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Post Menopausal OsteoporosisPhase 3NCT00048074

DIVA Study - A Study of Different Regimens of Intravenous Administration of Bonviva (Ibandronate) in Women With Post-Menopausal Osteoporosis

A Phase 3 study testing ibandronate [Bonviva/Boniva] in people with Post Menopausal Osteoporosis, run by Hoffmann-La Roche at 64 sites in 16 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will assess the efficacy and safety of intravenous administration of Bonviva regimens in women with post-menopausal osteoporosis, compared to oral daily administration. Patients will also receive daily supplementation with vitamin D and calcium. Read more about this study

Who is it for?
Ages 55 to 80 years, women only
Conditions the study is for
Post Menopausal Osteoporosis
What is being tested?
ibandronate [Bonviva/Boniva]
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,395 participants
Where
64 sitesin 16 countries
Study dates
Jun 2002to May 2005
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 to 80 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • women 55-80 years of age;
  • post-menopausal for >=5 years;
  • ambulatory.

Who cannot join

  • malignant disease diagnosed within the previous 10 years (except basal cell cancer that has been successfully removed);
  • breast cancer within the previous 20 years;
  • allergy to bisphosphonates;
  • previous treatment with an intravenous bisphosphonate at any time;
  • previous treatment with an oral bisphosphonate within the last 6 months, >1 month of treatment within the last year, or >3 months of treatment within the last 2 years.

Trial locations and contacts

64 sites in 16 countries.

64 sites in 16 countries

United States19 sites
  • Study site

    Albuquerque, New Mexico, 87106

  • Study site

    Bethesda, Maryland, 20817

  • Study site

    Billings, Montana, 59120

  • Study site

    Bismarck, North Dakota, 58503

  • Study site

    Coeur d'Alene, Idaho, 83814

  • Study site

    Fargo, North Dakota, 58103

  • Study site

    Gainesville, Georgia, 30501

  • Study site

    Irvine, California, 92618

  • Study site

    Leesburg, Florida, 34748

  • Study site

    Little Rock, Arkansas, 72205-7199

  • Study site

    Madison, Wisconsin, 53792

  • Study site

    New York, New York, 10029

  • Study site

    Omaha, Nebraska, 68131

  • Study site

    Rancho Mirage, California, 92270

  • Study site

    Rapid City, South Dakota, 57701

  • Study site

    San Antonio, Texas, 78229

  • Study site

    St Louis, Missouri, 63110

  • Study site

    Virginia Beach, Virginia, 23462

  • Study site

    Wyomissing, Pennsylvania, 19610

Other trials in United States

Australia5 sites
  • Study site

    Darlinghurst, 2010

  • Study site

    Melbourne, 3084

  • Study site

    Nedlands, 6000

  • Study site

    St Leonards, 2139

  • Study site

    Sydney, 3129

Other trials in Australia

Canada5 sites
  • Study site

    Laval, Quebec, H7T 2P5

  • Study site

    Montreal, Quebec, H2X 3J4

  • Study site

    Montreal, Quebec, H3A 1A1

  • Study site

    Saskatoon, Saskatchewan, S7K 0H6

  • Study site

    Toronto, Ontario, M5C 2T2

Other trials in Canada

Denmark5 sites
  • Study site

    Aalborg, 9000

  • Study site

    Aarhus, 8000

  • Study site

    Ballerup Municipality, 2750

  • Study site

    Copenhagen, 1399

  • Study site

    Vejle, 7100

Other trials in Denmark

Germany3 sites
  • Study site

    Berlin, 12200

  • Study site

    Bochum, 44789

  • Study site

    Hamburg, 20246

Other trials in Germany

Italy3 sites
  • Study site

    Arenzano, 16011

  • Study site

    Siena, 53100

  • Study site

    Valeggio sul Mincio, 37067

Other trials in Italy

Norway3 sites
  • Study site

    Haugesund, 5507

  • Study site

    Oslo, 0176

  • Study site

    Stavanger, 4010

Other trials in Norway

Poland3 sites
  • Study site

    Grudziądz, 86-300

  • Study site

    Krakow, 30-510

  • Study site

    Krakow, 31-501

Other trials in Poland

South Africa3 sites
  • Study site

    Cape Town, 7500

  • Study site

    Pretoria

  • Study site

    Sommerset West, 7129

Other trials in South Africa

Spain3 sites
  • Study site

    Barcelona, 08003

  • Study site

    Madrid, 28046

  • Study site

    Santander, 39008

Other trials in Spain

United Kingdom3 sites
  • Study site

    Aberdeen, AB25 1LD

  • Study site

    Manchester, M13 9WL

  • Study site

    Newcastle upon Tyne, NE7 7DN

Other trials in United Kingdom

Belgium2 sites
  • Study site

    Brussels, 1180

  • Study site

    Liège, 4020

Other trials in Belgium

Czechia2 sites
  • Study site

    Pilsen, 305 99

  • Study site

    Prague, 128 00

Other trials in Czechia

France2 sites
  • Study site

    Lyon, 69437

  • Study site

    Orléans, 45000

Other trials in France

Mexico2 sites
  • Study site

    Mexico City, 11000

  • Study site

    Monterrey, 64460

Other trials in Mexico

Hungary1 site
  • Study site

    Budapest, 1036

Other trials in Hungary

About this study

Official title: A Randomized, Double-blind Study Comparing the Effect of Different Treatment Regimens of Intravenous Bonviva on Lumbar Bone Mineral Density in Women With Osteoporosis

This study will assess the efficacy and safety of intravenous administration of Bonviva regimens in women with post-menopausal osteoporosis, compared to oral daily administration. Patients will also receive daily supplementation with vitamin D and calcium. The anticipated time of study treatment is 2+ years, and the target sample size is 500+ individuals.

Being tested
ibandronate [Bonviva/Boniva]
Medical subject headings
Osteoporosis, Postmenopausal

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ibandronate [Bonviva/Boniva]Drug

    2mg iv every 2 months

  • ibandronate [Bonviva/Boniva]Drug

    2.5mg po daily

  • ibandronate [Bonviva/Boniva]Drug

    3mg iv every 3 months

Study groups in NCT00048074
Study groupRoleWhat they receive
1Experimentaloral placebo daily and IV ibandronate 2 mg q 2 mo
Receives: Drug: ibandronate [Bonviva/Boniva]
2Experimentaloral ibandronate 2.5 mg daily and IV placebo q 2 mo and q 3 mo
Receives: Drug: ibandronate [Bonviva/Boniva]
3Experimentaloral placebo daily and IV ibandronate 3 mg q 3 mo
Receives: Drug: ibandronate [Bonviva/Boniva]

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Relative Percent Change From Baseline in Mean Bone Mineral Density (BMD) of Lumbar Spine (L2-L4) at 12 Months

    BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 12. The change in BMD was defined as the relative difference between the last individual measurement available at 12 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)

    Measured: Baseline and Month 12

Secondary outcomes (15)
  1. Relative Percent Change From Baseline in Mean BMD of Lumbar Spine (L2-L4) at 24 Months

    BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 24. The change in BMD was defined as the relative difference between the last individual measurement available at 24 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)

    Measured: Baseline and Month 24

  2. Absolute Change From Baseline in Mean BMD of Lumbar Spine (L2 - L4) at Month 12 and Month 24

    BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at screening, Month 12 and Month 24. The absolute change from Baseline in mean BMD of the lumbar spine (L2-L4) was defined as the difference between the last individual measurement available at Month 12 or Month 24 and Baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: Baseline, Month 12 and Month 24

  3. Relative Percent Change From Baseline in BMD of Proximal Femur (Consisting of Total Hip, Trochanter, and Femoral Neck) at Month 12 and 24

    BMD was measured by a single DXA scan of the proximal femur at the time of screening, Month 12 and Month 24.The change in BMD of the proximal femur (total hip, trochanter, femoral neck) was defined as the relative difference between the last individual measurement available at Month 12 or Month 24and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year/2year - BMD at Baseline) / (BMD at Baseline). BMD of fractured bones that could impact the scan area were not taken into account. Only participants with data available at particular timepoint were analyzed.

    Measured: Baseline, Month 12 and Month 24

  4. Absolute Change From Baseline in BMD of Proximal Femur (Consisting of Total Hip, Trochanter, and Femoral Neck) at Month 12 and 24

    BMD was measured by a single DXA scan of the proximal femur at the time of screening, Month 12 and Month 24. The absolute change in BMD was defined as the difference between the last individual measurement available at Month 12 or Month 24 and Baseline. BMD of fractured bones that could impact the scan area were not taken into account. Only participants with data available at particular timepoint were analyzed.

    Measured: Baseline, Month 12 and Month 24

  5. Relative Change From Baseline in Serum C-telopeptide of Alpha-chain of Type I Collagen (CTX) at Month 6, 12, and 24

    Serum CTX, a biochemical marker of bone resorption, was measured using the Elecsys s-CTX-I assay, an electrochemiluminescence immunoassay (ECLIA) technique. Samples for serum CTX measurements were collected from participants immediately prior to their IV dosing. Thus, the values reported here represent trough or residual values taken at the end of the 2 month or 3 month IV dosing interval. The change in serum CTX was defined as the relative difference between the last individual measurement available at Month 6 or Month 12 or Month 24 and Baseline, using the following formula: Relative change = 100 x (CTX at Month 6/Month 12/Month 24- CTX at Baseline) / (CTX at Baseline). Only participants with data available at particular timepoint were analyzed.

    Measured: Baseline, At Month 6, 12, and 24.

  6. Absolute Change From Baseline in Serum CTX at Month 6, 12, and 24

    Serum CTX, a biochemical marker of bone resorption, was measured using the Elecsys s-CTX-I assay, an electrochemiluminescence immunoassay (ECLIA) technique. Samples for serum CTX measurements were collected from participants immediately prior to their IV dosing. Thus, the values reported here represent trough or residual values taken at the end of the 2 month or 3 month IV dosing interval. The absolute change from Baseline in serum CTX was defined as the difference between the last individual measurement available at Month 6 or Month 12 or Month 24 and Baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: Baseline, At Month 6, 12, and 24.

  7. Percentage of Participants With Mean Lumbar Spine (L2 - L4) BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean lumber spine (L2 - L4) BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  8. Percentage of Participants With Total Hip BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean total hip BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  9. Percentage of Participants With Trochanter BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean trochanter BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  10. Percentage of Participants With Femoral Neck BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean femoral neck BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  11. Percentage of Participants With Mean Total Hip and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean total hip and mean lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  12. Percentage of Participants With Mean Trochanter and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean trochanter and lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  13. Percentage of Participants With Mean Femoral Neck and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24

    A participant is a responder if the mean femoral neck and lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

    Measured: At Month 12 and 24

  14. Number of Participants Who Experienced Any Adverse Events (AEs) or Serious Adverse Events (SAEs)

    An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.

    Measured: Approximately 2 years

  15. Number of Participants With Any Marked Abnormality in Laboratory Parameters

    Marked laboratory test value abnormalities (high and low) are those which exceed the marked reference range (i.e., a reference range greater than the standard reference range) and which also represents a clinically relevant change from baseline of at least a designated amount. The indicated abnormal laboratory parameters (along with their marked reference range) are as follows: low and high Hematocrit (0.36 - 0.60 fraction), low and high hemoglobin (11.0 - 20.0 g/dL), low and high platelets (100 - 700 * 10^9/L), low and high white blood cell (WBC) (3.0 - 18.0 * 10^9/L), high alanine aminotransferase (ALAT) (0 - 60 U/L), high blood urea nitrogen (BUN) (0 - 14.3 mmol/L) , high creatinine (0 - 154 mmol/L), low albumin (27.0 - 48.0 g/L), low and high chloride (95 - 115 mmol/L), low potassium (3.0 - 6.0 mmol/L), low sodium (130 - 150 mmol/L), high calcium (2.00 - 2.90 mmol/L), low and high phosphate (0.75 - 1.60 mmol/L).

    Measured: Approximately 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2002 (estimated)
  2. Study startJun 2002
  3. Primary completionMay 2005
  4. Study completionMay 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
1,395 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00048074
Sponsor's protocol ID
BM16550
Status last verified
Jan 2016
First submitted
24 Oct 2002
Last updated
3 Feb 2016

Publications

  • Bianchi G, Czerwinski E, Kenwright A, Burdeska A, Recker RR, Felsenberg D. Long-term administration of quarterly IV ibandronate is effective and well tolerated in postmenopausal osteoporosis: 5-year data from the DIVA study long-term extension. Osteoporos Int. 2012 Jun;23(6):1769-78. doi: 10.1007/s00198-011-1793-9.

    PubMed 21975558

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ibandronate [Bonviva/Boniva] in people with Post Menopausal Osteoporosis, run by Hoffmann-La Roche at 64 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in United States, Australia, Canada, Denmark, Germany and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Relative Percent Change From Baseline in Mean Bone Mineral Density (BMD) of Lumbar Spine (L2-L4) at 12 Months (time frame: Baseline and Month 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00048074, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Feb 2016.

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