UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015180
Receipt number R000017630
Scientific Title The clinical study of the safety and efficacy of denosumab for glucocorticoid-induced osteoporosis
Date of disclosure of the study information 2015/11/01
Last modified on 2021/03/23 09:44:58

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Basic information

Public title

The clinical study of the safety and efficacy of denosumab for glucocorticoid-induced osteoporosis

Acronym

The clinical study of the safety and efficacy of denosumab for glucocorticoid-induced osteoporosis

Scientific Title

The clinical study of the safety and efficacy of denosumab for glucocorticoid-induced osteoporosis

Scientific Title:Acronym

The clinical study of the safety and efficacy of denosumab for glucocorticoid-induced osteoporosis

Region

Japan


Condition

Condition

Glucocorticoid-induced osteoporosis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study was to assess the safety and efficacy of denosumab for glucocorticoid-induced osteoporosis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The change of bone mineral density after 6 months, 12 months, 18 months,and 24 months

Key secondary outcomes

The change of bone metabolism marker (BAP and TRACP-5b) after 3 months, 6 months, 12 months, 18 months,and 24 months


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

SC denosumab 60mg every 6 months for 2 years

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

1.Patients who took gulcocorticoid (the gulcocorticoid dose was not less than 1mg/day and not more than 10mg/day prednisone or equivalent last 6 months) for over 12 months
2.Patients who took bisphosphonate or teriparatide or activated vitamin D for over 12 months
3.Patients who didn't improvement in bone mineral density compared with 6 months ago
4.Patients who scored >3 in the literature "Guidelines on the management and treatment of glucocorticoid-induced osteoporosis of the Japanese Society for Bone and Mineral Research"

Key exclusion criteria

Patients with hypocalcemia

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Shuzo
Middle name
Last name Yoshida

Organization

Osaka Medical College

Division name

Department of Internal Medicine (I)

Zip code

569-886

Address

Daigaku-Machi 2-7, Takatsuki, Osaka 569-8686, Japan

TEL

+81-72-683-1221

Email

in1307@osaka-med.ac.jp


Public contact

Name of contact person

1st name Takaaki
Middle name
Last name ishida

Organization

Osaka Medical College

Division name

Department of Internal Medicine (I)

Zip code

659-8686

Address

Daigaku-Machi 2-7, Takatsuki, Osaka 569-8686, Japan

TEL

+81-72-683-1221

Homepage URL


Email

in1342@osaka-med.ac.jp


Sponsor or person

Institute

Osaka Medical College

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka Medical College

Address

Daigaku-Machi 2-7, Takatsuki, Osaka 569-8686, Japan

Tel

072-683-1221

Email

rinri@osaka-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 11 Month 01 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/33624165/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/33624165/

Number of participants that the trial has enrolled

56

Results

Denosumab significantly increased the mean BMD of the lumbar spine and bilateral hip (5.8%, and 1.3%, respectively).

Results date posted

2021 Year 03 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

All patients fulfilled the following inclusion criteria: 1) more than 20
years old; 2) received prednisolone (PSL) of more than 1 mg/day for 12 months; 3) prior treatment of osteoporosis
for more than 12 months (bisphosphonates, rhPTH, or active vitamin D 3 ); 4) no increase in T-score at lumbar spine
or total hip compared to more than 6 months ago; 5) score more than 3 for risk factors based on the Japanese Society for
Bone and Mineral Research guideline for GIOP (prior fracture, age, GC dose, and BMD)

Participant flow

Patients with rheumatic diseases were recruited from Osaka Medical College hospital during the
period from March 2015 to February 2017.

Adverse events

Fragility fractures occurred in three patients during the study period.

Outcome measures

Denosumab significantly increased the mean BMD of the lumbar spine and bilateral hip (5.8%, and 1.3%, respectively).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2014 Year 09 Month 16 Day

Date of IRB

2014 Year 09 Month 01 Day

Anticipated trial start date

2014 Year 10 Month 01 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry

2020 Year 08 Month 31 Day

Date trial data considered complete

2020 Year 08 Month 31 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 09 Month 16 Day

Last modified on

2021 Year 03 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017630


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name