NCT00343252

Brief Summary

The purpose of the study is to determine if daily teriparatide reduces back pain more effectively than weekly risedronate in women with osteoporosis who have chronic back pain due to a spinal bone fracture.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
712

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jun 2006

Typical duration for phase_3

Geographic Reach
13 countries

72 active sites

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2006

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

June 20, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 22, 2006

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2009

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2010

Completed
1 month until next milestone

Results Posted

Study results publicly available

July 12, 2010

Completed
Last Updated

May 26, 2011

Status Verified

May 1, 2011

Enrollment Period

3 years

First QC Date

June 20, 2006

Results QC Date

June 8, 2010

Last Update Submit

May 20, 2011

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of Participants Responding With at Least a 30% Reduction in 24-Hour Worst Back Pain Severity at the 6-Month Endpoint

    24-hour worst back pain severity scores recorded daily on an 11-point numeric rating scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain). The 11-point scale is used for assessment of worst back pain in the preceding 24 hours and is evaluated daily in the week prior to each scheduled study visit. Responders are defined as participants with at least a 30% reduction in the severity of worst back pain from baseline to the 6-month last observation carried forward (LOCF) endpoint.

    6 Months

Secondary Outcomes (20)

  • Number of Participants Responding With at Least a 30% Reduction in 24-Hour Worst Back Pain Severity at the 12-Month Endpoint

    12 Months

  • Number of Participants Responding With at Least a 30% Reduction in 24-Hour Average Back Pain Severity at the 6-Month Endpoint

    6 Months

  • Number of Participants Responding With at Least a 30% Reduction in 24-Hour Average Back Pain Severity at the 12-Month Endpoint

    12 Months

  • Number of Participants With Time to First Occurrence of at Least 30% Reduction in 24-Hour Worst Back Pain up to 6 Months

    Days 0, 30, 60, 90, 120, 150, 180, 210, 240, 270, and 300

  • Number of Participants With Time to First Occurrence of at Least 30% Reduction in 24-Hour Worst Back Pain up to 12 Months

    Days 0, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600

  • +15 more secondary outcomes

Study Arms (2)

Teriparatide

EXPERIMENTAL

Teriparatide 20 micrograms (ug)/day, subcutaneous, 18 months plus once weekly oral placebo

Drug: teriparatideDrug: placebo

Risedronate

ACTIVE COMPARATOR

Risedronate 35 milligrams (mg)/once weekly, oral, 18 months plus daily subcutaneous injection placebo

Drug: risedronateDrug: placebo

Interventions

20 ug/day, subcutaneous, 18 months

Also known as: LY333334, Forteo, Forsteo
Teriparatide

35 mg/once weekly, oral, 18 months

Also known as: Actonel
Risedronate

once weekly, oral, 18 months

Also known as: LY333334, Forteo, Forsteo
Teriparatide

Eligibility Criteria

Age45 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Postmenopausal women 45 years or older. No period for at least two years.
  • History of back pain that started at least 2 months prior to the initial visit (likely due to spinal bone fracture determined by investigator).
  • Minimum of one moderate spinal bone fracture.
  • Beginning pain level of at least four on an eleven point scale.
  • Bone Mineral Density (BMD) must meet criteria
  • Able to read, understand, and administer self-questionnaires.
  • Be willing and able to use a pen-injector to deliver the medication.

You may not qualify if:

  • Are at increased risk for osteosarcoma.
  • Have an active or suspected diseases that affects bone metabolism other than osteoporosis.
  • Participants that already know that they will require procedures to repair their spinal bone fractures.
  • Abnormal values of certain lab tests.
  • Anything that would make it difficult to determine if the back pain was due to the fracture.
  • Poor medical or psychiatric condition.
  • Alcohol or drug abuse within a year of the study start.
  • Certain malignant neoplasms in the 5 years prior to enrollment.
  • Active liver disease or clinical jaundice.
  • Significantly impaired renal function.
  • History of nephrolithiasis or urolithiasis within 2 years prior to enrollment.
  • Known contraindication or intolerance to risedronate and/or teriparatide therapy.
  • Treatment with oral strontium or certain therapeutic doses of fluoride.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (72)

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Birmingham, Alabama, 35294, United States

Location

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Montgomery, Alabama, 36111, United States

Location

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Peoria, Arizona, 85381, United States

Location

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Laguna Hills, California, 92653, United States

Location

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Oakland, California, 94609, United States

Location

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Farmington, Connecticut, 06030, United States

Location

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Palm Harbor, Florida, 34684, United States

Location

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Decatur, Georgia, 30033, United States

Location

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Gainesville, Georgia, 30501, United States

Location

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Morton Grove, Illinois, 60053, United States

Location

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Indianapolis, Indiana, 46202, United States

Location

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Urbandale, Iowa, 50322, United States

Location

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Omaha, Nebraska, 68131, United States

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Cleveland, Ohio, 44195, United States

Location

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Houston, Texas, 77054, United States

Location

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Seattle, Washington, 98144, United States

Location

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Spokane, Washington, 99204, United States

Location

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Beckley, West Virginia, 25801, United States

Location

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Madison, Wisconsin, 53705, United States

Location

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Marshfield, Wisconsin, 54449, United States

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Buenos Aires, C1117ABH, Argentina

Location

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Kogarah, New South Wales, 2217, Australia

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Randwick, Sydney, New South Wales, 2031, Australia

Location

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Maroochydore, Queensland, 4558, Australia

Location

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Keswick, South Australia, 5035, Australia

Location

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Malvern East, 3145, Australia

Location

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Brussels, 1180, Belgium

Location

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Ghent, 9000, Belgium

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Gozée, 6534, Belgium

Location

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Leuven, 3000, Belgium

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Liège, 4000, Belgium

Location

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Tienen, 3300, Belgium

Location

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Yvoir, 5530, Belgium

Location

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Campinas, 13073-350, Brazil

Location

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Rio de Janeiro, 22271-100, Brazil

Location

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São Paulo, 01246-903, Brazil

Location

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Vancouver, British Columbia, V6H 3X8, Canada

Location

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Winnipeg, Manitoba, R3A 1M3, Canada

Location

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Hamilton, Ontario, L8N 1Y2, Canada

Location

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London, Ontario, N6A 4V2, Canada

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Montreal, Quebec, H3A 1A1, Canada

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Sainte-Foy, Quebec, G1V 3M7, Canada

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Trois-Rivières, Quebec, G8Z 1Y2, Canada

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Saskatoon, Saskatchewan, S7K 0H6, Canada

Location

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Amiens, 80084, France

Location

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Orléans, 45000, France

Location

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Paris, 75679, France

Location

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Poitiers, 86000, France

Location

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Braunfels, 35619, Germany

Location

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Frankfurt, 60528, Germany

Location

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Hamburg, 20354, Germany

Location

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Heidelberg, D-69120, Germany

Location

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Heinsberg, 52525, Germany

Location

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Leipzig, 04207, Germany

Location

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Marburg, 35033, Germany

Location

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München, 80335, Germany

Location

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Siena, 53100, Italy

Location

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Treviglio, 24047, Italy

Location

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Valeggio sul Mincio, 37067, Italy

Location

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León, 37000, Mexico

Location

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Mexico City, 14000, Mexico

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Monterrey, 64461, Mexico

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Ponce, 00716, Puerto Rico

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San Juan, 00918, Puerto Rico

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Granada, 18012, Spain

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Madrid, 28046, Spain

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Salamanca, 37007, Spain

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Valencia, 46017, Spain

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Malmo, 21120, Sweden

Location

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Solna, 17176, Sweden

Location

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Umeå, 90185, Sweden

Location

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Uppsala, 75185, Sweden

Location

Related Links

MeSH Terms

Conditions

Osteoporosis, PostmenopausalBack PainSpinal Fractures

Interventions

TeriparatideRisedronic Acid

Condition Hierarchy (Ancestors)

OsteoporosisBone Diseases, MetabolicBone DiseasesMusculoskeletal DiseasesMetabolic DiseasesNutritional and Metabolic DiseasesPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsSpinal InjuriesBack InjuriesWounds and InjuriesFractures, Bone

Intervention Hierarchy (Ancestors)

Parathyroid HormonePeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsDiphosphonatesOrganophosphonatesOrganophosphorus CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT -5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

June 20, 2006

First Posted

June 22, 2006

Study Start

June 1, 2006

Primary Completion

June 1, 2009

Study Completion

June 1, 2010

Last Updated

May 26, 2011

Results First Posted

July 12, 2010

Record last verified: 2011-05

Locations