CTRI Number |
CTRI/2010/091/000242 [Registered on: 13/04/2010] |
Last Modified On: |
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Post Graduate Thesis |
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Type of Trial |
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Type of Study
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Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
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A clinical trial with Teriparatide: a recombinant human parathyroid hormone) and Calcium and Vitamin D Supplementation in Post-menopausal Women with Osteoporosis. |
Scientific Title of Study
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Evaluation of Safety and Efficacy of Teriparatide in Addition to Calcium And Vitamin D Supplementation in Comparison to Calcium and Vitamin D Supplementation Alone, in Increasing The Bone Mineral Density in Post-menopausal Women with Osteoporosis |
Trial Acronym |
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Secondary IDs if Any
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Secondary ID |
Identifier |
Teri /USV/001 |
Other |
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
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Name |
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Designation |
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Affiliation |
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Address |
Not Applicable N/A
India |
Phone |
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Fax |
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Email |
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Details of Contact Person Scientific Query
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Name |
Dr Vasant V Joshi |
Designation |
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Affiliation |
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Address |
USV Ltd, BSD Marg, Govandi, Mumbai-400088.
Mumbai MAHARASHTRA 400088 India |
Phone |
+91-22-25564048 |
Fax |
+91-22-25584025 |
Email |
vasant.joshi@usv.co.in |
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Details of Contact Person Public Query
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Name |
Mr. Pawan Bhusari |
Designation |
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Affiliation |
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Address |
Sristek, DLF Cyber City, Block 3, 8th Floor, Gachibowli, Hyderabad-500032.
Hyderabad ANDHRA PRADESH 500032 India |
Phone |
+91-40-66129537 |
Fax |
+91-40-66129566 |
Email |
pawanbhusari@sristek.com |
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Source of Monetary or Material Support
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USV Ltd
B S D Marg, Govandi,
Mumbai 400 088
Phone: (022) 2556 4048; Fax : (022) 2558 4025 |
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Primary Sponsor
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Name |
USV Ltd
B S D Marg, Govandi,
Mumbai 400 088
Phone: (022) 2556 4048; Fax : (022) 2558 4025 |
Address |
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Type of Sponsor |
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Details of Secondary Sponsor
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Countries of Recruitment
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India |
Sites of Study
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No of Sites = 5 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr. Usha Sriram |
Associates in Clinical Endocrinology Education and Research (ACEER), 7/12, 15th Cross street, Sastri Nagar, Adyar, Chennai ? 600020 |
,-600020 Chennai TAMIL NADU |
044- 24460762/63 044-24460760/61 drushasriram@gmail.com |
Dr. Sanjay Kalra |
Department of Endocrinology, Bharti Research Institute of Diabetes and Endocrinology , Bharti Hospital, Wagir Chand Colony, Kunj Pura Road Model Town, Near - Civil Line, Karnal Haryana |
,- Karnal HARYANA |
0184-2268484 +91 184 4046554 brideknl@gmail.com |
Dr. Manash Pratim Baruah |
Excel Centre, Maya Ville, Barthakur Mill Road, Ulubari, Guwahati ? 781007, Assam |
,-781007
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+91-361-2463099 +91-361-2464100 manashbaruahinin@yahoo.co.in |
Dr. Mohan Magdum |
Jehangir Clinical Development Center Pvt Ltd, 32 Sassoon Road, Pune- 411005 |
,-411005
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+91-20-25884491
mohanmagdum@gmail.com |
Dr. Satyanarayana Srikanta |
Jnana Sanjeevini Medical Center |
2,1 A cross; Marenahalli,,J. P Nagar II Phase- Bangalore KARNATAKA |
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Details of Ethics Committee
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No of Ethics Committees= 5 |
Name of Committee |
Approval Status |
Hirabai Cowasji Jehangir medical research Institute and Jehangir Clinical Development Center Pvt Ltd |
Approved |
Human research and ethics committee, Guwahati |
Approved |
Institutional Ethics Committee, BRIDE, Karnal |
Approved |
Madras Ethical Committee, Chennai |
Approved |
SCIENCE FOR HEALTH, Bangalore |
Approved |
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Regulatory Clearance Status from DCGI
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Health Condition / Problems Studied
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Health Type |
Condition |
Patients |
Osteoporosis, |
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Intervention / Comparator Agent
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Type |
Name |
Details |
Comparator Agent |
Oral calcium supplementation of 1000 mg of elemental calcium and Vitamin D 500 IU per day |
Elemental calcium 1000 mg and Vitamin D 500 IU/day, oral, in two divided doses for 12 months |
Intervention |
Teriparatide [recombinant human parathyroid hormone (rPTH[1-34]) analogue] |
20 Microgram injection by sc route, once daily for 12 months. |
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Inclusion Criteria
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Age From |
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Age To |
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Gender |
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Details |
1. Women with at least 3 years of post menopause, aged between 48 and 75 years. 2. Osteoporosis indicated by lumbar spine or femoral neck or total hip T score ≤ -2.5 on Dual energy X-ray absorptiometry (DEXA). 3. Normal thyroid and parathyroid function as indicated by baseline T3, T4 and TSH.4. Willingness to provide an informed and written consent. |
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ExclusionCriteria |
Details |
1. Women with vertebral abnormalities at L1 to L4 that may interfere with the vertebral assessment by DEXA. 2. Vitamin D deficiency as indicated by serum levels of 25-OH vitamin D < 20 ng/ml. 3. Patients with serum PTH > 65 pg/ml. 4. Patients with known hypersensitivity to Teriparatide, Vitamin D or Calcium supplements. 5. Patients with hypercalciuria or hypercalcemia. 6. Patients with hyperuremia or known history of gout and other diseases releated to uric acid accumulation. 7. Patients with a history of active or treated tuberculosis. 8. Patients with a history of significant liver disease, kidney disease, gastrointestinal disease or cancer. 9. Patients receiving concomitant medications such as oestrogen or oestrogen related compounds, bisphosphonates, fluorides or calcitonin within the previous 6 months that might have influenced bone mineralization. 10. Patients with clinically significant unstable medical disorders, life threatening disease, or current malignancies. 11. Patients with a BMI of < 18.5 kg/m2. 12 Patients on any of the following medications: Systemic or inhaled corticosteroids, Anticoagulants, Anticonvulsants. 13. Patients who are unwilling or unable to comply with the requirements of the protocol. |
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Method of Generating Random Sequence
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Computer generated randomization |
Method of Concealment
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Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
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Open Label |
Primary Outcome
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Outcome |
TimePoints |
At the end of study drug treatment (360 days from start of treatment) in Groups I and II:
Increase in Bone Mineral density (BMD) from baseline at Lumbar spine L 1 to L 4. |
At the end of study drug treatment (360 days from start of treatment) |
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Secondary Outcome
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Outcome |
TimePoints |
At the end of study drug treatment (360 days from start of treatment) in Groups I and II :
Change in Bone Mineral density (BMD) from baseline at femoral neck and total hip regions.
Change from baseline in biomarkers of bone formation and bone resorption.
Occurrence of adverse events. |
At the end of study drug treatment (360 days from start of treatment) |
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Target Sample Size
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Total Sample Size="80" Sample Size from India=""
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
Phase of Trial
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Phase 3 |
Date of First Enrollment (India)
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Date Missing |
Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
Date of First Enrollment (Global) |
09/05/2010 |
Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
Estimated Duration of Trial
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Years="1" Months="8" Days="0" |
Recruitment Status of Trial (Global)
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Completed |
Recruitment Status of Trial (India) |
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Publication Details
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Individual Participant Data (IPD) Sharing Statement
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Will individual participant data (IPD) be shared publicly (including data dictionaries)?
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Brief Summary
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This proposed study is a randomized, open label, prospective, controlled, multicentric, between group comparison trial, eligible and consenting post-menopausal patients will be enrolled and randomized into two groups - Group I or Group II. Group I and Group II, will receive oral calcium supplementation of 1000 mg of elemental calcium and Vitamin D 500 IU per day, in two divided doses. In addition, Group I will receive Teriparatide sc injection 20 µg per day. All the patients will be assessed for primary endpoint, viz., increase in bone mineral density at Lumbar spine L 1 to L 4 from baseline, and secondary endpoints such as increase in bone mineral density at femoral neck and total hip regions, change from baseline in biomarkers of bone formation and bone resorption and occurrence of adverse events. This study will be conducted in approximately 5 -6 centers in India to recruit approximately 80 patients. |