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Osteogenesis ImperfectaPhase 3NCT05972551

Study to Evaluate Efficacy and Safety of Romosozumab Compared With Bisphosphonates in Children and Adolescents With Osteogenesis Imperfecta

A Phase 3 study testing Romosozumab and Bisphosphonate in people with Osteogenesis Imperfecta, run by Amgen at 65 sites in 18 countries.

Active, not recruiting

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

Official record
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Trial summary

The primary objective of this study is to evaluate the effect of romosozumab treatment for 12-months compared with bisphosphonate(s) on the number of clinical fractures at 12-months; the number of any fractures at 12-months and change in lumbar spine bone mineral density (BMD) Z-score at 6-months. Read more about this study

Who is it for?
Ages 5 to 17 years
Conditions the study is for
Osteogenesis Imperfecta
What is being tested?
Romosozumab and Bisphosphonate
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
111 participants
Where
65 sitesin 18 countries
Study dates
22 Apr 2024to 30 Jul 2027
Phase
Phase 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 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participant has provided informed consent/assent prior to initiation of any study specific activities/procedures.
  • OR
  • Participant's legally authorized representative has provided informed consent when the participant is legally too young to provide informed consent and the participant has provided written assent based on local regulations and/or guidelines prior to any study-specific activities/procedures being initiated.
  • Ambulatory male and female children and adolescents, age 5 to <18 years, including ambulatory with assistance as defined in the pediatric osteogenesis imperfecta (OI) population.
  • Clinical diagnosis of OI, defined as clinical history consistent with type I, III, or IV OI as determined by presence of expected phenotype (examples include: facial shape, voice, blue sclera, dentinogenesis imperfecta, typical radiographic features, fracture pattern) and lack of additional features unrelated to type I, III, or IV OI (eg, blindness, mental retardation, neuropathy, and craniosynostosis).
  • o If familial, also must be autosomal dominant.
Show all 10Show fewer
  • Meets at least one of the following:
  • 3 or more fractures within the previous 2 years, or
  • 1 or more nonvertebral fracture(s) within the previous 2 years and at least 1 prevalent vertebral fracture, or
  • 2 or more prevalent vertebral fractures.

Who cannot join

  • Disease Related
  • History of an electrophoresis pattern inconsistent with type I, III or IV OI.
  • History of known mutation in a gene other than collagen type I alpha 1/collagen type I alpha 2 (COL1A1/COL1A2) causing OI or other metabolic bone disease.
  • History of congenital dislocation of the radial head, interosseous membrane calcification, or exuberant callus formation.

Trial locations and contacts

65 sites in 18 countries.

65 sites in 18 countries

United States14 sites
  • Emory University

    Atlanta, Georgia, 30322

  • Kennedy Krieger Institute

    Baltimore, Maryland, 21287

  • Childrens Hospital of Alabama

    Birmingham, Alabama, 35233

  • Boston Childrens Hospital

    Boston, Massachusetts, 02115

  • Indiana University

    Indianapolis, Indiana, 46202

  • University of California, Los Angeles Interventional Clinical Trials

    Los Angeles, California, 90095

  • Marshfield Clinic

    Marshfield, Wisconsin, 54449

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212-3157

  • Nemours Childrens Hospital

    Orlando, Florida, 32827

  • Phoenix Childrens Hospital

    Phoenix, Arizona, 85016

  • Mayo Clinic Childrens Center

    Rochester, Minnesota, 55905

  • Gillette Childrens Hospital and Clinic Saint Paul

    Saint Paul, Minnesota, 55101

  • University of South Florida - Carol and Frank Morsani Center for Advanced Health Care

    Tampa, Florida, 33606

  • Nemours Hospital for Children

    Wilmington, Delaware, 19803

Other trials in United States

China8 sites
  • Peking Union Medical College Hospital

    Beijing, Beijing Municipality, 100730

  • The First Bethune Hospital of Jilin University

    Changchun, Jilin, 130021

  • West China Hospital Sichuan University

    Chengdu, Sichuan, 610044

  • Shandong Provincial Hospital

    Jinan, Shandong, 250021

  • Shanghai Sixth Peoples Hospital

    Shanghai, 200233

  • The University of Hong Kong-Shenzhen Hospital

    Shenzhen, Guangdong, 518053

  • Childrens Hospital of Soochow University

    Suzhou, Jiangsu, 215000

  • Tongji Hospital , Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430030

Other trials in China

Japan6 sites
  • Tokyo Metropolitan Children's Medical Center

    Fuchu-shi, Tokyo, 183-8561

  • Osaka Womens and Childrens Hospital

    Izumi-shi, Osaka, 594-1101

  • Okayama Saiseikai Outpatient Center Hospital

    Okayama, Okayama-ken, 700-0013

  • Okayama University Hospital

    Okayama, Okayama-ken, 700-8558

  • National Center for Child Health and Development

    Setagaya-ku, Tokyo, 157-8535

  • Tottori University Hospital

    Yonago-shi, Tottori, 683-8504

Other trials in Japan

Spain6 sites
  • Hospital de Cruces

    Barakaldo, Basque Country, 48903

  • Hospital Universitari Vall d Hebron

    Barcelona, Catalonia, 08035

  • Hospital Sant Joan de Deu

    Esplugues de Llobregat, Catalonia, 08950

  • Hospital Universitario de Getafe

    Getafe, Madrid, 28905

  • Hospital Universitario Infantil Niño Jesus

    Madrid, 28009

  • Hospital Universitari i Politecnic La Fe

    Valencia, Valencia, 46026

Other trials in Spain

Poland5 sites
  • Centermed Krakow Sp zoo

    Krakow, 31-530

  • Samodzielny Publiczny Zaklad Opieki Zdrowotnej Centralny Szpital Kliniczny UMeds

    Lodz, 91-738

  • Instytut Centrum Zdrowia Matki Polki

    Lodz, 93-338

  • Centrum Medyczne Medyk Spolka z Ograniczona Odpowiedzialnoscia Spolka Komandytowa

    Rzeszów, 35-326

  • Szpital Miejski w Tychach Spolka z ograniczona odpowiedzialnoscia

    Tychy, 43-100

Other trials in Poland

Turkey (Türkiye)4 sites
  • Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi Gazi Hastanesi

    Ankara, 06500

  • Marmara Universitesi Tip Fakultesi Hastanesi

    Istanbul, 34890

  • Ege Universitesi Tip Fakultesi Hastanesi

    Izmir, 35100

  • Karadeniz Teknik Universitesi Tip Fakultesi

    Trabzon, 61080

Other trials in Turkey (Türkiye)

Canada3 sites
  • Centre Hospitalier Universitaire Sainte Justine

    Montreal, Quebec, H3T 1C5

  • Childrens Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

France3 sites
  • Centre Hospitalier Universitaire de Bordeaux - Hopital Pellegrin

    Bordeaux, 33076

  • Centre Hospitalier Regional Universitaire de Lille

    Lille, 59037

  • Hopital Necker Enfants Malades

    Paris, 75743

Other trials in France

United Kingdom3 sites
  • Queen Elizabeth University Hospital

    Glasgow, G51 4TF

  • Royal Manchester Childrens Hospital

    Manchester, M13 9WL

  • Sheffield Childrens Hospital

    Sheffield, S10 2TH

Other trials in United Kingdom

Australia2 sites
  • Monash Childrens Hospital

    Clayton, Victoria, 3168

  • Perth Childrens Hospital

    Nedlands, Western Australia, 6909

Other trials in Australia

Germany2 sites
  • Universitaetsklinikum Koeln

    Cologne, 50937

  • Universitaetsklinikum Wuerzburg

    Würzburg, 97074

Other trials in Germany

Italy2 sites
  • IRCCS Istituto Giannina Gaslini

    Genova, 16147

  • Centro Ricerche Cliniche Di Verona Societa responsabilita limitata

    Verona, 37134

Other trials in Italy

Switzerland2 sites
  • Universitaets-Kinderspital beider Basel

    Basel, 4031

  • Centre Hospitalier Universitaire Vaudois

    Lausanne, 1011

Other trials in Switzerland

Austria1 site
  • Kepler Universitaetsklinikum GmbH

    Linz, 4020

Other trials in Austria

Belgium1 site
  • Universitair Ziekenhuis Leuven - Campus Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Hungary1 site
  • Semmelweis Egyetem

    Budapest, 1094

Other trials in Hungary

Saudi Arabia1 site
  • King Faisal Specialist Hospital and Research Centre

    Riyadh, 11564

Other trials in Saudi Arabia

Slovakia1 site
  • Narodny ustav detskych chorob

    Bratislava, 833 40

Other trials in Slovakia

About this study

Official title: A Phase 3, Open-Label, Multicenter, Randomized Study to Evaluate Efficacy and Safety of Romosozumab Compared With Bisphosphonates in Children and Adolescents With Osteogenesis Imperfecta

The primary objective of this study is to evaluate the effect of romosozumab treatment for 12-months compared with bisphosphonate(s) on the number of clinical fractures at 12-months; the number of any fractures at 12-months and change in lumbar spine bone mineral density (BMD) Z-score at 6-months.

Being tested
Romosozumab, Bisphosphonate
Keywords
Osteogenesis Imperfecta, Romosozumab, EVENITY®, Bisphosphonates
Medical subject headings
Osteogenesis Imperfecta

What participants receive

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

  • RomosozumabDrug

    Also called EVENITY®

    Subcutaneous (SC) injection

  • BisphosphonateDrug

    Administration determined by investigator according to the local standard of care

Study groups in NCT05972551
Study groupRoleWhat they receive
RomosozumabExperimentalParticipants will receive romosozumab once a month (QM) for 12 months.
Receives: Drug: Romosozumab
Standard of Care BisphosphonateActive comparatorParticipants will receive bisphosphonates per local standard of care treatment regimens, as determined by the investigator for 12 months.
Receives: Drug: Bisphosphonate

What is being measured

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

  1. Number of Clinical Fractures

    Clinical fractures include clinical vertebral fractures and nonvertebral fractures.

    Measured: 12 months

  2. Number of Any Fractures

    Fractures include new and worsening vertebral compression fractures, whether clinically silent or manifest, and nonvertebral fractures.

    Measured: 12 months

  3. Change from Baseline in Lumbar Spine BMD Z-score at 12 Months, as assessed by DXA

    Measured: Baseline and 12 months

Secondary outcomes (21)
  1. Change from Baseline in lumbar spine BMD Z-score at 6 months and 12 months, as assessed by DXA

    Measured: Baseline, 6 months, and 12 months

  2. Change from Baseline in Total Hip BMD Z-score at 6 Months and at 12 Months, as assessed by DXA

    Measured: Baseline, 6 months, and 12 months

  3. Change from Baseline in Femoral Neck BMD Z-score at 6 Months and at 12 Months, as assessed by DXA

    Measured: Baseline, 6 months, and 12 months

  4. Number of Participants with Any Fractures

    Measured: 12 months

  5. Number of Participants with Clinical Fractures

    Measured: 12 months

  6. Number of Participants with New or Worsening Vertebral Fractures

    Measured: 12 months

  7. Number of Participants with Nonvertebral Fractures

    Measured: 12 months

  8. Number of Participants with Long Bone Fractures

    Measured: 12 months

  9. Number of New or Worsening Vertebral Fractures

    Measured: 12 months

  10. Number of Nonvertebral Fractures

    Measured: 12 months

  11. Number of Long Bone Fractures

    Measured: 12 months

  12. Change from Baseline in Child Health Questionnaire - Parent Version (CHQ-PF-50) Physical Summary Score

    The CHQ-PF-50 measures how a child's condition affects their ability to function in daily life. The CHQ-PF-50 measures 50 items in the following domains: physical functioning, role/social limitations - physical, general health perceptions, bodily pain/discomfort, family activities, role/social limitations - emotional/behavioral, parent impact - time, parent impact - emotion, self-esteem, mental health, behavior, family cohesion, change in health.

    Each item is rated on a scale from "without any difficulty" to "unable to do". Total scores for each item are transformed to 0 - 100 scale, with lower scores indicating worse health states. Higher change from baseline scores indicate better or more positive health states.

    Measured: Baseline and 12 months

  13. Change from Baseline in Childhood Health Assessment Questionnaire (CHAQ) Disability Score

    The CHAQ measures how a child's condition affects their ability to function in daily life. The CHAQ measures 50 items in the following domains: physical functioning, role/social limitations - physical, general health perceptions, bodily pain/discomfort, family activities, role/social limitations emotional/behavioral, self-esteem, mental health, behavior, family cohesion, change in health.

    Each item is rated on a scale from "without any difficulty" to "unable to do". Total scores for each item are transformed to 0 - 100 scale, with lower scores indicating worse health states. Higher change from baseline scores indicate better or more positive health states.

    Measured: Baseline and 12 months

  14. Change from Baseline in the Wong-Baker Faces Pain Rating Scale

    The Wong-Baker Faces Pain Rating Scale is a horizontal pain scale that consists of six hand-drawn faces that range from a smiling "no hurt" face with a score of 0 to a crying "hurts worst" face with a score of 10. Greater change from baseline scores indicate greater pain experienced by the participant.

    Measured: Baseline and 12 months

  15. Serum Concentration of Romosozumab

    Measured: Day 1 to Month 12

  16. Number of Participants who Experience Treatment-emergent Adverse Events (TEAEs) at 12 Months

    Any clinically signification change from baseline in laboratory values and vital signs after first dose will be recorded as a TEAE.

    Measured: 12 months

  17. Number of Participants who Experience TEAEs from Month 12 to Month 15

    Any clinically signification change from baseline in laboratory values and vital signs after first dose will be recorded as a TEAE.

    Measured: Month 12 to Month 15

  18. Number of Participants with Anti-drug Antibodies (ADA) to Romosozumab

    Measured: Up to 15 months

  19. Number of Participants who Experience TEAEs at 15 Months

    Any clinically signification change from baseline in laboratory values and vital signs after first dose will be recorded as a TEAE.

    Measured: 15 months

  20. Number of Participants with a Narrowing from Baseline to 6 Months in the Intracranial Nerve Tract in the Cranium and Vault of the Skull

    Measured in a subset of participants who receive cranial nerve computerized tomography (CT) scans.

    Measured: Baseline and 6 months

  21. Number of Participants with a Narrowing from Baseline to 12 Months in the Intracranial Nerve Tract in the Cranium and Vault of the Skull

    Measured in a subset of participants who receive cranial nerve CT scans.

    Measured: Baseline and 12 months

Timeline

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

  1. First posted2 Aug 2023
  2. Study start22 Apr 2024
  3. Primary completion4 May 2027 (estimated)
  4. Study completion30 Jul 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
111 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05972551
Sponsor's protocol ID
20200105
Other IDs
2023-503294-37, 2023
Status last verified
May 2026
First submitted
24 Jul 2023
Last updated
27 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

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 3 study testing Romosozumab and Bisphosphonate in people with Osteogenesis Imperfecta, run by Amgen at 65 sites in 18 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 10 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: under way, not looking for participants, as of the sponsor's last update on 27 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in United States, China, Japan, Spain, Poland and 13 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. 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 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?

Number of Clinical Fractures (time frame: 12 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 NCT05972551, 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 27 May 2026.

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