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    Clinical Trial Results:
    An Open Label, Single Arm, Extension Study to Evaluate the Long Term Safety of Denosumab for Prolonging Bone Metastasis-Free Survival in Men with Hormone-Refractory Prostate Cancer

    Summary
    EudraCT number
    2010-021846-23
    Trial protocol
    GB   CZ  
    Global end of trial date
    21 Feb 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    20 Jun 2016
    First version publication date
    23 Jul 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    20080585
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01824342
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Amgen, Inc.
    Sponsor organisation address
    One Amgen Center Drive, Thousand Oaks, CA, United States, 91320
    Public contact
    IHQ Medical Info – Clinical Trials, Amgen (EUROPE) GmbH, MedinfoInternational@amgen.com
    Scientific contact
    IHQ Medical Info – Clinical Trials, Amgen (EUROPE) GmbH, MedinfoInternational@amgen.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    21 Feb 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Feb 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To describe the safety and tolerability of denosumab administration as measured by adverse events, immunogenicity, and safety laboratory parameters in subjects who previously received denosumab or placebo in Amgen study 20050147.
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) regulations and guidelines, and Food and Drug Administration (FDA) regulations, and guidelines set forth in 21 CFR Parts 11, 50, 54, 56, and 312. All subjects provided written informed consent before undergoing any study-related procedures, including screening procedures. The study protocol, amendments, and the informed consent form (ICF) were reviewed by the Institutional Review Boards (IRBs) and Independent Ethics Committees (IECs). No subjects were recruited into the study and no investigational product (IP) was shipped until the IRB/IEC gave written approval of the protocol and ICF and Amgen received copies of these approvals.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    10 Jan 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 6
    Country: Number of subjects enrolled
    Czech Republic: 12
    Worldwide total number of subjects
    18
    EEA total number of subjects
    18
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    18
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    This was a single-arm, open-label extension (OLE) phase of a phase 3, randomized, double-blind study (Study 20050147) comparing denosumab with placebo on prolonging bone metastasis-free survival in men with hormone-refractory (androgen independent) prostate cancer.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo/Denosumab
    Arm description
    Participants who received placebo in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.
    Arm type
    Experimental

    Investigational medicinal product name
    Denosumab
    Investigational medicinal product code
    AMG 162
    Other name
    XGEVA®
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    120 mg administered by subcutaneous injection every 4 weeks

    Arm title
    Denosumab/Denosumab
    Arm description
    Participants who received denosumab in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.
    Arm type
    Experimental

    Investigational medicinal product name
    Denosumab
    Investigational medicinal product code
    AMG 162
    Other name
    XGEVA®
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    120 mg administered by subcutaneous injection every 4 weeks

    Number of subjects in period 1
    Placebo/Denosumab Denosumab/Denosumab
    Started
    11
    7
    Completed
    2
    2
    Not completed
    9
    5
         Physician decision
    5
    -
         Consent withdrawn by subject
    -
    3
         Adverse event, non-fatal
    1
    1
         Death
    2
    -
         Disease Progression
    1
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo/Denosumab
    Reporting group description
    Participants who received placebo in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.

    Reporting group title
    Denosumab/Denosumab
    Reporting group description
    Participants who received denosumab in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.

    Reporting group values
    Placebo/Denosumab Denosumab/Denosumab Total
    Number of subjects
    11 7 18
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    71.6 ± 4.3 70.3 ± 7.4 -
    Gender categorical
    Units: Subjects
        Female
    0 0 0
        Male
    11 7 18
    Eastern Cooperative Oncology Group (ECOG) Performance Status
    A scale to assess a patient's disease status. 0 = Fully active, able to carry out all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity, ambulatory and able to carry out work of a light nature; 2 = Ambulatory and capable of all self care, unable to carry out any work activities. Up and about > 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair > 50% of waking hours; 4 = Completely disabled, confined to bed or chair; 5 = Dead.
    Units: Subjects
        Grade 0
    7 5 12
        Grade 1
    4 1 5
        Grade 2
    0 1 1
        Grade 3
    0 0 0
        Grade 4
    0 0 0
    Race/Ethnicity
    Units: Subjects
        White or Caucasian
    11 7 18
    Albumin-adjusted calcium
    Units: mmol/L
        arithmetic mean (standard deviation)
    2.44 ± 0.1 2.42 ± 0.04 -
    Creatinine
    Units: µmol/L
        arithmetic mean (standard deviation)
    88.4 ± 14.25 89.66 ± 23.63 -
    Phosphorus
    Units: mmol/L
        arithmetic mean (standard deviation)
    1.09 ± 0.22 1.01 ± 0.24 -

    End points

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    End points reporting groups
    Reporting group title
    Placebo/Denosumab
    Reporting group description
    Participants who received placebo in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.

    Reporting group title
    Denosumab/Denosumab
    Reporting group description
    Participants who received denosumab in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.

    Primary: Number of Participants With Treatment-emergent Adverse Events (AEs) and Deaths

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    End point title
    Number of Participants With Treatment-emergent Adverse Events (AEs) and Deaths [1]
    End point description
    A serious adverse event is defined as an adverse event that meets at least one of the following serious criteria: • fatal, • life threatening, • requires in-patient hospitalization or prolongation of existing hospitalization, • results in persistent or significant disability/incapacity, • congenital anomaly/birth defect, and/or • other significant medical hazard. The adverse event severity grading scale used was the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0, according to the following: Grade 1 = Mild AE; Grade 2 = Moderate AE; Grade 3 = Severe AE; Grade 4 = Life-threatening or disabling AE; Grade 5 = Death related to AE. The investigator assessed whether each adverse event was possibly related to the investigational product (IP).
    End point type
    Primary
    End point timeframe
    From the first dose of open-label denosumab until 4 weeks after the last; maximum time on study was 37 months. Follow-up survival information was collected for up to 3 years after the last dose of blinded investigation product in the 20050147 study.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical reporting of the safety outcomes was entirely descriptive, with no formal statistical testing performed.
    End point values
    Placebo/Denosumab Denosumab/Denosumab
    Number of subjects analysed
    11
    7
    Units: participants
        Any adverse event (AE)
    11
    7
        Serious adverse event
    7
    4
        Fatal adverse event
    2
    0
        AE leading to study discontinuation
    2
    1
        AE leading to IP discontinuation
    4
    1
        CTCAE Grade 3, 4, or 5
    6
    2
        AE related to investigational product (IP)
    2
    3
        Serious AE related to IP
    0
    2
        Fatal AE related to IP
    0
    0
        AE related to IP leading to study discontinuation
    1
    1
        AE related to IP leading to IP discontinuation
    1
    1
        AE related to IP and CTCAE Grade 3, 4, or 5
    0
    1
        Deaths
    4
    1
        Deaths on study
    2
    0
        Deaths during the safety follow-up
    2
    1
    No statistical analyses for this end point

    Primary: Percent Change From Baseline in Laboratory Values

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    End point title
    Percent Change From Baseline in Laboratory Values [2]
    End point description
    End point type
    Primary
    End point timeframe
    Baseline and Week 49
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical reporting of the safety outcomes was entirely descriptive, with no formal statistical testing performed.
    End point values
    Placebo/Denosumab Denosumab/Denosumab
    Number of subjects analysed
    10 [3]
    6 [4]
    Units: percent change
    arithmetic mean (standard deviation)
        Albumin-adjusted Calcium
    -0.9 ± 2.5
    1.1 ± 3.1
        Alkaline Phosphatase
    -23.8 ± 21.8
    -1.6 ± 20.5
        Creatinine
    16.3 ± 31.5
    2.4 ± 5.8
        Phosphorus
    -2.6 ± 25.2
    0 ± 10.4
    Notes
    [3] - Safety analysis set with available laboratory data at each time point.
    [4] - Safety analysis set with available laboratory data at each time point.
    No statistical analyses for this end point

    Primary: Number of Participants With Anti-denosumab Neutralizing Antibody Formation

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    End point title
    Number of Participants With Anti-denosumab Neutralizing Antibody Formation [5]
    End point description
    End point type
    Primary
    End point timeframe
    3 years
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical reporting of the safety outcomes was entirely descriptive, with no formal statistical testing performed.
    End point values
    Placebo/Denosumab Denosumab/Denosumab
    Number of subjects analysed
    10 [6]
    7 [7]
    Units: participants
    0
    0
    Notes
    [6] - Participants exposed to open-label denosumab with ≥ 1 antibody sample
    [7] - Participants exposed to open-label denosumab with ≥ 1 antibody sample
    No statistical analyses for this end point

    Secondary: Change From Baseline in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)

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    End point title
    Change From Baseline in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)
    End point description
    A scale used to assess how a patient's disease is progressing, assess how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 0 = Fully active, able to carry out all pre-disease performance without restriction; 1 = Restricted in physically strenuous activity, but ambulatory and able to carry out work of a light or sedentary nature (e.g., light housework, office work); 2 = Ambulatory and capable of all self care, but unable to carry out any work activities. Up and about more than 50% of waking hours; 3 = Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4 = Completely disabled. Cannot carry out any self-care. Totally confined to bed or chair; 5 = Dead.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 49
    End point values
    Placebo/Denosumab Denosumab/Denosumab
    Number of subjects analysed
    10 [8]
    6 [9]
    Units: participants
        4-point increase in PS
    0
    0
        3-point increase in PS
    0
    0
        2-point increase in PS
    0
    0
        1-point increase in PS
    0
    1
        No change
    10
    5
        1-point decrease in PS
    0
    0
        2-point decrease in PS
    0
    0
    Notes
    [8] - Safety analysis set with available data at both time points
    [9] - Safety analysis set with available data at both time points
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From the first dose of open-label denosumab until 4 weeks after the last; maximum time on study was 37 months. Follow-up survival information was collected for up to 3 years after the last dose of blinded investigation product in the 20050147 study.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Placebo/Denosumab 120 mg Q4W
    Reporting group description
    Participants who received placebo in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.

    Reporting group title
    Denosumab/Denosumab 120 mg Q4W
    Reporting group description
    Participants who received denosumab in the parent study received open-label denosumab 120 mg by subcutaneous injecton once every 4 weeks (Q4W) for up to 3 years.

    Serious adverse events
    Placebo/Denosumab 120 mg Q4W Denosumab/Denosumab 120 mg Q4W
    Total subjects affected by serious adverse events
         subjects affected / exposed
    7 / 11 (63.64%)
    4 / 7 (57.14%)
         number of deaths (all causes)
    4
    1
         number of deaths resulting from adverse events
    Investigations
    Haemoglobin decreased
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary sediment present
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Bowen's disease
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchial carcinoma
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Malignant anorectal neoplasm
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Metastatic pain
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Squamous cell carcinoma of skin
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Phimosis
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Mitral valve incompetence
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Hypoaesthesia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Death
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Medical device complication
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haemoptysis
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Bladder neck obstruction
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Calculus bladder
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dysuria
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haematuria
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hydronephrosis
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nocturia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal impairment
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urethral haemorrhage
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urethral stenosis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary incontinence
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary retention
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Muscular weakness
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteonecrosis of jaw
         subjects affected / exposed
    0 / 11 (0.00%)
    2 / 7 (28.57%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pain in extremity
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Cystitis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower respiratory tract infection
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Placebo/Denosumab 120 mg Q4W Denosumab/Denosumab 120 mg Q4W
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    11 / 11 (100.00%)
    6 / 7 (85.71%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastases to bone
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Metastatic pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Skin papilloma
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Squamous cell carcinoma of skin
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Peripheral arterial occlusive disease
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Thrombosis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Surgical and medical procedures
    Tooth extraction
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    Catheter site pain
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Device expulsion
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Device leakage
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Face oedema
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    2
    Fatigue
         subjects affected / exposed
    3 / 11 (27.27%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    Malaise
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Oedema peripheral
         subjects affected / exposed
    3 / 11 (27.27%)
    1 / 7 (14.29%)
         occurrences all number
    5
    1
    Pain
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    2
    Pyrexia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Reproductive system and breast disorders
    Pelvic pain
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Prostatic pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Atelectasis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Cough
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Dyspnoea
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    2
    Dyspnoea exertional
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Epistaxis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    Haemoptysis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Hydrothorax
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Productive cough
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Psychiatric disorders
    Depressed mood
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Depression
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Investigations
    Eastern Cooperative Oncology Group performance status worsened
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Haemoglobin decreased
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    7
    0
    Prostatic specific antigen increased
         subjects affected / exposed
    2 / 11 (18.18%)
    2 / 7 (28.57%)
         occurrences all number
    2
    2
    Urinary sediment present
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Weight decreased
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Weight increased
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Injury, poisoning and procedural complications
    Animal bite
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Arthropod bite
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Contusion
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Procedural pain
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    Radiation injury
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Rib fracture
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Sunburn
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Tooth fracture
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Congenital, familial and genetic disorders
    Phimosis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    Arrhythmia
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Nervous system disorders
    Cervicobrachial syndrome
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Dizziness
         subjects affected / exposed
    3 / 11 (27.27%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    Hypoaesthesia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Muscle contractions involuntary
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Poor quality sleep
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Sciatica
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    3 / 11 (27.27%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    Ear and labyrinth disorders
    Deafness
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Meniere's disease
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Vertigo
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Eye disorders
    Cataract
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Dry eye
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Constipation
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Diarrhoea
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Dyspepsia
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Faecal incontinence
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Gingival pain
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Haemorrhoids
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Intestinal haemorrhage
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Loose tooth
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Nausea
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Tooth disorder
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Tooth loss
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Toothache
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Vomiting
         subjects affected / exposed
    2 / 11 (18.18%)
    1 / 7 (14.29%)
         occurrences all number
    3
    1
    Skin and subcutaneous tissue disorders
    Dry skin
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Pruritus generalised
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Skin exfoliation
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Skin lesion
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Renal and urinary disorders
    Bladder spasm
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Calculus bladder
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Dysuria
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    Haematuria
         subjects affected / exposed
    3 / 11 (27.27%)
    1 / 7 (14.29%)
         occurrences all number
    6
    1
    Hypertonic bladder
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Nocturia
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Renal cyst
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Renal failure chronic
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Renal impairment
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Renal pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Urethral haemorrhage
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Urethral stenosis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Urinary incontinence
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Urinary retention
         subjects affected / exposed
    2 / 11 (18.18%)
    1 / 7 (14.29%)
         occurrences all number
    2
    1
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Back pain
         subjects affected / exposed
    4 / 11 (36.36%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    Flank pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Fracture pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Muscular weakness
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal chest pain
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Musculoskeletal pain
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Musculoskeletal stiffness
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Myalgia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Osteonecrosis of jaw
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Pain in extremity
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Rheumatic disorder
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Sensation of heaviness
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Infections and infestations
    Abscess of salivary gland
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Bronchitis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Cellulitis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Gingivitis
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Localised infection
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Lower respiratory tract infection
         subjects affected / exposed
    2 / 11 (18.18%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    Nasopharyngitis
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Oral fungal infection
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Post procedural infection
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Urinary tract infection
         subjects affected / exposed
    3 / 11 (27.27%)
    2 / 7 (28.57%)
         occurrences all number
    10
    3
    Viral infection
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    3
    1
    Diabetes mellitus
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 7 (14.29%)
         occurrences all number
    1
    1
    Hypercholesterolaemia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    Hyperglycaemia
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    0
    1
    Vitamin B12 deficiency
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    20 Jan 2012
    The purpose of this amendment was to include information on a denosumab formulation of 70 mg/mL. Additional study visits were added to Schedule A to accurately reflect the 3-year open-label extension period.
    22 Feb 2013
    The purpose of this amendment was to clarify the serious adverse event reporting process and timelines and lay out in the protocol a mechanism by which to report pregnancies that occur in female partners of male subjects.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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