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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.

Completed

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

Official record
Search all trials

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

  • Research Site

    Berlin, 10559

  • Research Site

    Berlin, 10717

  • Research Site

    Berlin, 12051

  • Research Site

    Berlin, 14199

  • Research Site

    Cottbus, 03050

  • Research Site

    Düsseldorf, 40223

  • Research Site

    Dresden, 01129

  • Research Site

    Erfurt, 99096

  • Research Site

    Erlangen, 91054

  • Research Site

    Freiburg im Breisgau, 79106

  • Research Site

    Freudenstadt, 72250

  • Research Site

    Friedrichroda, 99894

  • Research Site

    Hamburg, 20354

  • Research Site

    Hamburg, 22143

  • Research Site

    Hamburg, 22415

  • Research Site

    Hanover, 30459

  • Research Site

    Hattingen, 45525

  • Research Site

    Heidelberg, 69120

  • Research Site

    Heinsberg, 52525

  • Research Site

    Herne, 44652

  • Research Site

    Hettstedt, 06333

  • Research Site

    Hildesheim, 31134

  • Research Site

    Immenstadt im Allgäu, 87509

  • Research Site

    Lahnstein, 56112

  • Research Site

    Leipzig, 04109

  • Research Site

    Leipzig, 04299

  • Research Site

    Leverkusen, 51375

  • Research Site

    Mönchengladbach-Rheydt, 41239

  • Research Site

    Müllheim, 79379

  • Research Site

    München, 80335

  • Research Site

    München, 80634

  • Research Site

    München, 81675

  • Research Site

    Münster, 48149

  • Research Site

    Marburg, 35043

  • Research Site

    Nürnbrecht, 51588

  • Research Site

    Neustadt, 31535

  • Research Site

    Nienburg, 31582

  • Research Site

    Osnabrück, 49074

  • Research Site

    Potsdam, 14469

  • Research Site

    Saarbrücken, 66111

  • Research Site

    Stockach, 78333

  • Research Site

    Ulm, 89073

  • Research Site

    Völklingen, 66333

  • Research Site

    Würzburg, 97074

  • Research Site

    Wadgassen, 66787

  • Research Site

    Wittstock, 16909

  • Research Site

    Zerbst, 39261

Other trials in Germany

Belgium48 sites
  • Research Site

    Aalst, 9300

  • Research Site

    Aarschot, 3200

  • Research Site

    Alsemberg, 1652

  • Research Site

    Baisy-Thy, 1470

  • Research Site

    Blankenberge, 8370

  • Research Site

    Bornem, 2880

  • Research Site

    Brain-Le-Comte, 7090

  • Research Site

    Bruges, 8310

  • Research Site

    Brussels, 1050

  • Research Site

    Brussels, 1070

  • Research Site

    Chênée, 4032

  • Research Site

    Dour, 7370

  • Research Site

    Eisden Maasmechelen, 3630

  • Research Site

    Genk, 3600

  • Research Site

    Ghent, 9000

  • Research Site

    Gribomont, 6887

  • Research Site

    Grimbergen, 1850

  • Research Site

    Haine-Saint-Paul, 7100

  • Research Site

    Halen, 3545

  • Research Site

    Ham, 3945

  • Research Site

    Ham-sur-Heure, 6120

  • Research Site

    Harelbeke, 8530

  • Research Site

    Hasselt, 3500

  • Research Site

    Heusden, 9070

  • Research Site

    Heusy, 4802

  • Research Site

    Hoeilaart, 1560

  • Research Site

    Knokke-Heist, 8300

  • Research Site

    Kortrijk, 8500

  • Research Site

    Kraainem, 1950

  • Research Site

    Landen, 3400

  • Research Site

    Leuven, 3000

  • Research Site

    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

Other trials in Belgium

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

Other trials in Greece

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

Other trials in Austria

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.

Medical subject headings
Osteoporosis, Postmenopausal

What is being measured

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

  1. 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

  2. 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

  3. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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.

  1. First posted20 Aug 2012 (estimated)
  2. Study start28 Nov 2011
  3. Primary completion31 Aug 2015
  4. Study completion31 Aug 2015

Resources

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)
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
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

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.

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