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OsteoporosisPhase 3NCT03512262

Safety and Efficacy of Abaloparatide-SC in Men With Osteoporosis (ATOM)

A Phase 3 study testing Abaloparatide in people with Osteoporosis and Osteoporosis, Age-Related, run by Radius Health, Inc. at 34 sites in 3 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

A 12-month study to measure the efficacy and safety of abaloparatide in men with osteoporosis. Read more about this study

Who is it for?
Ages 40 to 85 years, men only
What is being tested?
Abaloparatide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
228 participants
Where
34 sitesin 3 countries
Study dates
3 May 2018to 8 Sep 2021
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 40 to 85 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Healthy ambulatory male from 40 to 85 years of age (inclusive) with primary osteoporosis or osteoporosis associated with hypogonadism.
  • The participant has a BMD T-score based on female or male reference range (depending on date of enrollment) as assessed by the central imaging vendor of ≤ -2.5 at the lumbar spine (L1-L4) or hip (femoral neck or total hip) by dual energy X-ray absorptiometry (DXA) or ≤ -1.5 and with radiologic evidence of vertebral fracture or a documented history of low-trauma nonvertebral fracture sustained in the past 5 years. Men older than 65 years may be enrolled if they have a BMD T-score ≤ -2.0 even if they do not meet the fracture criteria.
  • Normal medical history, physical examination, including vital signs, and body mass index.
  • Hypogonadal participants whose doses of androgens have been stable for at least twelve months before randomization are eligible and may continue therapy during the study.
  • Laboratory tests within the normal range including serum calcium (albumin-corrected), parathyroid hormone, serum phosphorus and alkaline phosphatase, and thyroid stimulating hormone values.

Who cannot join

  • Presence of abnormalities of the lumbar spine that would prohibit assessment of spinal BMD, defined as having at least 2 radiologically evaluable vertebrae within L1-L4.
  • A BMD T-score of ≤-3.5 at the total hip, femoral neck, or lumbar spine based on female or male reference range (depending on date of enrollment).
  • Unevaluable hip BMD or participants who have undergone bilateral hip replacement.
  • Fragility fracture within the prior twelve months.
  • History of severe vertebral fracture or >2 moderate vertebral fractures.
  • History of bone disorders (for example, Paget's disease) other than osteoporosis.
Show all 10Show fewer
  • participant with clinical signs of hypogonadism present at screening who plan to initiate testosterone replacement.
  • History of prior external beam or implant radiation therapy involving the skeleton other than radioiodine.
  • History of chronic or recurrent renal, hepatic, pulmonary, allergic, cardiovascular, gastrointestinal, endocrine, central nervous system, hematologic or metabolic diseases, or immunologic, emotional and/or psychiatric disturbances to a degree that would interfere with the interpretation of study data or compromise the safety of the participant.
  • History of Cushing's disease, growth hormone deficiency or excess, hyperthyroidism, hypo- or hyperparathyroidism or malabsorptive syndromes within the past year.

Trial locations and contacts

34 sites in 3 countries.

34 sites in 3 countries

United States22 sites
  • New Mexico Clinical Research & Osteoporosis Center, Inc.

    Albuquerque, New Mexico, 87106

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • PMG Research of Cary, LLC

    Cary, North Carolina, 27518

  • Northwestern University

    Chicago, Illinois, 60611

  • The University of Chicago

    Chicago, Illinois, 60637

  • Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Altoona Center For Clinical Research

    Duncansville, Pennsylvania, 16635

  • Center For Advanced Research & Education

    Gainesville, Georgia, 30501

  • Panorama Orthopedics & Spine Center

    Golden, Colorado, 80401

  • Marin Endocrine Care & Research, Inc.

    Greenbrae, California, 94904

  • Indago Research & Health Center, Inc.

    Hialeah, Florida, 33012

  • Centex Studies, Inc.

    Houston, Texas, 77058

  • University of Wisconsin Osteoporosis Clinical Research Program

    Madison, Wisconsin, 53705

  • Centex Studies, Inc

    McAllen, Texas, 78504

  • Baptist Diabetes Associates, Pa

    Miami, Florida, 33156

  • Hunter Holmes McGuire VA Medical Center

    Richmond, Virginia, 23249

  • Meridian Clinical Research

    Savannah, Georgia, 31406

  • Alta California Medical Group

    Simi Valley, California, 93065

  • SUNY Upstate Medical University

    Syracuse, New York, 13210

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • MedStar Georgetown-MedStar Georgetown Transplant Institute University Hospital (MGUH)

    Washington D.C., District of Columbia, 20007

  • PMG Research of Wilmington, LLC

    Wilmington, North Carolina, 28401

Other trials in United States

Poland9 sites
  • Zdrowie Osteo-Medic s.c. Lidia I Artur Racewicz, Agnieszka I Jerzy Supronik

    Bialystok, Podlaskie Voivodeship, 15-351

  • ClinicMed Daniluk, Nowak Sp.j.

    Bialystok, 15-879

  • Krakowskie Centrum Medyczne Sp. z o.o.

    Krakow, Lesser Poland Voivodeship, 31-501

  • Centrum Leczenia Osteoporozy Klinika Zdrowej Kosci

    Lodz, 90-558

  • ETG Siedlce

    Siedlce, 08-110

  • Lubelskie Centrum Diagnostyczne

    Świdnik, 21-040

  • NZOZ Nasz Lekarz

    Torun, 87100

  • Synexus Polska Sp. z o.o. Oddzial w Warszawie

    Warsaw, Masovian Voivodeship, 01-192

  • Synexus Polska Sp z o.o Oddzial we Wroclawiu

    Wroclaw, 50-381

Other trials in Poland

Italy3 sites
  • Azienda ospedaliera universitaria Careggi

    Florence, Tuscany, 50139

  • Azienda Ospedaliera Universitaria Senese-Policlincio Santa Maria Alle Scotte

    Siena, Tuscany, 53100

  • Azienda ospedaliera universitaria integrata di verona(AOUI)

    Verona, 37134

Other trials in Italy

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Phase 3 Multicenter Study to Evaluate the Safety and Efficacy of Abaloparatide-SC for the Treatment of Men With Osteoporosis

A 12-month study to measure the efficacy and safety of abaloparatide in men with osteoporosis.

Read the detailed description

The primary objective of this prospective controlled study is to evaluate the efficacy and the safety of abaloparatide 80 micrograms (mcg) per day administered subcutaneously (SC) compared to placebo in men with osteoporosis. Efficacy was primarily assessed by the change in bone mineral density (BMD) over 12 months.

Being tested
Abaloparatide, Placebo
Keywords
BA058, abaloparatide, abaloparatide-SC, osteoporosis, male osteoporosis, TYMLOS®, fracture, bone loss
Medical subject headings
Osteoporosis, Fractures, Bone, Bone Diseases, Metabolic

What participants receive

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

  • AbaloparatideDrug

    Also called TYMLOS®, BA058, abaloparatide-SC

    Abaloparatide is a synthetic peptide that is a potent and selective activator of the parathyroid hormone 1 receptor signaling pathway.

  • PlaceboDrug

    Abaloparatide-matched placebo.

Study groups in NCT03512262
Study groupRoleWhat they receive
AbaloparatideExperimentalParticipants self-administered daily doses of abaloparatide 80 mcg SC using a single-participant, multiple-use, prefilled injection pen that delivers 30 doses. Participants received a new injection pen every 30 days.
Receives: Drug: Abaloparatide
PlaceboPlacebo comparatorParticipants self-administered daily doses of placebo SC using a single-participant, multiple-use, prefilled injection pen that delivers 30 doses. Participants received a new injection pen every 30 days.
Receives: Drug: Placebo

What is being measured

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

  1. Percent Change From Baseline in Lumbar Spine BMD at Month 12

    Lumbar Spine BMD was assessed by DXA scans evaluated by a central imaging laboratory. Lumbar spine scans included L1 through L4. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 12

Secondary outcomes (14)
  1. Percent Change From Baseline in Total Hip BMD at Month 12

    Total hip BMD was assessed by DXA scans evaluated by a central imaging laboratory. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 12

  2. Percent Change From Baseline in Femoral Neck BMD at Month 12

    Femoral neck BMD was assessed by DXA scans evaluated by a central imaging laboratory. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 12

  3. Percent Change From Baseline in Lumbar Spine BMD at Month 6

    Lumbar Spine BMD was assessed by DXA scans evaluated by a central imaging laboratory. Lumbar spine scans included L1 through L4. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 6

  4. Percent Change in Total Hip BMD From Baseline at Month 6

    Total hip BMD was assessed by DXA scans evaluated by a central imaging laboratory. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 6

  5. Percent Change From Baseline in Femoral Neck BMD at Month 6

    Femoral neck BMD was assessed by DXA scans evaluated by a central imaging laboratory. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 6

  6. Percent Change From Baseline in Ultra-Distal Radius BMD at Month 12

    Ultra-distal radius BMD was assessed by DXA scans. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 12

  7. Percent Change From Baseline in Distal One-third Radius BMD at Month 12

    Distal one-third radius BMD was assessed by DXA scans. Positive changes from baseline indicate improvement in bone health.

    Measured: Baseline, Month 12

  8. Percent Change From Baseline in Serum Procollagen Type I N-terminal Propeptide (s-PINP) at Month 12

    Blood samples were taken to measure s-PINP, a bone formation marker. s-PINP concentrations reflect the rate of skeletal new bone formation. Increases in s-PINP indicate anabolic biologic response in the bone.

    Measured: Baseline, Month 12

  9. Percent Change From Baseline in Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (s-CTX) at Month 12

    Blood samples were taken to measure s-CTX. Elevated levels of s-CTX indicate increased bone resorption (bone loss).

    Measured: Baseline, Month 12

  10. Number of Participants With New Clinical Fractures

    Radiological evaluations were performed to identify any new clinical fractures (occurring after the screening visit).

    Measured: Baseline through Month 12

  11. Percent of Participants With Change in Disease Status

    The percentage of participants converting from the categories of osteoporosis to osteopenia or from osteopenia to normal at End of Treatment (Month 12) was assessed. Osteoporosis was defined as lumbar spine or total hip BMD T-score ≤ -2.5. Osteopenia was defined as one of the following:

    • Lumbar spine > -2.5 and total hip BMD T-score > -2.5 and < -1.0
    • Lumbar spine > -2.5 and < -1.0 and total hip BMD T-score > -2.5
    • Normal was defined as lumbar spine and total hip BMD T-score ≥ -1.0.

    Measured: Baseline through Month 12

  12. Percent of Participants Experiencing BMD Gains From Baseline of > 0%, > 3%, and > 6% at the Lumbar Spine, Femoral Neck, and Total Hip

    Lumbar spine, femoral neck, and total hip BMD were assessed by DXA scans evaluated by a central imaging laboratory.

    Measured: Month 12

  13. Percent Change From Baseline in Total Hip Volumetric BMD as Measured by Quantitative Computed Tomography (QCT) at Month 12

    QCT scans were evaluated by a central imaging laboratory.

    Measured: Baseline, Month 12

  14. Percent Change From Baseline in Femoral Neck Volumetric BMD as Measured by QCT at Month 12

    QCT scans were evaluated by a central imaging laboratory.

    Measured: Baseline, Month 12

Timeline

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

  1. First posted30 Apr 2018
  2. Study start3 May 2018
  3. Primary completion17 Aug 2021
  4. Study completion8 Sep 2021

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
Model description
Participants will be randomized in a 2:1 treatment ratio (abaloparatide:placebo).
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
228 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03512262
Sponsor's protocol ID
BA058-05-019
Other IDs
ATOM
Status last verified
Apr 2023
First submitted
17 Apr 2018
Last updated
7 Apr 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Rizzoli R, Bonjour JP, Ferrari SL. Osteoporosis, genetics and hormones. J Mol Endocrinol. 2001 Apr;26(2):79-94. doi: 10.1677/jme.0.0260079.

    PubMed 11241160
  • Mannstadt M, Juppner H, Gardella TJ. Receptors for PTH and PTHrP: their biological importance and functional properties. Am J Physiol. 1999 Nov;277(5):F665-75. doi: 10.1152/ajprenal.1999.277.5.F665.

    PubMed 10564229
  • Dempster DW, Cosman F, Parisien M, Shen V, Lindsay R. Anabolic actions of parathyroid hormone on bone. Endocr Rev. 1993 Dec;14(6):690-709. doi: 10.1210/edrv-14-6-690. No abstract available.

    PubMed 8119233
  • Deal C, Bostrom MP, Sheth NP, Humbert L, Krohn KD, Wang Y, Boxberger JI. The effects of abaloparatide on acetabular bone mineral density and proximal femur strength in men with osteoporosis. J Clin Densitom. 2026 Apr-Jun;29(2):101686. doi: 10.1016/j.jocd.2026.101686. Epub 2026 Feb 17.

    PubMed 41812602

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Abaloparatide in people with Osteoporosis and Osteoporosis, Age-Related, run by Radius Health, Inc. at 34 sites in 3 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 5 inclusion and 10 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 7 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, Poland, Italy. 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 7 Apr 2023). 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?

Percent Change From Baseline in Lumbar Spine BMD at Month 12 (time frame: Baseline, 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 NCT03512262, which also lists 4 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 7 Apr 2023.

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