NCT00005006

Brief Summary

This study investigates the effectiveness of parathyroid hormone (PTH) in combination with alendronate, a standard treatment for osteoporosis that blocks or reduces bone loss. We are using alendronate because it may help protect patients against any possible harmful effects of PTH in cortical bone such as the long bones or hip. We are testing two different treatment schedules of PTH-one in which we give PTH daily and one in which we give PTH for 3 out of every 6 months in a cyclical fashion. The entire study is 21 months long; the active treatment period is 18 months with a 6-month followup period. The main effects we will look for in this study are changes in body chemicals that are signs of bone formation or bone breakdown, and changes in bone density throughout the skeleton. We will randomly assign all study participants, who are women aged 50 and over, to either stay on alendronate alone, receive daily continuous PTH plus alendronate, or receive daily PTH for 3 months out of every 6 for a total of three separate 3-month cycles of PTH plus daily alendronate.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
140

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Sep 1987

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 1987

Completed
12.6 years until next milestone

First Submitted

Initial submission to the registry

March 24, 2000

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 27, 2000

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2003

Completed
3.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2006

Completed
Last Updated

August 19, 2015

Status Verified

August 1, 2015

Enrollment Period

15.4 years

First QC Date

March 24, 2000

Last Update Submit

August 17, 2015

Conditions

Keywords

Anabolic agenthPTHPTHParathyroid hormoneBone massBone turnoverBone formationAlendronateOsteoporosisCyclical therapy

Study Arms (3)

1

ACTIVE COMPARATOR

Alendronate alone

Drug: Alendronate

2

ACTIVE COMPARATOR

Teriparatide daily plus alendronate

Drug: AlendronateDrug: Teriparatide

3

ACTIVE COMPARATOR

Teriparatide cyclically plus alendronate

Drug: Parathyroid HormoneDrug: AlendronateDrug: Teriparatide

Interventions

Alendronate 70mg/week; Teriparatide 20mcg/ day

Also known as: Fosamax, Forteo
3

Alendronate 70mg/week

123

Teriparatide 20mcg/day

23

Eligibility Criteria

Age50 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Approximately 140 postmenopausal women, over 50, who have been on alendronate (at least 35 mg/week) for a period of at least 18 months.
  • Lumbar spine or hip T-score at the time of recruitment must be equal to or below -2.5.

You may not qualify if:

  • All subjects must have primary osteoporosis.
  • Subjects cannot be on any other medications known to influence bone metabolism besides alendronate. Subjects can be on Synthroid if TSH is normal.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Helen Hayes Hospital, Clinical Research Center

West Haverstraw, New York, 10993, United States

Location

MeSH Terms

Conditions

Osteoporosis

Interventions

Parathyroid HormoneAlendronateTeriparatide

Condition Hierarchy (Ancestors)

Bone Diseases, MetabolicBone DiseasesMusculoskeletal DiseasesMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Peptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsDiphosphonatesOrganophosphonatesOrganophosphorus CompoundsOrganic Chemicals

Study Officials

  • Robert Lindsay, MD

    Helen Hayes Hospital

    PRINCIPAL INVESTIGATOR
  • Felicia Cosman, MD

    Helen Hayes Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Clinical Medicine

Study Record Dates

First Submitted

March 24, 2000

First Posted

March 27, 2000

Study Start

September 1, 1987

Primary Completion

February 1, 2003

Study Completion

December 1, 2006

Last Updated

August 19, 2015

Record last verified: 2015-08

Locations