Title

Pharmacodynamics, Pharmacokinetics, Safety and Tolerability of PTH Analog Tablets in Postmenopausal Women
A Double Blind, Randomized, Repeat Dose Parallel Group Study of Recombinant Human Parathyroid Hormone Analog Tablets, or Placebo Tablets, Compared to Open Label Forsteo® in Postmenopausal Women With Osteoporosis
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    teriparatide ...
  • Study Participants

    97
This study is designed to provide information about the bone anabolic properties and absorption profile of Unigene's PTH Analog when administered as oral tablets over a period of 24 weeks to postmenopausal women with osteoporosis.
The choice of a 24-week treatment period was based on published studies of PTH which demonstrate its potential to produce a statistically significant increase in BMD in patients with postmenopausal osteoporosis within that observation period.
Study Started
Feb 28
2011
Primary Completion
Oct 31
2011
Study Completion
Oct 31
2011
Results Posted
Feb 21
2013
Estimate
Last Update
Mar 01
2013
Estimate

Drug PTH analog

A recombinant 1-31 amino acid fragment of PTH.

  • Other names: PTH(1-31)

Drug Placebo

Drug Forsteo (Teriparatide)

A recombinant 1-34 amino acid fragment of PTH.

  • Other names: Forteo (US)

Forsteo Active Comparator

Forsteo (teriparatide) 20 mcg SC Injection, once daily

PTH analog tablet Experimental

PTH(1-31) 5 mg tablet, once daily

Placebo Placebo Comparator

Placebo matching tablet, once daily

Criteria

Inclusion Criteria:

Healthy postmenopausal women (45-80 years old) with a diagnosis of osteoporosis

Exclusion Criteria:

Use of estrogen or hormone replacement therapy
Use of bisphosphonates, strontium ranelate or denosumab
Use of parathyroid analogues or other bone metabolic agents
Medical conditions which might alter bone metabolism
Any known clinically significant disease affecting calcium metabolism or history of metabolic disorders including Paget's disease, osteogenesis imperfecta, or osteomalacia
Impairment of thyroid function

Summary

Forsteo (Teriparatide)

PTH Analog Tablets

Placebo

All Events

Event Type Organ System Event Term Forsteo (Teriparatide) PTH Analog Tablets Placebo

% Change From Baseline BMD in L1-L4 Axial Lumbar Spine at Week 24

Forsteo (Teriparatide)

5.07
percentage of change (Mean)
Standard Deviation: 3.543

PTH Analog Tablets

2.21
percentage of change (Mean)
Standard Deviation: 2.503

Placebo

-0.17
percentage of change (Mean)
Standard Deviation: 2.739

% Change From Baseline in Bone Resorption Marker (CTx-1) at Week 24

Serum collagen type I (CTx-1) fragments generated during osteoclastic bone turnover are biomarkers for bone resorption. β-CrossLaps electrochemiluminescent sandwich immunoassay was used.

Forsteo (Teriparatide)

113.32
percentage of change (Mean)
Standard Deviation: 102.932

PTH Analog Tablets

12.72
percentage of change (Mean)
Standard Deviation: 36.547

Placebo

15.13
percentage of change (Mean)
Standard Deviation: 23.940

Systemic Absorption of PTH at Week 24

AUC: (PTH analog tablets timepoints - baseline to 5.75 hours) (Forsteo injection timepoints - baseline to 2 hours)

Forsteo (Teriparatide)

152.0
pg* hr/mL (Mean)
Standard Deviation: 65.7

PTH Analog Tablets

165.0
pg* hr/mL (Mean)
Standard Deviation: 180

% Change From Baseline in Bone Formation Marker (P1NP) at Week 24

Forsteo (Teriparatide)

210.07
percentage of change (Mean)
Standard Deviation: 202.613

PTH Analog Tablets

12.05
percentage of change (Mean)
Standard Deviation: 37.055

Placebo

-1.75
percentage of change (Mean)
Standard Deviation: 27.459

Number of Participants With AEs as a Measure of Safety and Tolerability

Forsteo (Teriparatide)

23.0
participants

PTH Analog Tablets

30.0
participants

Placebo

21.0
participants

Total

97
Participants

Age Continuous

66.7
years (Mean)
Standard Deviation: 5.77

Sex: Female, Male

Overall Study

Forsteo (Teriparatide)

PTH Analog Tablets

Placebo

Drop/Withdrawal Reasons

Forsteo (Teriparatide)

PTH Analog Tablets

Placebo