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Involutional OsteoporosisPhase 2/3NCT02063854

A Phase II/III, Double-blind, Parallel Group Comparative Study of Oral Administration of NE-58095 Tablets

A Phase 2/3 study testing NE-58095 IR and NE-58095 DR in people with Involutional Osteoporosis, run by Takeda at 25 sites in Japan.

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 present phase II/III, multicenter, randomized, double-blind, parallel group comparative study is designed to evaluate the efficacy and safety of once-monthly oral administration of NE-58095 delayed release (DR) tablets for 12 months in participants with involutional osteoporosis. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Involutional Osteoporosis
What is being tested?
NE-58095 IR and NE-58095 DR
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
871 participants
Where
25 sitesJapan
Study dates
Feb 2014to Nov 2015
Phase
Phase 2/3
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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with a diagnosis of involutional osteoporosis
  • Male or female outpatients (including patients admitted to the hospital for tests) aged ≥ 50 years at the time of consent
  • Women for whom at least 2 years have passed since the last natural menstruation

Who cannot join

  • Patients with secondary osteoporosis
  • Patients with diseases (other than secondary osteoporosis) that present with decreased bone mass
  • Patients with findings that affects the measurement of mean bone mineral density of the lumbar spine by dual-energy X-ray absorptiometry (DXA)
  • Patients with a history of radiotherapy to the lumbar spine or the pelvis
  • Patients who are planning to receive surgical dental procedures such as tooth extraction (including dental implant treatment) during the treatment period
  • Patients with a history of treatment with any anti-receptor activator of nuclear factor-κB ligand (RANKL) monoclonal antibodies or parathyroid hormone products within 1 year before the start of the treatment period
Show all 15Show fewer
  • Patients with a history of treatment with any bisphosphonate products within 24 weeks before the start of the treatment period
  • Patients who have received any drugs that affect bone metabolism within 8 weeks before the start of the treatment period
  • Patients with disorders such as esophagitis, peptic ulcer (e.g., esophageal ulcer, gastric ulcer, and duodenal ulcer), or gastrointestinal bleeding
  • Patients with disorders that delay esophageal emptying (e.g., dysphagia, esophagostenosis, or achalasia of the esophagus)
  • Patients with hypocalcemia
  • Patients with hypercalcemia
  • Patients with a diagnosis of renal calculus
  • Patients with serious renal, hepatic, or cardiac disease
  • Patients who have received surgical dental procedures, such as a tooth extraction (including dental implant treatment), but whose dental problems remain unresolved at the start of the treatment period.

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

Japan25 sites
  • Study site

    Atsugi-shi, Kanagawa

  • Study site

    Chiba, Chiba

  • Study site

    Daito-ku, Tokyo

  • Study site

    Ebetsu-shi, Hokkaido

  • Study site

    Fukuoka, Fukuoka

  • Study site

    Higashi Osaka-shi, Osaka

  • Study site

    Kako-gun, Hyōgo

  • Study site

    Kawasaki-shi, Kanagawa

  • Study site

    Kitakyushu-shi, Fukuoka

  • Study site

    Kumamoto, Kumamoto

  • Study site

    Miyazaki, Miyazaki

  • Study site

    Morioka, Iwate

  • Study site

    Nagoya, Aichi-ken

  • Study site

    Narashino-shi, Chiba

  • Study site

    Onga-gun, Fukuoka

  • Study site

    Saitama-shi, Saitama

  • Study site

    Saito-shi, Miyazaki

  • Study site

    Sapporo, Hokkaido

  • Study site

    Sendai, Miyagi

  • Study site

    Setagaya-ku, Tokyo

  • Study site

    Tagajō-shi, Miyagi

  • Study site

    Tamana-shi, Kumamoto

  • Study site

    Wakayama, Wakayama

  • Study site

    Yokohama, Kanagawa

  • Study site

    Zushi-shi, Kanagawa

Other trials in Japan

About this study

Official title: A Phase 2/3, Multicenter, Randomized, Double-blind, Parallel Group Comparative Study to Evaluate the Efficacy and Safety of Once-monthly Oral Administration of NE-58095DR Tablet (25 mg or 37.5 mg) Versus Once-daily Oral Administration of NE-58095IR Tablet (2.5 mg) for the Treatment of Involutional Osteoporosis

The present phase II/III, multicenter, randomized, double-blind, parallel group comparative study is designed to evaluate the efficacy and safety of once-monthly oral administration of NE-58095 delayed release (DR) tablets for 12 months in participants with involutional osteoporosis. For this study, participants receiving oral NE-58095 immediate release (IR) 2.5 mg tablets once daily for 12 months are set as the control group.

Read the detailed description

The primary objective of the present study is to verify the non-inferiority of once-monthly oral administration of NE-58095 DR tablets for 12 months to once-daily oral administration of NE-58095 IR 2.5 mg tablets for 12 months, in terms of efficacy in participants with involutional osteoporosis.

Secondary objectives of the present study are as follows: to compare the safety of once-monthly oral administration of NE-58095 DR tablets for 12 months with the safety of once-daily oral administration of NE-58095 IR tablets (at 2.5 mg) for 12 months in participants with involutional osteoporosis at time of wakening.

Being tested
NE-58095 IR, NE-58095 IR Placebo, NE-58095 DR, NE-58095 DR Placebo
Keywords
Drug Therapy
Medical subject headings
Osteoporosis

What participants receive

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

  • NE-58095 IRDrug

    NE-58095 IR tablets

  • NE-58095 IR PlaceboDrug

    NE-58095 IR placebo-matching tablets

  • NE-58095 DRDrug

    NE-58095 DR tablets

  • NE-58095 DR PlaceboDrug

    NE-58095 DR placebo-matching tablets

Study groups in NCT02063854
Study groupRoleWhat they receive
NE-58095 IR 2.5 mg Once Daily on AwakeningActive comparatorNE-58095 immediate release (IR) 2.5 mg tablet, orally, once, daily, at time of wakening + NE-58095 delayed release (DR) placebo-matching tablet, orally, once, monthly, at time of wakening + NE-58095 DR placebo-matching tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, 30 minutes after breakfast, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR; Drug: NE-58095 DR Placebo
NE-58095 DR 25 mg Once Monthly on AwakeningExperimentalNE-58095 DR 25 mg tablet, orally, once, monthly, at time of wakening + NE-58095 DR placebo-matching tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, 30 minutes after breakfast + NE-58095 IR placebo-matching tablet, orally, once, daily, at time of wakening, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR Placebo; Drug: NE-58095 DR; Drug: NE-58095 DR Placebo
NE-58095 DR 25 mg Once Monthly Following BreakfastExperimentalNE-58095 DR 25 mg tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, 30 minutes after breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, at time of wakening + NE-58095 IR placebo-matching tablet, orally, once, daily, at time of wakening, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR Placebo; Drug: NE-58095 DR; Drug: NE-58095 DR Placebo
NE-58095 DR 25 mg Once Monthly 30 Min. After BreakfastExperimentalNE-58095 DR 25 mg tablet, orally, once, monthly, 30 minutes after breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, at time of wakening + NE-58095 IR placebo-matching tablet, orally, once, daily, at time of wakening, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR Placebo; Drug: NE-58095 DR; Drug: NE-58095 DR Placebo
NE-58095 DR 37.5 mg Once Monthly on AwakeningExperimentalNE-58095 DR 37.5 mg tablet, orally, once, monthly, at time of wakening + NE-58095 DR placebo-matching tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, 30 minutes after breakfast + NE-58095 IR placebo-matching tablet, orally, once, daily, at time of wakening, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR Placebo; Drug: NE-58095 DR; Drug: NE-58095 DR Placebo
NE-58095 DR 37.5 mg Once Monthly Following BreakfastExperimentalNE-58095 DR 37.5 mg tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, 30 minutes after breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, at time of wakening + NE-58095 IR placebo-matching tablet, orally, once, daily, at time of wakening, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR Placebo; Drug: NE-58095 DR; Drug: NE-58095 DR Placebo
NE-58095 DR 37.5 mg Once Monthly 30 Min. After BreakfastExperimentalNE-58095 DR 37.5 mg tablet, orally, once, monthly, 30 minutes after breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, following breakfast + NE-58095 DR placebo-matching tablet, orally, once, monthly, at time of wakening + NE-58095 IR placebo-matching tablet, orally, once, daily, at time of wakening, for up to 12 months. Calcium lactate hydrate 195 mg, once, daily, after dinner was taken as a background medication.
Receives: Drug: NE-58095 IR Placebo; Drug: NE-58095 DR; Drug: NE-58095 DR Placebo

What is being measured

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

  1. Percent Change From Baseline in Mean Lumbar Spine (L2-L4) Bone Mineral Density (BMD) Measured by Dual Energy X-Ray Absorptiometry (DXA) at End of Study

    The change in BMD in the second to the fourth lumbar vertebrae, L2 to L4, and the averages of L2 to L4 at end of study relative to baseline. DXA is a means of measuring BMD through x-ray.

    Measured: Baseline and End of Study (up to Month 12)

Secondary outcomes (10)
  1. Percent Change From Baseline in Mean Lumbar Spine (L2-L4) BMD Measured by DXA at Each Visit

    The change in BMD in each vertebra, L2 to L4, and the averages of L2 to L4 at each visit relative to baseline. DXA is a means of measuring BMD through x-ray.

    Measured: Baseline and Month 6, Month 12, and End of Study (Last observation carried forward at Month 12)

  2. Percent Change From Baseline in Femur (Total Proximal Femur) BMD Measured by DXA at Each Visit

    The change in BMD in the total proximal femur (whole bone, trochanteric region, and neck region) at each visit relative to baseline. DXA is a means of measuring BMD through x-ray.

    Measured: Baseline and Month 6, Month 12, and End of Study (Last observation carried forward at Month 12)

  3. Percent Change From Baseline in Femur (Trochanter) BMD Measured by DXA at Each Visit

    The change in BMD in the femur (trochanter) at each visit relative to baseline. DXA is a means of measuring BMD through x-ray.

    Measured: Baseline and Month 6, Month 12, and End of Study (Last observation carried forward at Month 12)

  4. Percent Change From Baseline in Femur (Femoral Neck) BMD Measured by DXA at Each Visit

    The change in BMD in the femur (femoral neck) at each visit relative to baseline. DXA is a means of measuring BMD through x-ray.

    Measured: Baseline and Month 6, Month 12, and End of Study (Last observation carried forward at Month 12)

  5. Percent Change From Baseline in Bone Turnover Marker Serum Creatinine (CTX) at Each Visit

    Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule. Blood samples were to be collected at about the same time of the day, as far as possible, throughout the study.

    Measured: Baseline and Months 1, 3, 6, 9 and 12 and End of Study (Last observation carried forward at Month 12)

  6. Percent Change From Baseline in Bone Turnover Marker Serum Bone-type Alkaline Phosphatase (BAP) at Each Visit

    Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule. Blood samples were to be collected at about the same time of the day, as far as possible, throughout the study.

    Measured: Baseline and Months 1, 3, 6, 9 and 12 and End of Study (Last observation carried forward at Month 12)

  7. Percent Change From Baseline in Bone Turnover Marker Serum Tartrate-resistant Acid Phosphatase 5b (TRACP-5b) at Each Visit

    Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule. Blood samples were to be collected at about the same time of the day, as far as possible, throughout the study.

    Measured: Baseline and Months 1, 3, 6, 9 and 12 and End of Study (Last observation carried forward at Month 12)

  8. Percent Change From Baseline in Bone Turnover Marker Serum Procollagen 1 N-terminal Peptide (P1NP) at Each Visit

    Blood samples for serum bone turnover markers were collected at specified visits according to the study schedule. Blood samples were to be collected at about the same time of the day, as far as possible, throughout the study.

    Measured: Baseline and Months 1, 3, 6, 9 and 12 and End of Study (Last observation carried forward at Month 12)

  9. Percent Change From Baseline in Bone Turnover Marker Urine Type 1 Collagen Cross-linked N-telopeptide (NTX) at Each Visit

    Urine samples for urine bone turnover markers were collected at specified visits according to the study schedule. Urine samples were to be collected at about the same time of the day, as far as possible, throughout the study. Urine NTX was corrected by creatinine value.

    Measured: Baseline and Months 1, 3, 6, 9 and 12 and End of Study (Last observation carried forward at Month 12)

  10. Percentage of Participants With New Non-traumatic Vertebral Fractures (Including the Worsening of Pre-existing Fractures)

    New non-traumatic vertebral fractures were identified by interpretable X-ray images of 13 vertebrae from the fourth thoracic to the fourth lumbar vertebra. A Central Review Committee member for X-ray determined the presence or absence of new vertebral fractures, the number of new fractures, the presence or absence of worsening pre-existing vertebral fractures, and the number of worsened fractures. The assessment of new vertebral fractures and the worsening of pre-existing vertebral fractures was semiquantitative. The X-ray images were visually inspected and classified into normal (Grade 0), mild deformation (Grade 1), moderate deformation (Grade 2), or severe deformation (Grade 3). If the assessment of any vertebra became worse by at least 1 grade after starting the treatment, its height was measured. A new vertebral fracture or a worsening pre-existing vertebral fracture was concluded if the vertebra's height was reduced from the baseline by at least 20% and by at least 4 mm.

    Measured: Baseline to Month 12

Timeline

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

  1. First posted14 Feb 2014 (estimated)
  2. Study startFeb 2014
  3. Primary completionNov 2015
  4. Study completionNov 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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
871 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02063854
Sponsor's protocol ID
CCT-401
Other IDs
JapicCTI-142440, U1111-1153-0440, NE-58095DR/CCT-401
Status last verified
Feb 2017
First submitted
12 Feb 2014
Last updated
23 Feb 2017
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing NE-58095 IR and NE-58095 DR in people with Involutional Osteoporosis, run by Takeda at 25 sites in Japan.

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 15 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 23 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Japan. 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 combined 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.

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?

Yes. Results are posted in the registry (first posted 23 Feb 2017). 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?

Percent Change From Baseline in Mean Lumbar Spine (L2-L4) Bone Mineral Density (BMD) Measured by Dual Energy X-Ray Absorptiometry (DXA) at End of Study (time frame: Baseline and End of Study (up to Month 12)). 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 23 Feb 2017.

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