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Phase 2 N=402 Randomized Quadruple-blind Treatment

Study of Romosozumab (AMG 785) in Tibial Diaphyseal Fractures Status Post Intramedullary Nailing

Fracture Healing

Enrolled (actual)
402
Serious AEs
8.6%
Results posted
May 2019
Primary outcome: Primary: Time to Radiographic Healing — 16.4; 18.6; 18.3; 18.2 weeks — p=0.3598

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Romosozumab (Biological); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Amgen
Primary completion
Mar 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Radiographic Healing
16.4; 18.6; 18.3; 18.2; 17.8; 18.1 0.3598
SECONDARY
Change From Week 8 in Short Form (36) Health Survey Physical Functioning Domain
5.77; 6.31; 5.67; 5.04; 4.28; 7.08
SECONDARY
Number of Participants With Unplanned Revision Surgeries
8; 1; 3; 3; 1; 0
SECONDARY
Time to Clinical Healing
18.4; 21.4; 18.3; 17.1; 20.8; 22.3 0.1713

Summary

The primary objective of this study is to investigate the effect of romosozumab compared with placebo on time to radiographic healing of fresh tibial diaphyseal fractures (fractures in the midsection of the shinbone).

Eligibility Criteria

Inclusion Criteria

  • Skeletally mature adults, age 18 to 85 years with radiographically closed growth plates
  • Fresh unilateral closed or Gustilo type I or type II open tibial fracture
  • Definitive fracture fixation with reamed (closed and open fractures) or unreamed (open fractures only) intramedullary nailing

Exclusion Criteria

  • Major polytrauma or significant axial trauma
  • Associated lower extremity fracture that will delay subject's ability to bear weight beyond the normal time expected for a tibial shaft fracture
  • Use of bone grafts at the time of fracture fixation
  • Pathological fracture or metabolic or bone disease
  • History of symptomatic spinal stenosis or facial nerve paralysis
  • Malignancy within the last 5 years
  • Evidence of the following (currently or within the past 5 years): elevated transaminases, significantly impaired renal function, current hyper- or hypocalcaemia
  • Use of agents affecting bone metabolism
  • Subject refuses to use appropriate methods of contraception
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00907296). 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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