This date has not been verified as actual or estimated.
Primary Completion
January 2008
Actual (reported)
Study Completion
March 2010
Actual (reported)
Brief Summary
The purpose of this trial is to determine the effectiveness of AMG 162 in reducing urinary N-telopeptide in advanced cancer subjects with bone metastases.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
111 participants
Study completion date
March 2010
Actual (reported)
Listed locations
0 countries · 0 sites
Trial Relationships
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Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
January 2005
Date type not reported
This date has not been verified as actual or estimated.
Bone MetastasesAMG 162BisphosphonatesSolid Tumor CarcinomasAdvanced
Outcome Measures
Primary Outcomes (1)
uNTx (Corrected by Creatinine) < 50 Nmol/mmol at Week 13
Urinary N-telopeptide (uNTx) corrected by creatinine (uNTx/Cr) \< 50 nmol/mmol at week 13.
13 weeks
Secondary Outcomes (8)
uNTx (Corrected by Creatinine) < 50 Nmol/mmol at Week 25
25 weeks
Percent Change of uNTx (Corrected by Creatinne) From Baseline to Week 25
Baseline, week 25
Study Arms (3)
IV Bisphosphonates q 4 weeks
ACTIVE COMPARATOR
This is an open-label randomization to receive IV bisphosphonate (administered per package insert) every 4 weeks during the treatment phase. If subjects are enrolled into the extension phase, they will receive AMG 162 180mg (SC) every 4 weeks.
Drug: IV Bisphosphonate q 4 weeks
180 mg AMG 162 (SC) q 12 weeks
EXPERIMENTAL
This is an open-label randomization to receive 180 mg AMG 162 (SC) every 12 weeks during the treatment phase. If subjects are enrolled into the extension phase, they will continue to receive 180 mg AMG 162 (SC) every 12 weeks.
Genetic: AMG 162 180 mg (SC) q 12 weeks
180 mg AMG 162 (SC) q 4 weeks
EXPERIMENTAL
Interventions
AMG 162 180 mg (SC) q 12 weeksGenetic
A 180 mg AMG 162 (SC) administered every 12 weeks for 2 doses (Day 1 and wk 13) in the treatment phase. If subjected are enrolled in the extension phase, they will continue to receive a 180 mg AMG 162 (SC) administered every 12 weeks for 9 doses.
180 mg AMG 162 (SC) q 12 weeks
IV Bisphosphonate q 4 weeksDrug
IV Bisphosphonate (eg pamidronate or zoledronic acid) every 4 weeks for 6 doses as described by package insert during the treatment phase. If enrolled to the extension phase, subject will be assigned to the AMG 162 180mg (SC) every 4 weeks for 26 doses.
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Patients at least 18 years of age with histologically confirmed solid tumor carcinomas (except lung) or multiple myeloma
Radiographic evidence of 1 or more bone lesions or lytic lesion in myeloma
Fizazi K, Lipton A, Mariette X, Body JJ, Rahim Y, Gralow JR, Gao G, Wu L, Sohn W, Jun S. Randomized phase II trial of denosumab in patients with bone metastases from prostate cancer, breast cancer, or other neoplasms after intravenous bisphosphonates. J Clin Oncol. 2009 Apr 1;27(10):1564-71. doi: 10.1200/JCO.2008.19.2146. Epub 2009 Feb 23.
Fizazi K, Bosserman L, Gao G, Skacel T, Markus R. Denosumab treatment of prostate cancer with bone metastases and increased urine N-telopeptide levels after therapy with intravenous bisphosphonates: results of a randomized phase II trial. J Urol. 2009 Aug;182(2):509-15; discussion 515-6. doi: 10.1016/j.juro.2009.04.023. Epub 2009 Jun 13.
111 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Study Record Dates
First Submitted
March 3, 2005
First Posted
March 4, 2005
Study Start
January 2005
Date type not reported
This date has not been verified as actual or estimated.
Time to Reduction of uNTX (Corrected by Creatinine) to <50nmol/mmol
Day 1, week 25
Duration of Maintaining uNTX (Corrected by Creatinine) < 50nmol/mmol
Day 1, week 25
Percent Change of Serum CTX From Baseline to Week 25
Baseline, week 25
+3 more secondary outcomes
This is an open-label randomization to receive 180 mg AMG 162 (SC) every 4 weeks during the treatment phase. If subject is enrolled into the extension phase, they will continue to receive 180 mg AMG 162 (SC) every 4 weeks.
Genetic: AMG 162- 180 mg q 4 weeks
IV Bisphosphonates q 4 weeks
AMG 162- 180 mg q 4 weeksGenetic
A 180 mg AMG 162 (SC) administered every 4 weeks for 6 doses in the treatment phase. If subjected are enrolled in the extension phase, they will continue to receive a 180 mg AMG 162 (SC) administered every 4 weeks for 26 doses.
180 mg AMG 162 (SC) q 4 weeks
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Currently receiving IV bisphosphonates
Urinary N-Telopeptide (uNTx) greater than 50 nM BCE/mM creatinine
Eastern Cooperative Oncology Group (ECOG) 0, 1 or 2
You may not qualify if:
More than 2 prior skeletal related events (SRE)
Known brain metastases
Prior history or current evidence of osteonecrosis/osteomyelitis of the jaw
Active dental or jaw conditions which requires oral surgery
Non-healed dental/oral surgery
Prior administration of AMG 162
Evidence of impending fracture in weight bearing bones
Pregnancy or breastfeeding. Subjects must be surgically sterile, postmenopausal, or must agree to use effective contraception during the study.
Contact the study team to confirm eligibility.
Jakob T, Tesfamariam YM, Macherey S, Kuhr K, Adams A, Monsef I, Heidenreich A, Skoetz N. Bisphosphonates or RANK-ligand-inhibitors for men with prostate cancer and bone metastases: a network meta-analysis. Cochrane Database Syst Rev. 2020 Dec 3;12(12):CD013020. doi: 10.1002/14651858.CD013020.pub2.
Fizazi K, Bosserman L, Gao G, Skacel T, Markus R. Denosumab treatment of prostate cancer with bone metastases and increased urine N-telopeptide levels after therapy with intravenous bisphosphonates: results of a randomized phase II trial. J Urol. 2013 Jan;189(1 Suppl):S51-7; discussion S57-8. doi: 10.1016/j.juro.2012.11.022.
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Source: ClinicalTrials.gov.
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