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Postmenopausal OsteoporosisPhase 1NCT04366726

Study to Evaluate the Pharmacokinetics (PK), Pharmacodynamics (PD), and Usability of Abaloparatide-solid Microstructured Transdermal System (sMTS) in Postmenopausal Women With Low Bone Mineral Density (BMD)

A Phase 1 study testing abaloparatide-sMTS in people with Postmenopausal Osteoporosis, run by Radius Health, Inc. at 1 site in United States.

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

This was an open-label, single-center study to evaluate the usability of abaloparatide-sMTS by participants with low BMD. Read more about this study

Who is it for?
Ages 50 to 85 years, women only
Conditions the study is for
Postmenopausal Osteoporosis
What is being tested?
abaloparatide-sMTS
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteUnited States
Study dates
9 Apr 2019to 14 May 2019
Phase
Phase 1
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 to 85 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Postmenopausal for at least 2 years
  • BMD T-score based on the female reference range <-1.0 and >-5.0 at the lumbar spine (L1-L4) or hip (femoral neck or total hip) by dual energy X-ray absorptiometry (DXA)
  • Good general health as determined by medical history and physical exam (including vital signs, and has a body mass index up to 33 kilograms/square meter (kg/m^2)
  • Laboratory tests within the normal range including serum calcium (albumin-corrected), intact parathyroid hormone (PTH), serum phosphorus, alkaline phosphatase, and thyroid stimulating hormone
  • Serum 25-hydroxyvitamin D values ≥ 20 nanograms per milliliter (ng/mL)

Who cannot join

  • History of prior external beam or implant radiation therapy involving the skeleton, other than radioiodine
  • History of bone disorders other than postmenopausal osteoporosis (such as Paget's disease)
  • History of cancer within the last 5 years (with the exception of basal cell or squamous cancer of the skin)
  • History of Cushing's disease, hypo or hyperparathyroidism, or malabsorptive syndromes within the past year
  • Prior treatment with PTH, PTH-related peptide-derived drugs, or bone anabolic steroids, including abaloparatide, teriparatide, or PTH (1-84)
  • Prior treatment with intravenous bisphosphonates at any time or oral bisphosphonates within the past year (12 months). Participants who have received a short course of oral bisphosphonate therapy (3 months or less) may be enrolled as long as the treatment occurred 6 or more months prior to enrollment
  • Prior treatment with an investigational drug or device within the past 3 months or 5 half-lives of the investigational drug, whichever is longer

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Pharmaceutical Research Associates, Inc

    Lenexa, Kansas, 66219

Other trials in United States

About this study

Official title: A Prospective, Single Arm Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Usability of Abaloparatide-sMTS in Postmenopausal Women With Low Bone Mineral Density

This was an open-label, single-center study to evaluate the usability of abaloparatide-sMTS by participants with low BMD.

Read the detailed description

This study aimed to evaluate the ability of participants to self-administer 300 μg abaloparatide-sMTS over a period of 29 days based on PK and PD markers.

Being tested
abaloparatide-sMTS
Keywords
postmenopausal osteoporosis, transdermal delivery, microstructure patch, abaloparatide
Medical subject headings
Osteoporosis, Postmenopausal

What participants receive

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

  • abaloparatide-sMTSCombination product

    Abaloparatide-sMTS is a drug-device combination product consisting of the drug abaloparatide coated onto an sMTS array for transdermal administration of abaloparatide.

Study groups in NCT04366726
Study groupRoleWhat they receive
abaloparatide-sMTSExperimentalAbaloparatide-sMTS 300 micrograms (μg) was applied to the thigh for 5 minutes once daily for 29 days.
Receives: Combination Product: abaloparatide-sMTS

What is being measured

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

  1. Abaloparatide Maximum Plasma Concentration (Cmax) on Day 29

    Measured: 0 (predose), 10 minutes, 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, and 4 hours postdose on Day 29

  2. Abaloparatide Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC0-t) on Day 29

    Measured: 0 (predose) and 4 hours postdose on Day 29

Secondary outcomes (4)
  1. Percent Change From Baseline of Serum Procollagen Type I N-Terminal Propeptides (s-PINP) at Day 29

    Blood samples were taken to measure s-PINP, a bone formation marker. s-PINP concentrations reflect the rate of skeletal new bone formation. Increases in s-PINP indicate anabolic biologic response in the bone.

    Measured: Baseline, Day 29

  2. Change From Baseline of Serum Calcium (Albumin-Corrected) to Predose and Postdose on Day 29

    Measured: Baseline, 0 (predose) and 4 hours postdose on Day 29

  3. Change From Baseline of Serum Phosphorus to Predose and Postdose on Day 29

    Measured: Baseline, 0 (predose) and 4 hours postdose on Day 29

  4. Change From Baseline of Cyclic Adenosine Monophosphate (cAMP) to Day 29

    Measured: Baseline, 0 (predose) and 30-minutes postdose on Day 29

Timeline

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

  1. First posted29 Apr 2020
  2. Study start9 Apr 2019
  3. Primary completion14 May 2019
  4. Study completion14 May 2019

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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04366726
Sponsor's protocol ID
BA058-05-022
Status last verified
Feb 2023
First submitted
16 Apr 2020
Last updated
22 Nov 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes

Publications

  • Miller PD, Troy S, Weiss RJ, Annett M, Schense J, Williams SA, Mitlak B. Phase 1b Evaluation of Abaloparatide Solid Microstructured Transdermal System (Abaloparatide-sMTS) in Postmenopausal Women with Low Bone Mineral Density. Clin Drug Investig. 2021 Mar;41(3):277-285. doi: 10.1007/s40261-021-01008-7. Epub 2021 Feb 27.

    PubMed 33638863

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing abaloparatide-sMTS in people with Postmenopausal Osteoporosis, run by Radius Health, Inc. at 1 site in United States.

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 5 inclusion and 7 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 22 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 22 Nov 2023). 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?

Abaloparatide Maximum Plasma Concentration (Cmax) on Day 29 (time frame: 0 (predose), 10 minutes, 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, and 4 hours postdose on Day 29). 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 NCT04366726, 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 22 Nov 2023.

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