Switching From Oral Bisphosphonates to Bazedoxifene to Evaluate Effects on Bone Mineral Density in Postmenopausal Women
Multi-centre, Randomized, Open Label Trial to Evaluate the Effects of Switching to Bazedoxifene in Comparison With Switching to Calcium and Vitamin D in Postmenopausal Women Previously Treated With Bisphosphonates
2 other identifiers
interventional
110
1 country
3
Brief Summary
The aim of this study is see the changes in bone mineral density after discontinuation or stop the use of bisphosphonates and make the switch to bazedoxifene).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started May 2013
Typical duration for phase_4
3 active sites
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
May 1, 2013
CompletedFirst Submitted
Initial submission to the registry
March 11, 2014
CompletedFirst Posted
Study publicly available on registry
March 18, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedSeptember 9, 2015
September 1, 2015
2.2 years
March 11, 2014
September 8, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Lumbar Spine Bone Mineral Density (BMD)
To evaluate the change in Lumbar Spine Bone Mineral Density (BMD)
12 months
Secondary Outcomes (4)
Bone Turnover Markers (BTM´s) carboxy-terminal collagen crosslinks (CTX) and 1 procollagen N-terminal (P1NP)
6 and 12 months from baseline
BMD at the femoral neck
6 and 12 months from baseline
BMD at total hip
6 and 12 months from baseline
Mammography
12 months from baseline
Other Outcomes (1)
Subject reported treatment satisfaction using the Treatment Satisfaction Questionnaire for Medication (TSQM) and gastrointestinal symptoms using the Gastrointestinal Symptoms Rating Scale (GSRS)the Spanish versions
At baseline, months 6 and 12
Study Arms (2)
Bazedoxifene & Calcium/Vit D
OTHERBazedoxifene 20mg oral once a day and calcium 500mg and 400 IU vitamin D (OSTINE)
Calcium/Vit D
OTHERCalcium 500mg and 400 IU vitamin D (OSTINE )daily.
Interventions
Calcium 500 mg / 400 IU Vit D
Eligibility Criteria
You may qualify if:
- Ambulatory postmenopausal women 55 years or older at screening
- Have received daily, weekly or monthly oral bisphosphonates at least for 3 years and treatment change is indicated (not responses to bisphosphonates, for bad tolerability or for the potential risk of side effects in a long term treatment with bisphosphonates-indicated by Federal Drug Administration, European Medicines Agency.
- Subjects has stop bisphosphonates therapy no more than one month before screening visit for subjects in daily or weekly bisphosphonates
- Subjects has stop bisphosphonates therapy no more than two months before screening visit for subjects in monthly bisphosphonates
- Screening T-score at the lumbar spine ≤ -2.0 to -4.0 by Dual X ray Absorptiometry (DXA) scan
- At least 2 lumbar vertebrae must be evaluable by DXA
- Al least one hip must be evaluable by DXA (for secondary objectives)
You may not qualify if:
- Any disorder that compromises the ability of the subject to give written informed consent and/or to comply with study procedures
- Current use of medication prescribed for osteoporosis other than oral bisphosphonates
- Subjects who had received intravenous bisphosphonates or fluoride (except for dental treatment)
- Subjects who had received any Selective Estrogens Receptor Modulator (SERM), anabolic steroids, systemic hormone replacement, calcitonin or calcitriol within 3 months.
- Subjects who had received strontium ranelate, parathyroid hormone (PTH) or PTH derivates within 1 year.
- Hyper or hypothyroidism, current hyper or hypoparathyroidism
- History of Venous Thromboembolism Event (VTE)
- Significantly impaired renal function as determined by estimated Glomerular Filtration Rate less 35 mL/min
- Hyper or hypocalcemia
- Vitamin D deficiency (serum 25 (OH) vit D level \< 20 ng/mL (\< 50nmol/L)
- Any condition that could result in impaired calcium metabolism or metabolic bone disease that could interfere with interpretation findings
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Instituto Palacioslead
- Pfizercollaborator
Study Sites (3)
Gabinete Médico Velázquez
Madrid, Madrid, 28001, Spain
Instituto Palacios
Madrid, Madrid, 28009, Spain
Instituto de Ginecología EGR
Madrid, Madrid, 28023, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Santiago Palacios, MD
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 11, 2014
First Posted
March 18, 2014
Study Start
May 1, 2013
Primary Completion
July 1, 2015
Study Completion
July 1, 2015
Last Updated
September 9, 2015
Record last verified: 2015-09