UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020711
Receipt number R000023846
Scientific Title Efficacy and safety of denosmab in patients with glucocorticoid-induced osteoporosis refractory to combination therapy with bisphosphonate and vitamin D
Date of disclosure of the study information 2016/01/31
Last modified on 2020/03/12 11:01:10

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Basic information

Public title

Efficacy and safety of denosmab in patients with glucocorticoid-induced osteoporosis refractory to combination therapy with bisphosphonate and vitamin D

Acronym

Denosmab in treatment-refractory glucocorticoid-induced osteoporosis

Scientific Title

Efficacy and safety of denosmab in patients with glucocorticoid-induced osteoporosis refractory to combination therapy with bisphosphonate and vitamin D

Scientific Title:Acronym

Denosmab in treatment-refractory glucocorticoid-induced osteoporosis

Region

Japan


Condition

Condition

Glucocorticoid-induced osteoporosis

Classification by specialty

Clinical immunology Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine the efficacy of switching from bisphosphonate to denosumab in patients with glucocorticoid-induced osteoporosis refractory to the combination therapy with bisphosphonate and vitamin D.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes of bone mineral density of lumbar spine and femoral neck from baseline to 12 months.

Key secondary outcomes

Changes of bone markers from baseline to 12 months.


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

NO

Institution consideration


Blocking

YES

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Denosumab group (Denosmab 60mg/month and vitamin D)

Interventions/Control_2

Bisphosphonate group (bisphosphonate and vitamin D)

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

Male and Female

Key inclusion criteria

In adult (>= 20-year-old) patients with systemic rheumatic diseases, such as rheumatoid arthritis, spondyloarthritis, systemic lupus erythematosus, dermatomyositis, polymyositis, Sjogren's syndrome, mixed connective tissue disease, systemic vasculitides, Behcet's disease, polymyalgia rheumatica, receiving systemic glucocorticoids at the averaged dose of 2.5 mg prednisolone equivalent daily or more and in whom treatment for glucocorticoid-induced osteoporosis was recommended according to the guidelines on the management and treatment of glucocorticoid-induced osteoporosis of the Japanese Society for Bone and Mineral Research, patients who developed new fragility fractures; or whose bone mineral density values in lumbar spine or femoral neck was below 80% of young adult mean (YAM) and had not increased by 2% over 12 months during treatment with an oral bisphosphonate and a vitamin D analogue for 12 months; or whose bone mineral density values in lumbar spine or femoral neck was below 70% of YAM or was equal to or below -2.5 by T-score were included in this study.

Key exclusion criteria

Persons who had allergy to ingredients of denosmab injection, hypocalcemia, plan for invasive dental therapy, such as dental extraction, previous or current use of denosmab or teriparatide, and renal dysfunction with estimated glomerular filtration rate below 30% were excluded. Pregnant and breastfeeding women, woman who have plan for pregnancy, and persons judged as ineligible for this study by attending physician were also excluded.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Taio Naniwa

Organization

Nagoya City University Hospital

Division name

Division of Respiratory Medicine, Allergy and Rheumatology

Zip code


Address

Kawasumi, Mizuho-ku, Nagoya, Aichi, Japan.

TEL

052-851-5511

Email

tnaniwa@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shin-ichiro Ohmura

Organization

Nagoya City University Hospital

Division name

Division of Respiratory Medicine, Allergy and Rheumatology

Zip code


Address

Kawasumi, Mizuho-ku, Nagoya, Aichi, Japan.

TEL

052-851-5511

Homepage URL


Email

mattari20030604@yahoo.co.jp


Sponsor or person

Institute

Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences

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


Address


Tel


Email



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

2016 Year 01 Month 31 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

Completed

Date of protocol fixation

2015 Year 12 Month 26 Day

Date of IRB

2015 Year 12 Month 26 Day

Anticipated trial start date

2016 Year 02 Month 01 Day

Last follow-up date

2020 Year 01 Month 31 Day

Date of closure to data entry

2020 Year 01 Month 31 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 01 Month 23 Day

Last modified on

2020 Year 03 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023846


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name