Glucocorticoid-induced OsteoporosisPhase 4NCT06588153
A Study for the Evaluation of Efficacy and Safety of Prolia® in Participants With Glucocorticoid-induced Osteoporosis in Mainland China
A Phase 4 study testing Prolia® in people with Glucocorticoid-induced Osteoporosis, run by Amgen at 16 sites in China.
Trial summary
The main objective of this study is to evaluate the efficacy of Prolia® in improving bone mass density (BMD) of lumbar spine at month 12. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Glucocorticoid-induced Osteoporosis
- What is being tested?
- Prolia®
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 102 participants
- Where
- 16 sitesChina
- Study dates
- 24 May 2025to 27 Apr 2027
- Phase
- Phase 4
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant has provided informed consent prior to initiation of any study-specific activities/procedures.
- Male and female participants aged ≥ 18 years at the time of signing the informed consent.
- Participants are receiving glucocorticoid treatment at screening.
- Participants who are ≥ 50 years of age at the time of screening will be required to have a T-score with:
- a BMD value equivalent to a T-score ≤ -2.5 at the lumbar spine or total hip or femoral neck; OR
- a BMD value equivalent to a T-score ≤ -1.0 at the lumbar spine or total hip or femoral neck AND a history of osteoporotic fracture.
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- Participants who are < 50 years of age at the time of screening will be required to have a T-score with a BMD value equivalent to a T-score ≤ -1.0 at the lumbar spine or total hip or femoral neck AND have a history of osteoporotic fracture.
- At least 2 lumbar vertebrae from L1 through L4 and 1 hip must be evaluable by dual-energy x-ray absorptiometry (DXA).
- Adequate organ function, defined as follows:
- Hematological function:
- Absolute neutrophil count ≥ 1 x 10^9 /L
- Platelet count ≥ 100 x 10^9 /L
- Hemoglobin > 9 g/dL (90 g/L).
- Coagulation function:
- 1 Prothrombin time (PT)/international normalized ratio (INR) and partial thromboplastin time or activated partial thromboplastin time ≤ 1.5 x upper limit of normal (ULN). Participants on chronic anticoagulation therapy who do not meet the criteria above may be eligible to enroll at the investigator's discretion per local standard of care.
- Renal function:
- 1 Estimated glomerular filtration rate based on Modification of Diet in Renal Disease (MDRD) calculation > 30 mL/min/1.73 m^2.
- Hepatic function:
- Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase < 3 x ULN
- Total bilirubin (TBL) < 1.5 x ULN.
Who cannot join
- Disease Related
- Received other osteoporosis treatment or bone-active treatment with:
- prior use of bisphosphonate:
- bisphosphonate use within 1 year unless duration of oral bisphosphonates treatment < 3 months use prior to screening
- administration of intravenous zoledronate within 2 years or intravenous bisphosphonate other than zoledronate within the last year.
- fluoride or strontium for osteoporosis within the last 5 years
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- anabolic agents to include PTH or PTH derivatives within the last year
- any prior use of products containing denosumab
- Administration of any of the following treatments within 3 months of screening:
- any selective estrogen receptor modulator (estrogen agonist antagonist)
- tibolone
- anabolic steroids
- testosterone above normal replacement doses not on stable dose
- systemic hormone replacement therapy not on stable dose
- systemic hormonal contraception not specified in the protocol or not on stable dose
- calcitonin.
- Other bone-active drugs including:
- anti-convulsants (except benzodiazepines) and heparin (low molecular weight heparin is allowed)
- chronic systemic ketoconazole, androgens, adrenocorticotropic hormone (ACTH), cinacalcet, aluminum, lithium, protease inhibitors, gonadotropin-releasing hormone agonists.
- Any pretrial initiation of anti-inflammatory disease-modifying anti-rheumatic drug (DMARD) that is not consistent with the local Chinese label or guidelines.
- Participant has an active infection or history of infections as follows:
- any active infection for which systemic anti-infectives were used within 4 weeks prior to screening
- a serious infection, defined as requiring hospitalization or intravenous anti-infectives within 8 weeks prior to screening
- recurrent or chronic infections or other active infection that, in the opinion of the investigator, might compromise the safety of the participant.
- Other Medical Conditions
- History of hyperthyroidism (stable on antithyroid therapy is allowed) when suggested by medical history
- History of hypothyroidism (stable on thyroid replacement therapy is allowed) when suggested by medical history
- History of hypo- or hyperparathyroidism
- History of Addison's disease
- History of osteomalacia
- History of osteonecrosis of the jaw (ONJ)
- History of tooth extraction or other dental surgery within the prior 6 months
- Invasive dental work (per local oral surgeon's assessment) planned in the next 12 months
- History of Paget's disease of bone
- Other bone diseases which affect bone metabolism (e.g., osteopetrosis, osteogenesis imperfecta) (chart review)
- Received any solid organ or bone marrow transplant
- Known to have tested positive for human immunodeficiency virus, hepatitis C virus, hepatitis B surface antigen
- Participants with a history of any cancer (cured basal cell or squamous cell cancers are allowed)
- Prior/Concurrent Clinical Study Experience • Currently receiving treatment in another investigational device or drug study, or less than 30 days or 5 half-lives, whichever is longer, since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded.
- Diagnostic Assessments
- Abnormalities of the following per central laboratory reference ranges:
- Vitamin D deficiency (25[OH] vitamin D level < 20 ng/mL [< 49.9 nmol/L]). Vitamin D replenishment will be permitted, and participants may be re-screened once.
- Hypercalcemia.
- Elevated transaminases ≥ 3.0 x ULN.
- Elevated TBL > 1.5 x ULN.
- Albumin-adjusted serum calcium levels < 8.5 mg/dL or > 10.5 mg/dL.
- Other Exclusions
- Female participants of childbearing potential unwilling to use protocol-specified method of contraception (see Appendix 5, Section 11.5) during treatment and for an additional 5 months after the last dose of Prolia®.
- Female participants who are breastfeeding or who plan to breastfeed while on study through 5 months after the last dose of Prolia®.
- Female participants planning to become pregnant while on study through 5 months after the last dose of Prolia®.
- Female participants of childbearing potential with a positive pregnancy test assessed at Screening by a serum pregnancy test.
- Participant has known sensitivity to any of the products or components to be administered during dosing.
- Participant likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures to the best of the participant's and investigator's knowledge.
- History or evidence of any other clinically significant disorder, condition, or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion.
Trial locations and contacts
16 sites in 1 country.
16 sites in 1 country
China16 sites
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
The First Bethune Hospital of Jilin University
Changchun, Jilin, 130021
The First Peoples Hospital of Changzhou
Changzhou, Jiangsu, 213003
Sichuan Provincial Peoples Hospital
Chengdu, 610072
Guangzhou First Peoples Hospital
Guangzhou, Guangdong, 510180
Nanfang Hospital Southern Medical University
Guangzhou, Guangdong, 510515
Zhejiang Provincial Peoples Hospital
Hangzhou, Zhejiang, 310014
Huaian First Peoples Hospital
Huaian, Jiangsu, 223300
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, 471003
Affiliated Hospital of Nantong University
Nantong, Jiangsu, 226001
Pingxiang Peoples Hospital
Pingxiang, Jiangxi, 337055
Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine
Shanghai, Shanghai Municipality, 200052
Shenzhen Peoples Hospital
Shenzhen, Guangdong, 518020
First Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030000
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430022
The First Affiliated Hospital of Xi An Jiaotong University
Xi'an, Shaanxi, 710061
About this study
Official title: A Phase 4 Single-arm Open-label Study for the Efficacy and Safety of Prolia® in Participants With Glucocorticoid-induced Osteoporosis in Mainland China
The main objective of this study is to evaluate the efficacy of Prolia® in improving bone mass density (BMD) of lumbar spine at month 12.
- Conditions
- Glucocorticoid-induced Osteoporosis
- Being tested
- Prolia®
- Keywords
- Prolia®, Denosumab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Prolia®Drug
Also called Denosumab
Subcutaneous (SC) injection in pre-filled syringe.
| Study group | Role | What they receive |
|---|---|---|
| Prolia® | Experimental | Participants with glucocorticoid-induced osteoporosis (GIOP) will receive Prolia® every 6 months (Q6M). Receives: Drug: Prolia® |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Lumbar Spine BMD Percentage
Measured: At 12 months
Secondary outcomes (5)
Change from Baseline in C-terminal Telopeptide (CTx) Expression
Measured: At 3, 6, 9, and 12 months
Change from Baseline in Procollagen Type 1 N-Telopeptide (P1NP) Expression
Measured: At 3, 6, 9, and 12 months
Change from Baseline in Hip and Femoral Neck BMD Percentage
Measured: At 6 and 12 months
Change from Baseline in Lumbar Spine BMD Percentage
Measured: At 6 months
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a clinical study participant irrespective of a causal relationship with the study treatment. An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a treatment, combination product, medical device, or procedure. TEAEs are any event that occurred after the participant received study treatment. Serious AEs (SAEs) are defined as any untoward medical occurrence that, meets at least 1 of the following serious criteria: immediately life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect.
Measured: Up to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start24 May 2025
- Primary completion27 Apr 2027 (estimated)
- Study completion27 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Glucocorticoid-induced OsteoporosisStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 102 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06588153
- Sponsor's protocol ID
- 20210125
- Status last verified
- May 2026
- First submitted
- 5 Sep 2024
- Last updated
- 27 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Study at a glance
From the registry record, last updated by the sponsor on 27 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 4 Single-arm Open-label Study for the Efficacy and Safety of Prolia® in Participants With Glucocorticoid-induced Osteoporosis in Mainland China
- ClinicalTrials.gov ID
- NCT06588153
- Acronym / sponsor ID
- 20210125
- Conditions
- Glucocorticoid-induced Osteoporosis
- Keywords
- Prolia®, Denosumab
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 102 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 24 May 2025 (actual)
- Primary completion
- 27 Apr 2027 (estimated)
- Study completion
- 27 Apr 2027 (estimated)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this study is to evaluate the efficacy of Prolia® in improving bone mass density (BMD) of lumbar spine at month 12.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Prolia® | Experimental | Drug: Prolia®Participants with glucocorticoid-induced osteoporosis (GIOP) will receive Prolia® every 6 months (Q6M). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Participant has provided informed consent prior to initiation of any study-specific activities/procedures.
- Male and female participants aged ≥ 18 years at the time of signing the informed consent.
- Participants are receiving glucocorticoid treatment at screening.
- Participants who are ≥ 50 years of age at the time of screening will be required to have a T-score with:
- Participants who are < 50 years of age at the time of screening will be required to have a T-score with a BMD value equivalent to a T-score ≤ -1.0 at the lumbar spine or total hip or femoral neck AND have a history of osteoporotic fracture.
Key exclusion criteria (54 listed)
- Disease Related
- Received other osteoporosis treatment or bone-active treatment with:
- Administration of any of the following treatments within 3 months of screening:
- Other bone-active drugs including:
- Any pretrial initiation of anti-inflammatory disease-modifying anti-rheumatic drug (DMARD) that is not consistent with the local Chinese label or guidelines.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Prolia®Also: DenosumabSubcutaneous (SC) injection in pre-filled syringe. | Drug | Prolia® |
Primary outcome
Change from Baseline in Lumbar Spine BMD Percentage
Time frame: At 12 months
5 secondary outcomes
Change from Baseline in C-terminal Telopeptide (CTx) Expression
Time frame: At 3, 6, 9, and 12 months
Change from Baseline in Procollagen Type 1 N-Telopeptide (P1NP) Expression
Time frame: At 3, 6, 9, and 12 months
Change from Baseline in Hip and Femoral Neck BMD Percentage
Time frame: At 6 and 12 months
Change from Baseline in Lumbar Spine BMD Percentage
Time frame: At 6 months
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time frame: Up to 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 May 2026.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Related trials for Glucocorticoid-induced Osteoporosis
RecruitingObservational study
Glucocorticoid-induced Osteoporosis in Patients With Chronic Inflammatory Rheumatic Diseases or Psoriasis
Osteoporosis, Inflammatory Rheumatism
RecruitingObservational study
Dynamics in Bone Turnover Markers During and After Short-term Glucocorticoid Treatment in Patients With an Inflammatory Joint Disease
Osteoporosis, Osteoporosis, Steroid Induced
Not yet recruitingPhase 4
Romosozumab Versus Denosumab In Glucocorticoid-induced Osteoporosis: An Extended Observation Of a Clinical Trial at 6 Years
Glucocorticoid-Associated Osteopenia and Osteoporosis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MD study director
Amgen
16 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Prolia® in people with Glucocorticoid-induced Osteoporosis, run by Amgen at 16 sites in China.
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 20 inclusion and 54 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: under way, not looking for participants, as of the sponsor's last update on 27 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 16 sites in China. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Change from Baseline in Lumbar Spine BMD Percentage (time frame: At 12 months). 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 27 May 2026.