UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055105
Receipt number R000062637
Scientific Title Comparison of efficacy of sequential treatment with romosozumab or denosumab for bisphosphonate-resistance glucocorticoid-induced osteoporosis
Date of disclosure of the study information 2024/08/01
Last modified on 2024/12/07 11:10:51

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Basic information

Public title

Comparison of efficacy of sequential treatment with romosozumab or denosumab for bisphosphonate-resistance glucocorticoid-induced osteoporosis

Acronym

Comparison of efficacy of sequential treatment with romosozumab or denosumab for bisphosphonate-resistance glucocorticoid-induced osteoporosis

Scientific Title

Comparison of efficacy of sequential treatment with romosozumab or denosumab for bisphosphonate-resistance glucocorticoid-induced osteoporosis

Scientific Title:Acronym

RoDeO study

Region

Japan


Condition

Condition

Glucocorticoid-induced osteoporosis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the effects of switching to romosozumab or denosumab for patients with bisphosphonate-resistance glucocorticoid-induced osteoporosis

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Compare the percent change of bone mineral density of the lumbar spine (L2-4), femoral neck and total hip at 52 weeks in the romosozumab and denosumab groups.

Key secondary outcomes

1) Compare the percent change of bone mineral density of the lumbar spine, femoral neck and total hip between the romosozumab and denosumab groups at 26, 78, 104, 130, and 156 weeks.
2) Compare the percent change of bone mineral density of the trochanter and the change of bone turnover markers at 26, 52, 78, 104, 130, and 156 weeks between the romosozumab and denosumab groups.
3) Compare the incidence of new fractures between the romosozumab and denosumab groups.
4) Compare the incidence of adverse events between the romosozumab and denosumab groups.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Romosozumab group: Patients receive romosozumab subcutaneously with a discontinuation of bisphosphonate. After 12 months of treatment, romosozumab will be discontinued and denosumab will be started. At week 156, final observation is performed.

Interventions/Control_2

Denosumab group: Patients receive denosumab subcutaneously once every 6 months with a discontinuation of bisphosphonate. At week 156, final observation is performed.

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

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients 40 years of age or older receiving glucocorticoids (prednisolone equivalent 2.5 mg/day or more) and bisphosphonates for at least 6 months.
2) Patients with a T-score of -2.0 or less in bone mineral density of the lumbar spine, femoral neck or total hip by DEXA.
3) Patients with a history of fragility fracture.
4) Patients with a probability of major osteoporotic fracture greater than or equal to 20% or a probability of proximal femoral fracture greater than or equal to 3% at 10 years by FRAX.
5) Patients who have provided written informed consent.

Key exclusion criteria

1) Patients with contraindications to romosozumab or denosumab.
2) Patients with active infection or malignancy.
3) Patients who are currently pregnant, lactating, or willing to get pregnant.
4) Patients who do not give consent to this study.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Mai
Middle name
Last name Kawazoe

Organization

Toho University School of Medicine

Division name

Division of Rheumatology, Department of Internal Medicine

Zip code

143-8541

Address

6-11-1 Omori-nishi, Ota-ku, Tokyo

TEL

03-3762-4151

Email

mai.kawazoe@med.toho-u.ac.jp


Public contact

Name of contact person

1st name Mai
Middle name
Last name Kawazoe

Organization

Toho University School of Medicine

Division name

Division of Rheumatology, Department of Internal Medicine

Zip code

143-8541

Address

6-11-1 Omori-nishi, Ota-ku, Tokyo

TEL

03-3462-4151

Homepage URL


Email

mai.kawazoe@med.toho-u.ac.jp


Sponsor or person

Institute

Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Research Foundation for Clinical Pharmacology

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Toho University School of Medicine

Address

6-11-1 Omori-nishi, Ota-ku

Tel

03-3762-4151

Email

mai.kawazoe@med.toho-u.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

2024 Year 08 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 06 Month 28 Day

Date of IRB

2024 Year 10 Month 30 Day

Anticipated trial start date

2024 Year 12 Month 02 Day

Last follow-up date

2027 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 07 Month 29 Day

Last modified on

2024 Year 12 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062637