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Phase 3 N=240 Randomized Double-blind Treatment

Efficacy and Safety Study on Menatetrenone in the Treatment of Postmenopausal Osteoporosis Women

Postmenopausal Osteoporosis

Enrolled (actual)
240
Serious AEs
6.0%
Results posted
Aug 2011
Primary outcome: Primary: Bone Mineral Density BMD (Percentage) Change in Lumber Spine After 12 Months — 1.22; 2.17 percentage of BMD — p=0.26

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
menatetranone (Drug); alfacalcidol (Drug)
Age
Adult, Older Adult · 45+ yrs
Sex
Female
Sponsor
Eisai Co., Ltd.
Primary completion
Jan 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Bone Mineral Density BMD (Percentage) Change in Lumber Spine After 12 Months
1.22; 2.17 0.26
PRIMARY
Bone Mineral Density BMD (Percentage) Change in Collum Femoris After 12 Months
0.76; 0.00 0.19
PRIMARY
Bone Mineral Density BMD (Percentage) Change in Trochiter After 12 Months
2.66; 1.76 0.31
SECONDARY
Bone Mineral Content BMC (Percentage) Change in Lumber Spine After 12 Months
2.39; 2.81 0.869
SECONDARY
Bone Mineral Content BMC (Percentage) Change in Collum Femoris After 12 Months
1.58; 0.95 0.174
SECONDARY
Bone Biomarker Osteocalcin (OC) Percentage Change After 12 Months
-38.67; -25.77 0.000 sig
SECONDARY
Bone Biomarker Undercarboxylated Osteocalcin (UCOC) Percentage Change After 12 Months
-82.27; -34.83 0.000 sig
SECONDARY
Bone Biomarker Undercarboxylated Osteocalcin/Osteocalcin (UCOC/OC) Percentage Change After 12 Months
-70.64; -8.47 0.000 sig
SECONDARY
New Fracture and Fall
2; 4; 13; 10
SECONDARY
Height (Meter)
1.54; 1.55; 1.54; 1.55

Summary

To determine the effect and safety of menatetrenone on treatment of postmenopausal osteoporosis comparing with alfacalcidol.

Eligibility Criteria

Inclusion criteria

  • Postmenopausal women with menopause duration more than 5 years and with age between 45-75 years old (menopausal age ≥40), or if hysterectomy operated before natural menopause, the age of women between 60-75 years old.
  • Subject with BMD (L2-4 or neck of femur) being more than 2 Standard Deviation (SD) below the young female adult mean (According to the standard of each center)
  • BMI between 18 kg/m2-30 kg/m2.
  • The anatomic structure of lumbar spine must be available for Dual-energy X-ray Absorptiometry (DEXA) examination, patient with serious scoliosis, bone trauma or sequela after orthopedics surgery, which makes BMD measurement difficult, should be excluded
  • Subject who have given informed consent prior to participation in the trial and who undertake to comply with the protocol.

Exclusion Criteria

  • Subject with conditions that are considered to effect osteoporosis, such as clear definite diabetes mellitus, rheumatoid arthritis, rheumatoid arthritis, hyperparathyroidism or other bone metabolic diseases.
  • Subjects who have received treatment with active-type vitamin D3 preparation, other vitamin D preparations (>1000IU per day), calcitonin, corticosteroid hormone, androgen, estrogen, other hormone, vitamin K preparation, in the 3 months prior to inanition of this study; Subjects who have received treatment with bisphosphonate preparation or Sodium Fluoride in the 1 year prior to inanition of this study; Subjects who have received treatment with Selective Estrogen Receptor Modulator (SERM) in the 6 months prior to inanition of this study
  • Concurrent serious renal disease, hepatic disease, uncontrolled hypertension (≥150/100mmHg), symptomatic ischemic heart disease, cerebral infarction or arteriosclerosis obliterans.
  • Cancer history within 5 years.
  • Subjects who take antacid containing aluminum in the preparation, warfarin or thrombolytic agents.
  • Subject with any known abnormality in laboratory tests, which is deemed to be clinically significant by the investigator, which include:
  • Serum alkaline phosphatace (ALP) > upper normal limit 10% (calculated according to the range of normal values of each center);
  • Glutamic Oxalacetic Transaminase (AST)/ Glutamic Pyruvic Transaminase (ALT) > upper normal limit 50%(calculated according to the range of normal values of each center);
  • Serum creatinine >1.5mg/dL (133μmol/L);
  • Blood-fasting sugar ≥ 7mmol/L (126mg/L)
  • Inability of subject to return for scheduled visits or to comply with any other aspect of the protocol.
  • Subject who, in the opinion of the investigator, are poor medical candidates or pose any other risk for therapy with an investigational drug.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00165698). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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