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NCT01657162·Phase 3·INTERVENTIONAL

Twenty-Four Month Extension Study of BA058-05-003 (Abaloparatide) in Participants With Osteoporosis

Status

Completed

Phase

Phase 3

Enrollment

1,139

Locations

25

Results

Posted

Publications

8

Study summary

What the protocol is testing.

The purpose of this study is to provide 24 months of standard of care data on participants previously enrolled in Study BA058-05-003 (NCT02653417).

Full detailed description

To assess the long-term effect of the anabolic drug, abaloparatide-subcutaneous (SC) versus placebo in the prevention of bone fracture after cessation of treatment. Participants who completed the 18-month Double-Blind BA058-05-003 (ACTIVE) study (NCT02653417), after receiving abaloparatide-SC or placebo, were enrolled in this extension study to receive 70 mg of alendronate (bisphosphonate) weekly for an additional 24 months. Complete details for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Interventions

Treatment arms and agents.

DRUG

Alendronate

Alendronate is a bisphosphonate drug that prevents bone resorption by osteoclast and is used for the treatment of osteoporosis.

Timeline

From registration to results.

  1. First posted

    Aug 6, 2012

  2. Study start

    Nov 20, 2012

  3. Primary completion

    Oct 3, 2016

  4. Study completion

    Oct 3, 2016

  5. Results posted

    Dec 11, 2020

  6. Registry updated

    Dec 11, 2020

Outcomes

What the study measures.

Primary outcomes

Number of Participants With ≥1 New Vertebral Fracture Since Study BA058-05-003 Baseline

Time frame · Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Vertebral fractures were determined clinically and via protocol directed radiograph evaluation. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Secondary outcomes

Number of Participants With a Nonvertebral Fracture Since Study BA058-05-003 Baseline (Data From Studies BA058-05-005 and BA058-05-003 Combined)

Time frame · Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Nonvertebral fractures were defined as clinical fractures that included: 1) those of the hip, wrist, forearm, shoulder, collar bone, upper arm, ribs, upper leg (not hip), knee, lower leg (not knee or ankle), foot, ankle, hand, pelvis (not hip), tailbone, and other; and 2) those associated with low trauma, defined as a fall from standing height or less; a fall on stairs, steps or curbs; a minimal trauma other than a fall; or moderate trauma other than a fall. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Percent Change From Study BA058-05-003 Baseline in Total Hip BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Time frame · Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Total hip BMD were measured via DXA. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Percent Change From Study BA058-05-003 Baseline in Femoral Neck BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Time frame · Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Femoral neck BMD were measured via DXA. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Percent Change From Study BA058-05-003 Baseline in Lumbar Spine BMD at Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Time frame · Study BA058-05-003 Baseline (Day 1), Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Lumbar spine BMD were measured via DXA. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Kaplan-Meier Estimated Event Rate of the First Incident of Nonvertebral Fracture Since Study BA058-05-003 Baseline (Data From Studies BA058-05-005 and BA058-05-003 Combined)

Time frame · Study BA058-05-003 Baseline (Day 1) up to Study BA058-05-005 Month 6 (Study BA058-05-003 Month 25)

Nonvertebral fractures were defined as clinical fractures that included: 1) those of the hip, wrist, forearm, shoulder, collar bone, upper arm, ribs, upper leg (not hip), knee, lower leg (not knee or ankle), foot, ankle, hand, pelvis (not hip), tailbone, and other; and 2) those associated with low trauma, defined as a fall from standing height or less; a fall on stairs, steps or curbs; a minimal trauma other than a fall; or moderate trauma other than a fall. Complete results for Study BA058-05-003 are reported in the ClinicalTrials.gov Study Record NCT02653417.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) (Data From Study BA058-05-005 Only)

Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

A TEAE is any untoward medical occurrence or undesirable event(s) experienced in a participant that begins or worsens following administration of study drug, whether or not considered related to study drug by Investigator. A serious adverse event (SAE) was an adverse event (AE) resulting in any of the following outcomes or deemed significant for any other reason, death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), congenital anomaly/birth defect, or persistent or significant disability/incapacity. Intensity for each AE was defined as mild, moderate, or severe. AEs included both SAEs and non-serious AEs. AEs whose causal relation was characterized as Possible or Probable were considered as related to study drug. AEs were coded using Medical Dictionary for Regulatory Activities (MedDRA). A summary of serious and all other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.

Number of Participants With a Clinically Notable Serum Chemistry Laboratory Value (Data From Study BA058-05-005 Only)

Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

Serum Chemistry laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: sodium (Low: ≤129; High: ≥148 milliequivalent per liter \[mEq/L\]), potassium (Low: ≤3.2; High: ≥5.5 mEq/L), albumin (\<2.5 grams \[g\]/deciliter \[dL\]), total protein (\<5 g/dL), glucose (Low: ≤54; High: \>125 mg/dL \[fasting\] or \>200 milligrams \[mg\]/dL \[random\]), creatinine (≥2.1 mg/dL), aspartate aminotransferase (AST) (≥5.1\*upper limit of normal \[ULN\]), alanine aminotransferase (ALT) (≥5.1\*ULN), alkaline phosphatase (AP) (≥3.1\*ULN), total bilirubin (≥1.51\*ULN \[with any increase in liver function tests\] ≥2.0\*ULN \[with normal liver function tests\]), creatine kinase (≥3.1\*ULN), total cholesterol (\>226 mg/dL), and total calcium (Low: ≤7.4; High: ≥11.6 mg/dL). Only the serum chemistry parameters with at least 1 participant with a notable laboratory value are presented.

Number of Participants With a Clinically Notable Hematology Laboratory Value (Data From Study BA058-05-005 Only)

Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

Hematology laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: Absolute Eosinophils (\>5000 cells/mm\^3), Absolute Lymphocytes (≤499 cells/mm\^3), Absolute Neutrophils (≤999 cells/mm\^3), % Eosinophils (\>50%), % Lymphocytes (≤5%), % Neutrophils (≤10%), Hemoglobin (Low: ≤9.4 g/dL; High: change from baseline ≥2.1 g/dL), Platelets (≤99000 cells/mm\^3), and White Blood Cells (Low: ≤1499 cells/mm\^3; High: ≥20001 cells/mm\^3). Only the hematology parameters with at least 1 participant with a notable laboratory value are presented.

Number of Participants With a Clinically Notable Coagulation Laboratory Value (Data From Study BA058-05-005 Only)

Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

Coagulation laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: Activated Partial Thromboplastin Time (≥1.41\*ULN), Prothrombin Time (≥1.21\*ULN). Because the Activated Partial Thromboplastin Time was the only coagulation laboratory parameter with at least 1 participant with a notable laboratory value, this is the only parameter presented below.

Number of Participants With a Clinically Notable Urine Laboratory Value (Data From Study BA058-05-005 Only)

Time frame · Study BA058-05-005 Baseline (Day 1) up to Study BA058-05-005 Month 24

Urine laboratory parameters that were evaluated via notable criteria (presented in parentheses) included: Glucose (2+), Protein (2+), Blood (\>50 red blood cells per high-power field \[rbc/hpf\]).

Eligibility

Who can take part.

Minimum age
50 Years
Maximum age
85 Years
Sex
FEMALE
Healthy volunteers
No

Inclusion Criteria: 1. The participant was enrolled, randomized to either the abaloparatide-SC (BA058) or placebo arm, and successfully completed Study BA058-05-003 (NCT02653417). 2. The participant was no more than 40 days from End-of-Treatment (Month 18) in Study BA058-05-003 (NCT02653417). Exclusion Criteria: 1. Participants who were withdrawn from Study BA058-05-003 (NCT02653417) for any reason. 2. Participants who experienced a treatment-related serious adverse event (SAE) during Study BA058-05-003 (NCT02653417).

Study locations

25 registered sites.

Argentina · Brazil · Czechia · Denmark · Estonia · Hong Kong · Lithuania · Poland · Romania · United States. Showing up to 24 locations stored in the fast local snapshot.

Facility not named

Lakewood, Colorado, United States

Facility not named

Hialeah, Florida, United States

Facility not named

Bethesda, Maryland, United States

Facility not named

Buenos Aires, Argentina

Facility not named

Brasília, Brazil

Facility not named

Curitiba, Brazil

Facility not named

Rio de Janeiro, Brazil

Facility not named

São Paulo, Brazil

Facility not named

Vitória, Brazil

Facility not named

Brno, Czechia

Facility not named

Brno-Vinohrady, Czechia

Facility not named

Pardubice, Czechia

Facility not named

Aalborg, Denmark

Facility not named

Ballerup Municipality, Denmark

Facility not named

Vejle, Denmark

Facility not named

Tallinn, Estonia

Facility not named

Tartu, Estonia

Facility not named

Hong Kong, Hong Kong

Facility not named

Vilnius, Lithuania

Facility not named

Bialystok, Poland

Facility not named

Kielce, Poland

Facility not named

Lodz, Poland

Facility not named

Warsaw, Poland

Facility not named

Zgierz, Poland

Publications

Results and literature.

PMID 28160873Cosman F, Miller PD, Williams GC, Hattersley G, Hu MY, Valter I, Fitzpatrick LA, Riis BJ, Christiansen C, Bilezikian JP, Black D. Eighteen Months of Treatment With Subcutaneous Abaloparatide Followed by 6 Months of Treatment With Alendronate in Postmenopausal Women With Osteoporosis: Results of the ACTIVExtend Trial. Mayo Clin Proc. 2017 Feb;92(2):200-210. doi: 10.1016/j.mayocp.2016.10.009.PMID 29800372Bone HG, Cosman F, Miller PD, Williams GC, Hattersley G, Hu MY, Fitzpatrick LA, Mitlak B, Papapoulos S, Rizzoli R, Dore RK, Bilezikian JP, Saag KG. ACTIVExtend: 24 Months of Alendronate After 18 Months of Abaloparatide or Placebo for Postmenopausal Osteoporosis. J Clin Endocrinol Metab. 2018 Aug 1;103(8):2949-2957. doi: 10.1210/jc.2018-00163.PMID 36588166Cosman F, Hans D, Shevroja E, Wang Y, Mitlak B. Effect of Abaloparatide on Bone Microarchitecture Assessed by Trabecular Bone Score in Women With Osteoporosis: Post Hoc Analysis of ACTIVE and ACTIVExtend. J Bone Miner Res. 2023 Apr;38(4):464-470. doi: 10.1002/jbmr.4764. Epub 2023 Feb 12.PMID 32935170Watts NB, Dore RK, Baim S, Mitlak B, Hattersley G, Wang Y, Rozental TD, LeBoff MS. Forearm bone mineral density and fracture incidence in postmenopausal women with osteoporosis: results from the ACTIVExtend phase 3 trial. Osteoporos Int. 2021 Jan;32(1):55-61. doi: 10.1007/s00198-020-05555-1. Epub 2020 Sep 15.PMID 32665529Greenspan SL, Fitzpatrick LA, Mitlak B, Wang Y, Harvey NC, Deal C, Cosman F, McClung M. Abaloparatide followed by alendronate in women >/=80 years with osteoporosis: post hoc analysis of ACTIVExtend. Menopause. 2020 Oct;27(10):1137-1142. doi: 10.1097/GME.0000000000001593.PMID 32658264Cosman F, Peterson LR, Towler DA, Mitlak B, Wang Y, Cummings SR. Cardiovascular Safety of Abaloparatide in Postmenopausal Women With Osteoporosis: Analysis From the ACTIVE Phase 3 Trial. J Clin Endocrinol Metab. 2020 Nov 1;105(11):3384-95. doi: 10.1210/clinem/dgaa450.PMID 31674644Leder BZ, Mitlak B, Hu MY, Hattersley G, Bockman RS. Effect of Abaloparatide vs Alendronate on Fracture Risk Reduction in Postmenopausal Women With Osteoporosis. J Clin Endocrinol Metab. 2020 Mar 1;105(3):938-43. doi: 10.1210/clinem/dgz162.PMID 31411768Leder BZ, Zapalowski C, Hu MY, Hattersley G, Lane NE, Singer AJ, Dore RK. Fracture and Bone Mineral Density Response by Baseline Risk in Patients Treated With Abaloparatide Followed by Alendronate: Results From the Phase 3 ACTIVExtend Trial. J Bone Miner Res. 2019 Dec;34(12):2213-2219. doi: 10.1002/jbmr.3848. Epub 2019 Sep 11.

Primary links

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More studies on Abaloparatide.

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