UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000001
Receipt number R000000002
Scientific Title Concurrent Treatment of Osteoporosis for Prevention of Vertebral Fracture in Japan - Multi-center Randomized Trial with Arendoronate and alfa-calcidol -
Date of disclosure of the study information 2005/07/01
Last modified on 2023/07/03 15:13:28

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Basic information

Public title

Concurrent Treatment of Osteoporosis for Prevention of Vertebral Fracture in Japan
- Multi-center Randomized Trial with Arendoronate and alfa-calcidol -

Acronym

Japanese Osteoporosis Intervention Trial (JOINT) -02

Scientific Title

Concurrent Treatment of Osteoporosis for Prevention of Vertebral Fracture in Japan
- Multi-center Randomized Trial with Arendoronate and alfa-calcidol -

Scientific Title:Acronym

Japanese Osteoporosis Intervention Trial (JOINT) -02

Region

Japan


Condition

Condition

Osteoporosis

Classification by specialty

Endocrinology and Metabolism Geriatrics Obstetrics and Gynecology
Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To confirm the clinical significant of concurrent use of active vitaminD to alendronate by incident vertebral fracture rate as index.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Incident vertebral fracture rate

Key secondary outcomes

Period of incident vertebral fracture, non-vertebvral fracture rate, bone mineral density, QOL, Sreum vitamin D, safety


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 considered as adjustment factor in dynamic allocation.

Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

alendronate(2years)

Interventions/Control_2

alendronate+active vitaminD3(2years)

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

70 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

osteoporosis, prevalent vertebral fracture number=<4, >=70year women, possible to walk alone, risk foctor number of incident vertebral fracture=>1,possible to answer QOL questionnaire

Key exclusion criteria

Bone disease other than osteoporosis, having contraindication in using drugs, disfunction of communication of the intention, deformation of vertebra, hyperthyroidism, hyperparathyroidism, abnormal heart function, abnormal hepatic function, abnormal kidney function, taken bisphosponate within previous 6 months

Target sample size

2140


Research contact person

Name of lead principal investigator

1st name Hajime
Middle name
Last name Orimo

Organization

Japan Osteoporosis Foundation

Division name

President

Zip code

103-0011

Address

Nihonbashiodenmacho, Tyuuou ku, Tokyo, Japan

TEL

03-5640-1841

Email

info@jpof.or.jp


Public contact

Name of contact person

1st name Tatsuhiko
Middle name
Last name Kuroda

Organization

Public health research foundation

Division name

CSP-A-TOP

Zip code

169-0051

Address

1-1-7 Nishi-waseda, Shinjyuku-ku Tokyo, Japan

TEL

03-5287-2633

Homepage URL

http://www.a-top.jp

Email

a-top@csp.or.jp


Sponsor or person

Institute

Japan Osteoporosis Society/ A-TOP consortium

Institute

Department

Personal name



Funding Source

Organization

Public health research foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Public Health Research Foundation

Address

Nishiwaseda Shinjyuku Japan

Tel

03-5287-2638

Email

a-top@csp.or.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

2005 Year 07 Month 01 Day


Related information

URL releasing protocol

http://www.a-top.jp

Publication of results

Published


Result

URL related to results and publications

Current Medical Research and Opinion Vol 27, No.6, 2011, 1273-1284 URL https://doi.org/10.1185/03007

Number of participants that the trial has enrolled

2164

Results

The combination therapy was no more effective for overall vertebral fracture prevention. However, subgroup analysis has shown that it was more effective for fracture prevention in patients with severe vertebral deformity, multiple prevalent vertebral fractures, and for non-vertebral weight-bearing bone fracture prevention.

Results date posted

2023 Year 07 Month 03 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Eligible patients were postmenopausal women with severe osteoporosis who were aged 70 years or older and had several risk factors for incident fractures.

Participant flow

A total of 2164 patients(combination therapy group, 1081; monotherapy group, 1083) were enrolled in this trial, and the authors analyzed the remaining 2022 patients(combination therapy group, 995; monotherapy group, 1027) as the FAS.

Adverse events

Although one patient given the combination therapy had mild hypercalcemia, serious hypercalcemia and unknown adverse events were not encountered.

Outcome measures

The primary endpoint was prevention of incident fractures, and the anti-fracture efficacy was evaluated in relation to the baseline serum 25(OH)D level.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2003 Year 10 Month 10 Day

Date of IRB

2003 Year 11 Month 01 Day

Anticipated trial start date

2003 Year 11 Month 01 Day

Last follow-up date

2008 Year 06 Month 01 Day

Date of closure to data entry

2008 Year 12 Month 01 Day

Date trial data considered complete

2009 Year 03 Month 01 Day

Date analysis concluded

2009 Year 06 Month 01 Day


Other

Other related information



Management information

Registered date

2005 Year 06 Month 01 Day

Last modified on

2023 Year 07 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000002


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name