A Study to Test if TVB-009P is Effective in Relieving Postmenopausal Osteoporosis
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ClinicalTrials.gov Identifier: NCT04729621 |
Recruitment Status :
Completed
First Posted : January 28, 2021
Last Update Posted : June 22, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Osteoporosis, Postmenopausal | Combination Product: TVB-009 Combination Product: Prolia® | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 332 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | A Randomized, Double-Blind, Multinational, Multicenter Study to Compare Efficacy, Safety, and Immunogenicity of TVB-009P and Denosumab (Prolia®) in Patients With Postmenopausal Osteoporosis |
Actual Study Start Date : | March 22, 2021 |
Actual Primary Completion Date : | December 31, 2022 |
Actual Study Completion Date : | June 19, 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: TVB-009 main treatment period
TVB-009 (denosumab) pre-filled syringe, administered at weeks 1 and 26
|
Combination Product: TVB-009
TVB-009 Denosumab solution for injection 60 mg/mL (1 mL) prefilled syringe (PFS) |
Active Comparator: PROLIA main treatment period
Prolia® (denosumab) pre-filled syringe, administered at weeks 1 and 26
|
Combination Product: Prolia®
Denosumab solution for injection 60 mg/mL (1 mL) prefilled syringe (PFS) |
Experimental: TVB-009 main / TVB-009 transition period
TVB-009 (denosumab) pre-filled syringe, administered at week 52 in patients that were randomized to TVB-009 in the main treatment period
|
Combination Product: TVB-009
TVB-009 Denosumab solution for injection 60 mg/mL (1 mL) prefilled syringe (PFS) |
Active Comparator: PROLIA main / PROLIA transition period
Prolia® (denosumab) pre-filled syringe, administered at week 52 in patients that were randomized to PROLIA in the main treatment period
|
Combination Product: Prolia®
Denosumab solution for injection 60 mg/mL (1 mL) prefilled syringe (PFS) |
Experimental: PROLIA main / TVB-009 transition period
TVB-009 (denosumab) pre-filled syringe, administered at week 52 in patients that were randomized to PROLIA in the main treatment period
|
Combination Product: TVB-009
TVB-009 Denosumab solution for injection 60 mg/mL (1 mL) prefilled syringe (PFS) Combination Product: Prolia® Denosumab solution for injection 60 mg/mL (1 mL) prefilled syringe (PFS) |
- Percent change from baseline in LS-BMD at week 52 [ Time Frame: Baseline and week 52 ]Percent change from baseline in lumbar spine bone mineral density (LS BMD) based on centrally assessed dual energy X ray absorptiometry (DXA) at week 52
- Percent change from baseline in sCTX-1 at week 26 [ Time Frame: Baseline and week 26 ]Percent change from baseline in serum C-telopeptide cross-link of type 1 collagen at week 26
- Percent change from baseline in LS-BMD at week 26 [ Time Frame: Baseline and week 26 ]Percent change from baseline in lumbar spine bone mineral density (LS BMD) based on centrally assessed dual energy X ray absorptiometry (DXA) at week 26
- Percent change from baseline in femoral neck BMD [ Time Frame: Baseline, week 26, week 52 ]Percent change from baseline in femoral neck bone mineral density (BMD) based on centrally assessed dual energy X ray absorptiometry (DXA)at week 26 and at week 52
- Percent change from baseline in total hip BMD [ Time Frame: Baseline, week 26, week 52 ]Percent change from baseline in total hip bone mineral density (BMD) based on centrally assessed dual energy X ray absorptiometry (DXA) at week 26 and at week 52
- Percent change from baseline in sCTX-1 [ Time Frame: Baseline through week 52 ]Percent change from baseline in serum C-telopeptide cross-link of type 1 collagen
- sCTX-1 suppression at week 4 [ Time Frame: Week 4 ]Proportion of patients with suppression of serum C-telopeptide cross-link of type 1 collagen at week 4
- Percent change from baseline in P1NP [ Time Frame: Baseline, week 26, week 52 ]Percent change from baseline in procollagen type 1 N propeptide (P1NP) at week 26 and week 52
- Incidence of fractures up to week 52 [ Time Frame: Up to week 52 ]Number of patients with fractures up to week 52
- Percent change from week 52 in LS-BMD by DXA at week 78 [ Time Frame: Week 52 through week 78 ]Percent change from week 52 in lumbar spine bone mineral density (LS BMD) based on centrally assessed dual energy X ray absorptiometry (DXA) at week 78
- Percent change from week 52 in femoral neck BMD by DXA at week 78 [ Time Frame: Week 52 through week 78 ]Percent change from week 52 in femoral neck bone mineral density (LS BMD) based on centrally assessed dual energy X ray absorptiometry (DXA) at week 78
- Percent change from week 52 in total hip BMD by DXA at week 78 [ Time Frame: Week 52 through week 78 ]Percent change from week 52 in total hip bone mineral density (LS BMD) based on centrally assessed dual energy X ray absorptiometry (DXA) at week 78
- Difference between percent change from baseline in sCTX-1 at weeks 52 and 78 [ Time Frame: Week 52 through week 78 ]Difference between percent change from baseline in serum C-telopeptide cross-link of type 1 collagen at weeks 52 and 78
- Difference between percent change from baseline in P1NP at weeks 52 and 78 [ Time Frame: Week 52 through week 78 ]Difference between percent change from baseline in procollagen type 1 N propeptide at weeks 52 and 78
- Incidence of fractures between week 52 and week 78 [ Time Frame: Week 52 through week 78 ]Number of patients with fractures between week 52 and week 78
- Incidence of adverse event and withdrawals due to adverse events [ Time Frame: Up to week 52 ]Number of patients reporting at least one treatment-emergent adverse event up to week 52
- Incidence of adverse events in the transition period [ Time Frame: Week 52 through week 78 ]Number of patients reporting at least one treatment-emergent adverse event between weeks 52 and 78
- Incidence of antidrug antibodies (ADAs) in the main treatment period [ Time Frame: Up to week 52 ]Number of patients with confirmed positive antidrug antibodies (ADAs) post-baseline up to week 52
- Incidence of antidrug antibodies (ADAs) in the transition period [ Time Frame: Week 52 through week 78 ]Number of patients with confirmed positive antidrug antibodies (ADAs) between week 52 and 78

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Ages Eligible for Study: | 60 Years to 90 Years (Adult, Older Adult) |
Sexes Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Postmenopausal womeen (≥60 and ≤90 years) with a diagnosis of osteoporosis
- Body weight ≥50 kg and ≤90 kg
- Bone Mineral Density (BMD) measurement T score of less than 2.5 but not less than 4.0 by dual-energy X-ray absorptiometry (DXA) at the lumbar spine at screening
- At least 3 vertebrae in the L1 L4 region that are evaluable by dual-energy X-ray absorptiometry (DXA)
Exclusion Criteria:
- One severe or more than two moderate vertebral fractures
- History and/or presence of hip fracture or atypical femur fracture
- Any prior treatment with denosumab
- Ongoing use of any bone active drugs which can affect Bone Mineral Density (BMD)
- Vitamin D deficiency or hyper- or hypocalcemiacium at screening
- Hyperthyroidism, hypothyroidism, hypoparathyroidism or hyperparathyroidism
- Any medical condition that could jeopardize or would compromise the patient's safety or ability to participate in this study
Other Inclusion/exclusion criteria may apply

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04729621

Study Director: | Teva Medical Expert, MD | Teva Pharmaceuticals, Inc. |
Responsible Party: | Teva Pharmaceuticals USA |
ClinicalTrials.gov Identifier: | NCT04729621 |
Other Study ID Numbers: |
TVB009-IMB-30085 |
First Posted: | January 28, 2021 Key Record Dates |
Last Update Posted: | June 22, 2023 |
Last Verified: | June 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Osteoporosis Osteoporosis, Postmenopausal Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases |
Metabolic Diseases Denosumab Bone Density Conservation Agents Physiological Effects of Drugs |