AzTrials
AzTrials

Osteogenesis ImperfectaPhase 2/3OrbitNCT05125809

Setrusumab vs Placebo for Osteogenesis Imperfecta

A Phase 2/3 study testing Setrusumab in people with Osteogenesis Imperfecta, run by Ultragenyx Pharmaceutical Inc at 43 sites in 11 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The primary objectives of the study are to identify a setrusumab dosing strategy in participants with OI and to evaluate the effect of setrusumab vs placebo on reduction in fracture rate. Read more about this study

Who is it for?
Ages 5 to 25 years
Conditions the study is for
Osteogenesis Imperfecta
What is being tested?
Setrusumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
183 participants
Where
43 sitesin 11 countries
Study dates
21 Feb 2022to Apr 2027
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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 5 to 25 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Diagnosis of OI Type I, III, or IV as confirmed by identification of pathogenic or likely pathogenic genetic variants in COL1A1 or COL1A2. If a variant of uncertain significance is identified, then clinical presence of the expected phenotype can be used to confirm the diagnosis
  • ≥ 1 fracture in the past 12 months, ≥ 2 fractures in the past 24 months or ≥ 1 tibia, femur or humerus fracture in the past 24 months
  • Serum 25-hydroxyvitamin D ≥ 20 ng/mL at the Screening Visit. If 25-hydroxyvitamin D levels are below 20 ng/mL, 25-hydroxyvitamin D testing can repeated after a minimum of 14 days of vitamin D supplementation as directed by the treating physician
  • Willing to not receive bisphosphonate therapy during the study
  • From the period following informed consent to 60 days after the last dose of the study drug, females of childbearing potential and fertile males must consent to use highly effective contraception. If female, agree not to become pregnant. If male, agree not to father a child or donate sperm
  • Willing and able to provide informed consent for subjects greater than or equal to 18 years of age, or provide assent (if possible) and have a legally authorized representative provide informed consent, after the nature of the study has been explained and prior to any research-related procedures
  • Willing to provide access to medical records for the collection of radiographic data, fracture data, growth data, and disease history
  • Must, in the opinion of the Investigator, be willing and able to complete all aspects of the study, adhere to the study visit schedule, and comply with the assessments

Who cannot join

  • History of skeletal malignancies or bone metastases at any time
  • History of neural foraminal stenosis (except if due to scoliosis)
  • Clinical manifestations of Chiari malformation or basilar invagination. Presence of any other neurologic disease that has been unstable within past 2 years requires review by the Medical Monitor
  • History of or uncontrolled concomitant diseases such as hypo/hyperparathyroidism, Paget's disease, abnormal thyroid function, thyroid disease or other endocrine disorders or conditions that could affect bone metabolism such as Stage IV/V renal disease
  • Rickets or any skeletal condition (other than OI) leading to long-bone deformities and/or increased risk of fractures
  • History of stroke, myocardial infarction, transient ischemic attack or angina.
Show all 20Show fewer
  • Hypocalcemia, defined as serum calcium levels below the age-adjusted normal limits after a ≥ 4 hour fast
  • Estimated glomerular filtration rate ≤ 29 mL/min/1.73 m2
  • Prior treatment with the following:
  • Teriparatide, growth hormone, bone anabolic, or anti-resorptive medications (other than bisphosphonates) within 6 months of the first dose with study drug (Month 0)
  • Denosumab within 24 months of Screening
  • Romosozumab at any time
  • Documented alcohol and/or drug abuse within 12 months prior to dosing or evidence of such abuse as indicated by the laboratory results during the Screening assessments
  • Presence or history of any condition that, in the view of the Investigator, would interfere with participation, pose undue risk, or would confound interpretation of results
  • Known hypersensitivity to setrusumab or excipients that, in the judgment of the Investigator, places the subject at increased risk for adverse effects
  • History of external radiation therapy
  • Pregnant or breastfeeding or planning to become pregnant (self or partner) at any time during the study
  • Use of any investigational product or investigational medical device within 4 weeks or 5 half-lives of investigational drug (whichever is longer) prior to Screening, or during the study (per discretion of the Investigator in consultation with the Medical Monitor)
  • Concurrent participation in another clinical study without prior approval from the Investigator in consultation with the Medical Monitor
  • For Phase 2 Only: A history of bone surgery within the previous 6 months prior to Screening or planned bone surgery for the first 3 months of the study

Trial locations and contacts

43 sites in 11 countries.

43 sites in 11 countries

United States22 sites
  • New Mexico Clinical Research & Osteoporosis Center, Inc.

    Albuquerque, New Mexico, 87106

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Kennedy Krieger Institute

    Baltimore, Maryland, 21205

  • Atrium Health Levine Children's Hospital

    Charlotte, North Carolina, 28203

  • Shriners Hospitals for Children - Chicago

    Chicago, Illinois, 60707

  • Nationwide Children's Hospital- Ohio State University College of Medicine

    Columbus, Ohio, 43205

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • Connecticut Children's Medical Center

    Hartford, Connecticut, 06106

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Indiana University Hospital

    Indianapolis, Indiana, 46202

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

  • UW Health University Hospital

    Madison, Wisconsin, 53792

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • Children's Hospital and Medical Center

    Omaha, Nebraska, 68114

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Shriners Hospital for Children - Northern California

    Sacramento, California, 95817

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • University of South Florida

    Tampa, Florida, 33612

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

  • Nemours/ Alfred i. duPoint Hospital for Children

    Wilmington, Delaware, 19803

Other trials in United States

Canada4 sites
  • London Health Sciences Center

    London, Ontario

  • McGill University Health Centre

    Montreal, H4A 3J1

  • Children's Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • University of Toronto- The Hospital for Sick Children (SickKids)

    Toronto

Other trials in Canada

Germany3 sites
  • University of Cologne

    Cologne

  • Otto von Guericke University Magdeburg

    Magdeburg, 39106

  • Musculoskeletal Center Würzburg

    Würzburg, 97074

Other trials in Germany

Italy3 sites
  • Istituto Ortopedico Rizzoli

    Bologna

  • Azienda Ospedaliera Universitaria Policlinico Umberto I

    Rome, 00161

  • Universita Degli Studi Di Verona

    Verona

Other trials in Italy

Australia2 sites
  • Royal Children's Hospital

    Melbourne

  • Queensland Paediatric Endocrinology

    South Brisbane, Queensland, QLD 4101

Other trials in Australia

Portugal2 sites
  • Hospital de Santa Maria

    Lisbon, 1649-028

  • Centro Hospitalar do Porto

    Porto, 4099-001

Other trials in Portugal

Turkey (Türkiye)2 sites
  • Gazi University

    Ankara

  • Marmara University

    Istanbul

Other trials in Turkey (Türkiye)

United Kingdom2 sites
  • Royal Manchester Childrens Hospital

    Manchester

  • Sheffield Children's NHS Foundation Trust

    Sheffield, S10 2TH

Other trials in United Kingdom

France1 site
  • Institut Imagine

    Paris

Other trials in France

Netherlands1 site
  • Wilhelmina Children's Hospital

    Utrecht

Other trials in Netherlands

Poland1 site
  • Uniwersytet Medyczny w Lodzi - Klinika Endokrynologii i Chorob Metabolicznych

    Lodz

Other trials in Poland

About this study

Official title: An Operationally Seamless, Randomized Phase 2/3 Study Consisting of a Phase 2 Single-Blind, Dose-Evaluation Phase and a Phase 3 Double-Blind, Placebo-Controlled Phase to Assess the Efficacy and Safety of Setrusumab in Subjects With Osteogenesis Imperfecta

The primary objectives of the study are to identify a setrusumab dosing strategy in participants with OI and to evaluate the effect of setrusumab vs placebo on reduction in fracture rate.

Read the detailed description

Participants in Phase 2 will be randomized 1:1 to receive low dose or high dose setrusumab. Phase 2 participants will continue receiving their assigned dose of setrusumab until all Phase 2 participants have completed the Month 6 study visit. After this point, Phase 2 participants will begin receiving the selected dosing strategy in the Phase 2 open-label Treatment Extension Period. Phase 3 participants will be randomized 2:1 to receive setrusumab or placebo during the double-blind treatment period. Phase 3 participants will transition to the open-label Treatment Extension Period after the end of the double-blind period. Participants in the Phase 2 and Phase 3 treatment extension periods will receive open-label setrusumab treatment for at least 12 months, and have the option to remain in the open-label treatment period until setrusumab is commercially available in their region. An optional substudy will be conducted in approximately 10 participants (≥ 8 years) consisting of a bone biopsy to investigate the impact of setrusumab on bone histomorphology.

Being tested
Setrusumab, Placebo
Medical subject headings
Osteogenesis Imperfecta

What participants receive

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

  • SetrusumabBiological

    Also called BPS804, UX143

    A fully human sclerostin neutralizing monoclonal antibody (mAb) administered once a month (QM) via intravenous (IV) infusion

  • PlaceboOther

    A 5% dextrose/glucose solution administered QM via IV infusion

Study groups in NCT05125809
Study groupRoleWhat they receive
Low Dose Setrusumab -> Open-Label (OL) Setrusumab Selected DoseExperimentalSingle-blind setrusumab low dose during Phase 2 followed by open-label setrusumab selected dose During treatment and treatment extension periods, participants may receive supplementation with calcium and vitamin D to maintain normal values as directed by the treating physician
Receives: Biological: Setrusumab
High Dose Setrusumab -> OL Setrusumab Selected DoseExperimentalSingle-blind setrusumab high dose during Phase 2 followed by open-label setrusumab During treatment and treatment extension periods, participants may receive supplementation with calcium and vitamin D to maintain normal values as directed by the treating physician
Receives: Biological: Setrusumab
Setrusumab Selected Dose -> OL Setrusumab Selected DoseExperimentalDouble-blind setrusumab selected dose during Phase 3 followed by open-label setrusumab During treatment and treatment extension periods, participants may receive supplementation with calcium and vitamin D to maintain normal values as directed by the treating physician
Receives: Biological: Setrusumab
Placebo -> OL Setrusumab Selected DosePlacebo comparatorDouble-blind placebo during Phase 3 followed by open-label setrusumab During treatment and treatment extension periods, participants may receive supplementation with calcium and vitamin D to maintain normal values as directed by the treating physician
Receives: Biological: Setrusumab; Other: Placebo

What is being measured

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

  1. Phase 2: Percent Change in Serum Amino-terminal Propeptide of Type 1 Procollagen (P1NP) from Baseline at Month 1

    Measured: Baseline, Month 1

  2. Phase 3: Annualized Rate of All Radiographically-Confirmed Fractures, Excluding Morphometric Vertebral Fractures and Fractures of the Fingers, Toes, Face, and Skull at the Primary Analysis

    Measured: Up to Month 24

Secondary outcomes (18)
  1. Phase 2: Serum Setrusumab Concentration

    Measured: From Predose up to Month 24

  2. Phase 2: Baseline-Corrected Area Under the Effect Curve (AUEC) for Serum P1NP Over a 1 and 2-Month Period

    Measured: Baseline, Up to Month 2

  3. Phase 2: Percent Change from Baseline Over Time in Bone Turnover Marker: P1NP

    Measured: Baseline, Up to Month 24

  4. Phase 2: Percent Change from Baseline Over Time in Bone Turnover Marker: Osteocalcin (OCN)

    Measured: Baseline, Up to Month 24

  5. Phase 2: Change from Baseline in Dual Energy X-ray (DXA) Lumbar Spine Bone Mineral Density (BMD) Z-score Over Time

    Measured: Baseline, Up to Month 24

  6. Phase 2: Percent Change from Baseline in DXA Lumbar Spine BMD Over Time

    Measured: Baseline, Up to Month 24

  7. Phase 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)

    Measured: Up to Month 24

  8. Phase 2: Number of Participants With Anti-Setrusumab Binding and Neutralizing Antibodies

    Measured: Up to Month 24

  9. Phase 3: Annualized Rate of All Radiographically-Confirmed Fractures, Excluding Morphometric Vertebral Fractures, but Including Fractures of the Fingers, Toes, Face and Skull at the Primary Analysis

    Measured: Up to Month 24

  10. Phase 3: Annualized Rate of All Radiographically-Confirmed Fractures at the Primary Analysis

    Measured: Up to Month 24

  11. Phase 3: Change from Baseline in DXA Lumbar Spine BMD Z-score at the Primary Analysis

    Measured: Baseline, up to Month 24

  12. Phase 3: Change from Baseline in Pediatric Orthopedic Society of North America Pediatric Outcomes Data Collection Instrument (POSNA-PODCI) Sports/Physical Functioning Subscale Score for Pediatric Participants at the Primary Analysis

    Measured: Baseline, up to Month 24

  13. Phase 3: Proportion of Participants Experiencing New Radiographically Confirmed Fractures, Excluding Morphometric Vertebral Fractures and Fractures of the Fingers, Toes, Face, and Skull at the Primary Analysis

    Measured: Up to Month 24

  14. Phase 3: Change from Baseline in POSNA-PODCI Pain/Comfort Subscale Score for Pediatric Participants at the Primary Analysis

    Measured: Baseline, Up to Month 24

  15. Phase 3: Change from Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain Scale for Adult Participants at the Primary Analysis

    Measured: Baseline, Up to Month 24

  16. Phase 3: Change from Baseline in SF-36 Bodily Pain (BP) Domain Scale for Adult Participants at the Primary Analysis

    Measured: Baseline, Up to Month 24

  17. Phase 3: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)

    Measured: Up to Month 24

  18. Phase 3: Number of Participants With Anti-Setrusumab Binding and Neutralizing Antibodies

    Measured: Up to 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 posted18 Nov 2021
  2. Study start21 Feb 2022
  3. Primary completion20 Oct 2025
  4. Study completionApr 2027 (estimated)

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
183 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05125809
Sponsor's protocol ID
UX143-CL301
Other IDs
2021-006597-23, 2024-510919-29-00
Acronym
Orbit
Status last verified
Oct 2026
First submitted
8 Nov 2021
Last updated
20 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bartosik M, Windels O, von Brackel FN, Amling M, Oheim R. Romosozumab in postmenopausal women with classical Osteogenesis imperfecta. Arch Osteoporos. 2026 Jul 18;21(1):100. doi: 10.1007/s11657-026-01744-3.

    PubMed 42470570

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Setrusumab in people with Osteogenesis Imperfecta, run by Ultragenyx Pharmaceutical Inc at 43 sites in 11 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 8 inclusion and 20 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: under way, not looking for participants, as of the sponsor's last update on 20 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, Canada, Germany, Italy, Australia and 6 more countries. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

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?

Phase 2: Percent Change in Serum Amino-terminal Propeptide of Type 1 Procollagen (P1NP) from Baseline at Month 1 (time frame: Baseline, Month 1). 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 NCT05125809, 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 20 Oct 2026; AzTrials last refreshed its copy on 30 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in