Title

Phase 2 Safety and Efficacy Study of a Vitamin D Compound (DP001) in Postmenopausal Women With Low Bone Mineral Density
A Phase 2, Double-blind, Randomized, Placebo-Controlled, Daily-dose, Proof-of-concept Study of a Vitamin D Compound in Postmenopausal Women With Osteopenia
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    157
This study will evaluate the effect of a 1-year administration of the vitamin D analog 2-methylene-19-nor-(20S)-1alpha, 25-dihydroxyvitamin D3 (DP001) on bone mineral density (BMD), safety, and tolerability.
DP001 is a vitamin D analog that has been shown to stimulate bone formation in pre-clinical studies. In a Phase 1B study of postmenopausal women, an increase in the bone formation marker, osteocalcin, was evident without an increase in serum calcium. The aim of this study is to determine if 1-year administration of DP001 to postmenopausal women with osteopenia results in a significant increase in BMD at doses that are safe and well tolerated.
Study Started
Mar 31
2007
Primary Completion
Dec 31
2008
Study Completion
Jan 31
2009
Results Posted
Jan 11
2010
Estimate
Last Update
Jan 11
2010
Estimate

Drug Placebo

oral, once daily

Drug DP001

oral, once daily

  • Other names: 2-methylene-19-nor-(20S)-1a, 25-dihydroxyvitamin D3, 2MD

Group 1 Placebo Comparator

Group 2 Experimental

220 ng

Group 3 Experimental

440 ng

Criteria

Inclusion Criteria:

Postmenopausal female subjects, defined as amenorrheic for at least 5 years
Body Mass Index of 18 to 35
Osteopenic
Generally healthy
Informed consent

Exclusion Criteria

History or evidence of acute or unstable chronic hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, psychiatric, or neurologic diseases
Current or recent treatment with any medications or products affecting vitamin D metabolism, calcium balance, bone turnover, or an investigational drug therapy
12-lead electrocardiogram demonstrating QTc (QT interval corrected for heart rate) >450 milliseconds at screening
Abnormal creatinine clearance
Elevated urinary calcium levels
Vitamin D deficiency
Excessive dietary calcium or vitamin D intake
Current use of any illicit drug and/or history of alcohol abuse

Summary

Placebo

220 ng DP001

440 ng DP001

All Events

Event Type Organ System Event Term Placebo 220 ng DP001 440 ng DP001

Percent Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at Week 52

Percent change in lumbar spine BMD (relative to baseline) at Week 52

Placebo

-0.537
Percent change (Mean)
Standard Deviation: 2.545

220 ng DP001

-0.174
Percent change (Mean)
Standard Deviation: 2.820

440 ng DP001

0.309
Percent change (Mean)
Standard Deviation: 3.904

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 52

The percent change in hip BMD (relative to baseline) at Week 52

Placebo

-0.315
Percent Change (Mean)
Standard Deviation: 1.894

220 ng DP001

-0.54
Percent Change (Mean)
Standard Deviation: 1.782

440 ng DP001

-0.887
Percent Change (Mean)
Standard Deviation: 1.833

Percent Change From Baseline in Femoral Neck Bone Mineral Density (BMD) at Week 52

Percent change in femoral neck BMD (relative to baseline) at Week 52

Placebo

-0.428
Percent change (Mean)
Standard Deviation: 2.511

220 ng DP001

-1.085
Percent change (Mean)
Standard Deviation: 3.150

440 ng DP001

-0.68
Percent change (Mean)
Standard Deviation: 2.507

Percent Change From Baseline in Trochanter Bone Mineral Density (BMD) at Week 52

Percent change in trochanter BMD (relative to baseline) at Week 52

Placebo

-0.375
Percent change (Mean)
Standard Deviation: 2.604

220 ng DP001

-0.341
Percent change (Mean)
Standard Deviation: 2.565

440 ng DP001

-0.941
Percent change (Mean)
Standard Deviation: 2.554

Change From Baseline in Serum Calcium Levels at Week 52

Change in serum calcium value (relative to baseline) at Week 52

Placebo

-0.06
mg/dL (Mean)
Standard Deviation: 0.268

220 ng DP001

0.11
mg/dL (Mean)
Standard Deviation: 0.286

440 ng DP001

0.29
mg/dL (Mean)
Standard Deviation: 0.243

Percent Change From Baseline in Serum Bone Markers at Week 26

Percent change from baseline at Week 26

Placebo

Osteocalcin

3.8
Percent change (Mean)
Standard Deviation: 19.4

Procollagen type 1 N-propeptide

1.0
Percent change (Mean)
Standard Deviation: 29.5

Serum C-telopeptide cross-links of type 1 collagen

4.5
Percent change (Mean)
Standard Deviation: 25.4

220 ng DP001

Osteocalcin

22.4
Percent change (Mean)
Standard Deviation: 38.0

Procollagen type 1 N-propeptide

11.8
Percent change (Mean)
Standard Deviation: 40.7

Serum C-telopeptide cross-links of type 1 collagen

13.8
Percent change (Mean)
Standard Deviation: 32.4

440 ng DP001

Osteocalcin

80.3
Percent change (Mean)
Standard Deviation: 73.3

Procollagen type 1 N-propeptide

9.2
Percent change (Mean)
Standard Deviation: 33.4

Serum C-telopeptide cross-links of type 1 collagen

54.5
Percent change (Mean)
Standard Deviation: 54.2

Number of Subjects With at Least 1 Treatment-emergent Adverse Event

To assess safety and tolerability, the number of subjects in each treatment group who had one or more adverse events recorded after the beginning of study drug administration were determined.

Placebo

41.0
Participants

220 ng DP001

45.0
Participants

440 ng DP001

46.0
Participants

Total

156
Participants

Age Continuous

61.5
years (Mean)
Standard Deviation: 5.8

Sex: Female, Male

Overall Study

Placebo

220 ng of Vitamin D Analog (DP001)

440 ng DP001

Drop/Withdrawal Reasons

Placebo

220 ng of Vitamin D Analog (DP001)

440 ng DP001