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Postmenopausal Women With OsteoporosisPhase 3NCT04757376

A Phase 3 Study to Compare Between CT-P41 and US-licensed Prolia in Postmenopausal Women With Osteoporosis

A Phase 3 study testing CT-P41 and US-licensed Prolia in people with Postmenopausal Women With Osteoporosis, run by Celltrion at 20 sites in 4 countries.

Completed

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

Official record
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Trial summary

This study is a Double-blind, Randomized, Active-controlled, Phase 3 Study to Compare Efficacy, Pharmacokinetics, Pharmacodynamics, and Safety of CT-P41 and US-licensed Prolia in Postmenopausal Women with Osteoporosis Read more about this study

Who is it for?
Ages 50 to 80 years, women only
Conditions the study is for
Postmenopausal Women With Osteoporosis
What is being tested?
CT-P41 and US-licensed Prolia
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
479 participants
Where
20 sitesin 4 countries
Study dates
17 Jun 2021to 16 Nov 2023
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 80 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women, 50 to 80 years of age, both inclusive.
  • Body weight between 40.0 and 99.9 kg, both inclusive, when rounded to the nearest tenth.
  • Postmenopausal
  • Bone mineral density T-score ≤ - 2.5 and ≥ - 4.0 at the lumbar spine (L1 to L4) as assessed by the central imaging vendor based on dual-energy X-ray absorptiometry(DXA) scan.
  • Patients must have at least 3 vertebrae considered evaluable at the lumbar spine (L1 to L4) and at least 1 hip considered evaluable by DXA scan assessed by the central imaging vendor. Patients with unilateral metal in hips that would be allowed for the other side of 1 evaluable hip are included.
  • Patient with albumin-adjusted total serum calcium ≥ 8.5 mg/dL (≥ 2.125 mmol/L) at Screening.

Who cannot join

  • Patient previously received denosumab, any other monoclonal antibodies, or biologic agents for osteoporosis
  • Patient confirmed or suspected with infection of COVID-19 at Screening, or has contact with COVID-19 patient within 14 days from Screening
  • Patient with history and/or presence of one severe or > 2 moderate vertebral fractures as determined by central reading of lateral spine X-ray
  • Patient with history and/or presence of hip fracture
  • Patient with history and/or presence of hyperparathyroidism or hypoparathyroidism, irrespective of current controlled or uncontrolled status
  • Patient with current hyperthyroidism (unless well controlled on stable antithyroid therapy)
  • Patient with current hypothyroidism (unless well controlled on stable thyroid replacement therapy)
  • Patient with history and/or presence of bone disease and metabolic disease (except for osteoporosis) that may interfere with the interpretation of the results

Trial locations and contacts

20 sites in 4 countries.

20 sites in 4 countries

Poland10 sites
  • NZOZ Osteo Medic SC Artur Racewicz Jerzy Supronik

    Bialystok, Podlaskie Voivodeship, 15-351

  • AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Gdyni

    Gdynia, Pomeranian Voivodeship, 81-537

  • Krakowskie Centrum Medyczne

    Krakow, Lesser Poland Voivodeship, 31-501

  • MCM Krakow - PRATIA - PPDS

    Krakow, 30-510

  • SOMED CR Sp. z o.o. Sp. Komandytowa - Lodz

    Lódz, Lódzkie, 90-368

  • AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Poznaniu

    Poznan, Greater Poland Voivodeship, 60-702

  • Centrum Medyczne Poznan - PRATIA - PPDS

    Skórzewo, Greater Poland Voivodeship, 60-185

  • AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Warszawie

    Warsaw, Masovian Voivodeship, 01-192

  • SOMED CR Sp. z o.o. Sp. Komandytowa - Warszawa

    Warsaw, Masovian Voivodeship, 01-737

  • AES - DRS - Synexus Polska Sp. z o.o. Oddzial we Wroclawiu

    Wroclaw, Lower Silesian Voivodeship, 50-381

Other trials in Poland

Estonia4 sites
  • KLV Arstikabinet

    Pärnu, 80010

  • Center For Clinical And Basic Research

    Tallinn, Harju, 10128

  • East Tallinn Central Hospital-Ravi 18

    Tallinn, Harju, 11312

  • Clinical Research Centre Ltd

    Tartu, Tartu, 50106

Other trials in Estonia

Ukraine4 sites
  • AES - AS - Medical Center of Edelweiss Medics LLC

    Kyiv, 02002

  • Clinic of SI Institute of Gerontology n.a. D.F.Chebotaryov of NAMS of Ukraine

    Kyiv, 04114

  • AES - AS - Medical Center of Medbud - Clinic LLC

    Kyiv

  • Clinic of SRI of Invalid Rehab. (ESTC) of VNMU n.a. M.I.Pyrohov

    Vinnytsia, 21029

Other trials in Ukraine

Latvia2 sites
  • Health Center Association, Medical Center Liepaja

    Liepāja, 3401

  • Health Center 4-117 K. Barona Str

    Riga, 1012

Other trials in Latvia

About this study

Official title: A Double-blind, Randomized, Active-controlled, Phase 3 Study to Compare Efficacy, Pharmacokinetics, Pharmacodynamics, and Safety of CT-P41 and US-licensed Prolia in Postmenopausal Women With Osteoporosis

This study is a Double-blind, Randomized, Active-controlled, Phase 3 Study to Compare Efficacy, Pharmacokinetics, Pharmacodynamics, and Safety of CT-P41 and US-licensed Prolia in Postmenopausal Women with Osteoporosis

Read the detailed description

This is a double-blind, randomized, active-controlled, Phase 3 study to evaluate the efficacy, PK, PD, and safety including immunogenicity of CT-P41 compared with US-licensed Prolia in postmenopausal women with osteoporosis. All patients will also receive daily supplementation containing at least 1,000 mg of elemental calcium and at least 400 IU vitamin D from randomization to EOS visit and the data will be collected via patient's diary.

Being tested
CT-P41, US-licensed Prolia

What participants receive

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

  • CT-P41Biological

    60 mg/mL single dose, Solution for injection in PFS

  • US-licensed ProliaBiological

    60 mg/mL single dose, Solution for injection in PFS

Study groups in NCT04757376
Study groupRoleWhat they receive
CT-P41Experimental60 mg/mL single dose administration, Solution for injection in prefilled syringe(PFS)
Receives: Biological: CT-P41
US-licensed ProliaActive comparator60 mg/mL single dose administration, Solution for injection in PFS
Receives: Biological: US-licensed Prolia

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 Bone Mineral Density (BMD) at Week 52 - Full Analysis Set (FAS)

    Bone mineral density was assessed by dual-energy X-ray absorptiometry (DXA) and assessments of the lumbar spine (L1 to L4) were performed at a central imaging vendor. To evaluate the difference between 2 groups in the primary efficacy endpoint, the percent change from baseline in BMD for lumbar spine (L1 to L4) by DXA at Week 52 was analyzed using an analysis of covariance (ANCOVA) model coupled with multiple imputation assuming the data to be missing at random (MAR).

    Measured: baseline (screening), Week 52 predose

Secondary outcomes (13)
  1. Percent Change From Baseline in Lumbar Spine, Total Hip, and Femoral Neck BMD at Week 52 - FAS

    Bone mineral density was assessed by DXA and assessments of the lumbar spine (L1 to L4), total hip, and femoral neck were performed at a central imaging vendor.

    Measured: baseline (screening), Week 52 predose

  2. Percent Change From Baseline in Lumbar Spine, Total Hip, and Femoral Neck BMD at Week 78 - FAS-TP II Subset

    Bone mineral density was assessed by DXA and assessments of the lumbar spine (L1 to L4), total hip, and femoral neck BMD were performed at a central imaging vendor.

    Measured: baseline (screening), Week 78

  3. Incidence of New Vertebral, Nonvertebral, and Hip Fractures During TP I - FAS

    Efficacy analysis of new vertebral fractures included only vertebral fractures occurring from T4 to L4 and confirmed by the central imaging vendor. A new vertebral fracture was defined as an increase of ≥1 grade in any vertebra from T4 to L4 that was normal at screening.

    The nonvertebral fractures endpoint included fractures other than those of the vertebrae, excluding the skull, facial bones, mandible, metacarpals, and phalanges (fingers or toes) since they are not associated with decreased BMD, and excluded pathologic fractures and those associated with severe trauma acquired from a fall (from a height higher than a stool, chair, or first rung of a ladder) or otherwise. Only nonvertebral fractures confirmed by the central imaging vendor were included in the efficacy analysis.

    The fractures occurring at the site of femur neck, femur intertrochanter, or femur subtrochanter were considered as a hip fracture.

    Measured: up to Week 52 predose

  4. Incidence of New Vertebral, Nonvertebral, and Hip Fractures During TP II - FAS-TP II Subset

    Efficacy analysis of new vertebral fractures included only vertebral fractures occurring from T4 to L4 and confirmed by the central imaging vendor. A new vertebral fracture was defined as an increase of ≥1 grade in any vertebra from T4 to L4 that was normal at screening.

    The nonvertebral fractures endpoint included fractures other than those of the vertebrae, excluding the skull, facial bones, mandible, metacarpals, and phalanges (fingers or toes) since they are not associated with decreased BMD, and excluded pathologic fractures and those associated with severe trauma acquired from a fall (from a height higher than a stool, chair, or first rung of a ladder) or otherwise. Only nonvertebral fractures confirmed by the central imaging vendor were included in the efficacy analysis.

    The fractures occurring at the site of femur neck, femur intertrochanter, or femur subtrochanter were considered as a hip fracture.

    Measured: from Week 52 to Week 78

  5. Trough Serum Concentration (Ctrough) of Denosumab at Weeks 0 and 26 - Pharmacokinetic (PK) Set

    The Ctrough, a concentration before the next study drug administration, was calculated by non-compartmental analysis method from the concentration-time data. All serum concentrations below the lower limit of quantification (LLoQ) was set to 0 in the descriptive summaries of PK parameter estimation. In TP I, the Ctrough of denosumab at Weeks 0 and 26 was assessed as the serum concentration at Weeks 26 and 52 before the study drug administration, respectively.

    Measured: Week 0 Day 1 predose, Week 26 predose

  6. Ctrough of Denosumab at Week 52 - PK-TP II Subset

    The Ctrough, a concentration before the next study drug administration, was calculated by non-compartmental analysis method from the concentration-time data. All serum concentrations below the LLoQ was set to 0 in the descriptive summaries of PK parameter estimation. In TP II, the Ctrough of denosumab at Week 52 was assessed as the serum concentration at Week 78.

    Measured: Week 52

  7. Maximum Serum Concentration (Cmax) of Denosumab After First Dose - PK Set

    Cmax was calculated by non-compartmental analysis method from the concentration-time data. All serum concentrations below the LLoQ was set to 0 in the descriptive summaries of PK parameter estimation.

    Measured: from baseline (Week 0 Day 1 predose) to Week 26 predose

  8. Percent Change From Baseline for Serum Concentration of Serum Carboxy-terminal Cross-linking Telopeptide of Type I Collagen (s-CTX) at Weeks 26 and 52 - Pharmacodynamic (PD) Set

    Serum concentration below the LLoQ was set to the LLoQ. The percent change from baseline for serum concentration at each visit was calculated as ([Result at each visit - Result at Baseline] / Result at Baseline) × 100.

    Measured: Baseline (Week 0 Day 1 predose), Weeks 26 and 52 (predose)

  9. Percent Change From Baseline for Serum Concentration of s-CTX at Week 78 - PD-TP II Subset

    Serum concentration below the LLoQ was set to the LLoQ. The percent change from baseline for serum concentration at each visit was calculated as ([Result at each visit - Result at Baseline] / Result at Baseline) × 100.

    Measured: Baseline (Week 0 Day 1 predose), Week 78

  10. Percent Change From Baseline for Serum Concentration of Procollagen Type 1 N-terminal Propeptide (P1NP) at Weeks 26 and 52 - PD Set

    Serum concentration below the LLoQ was set to the LLoQ. The percent change from baseline for serum concentration at each visit was calculated as ([Result at each visit - Result at Baseline] / Result at Baseline) × 100.

    Measured: Baseline (Week 0 Day 1 predose), Weeks 26 and 52 (predose)

  11. Percent Change From Baseline for Serum Concentration of P1NP at Week 78 - PD-TP II Subset

    Serum concentration below the LLoQ was set to the LLoQ. The percent change from baseline for serum concentration was calculated as ([Result at each visit - Result at Baseline] / Result at Baseline) × 100.

    Measured: Baseline (Week 0 Day 1 predose), Week 78

  12. Number of Participants With at Least 1 Anti-drug Antibodies (ADA)/Neutralizing Antibodies (NAb) Result After the First Study Drug Administration of TP I - Safety Set

    Samples that were positive in the ADA confirmatory assay were analyzed further to conduct a NAb assessment. The test outcomes for the screening assay were 'Positive' or 'Negative'. The number of patients with at least one ADA/NAb positive result after the first study drug administration of each treatment period including scheduled and unscheduled visits (Treatment Period I: Week 0 / Treatment Period II: Week 52) regardless of their ADA status at baseline were presented.

    Measured: up to Week 52 predose

  13. Number of Participants With at Least 1 ADA/NAb Result After the First Study Drug Administration of TP II - Safety-TP II Subset

    Samples that were positive in the ADA confirmatory assay were analyzed further to conduct a NAb assessment. The test outcomes for the screening assay were 'Positive' or 'Negative'. The number of patients with at least one ADA/NAb positive result after the first study drug administration of each treatment period including scheduled and unscheduled visits (Treatment Period I: Week 0 / Treatment Period II: Week 52) regardless of their ADA status at baseline were presented.

    Measured: from Week 52 to Week 78

Timeline

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

  1. First posted17 Feb 2021
  2. Study start17 Jun 2021
  3. Primary completion18 May 2023
  4. Study completion16 Nov 2023

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
479 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04757376
Sponsor's protocol ID
CT-P41 3.1
Other IDs
2020-005974-91
Status last verified
May 2024
First submitted
12 Feb 2021
Last updated
14 Jun 2024
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CT-P41 and US-licensed Prolia in people with Postmenopausal Women With Osteoporosis, run by Celltrion at 20 sites in 4 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 6 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 14 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Poland, Estonia, Ukraine, Latvia. 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 16 May 2024). 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 Bone Mineral Density (BMD) at Week 52 - Full Analysis Set (FAS) (time frame: baseline (screening), Week 52 predose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 14 Jun 2024; AzTrials last refreshed its copy on 30 Oct 2026.

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