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Phase 4 N=6 Basic Science

Bone Histomorphometry in Postmenopausal Men and Women With Osteoarthritis Undergoing Total Hip Replacement

Osteoporosis

Enrolled (actual)
6
Serious AEs
16.7%
Results posted
Apr 2019
Primary outcome: Primary: Percentage of Participants With Modeling Based Bone Formation in the Femoral Neck — 100 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Tetracycline (Other); Demeclocycline (Other); Total Hip Replacement (Procedure)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
Amgen
Primary completion
Dec 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Modeling Based Bone Formation in the Femoral Neck
100
SECONDARY
Modeling Based Formation Units in the Femoral Neck
0.1455; 0.2223; 0.1990
SECONDARY
Overfilled Remodeling-based Formation Units in the Femoral Neck
0.0038; 0.0108; 0.0000
SECONDARY
Remodeling-based Formation Units Including Overfilled Units in the Femoral Neck
0.0285; 0.0323; 0.0033

Summary

The primary objective of this study is to determine the incidence of modeling-based bone formation in the femoral neck in participants who have received denosumab and are undergoing total hip replacement (THR).

Eligibility Criteria

Inclusion Criteria

  • Subject has provided informed consent/assent prior to initiation of any study-specific activities/procedures
  • Ambulatory postmenopausal women and men with osteoporosis
  • Scheduled to undergo elective THR due to osteoarthritis of the hip
  • Received at least 2 doses of denosumab 60 mg subcutaneously over 18 months
  • Last dose of denosumab within 6 months of scheduled THR

Exclusion Criteria

  • Received treatment for osteoporosis other than denosumab in one year prior to THR
  • Subjects with current diagnosis of any of the following conditions are excluded
  • Current, uncontrolled hypo- or hyperthyroidism (subjects who have controlled hypo- or hyperthyroidism may be eligible, provided that they have been on a stable therapy for at least 3 months [per subject report])
  • Current, hypo- or hyperparathyroidism
  • Osteomalacia
  • Paget's disease of bone
  • Other bone diseases which affect bone metabolism (eg, osteopetrosis, osteogenesis imperfecta)
  • Severe chronic kidney disease (CKD), defined as CKD stage 4 or greater
  • Malignancy within the last 5 years (except cervical carcinoma in situ or basal cell carcinoma)
  • Self-reported alcohol or drug abuse within the previous 12 months
  • Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study(s)
  • Other investigational procedures while participating in this study are excluded
  • Subject has known sensitivity to any of the products to be administered (eg, tetracycline, demeclocycline) during study
  • Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures to the best of the subject and investigator's knowledge
  • History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02576652). 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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