UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009132
Receipt number R000010706
Scientific Title Study to the effect of teriparatide formulation Forteo versus Teribon on bisphosphonate-related osteonecrosis of the jaw in osteoporosis patients.
Date of disclosure of the study information 2012/10/17
Last modified on 2020/04/24 14:03:02

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Basic information

Public title

Study to the effect of teriparatide formulation Forteo versus Teribon on bisphosphonate-related osteonecrosis of the jaw in osteoporosis patients.

Acronym

Comparative study of teriparatide formulation Forteo versus Teribon on bisphosphonate-related osteonecrosis of the jaw

Scientific Title

Study to the effect of teriparatide formulation Forteo versus Teribon on bisphosphonate-related osteonecrosis of the jaw in osteoporosis patients.

Scientific Title:Acronym

Comparative study of teriparatide formulation Forteo versus Teribon on bisphosphonate-related osteonecrosis of the jaw

Region

Japan


Condition

Condition

bisphosphonate-related osteonecrosis of the jaw

Classification by specialty

Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

efficacy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

pain
bone formation

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Forteo (teriparatide formulation)

Interventions/Control_2

Teribone (teriparatide formulation)

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


Not applicable

Gender

Female

Key inclusion criteria

1)The patients who require continued treatment for osteoporosis.
2)female patients with bisphosphonate-related osteonecrosis of the jaw.
3)the stage of bisphosphonate-related osteonecrosis of the jaw is 2 or more.
4)outpatients.
5)Signed informed consent forms are obtained by the patients.

Key exclusion criteria

1) Hypercalcemic disorders
2)Potential risk of osteocarcoma
(1)Patients with Paget's disease of bone
(2)Unexplained elevations of alkaline phosphatase.
(3)Young adult patients with open epiphyses.
(4)Patients with prior external beam or implant radiation involving the skeleton.
3)Patients with bone metastases, history of skeletal malignancies.
4)Metabolic bone diseases other than osteoporosis.
5)Pregnancy or women with suspected pregnancy.
6)Patients with hypersensitivity to teriparatide or to any of its excipients.
7)Serious cardiac disease, serious hepatic disorder , renal disease.
8)Use of active vitamin D3 or Digoxin.
9)The patients who could not be provided with informed consent.
10)Unsuitability for the trial based on clinical judgement.

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Yumiko
Middle name
Last name OHBAYASHI

Organization

Kagawa University

Division name

Department of Oral and Maxillofacial Surgery, Faculty of Medicine

Zip code

761-0793

Address

1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa Prefecture 761-0793, Japan

TEL

087-891-2227

Email

yumiko@med.kagawa-u.ac.jp


Public contact

Name of contact person

1st name Yumiko
Middle name
Last name OHBAYASHI

Organization

Kagawa University

Division name

Department of Oral and Maxillofacial Surgery, Faculty of Medicine

Zip code

761-0793

Address

1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa Prefecture 761-0793, Japan

TEL

087-891-2227

Homepage URL


Email

yumiko@med.kagawa-u.ac.jp


Sponsor or person

Institute

Faculty of Medicine, Kagawa University

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

Kagawa University Hospital

Address

1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa Prefecture, 761-0793 Japan

Tel

087-891-2011

Email

kenkyu@med.kagawa-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

香川大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2012 Year 10 Month 17 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/31768589/?from_term=kagawa+ohbayashi&from_pos=7

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/31768589/?from_term=kagawa+ohbayashi&from_pos=7

Number of participants that the trial has enrolled

13

Results

TPTD treatment with MRONJ led to partial remission or complete remission in 5 daily-group patients and 3 weekly-group patients. The MRONJ stage was significantly improved from baseline to 6 months of treatment in the entire series of 12 patients (p = 0.008); the weekly group did not show significant improvement, but the daily group did (p = 0.01).

Results date posted

2020 Year 04 Month 24 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The 13 patients, including 5 rheumatoid arthritis (RA) patients, were adult females with MRONJ that was due to BP therapy for osteoporosis.

Participant flow

We enrolled 13 patients and randomly assigned them to receive either of two treatments: 1/week TPTD injection for 6 months (weekly group; n = 6 patients after 1 dropout), or TPTD injection daily for 6 months (daily group; n = 6 patients). Patients in both groups received conventional therapy plus intensive antibiotic therapy as necessary.

Adverse events

-

Outcome measures

We compared the changes in the patients' clinical stage of MRONJ, bone metabolism, percentage of bone formation, and bone turnover markers between the weekly and daily groups.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2012 Year 08 Month 28 Day

Date of IRB

2012 Year 08 Month 28 Day

Anticipated trial start date

2012 Year 08 Month 28 Day

Last follow-up date

2018 Year 03 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

2012 Year 10 Month 17 Day

Last modified on

2020 Year 04 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010706


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name