Study Evaluating Changes In Bone Mineral Density (BMD), And Safety Of Rhbmp-2/CPM In Subjects With Decreased BMD
This study has suspended participant recruitment.
Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT00752557
First received: September 12, 2008
Last updated: May 14, 2013
Last verified: May 2013
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Purpose
The main purpose of this study is to assess whether a locally-administered rhBMP-2/CPM injection can rapidly increase bone mass in subjects at high risk for osteoporotic fractures of the hip. All subjects will receive standard treatment for low bone mass, consisting of bisphosphonates, calcium, and vitamin D (all taken by mouth). Subjects that are randomly selected to receive treatment with rhBMP-2 will receive an injection directly into the hip. The injection is given in a surgery room using a light anesthesia.
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoporosis |
Drug: rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy) Drug: bisphosphonates, calcium, and vitamin D |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase 2, Multicenter, Randomized, Active-Controlled, Parallel-Group, Dose Finding And Safety Study Of Rhbmp-2/CPM In Subjects With Decreased Bone Mineral Density |
Resource links provided by NLM:
Further study details as provided by Pfizer:
Primary Outcome Measures:
- Changes in Bone Mineral Density will be measured by dual-energy x-ray absorptiometry [ Time Frame: 12 months ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Safety of injecting rhBMP-2/CPM, measured by physical exams and other tests such as radiographs and electrocardiograms. [ Time Frame: 36 months ] [ Designated as safety issue: Yes ]
- Feasibility of administering rhBMP-2/CPM as a minimally invasive technique in an outpatient (ambulatory care) setting. [ Time Frame: Dosing ] [ Designated as safety issue: Yes ]
- Evaluate long-term changes in BMD after injection of rhBMP-2/CPM. [ Time Frame: 36 Months ] [ Designated as safety issue: No ]
- Evaluate bone quality with emphasis on cortical thickness and trabecular volume in region(s) of interest, utilizing quantitative computed tomography. [ Time Frame: 24 Months ] [ Designated as safety issue: No ]
- Evaluate changes in biochemical markers of bone turnover to identify markers that are predictive of changes in BMD from baseline. [ Time Frame: 12 Months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 240 |
| Study Start Date: | December 2008 |
| Estimated Study Completion Date: | April 2015 |
| Estimated Primary Completion Date: | April 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
rhBMP-2/CPM , 1.0 mg/mL
|
Drug: rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy)
Single, unilateral intraosseous injection of 6mL of rhBMP-2/CPM , 1.0 mg/mL.
|
|
Experimental: 2
rhBMP-2/CPM , 2.0 mg/mL
|
Drug: rhBMP-2/CPM injection and bisphosphonates, calcium, and vitamin D (oral bisphosphonate therapy)
Single, unilateral intraosseous injection of 6mL of rhBMP-2/CPM , 2.0 mg/mL.
|
|
Active Comparator: 3
Oral bisphosphonate therapy (standard of care)
|
Drug: bisphosphonates, calcium, and vitamin D
Oral bisphosphonate therapy
|
Eligibility| Ages Eligible for Study: | 65 Years to 85 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Community-dwelling, ambulatory (with or without assistive device), postmenopausal females, age greater than 65 years.
- BMD T-score (total hip or femoral neck) of -2.5 or less in at least 1 hip. Subjects with BMD T-scores of -2.0 or less may be enrolled if at least one of the following risk factors is also present:
- Age greater than 75 years
- Family (maternal) history of fragility fracture
- Previous fragility fracture (self) after age 45
- Subjects may either be treatment naïve or on a previously-established regimen ( greater than 1year, but less than 5 years duration) of bisphosphonate therapy. Subjects must be willing to comply with 1of the 3 protocol-designated oral bisphosphonates (risedronate, alendronate, or ibandronate sodium) with risedronate considered as first-line therapy.
Exclusion Criteria:
- Metabolic bone disorder or disease affecting bone and mineral metabolism (eg, Paget's disease, vitamin D deficiency [ less than 20 ng/mL], hyperparathyroidism, renal osteodystrophy, osteomalacia, hypocalcemia, hypercalcemia).
- Coagulopathy and/or history of venous thromboembolic events (deep vein thrombosis, pulmonary embolus, retinal vein thrombosis) within the past 12 months.
- Inflammatory arthritis including rheumatoid, psoriatic, or crystal-induced (gouty) arthritis, or those associated with systemic lupus erythematosus (SLE), spondyloarthropathy, Reiters syndrome, or Crohns disease.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00752557
Locations
| United States, Arizona | |
| Pfizer Investigational Site | |
| Phoenix, Arizona, United States, 85023 | |
| Pfizer Investigational Site | |
| Tucson, Arizona, United States, 85712 | |
| United States, California | |
| Pfizer Investigational Site | |
| Sacramento, California, United States, 95817 | |
| United States, Florida | |
| Pfizer Investigational Site | |
| DeLand, Florida, United States, 32720 | |
| Pfizer Investigational Site | |
| Ft. Lauderdale, Florida, United States, 33311 | |
| Pfizer Investigational Site | |
| Ft. Lauderdale, Florida, United States, 33316 | |
| Pfizer Investigational Site | |
| New Port Richey, Florida, United States, 34652 | |
| Pfizer Investigational Site | |
| Plantation, Florida, United States, 33324 | |
| United States, Missouri | |
| Pfizer Investigational Site | |
| St Louis, Missouri, United States, 63110 | |
| Pfizer Investigational Site | |
| St. Louis, Missouri, United States, 63110 | |
| United States, Nebraska | |
| Pfizer Investigational Site | |
| Omaha, Nebraska, United States, 68131 | |
| United States, New York | |
| Pfizer Investigational Site | |
| New York, New York, United States, 10032 | |
| United States, North Carolina | |
| Pfizer Investigational Site | |
| Durham, North Carolina, United States, 27705 | |
| United States, Pennsylvania | |
| Pfizer Investigational Site | |
| State College, Pennsylvania, United States, 16801 | |
| United States, South Dakota | |
| Pfizer Investigational Site | |
| Watertown, South Dakota, United States, 57201 | |
| United States, Tennessee | |
| Pfizer Investigational Site | |
| Nashville, Tennessee, United States, 37208 | |
| Belgium | |
| Pfizer Investigational Site | |
| Genk, Belgium, 3600 | |
| Pfizer Investigational Site | |
| Gent, Belgium, 9000 | |
| Poland | |
| Pfizer Investigational Site | |
| Warszawa, Poland, 02-341 | |
| Spain | |
| Pfizer Investigational Site | |
| Madrid, Spain, 28009 | |
Sponsors and Collaborators
Pfizer
Investigators
| Study Director: | Pfizer CT.gov Call Center | Pfizer |
More Information
Additional Information:
No publications provided
| Responsible Party: | Pfizer |
| ClinicalTrials.gov Identifier: | NCT00752557 History of Changes |
| Other Study ID Numbers: | 3100N0-2213, B1921002 |
| Study First Received: | September 12, 2008 |
| Last Updated: | May 14, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Pfizer:
|
Bone mineral density bone morphogenetic protein osteoporosis |
Additional relevant MeSH terms:
|
Osteoporosis Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases Calcium, Dietary Diphosphonates Vitamin D |
Ergocalciferols Vitamins Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 21, 2013