AzTrials
AzTrials

OsteoporosisPhase 3ACTIVENCT01343004

Study to Evaluate the Safety and Efficacy of BA058 (Abaloparatide) for Prevention of Fracture in Postmenopausal Women

A Phase 3 study testing BA058 80 mcg and teriparatide in people with Osteoporosis and Postmenopausal Osteoporosis, run by Radius Health, Inc. at 28 sites in 10 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

The purpose of this study is to determine whether BA058 (abaloparatide), a parathyroid hormone-related peptide, is effective in preventing fractures in postmenopausal women with severe osteoporosis who are at risk of fractures. Read more about this study

Who is it for?
Ages 50 to 85 years, women only
Conditions the study is for
Osteoporosis, Postmenopausal Osteoporosis
What is being tested?
BA058 80 mcg and teriparatide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
2,463 participants
Where
28 sitesin 10 countries
Study dates
Apr 2011to Oct 2014
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 50 to 85 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Healthy ambulatory postmenopausal (≥ 5 years) women from 50 to 85 years of age (inclusive) with a diagnosis of osteoporosis
  • The women are to have a bone mineral density (BMD) T score ≤ -2.5 and > -5.0 at the lumbar spine or hip (femoral neck) by dual energy x-ray absorptiometry (DXA) and radiological evidence of 2 or more mild or one or more moderate lumbar or thoracic vertebral fractures, or history of low trauma forearm, humerus, sacral, pelvic, hip, femoral, or tibial fracture within the past 5 years. Postmenopausal women older than 65 who meet the above fracture criteria but have a T score ≤ -2.0 and > -5.0 may be enrolled. Women older than 65 who do not meet the fracture criteria may also be enrolled if their T score is ≤ -3.0 and > -5.0
  • Normal physical exam, vital signs, electrocardiogram (ECG) and medical history
  • Laboratory tests within the normal range including serum calcium, PTH(1-84), serum phosphorus and alkaline phosphatase

Who cannot join

  • History of more than 4 mild or moderate spine fractures or any severe fracture
  • Abnormality of the spine or hip that would prohibit assessment of bone mineral density (BMD)
  • Unexplained elevation of serum alkaline phosphatase, history of bone disorders (such as Paget's disease) or a diagnosis of cancer within the last 5 years (with the exception of basal cell or squamous cancer of the skin)
  • History of thyroid, parathyroid, or adrenal disorders, or malabsorptive syndromes or any chronic or recurrent diseases or disturbances that would interfere with the interpretation of study data or compromise the safety of the patient
  • Prior treatment with parathyroid hormone (PTH) or parathyroid hormone-related peptid (PTHrP)
  • Prior treatment with bisphosphonates, fluoride, or strontium within the past five years or treatment with androgens, anabolic steroids, corticosteroids or selective estrogen receptor modulators within the past 12 months (except hormone replacement therapy)
  • Prior treatment with an investigational drug within the past 12 months
  • History of nephrolithiasis or urolithiasis within the past five years, or history of osteosarcoma at any time

Trial locations and contacts

28 sites in 10 countries.

28 sites in 10 countries

Poland6 sites
  • Study site

    Bialystok

  • Study site

    Katowice

  • Study site

    Kielce

  • Study site

    Lodz

  • Study site

    Warsaw

  • Study site

    Zgierz

Other trials in Poland

United States5 sites
  • Study site

    Atlanta, Georgia

  • Study site

    Bethesda, Maryland

  • Study site

    Lakewood, Colorado

  • Study site

    Miami, Florida

  • Study site

    North Miami, Florida

Other trials in United States

Brazil5 sites
  • Study site

    Brasília

  • Study site

    Curitiba

  • Study site

    Rio de Janeiro

  • Study site

    São Paulo

  • Study site

    Vitória

Other trials in Brazil

Czechia3 sites
  • Study site

    Brno

  • Study site

    Pardubice

  • Study site

    Prague

Other trials in Czechia

Denmark3 sites
  • Study site

    Aalborg

  • Study site

    Ballerup Municipality

  • Study site

    Vejle

Other trials in Denmark

Estonia2 sites
  • Study site

    Tallinn

  • Study site

    Tartu

Other trials in Estonia

Argentina1 site
  • Study site

    Buenos Aires

Other trials in Argentina

Hong Kong1 site
  • Study site

    Hong Kong

Other trials in Hong Kong

Lithuania1 site
  • Study site

    Vilnius

Other trials in Lithuania

Romania1 site
  • Study site

    Bucharest

Other trials in Romania

About this study

Official title: A Randomized, Double-blind, Placebo-Controlled, Comparative Multicenter Phase 3 Study to Evaluate the Safety and Efficacy of BA058 (Abaloparatide) for Injection for Prevention of Fracture in Ambulatory Postmenopausal Women With Severe Osteoporosis and at Risk of Fracture

The purpose of this study is to determine whether BA058 (abaloparatide), a parathyroid hormone-related peptide, is effective in preventing fractures in postmenopausal women with severe osteoporosis who are at risk of fractures.

Read the detailed description

This is a randomized, double-blind, placebo-controlled, comparative Phase 3, multicenter international study to evaluate the efficacy and safety of BA058 (abaloparatide) 80 µg in the prevention of fracture in otherwise healthy ambulatory postmenopausal women with severe osteoporosis.

Being tested
Placebo, BA058 80 mcg, teriparatide
Keywords
BA058, abaloparatide, Abaloparatide-SC, osteoporosis, postmenopausal, bone loss, ACTIVE, fracture
Medical subject headings
Osteoporosis, Osteoporosis, Postmenopausal, Bone Diseases, Metabolic, Motor Activity, Fractures, Bone

What participants receive

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

  • PlaceboDrug

    Placebo 0 mcg subcutaneous daily

  • BA058 80 mcgDrug

    Also called abaloparatide, Abaloparatide-SC

    BA058 80 mcg subcutaneous daily

  • teriparatideDrug

    Also called Forteo, Forsteo

    teriparatide 20 mcg subcutaneous daily

Study groups in NCT01343004
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo identical in appearance to BA058 study drug
Receives: Drug: Placebo
BA058 80 mcg (abaloparatide)ExperimentalNot described
Receives: Drug: BA058 80 mcg
teriparatideActive comparatorBlinded until after randomization, then open-label
Receives: Drug: teriparatide

What is being measured

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

  1. Number of Participants With New Vertebral Fractures at 18 Months

    Measured: 18 months

Secondary outcomes (5)
  1. Percent Change in Bone Mineral Density (BMD) of Lumbar Spine From Baseline to 18 Months

    Measured: Basline and 18 months

  2. Percent Change in Bone Mineral Density (BMD) of Total Hip From Baseline to Month 18

    Measured: Baseline and 18 months

  3. Percent Change in Bone Mineral Density (BMD) of Femoral Neck From Baseline to Month 18

    Measured: Baseline and 18 months

  4. Number of Participants With Non-vertebral Fractures at 18 Months

    Measured: 18 months

  5. Number of Treatment-Emergent Adverse Events Associated With Hypercalcemia at 18 Months

    Measured: 18 months

Timeline

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

  1. First posted27 Apr 2011 (estimated)
  2. Study startApr 2011
  3. Primary completionOct 2014
  4. Study completionOct 2014

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
2,463 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01343004
Sponsor's protocol ID
BA058-05-003
Other IDs
ACTIVE Trial
Acronym
ACTIVE
Status last verified
Jan 2017
First submitted
26 Apr 2011
Last updated
1 Mar 2017
Data monitoring committee
Yes

Publications

  • Sheth NP, Krohn K, Torkelson J, Winzenrieth R, Humbert L, Pearman L, Wang Y, Boxberger JI, Bostrom MP. Abaloparatide effects on BMD in acetabular regions corresponding to DeLee and Charnley zones in women with postmenopausal osteoporosis. Bone Rep. 2025 Jul 19;26:101858. doi: 10.1016/j.bonr.2025.101858. eCollection 2025 Sep.

    PubMed 40786602
  • DeSapri KT, Clarke BL, Kostenuik P, Wang Y, Mitlak BH. Effect of abaloparatide on fracture incidence and bone mineral density in postmenopausal women with osteoporosis at highest risk for fracture. Menopause. 2025 May 1;32(5):388-395. doi: 10.1097/GME.0000000000002516.

    PubMed 39999474
  • Cosman F, Hans D, Shevroja E, Wang Y, Mitlak B. Effect of Abaloparatide on Bone Microarchitecture Assessed by Trabecular Bone Score in Women With Osteoporosis: Post Hoc Analysis of ACTIVE and ACTIVExtend. J Bone Miner Res. 2023 Apr;38(4):464-470. doi: 10.1002/jbmr.4764. Epub 2023 Feb 12.

    PubMed 36588166
  • Hara T, Hijikata Y, Matsubara Y, Watanabe N. Pharmacological interventions versus placebo, no treatment or usual care for osteoporosis in people with chronic kidney disease stages 3-5D. Cochrane Database Syst Rev. 2021 Jul 7;7(7):CD013424. doi: 10.1002/14651858.CD013424.pub2.

    PubMed 34231877
  • Cosman F, Peterson LR, Towler DA, Mitlak B, Wang Y, Cummings SR. Cardiovascular Safety of Abaloparatide in Postmenopausal Women With Osteoporosis: Analysis From the ACTIVE Phase 3 Trial. J Clin Endocrinol Metab. 2020 Nov 1;105(11):3384-95. doi: 10.1210/clinem/dgaa450.

    PubMed 32658264
  • Saag KG, Williams SA, Wang Y, Weiss RJ, Cauley JA. Effect of Abaloparatide on Bone Mineral Density and Fracture Incidence in a Subset of Younger Postmenopausal Women with Osteoporosis at High Risk for Fracture. Clin Ther. 2020 Jun;42(6):1099-1107.e1. doi: 10.1016/j.clinthera.2020.04.012. Epub 2020 Jun 6.

    PubMed 32513495
  • Leder BZ, Mitlak B, Hu MY, Hattersley G, Bockman RS. Effect of Abaloparatide vs Alendronate on Fracture Risk Reduction in Postmenopausal Women With Osteoporosis. J Clin Endocrinol Metab. 2020 Mar 1;105(3):938-43. doi: 10.1210/clinem/dgz162.

    PubMed 31674644
  • Leder BZ, Zapalowski C, Hu MY, Hattersley G, Lane NE, Singer AJ, Dore RK. Fracture and Bone Mineral Density Response by Baseline Risk in Patients Treated With Abaloparatide Followed by Alendronate: Results From the Phase 3 ACTIVExtend Trial. J Bone Miner Res. 2019 Dec;34(12):2213-2219. doi: 10.1002/jbmr.3848. Epub 2019 Sep 11.

    PubMed 31411768
  • Moreira CA, Fitzpatrick LA, Wang Y, Recker RR. Effects of abaloparatide-SC (BA058) on bone histology and histomorphometry: The ACTIVE phase 3 trial. Bone. 2017 Apr;97:314-319. doi: 10.1016/j.bone.2016.11.004. Epub 2016 Nov 5.

    PubMed 27826127
  • Cosman F, Hattersley G, Hu MY, Williams GC, Fitzpatrick LA, Black DM. Effects of Abaloparatide-SC on Fractures and Bone Mineral Density in Subgroups of Postmenopausal Women With Osteoporosis and Varying Baseline Risk Factors. J Bone Miner Res. 2017 Jan;32(1):17-23. doi: 10.1002/jbmr.2991. Epub 2016 Sep 28.

    PubMed 27612281
  • Miller PD, Hattersley G, Riis BJ, Williams GC, Lau E, Russo LA, Alexandersen P, Zerbini CA, Hu MY, Harris AG, Fitzpatrick LA, Cosman F, Christiansen C; ACTIVE Study Investigators. Effect of Abaloparatide vs Placebo on New Vertebral Fractures in Postmenopausal Women With Osteoporosis: A Randomized Clinical Trial. JAMA. 2016 Aug 16;316(7):722-33. doi: 10.1001/jama.2016.11136.

    PubMed 27533157

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BA058 80 mcg and teriparatide in people with Osteoporosis and Postmenopausal Osteoporosis, run by Radius Health, Inc. at 28 sites in 10 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 4 inclusion and 8 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 1 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Poland, United States, Brazil, Czechia, Denmark and 5 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. Some participants in this study may receive a placebo. 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 1 Mar 2017). 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?

Number of Participants With New Vertebral Fractures at 18 Months (time frame: 18 months). 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 NCT01343004, which also lists 11 linked publications.

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 1 Mar 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in