany, Austria, Greece and Belgium).
- Participation in ongoing or previous denosumab clinical trials.
- Patient has any kind of disorder that, in the opinion of the investigator, may compromise the ability of the patient to give written informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of Participants Persistent With Denosumab Injections at 12 Months and 24 Months
Time frame: 12 months and 24 months
A participant was considered persistent with denosumab at 12 months if they received at least 1 denosumab injection following the pre-enrolment denosumab injection no later than 6 months + 8 weeks (ie, no greater than 239 days apart). A participant was considered persistent with denosumab at 24 months if they received at least 3 denosumab injections following the pre-enrolment denosumab injection, and the length of time between any 2 consecutive denosumab injections did not exceed 6 months + 8 weeks (ie, no greater than 239 days apart).
Percentage of Participants Adherent to Denosumab Injection at 12 Months and 24 Months
Time frame: 12 months and 24 months
A participant was considered adherent to denosumab at 12 months if they received at least 1 denosumab injection over the 12-month period following the pre-enrolment denosumab injection, with the time between any 2 consecutive injections being at most 6 months ± 4 weeks (between 155 and 211 days apart). A participant was considered adherent to denosumab at 24 months if they received at least 3 denosumab injections over the 24-month period following the pre-enrolment denosumab injection, with the time between any 2 consecutive injections being at most 6 months ± 4 weeks (between 155 and 211 days apart).
Medication Coverage Ratio (MCR) for Denosumab Injection at 12 Months and 24 Months
Time frame: From baseline to 12 months and 24 months
MCR at 12 months was defined as the accumulative number of days covered with denosumab treatment during the first 12 months divided by 366 days, expressed as a percentage. MCR at 24 months was defined as the accumulative number of days covered with denosumab treatment during the first 24 months divided by 732 days, expressed as a percentage. It was assumed that each injection of denosumab treatment provided 6 months of coverage (or 183 days) from the date of injection or until the date of the next injection, whichever comes first. So, a participant who received only 1 injection in the first year would have MCR at 12 months equal to 50%.
5 secondary outcomes
Time to Non-persistence With Denosumab Injection
Time frame: 24 months
Percentage of Participants Who Received Denosumab Injections Within the Specified Window
Time frame: 24 months
Percent Change From Baseline in Total Hip Bone Mineral Density (BMD) at 24 Months
Time frame: Baseline and Month 24
Percent Change From Baseline in Femoral Neck Bone Mineral Density (BMD) at 24 Months
Time frame: Baseline and Month 24
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at 24 Months
Time frame: Baseline and Month 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 28643265Fahrleitner-Pammer A, Papaioannou N, Gielen E, Feudjo Tepie M, Toffis C, Frieling I, Geusens P, Makras P, Boschitsch E, Callens J, Anastasilakis AD, Niedhart C, Resch H, Kalouche-Khalil L, Hadji P. Factors associated with high 24-month persistence with denosumab: results of a real-world, non-interventional study of women with postmenopausal osteoporosis in Germany, Austria, Greece, and Belgium. Arch Osteoporos. 2017 Dec;12(1):58. doi: 10.1007/s11657-017-0351-2. Epub 2017 Jun 22.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
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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.
MD study director
Amgen
144 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Postmenopausal Osteoporosis, run by Amgen at 144 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 3 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 30 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 144 sites in Germany, Belgium, Greece, Austria. 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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 20 Sep 2016). 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?
Percentage of Participants Persistent With Denosumab Injections at 12 Months and 24 Months (time frame: 12 months and 24 months). 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?
On the ClinicalTrials.gov record for NCT01668589, which also lists 1 linked publication.
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 30 Jan 2018.