Title

A Dose Selection Study of Oral Recombinant Salmon Calcitonin (rsCT) in Normal, Healthy, Postmenopausal Women
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    calcitonin salmon ...
  • Study Participants

    24
This study compares the performance of different doses of oral recombinant salmon calcitonin (rsCT).
Study Started
Feb 29
2008
Primary Completion
Apr 30
2008
Study Completion
Apr 30
2008
Results Posted
Sep 24
2009
Estimate
Last Update
Feb 01
2012
Estimate

Drug Recombinant Salmon Calcitonin (rsCT)

Single dose of a nasal spray or one of two doses of tablets, randomized to visits 2, 3, and 4.

  • Other names: Fortical® nasal spray

Drug Oral Tablet

0.15 mgs recombinant salmon calcitonin, single oral dose

Drug Oral Tablet

0.2mgs recombinant salmon calcitonin, single oral tablet

Drug Nasal Spray

200 IU recombinant salmon calcitonin, single intranasal spray

rsCTA Experimental

Oral Tablet

rsCTB Experimental

Oral Tablet

Fortical Active Comparator

Nasal Spray

Criteria

Inclusion Criteria:

Postmenopausal female, in good health (at least 5 years since last menses)
Age ≥45 and ≤70
Weight + or - 20% of the Metropolitan Life weight table
Plasma C-terminal telopeptide of type I collagen (CTx-1) ≥ 0.25 ng/mL
Total calcium (Ca++), phosphorus (P), and magnesium (Mg++) within normal range
Willing and able to comply with all study requirements
Willing and able to sign written informed consent
Negative urine pregnancy test at screening
Negative Screen for Hepatitis B and C, human immunodeficiency virus (HIV) and drugs of abuse

Exclusion Criteria:

History of parathyroid, thyroid, pituitary or adrenal diseases
History of musculoskeletal disease
History of gastro-esophageal reflux disease (GERD) or other significant gastrointestinal disorders
History of cancer within 5 years of enrollment other than basal cell carcinoma
History of regular use of non-steroidal anti-inflammatory drugs (NSAID)
History of surgery within 60 days of enrollment
History of hypersensitivity or allergies (other than seasonal allergies) within 5 years of enrollment including known sensitivity to the active ingredients or the excipients in the study medications
Use of concomitant medications other than acetaminophen within 7 days of enrollment or anticipated need to use such concomitant medications during the study
Use of bisphosphonates within 6 months, selective selective estrogen receptor modulators (SERMS), estrogen or estrogen-like drugs 2 months, or calcitonin 1 month
Presence of any clinically significant illness
Unwilling or unable to comply with all study requirements
Unwilling or unable to sign written, informed consent
History of drug or alcohol abuse
Participation in any clinical study of an investigational drug within 60 days of enrollment
Plasma CTx-1 less than 0.25 ng/mL

Summary

rsCTA Then rsCTB Then Fortical

rsCTA Then Fortical Then rsCTB

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA

Fortical Then rsCTA Then rsCTB

Fortical Then rsCTB Then rsCTA

All Events

Event Type Organ System Event Term rsCTA Then rsCTB Then Fortical rsCTA Then Fortical Then rsCTB rsCTB Then rsCTA Then Fortical rsCTB Then Fortical Then rsCTA Fortical Then rsCTA Then rsCTB Fortical Then rsCTB Then rsCTA

Plasma C-terminal Telopeptide of Type I Collagen (CTx-1)(% Change From Baseline)

This study compared the exposure to recombinant salmon calcitonin (rsCT), as measured by a decrease in plasma C-terminal telopeptide of type I collagen (CTx-1), of single doses of rsCT tablets containing 150 µg and 200 µg rsCT, respectively, with Fortical® nasal spray.

rsCT A

-74.17
% Change in Baseline CTx-1 (Mean)
Standard Error: 2.44

rsCTB

-71.99
% Change in Baseline CTx-1 (Mean)
Standard Error: 2.88

Fortical®

-68.4
% Change in Baseline CTx-1 (Mean)
Standard Error: 2.80

Total

24
Participants

Age, Categorical

Region of Enrollment

Sex: Female, Male

Period 1

rsCTA Then rsCTB Then Fortical

rsCTA Then Fortical Then rsCTB

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA

Fortical Then rsCTA Then rsCTB

Fortical Then rsCTB Then rsCTA

Washout 1

rsCTA Then rsCTB Then Fortical

rsCTA Then Fortical Then rsCTB

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA

Fortical Then rsCTA Then rsCTB

Fortical Then rsCTB Then rsCTA

Period 2

rsCTA Then rsCTB Then Fortical

rsCTA Then Fortical Then rsCTB

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA

Fortical Then rsCTA Then rsCTB

Fortical Then rsCTB Then rsCTA

Washout 2

rsCTA Then rsCTB Then Fortical

rsCTA Then Fortical Then rsCTB

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA

Fortical Then rsCTA Then rsCTB

Fortical Then rsCTB Then rsCTA

Period 3

rsCTA Then rsCTB Then Fortical

rsCTA Then Fortical Then rsCTB

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA

Fortical Then rsCTA Then rsCTB

Fortical Then rsCTB Then rsCTA

Drop/Withdrawal Reasons

rsCTB Then rsCTA Then Fortical

rsCTB Then Fortical Then rsCTA