Open Label Extension to SRE Studies in United Kingdom and Czech Republic Only

Sponsor
Amgen (Industry)
Overall Status
Completed
CT.gov ID
NCT00950911
Collaborator
(none)
35
17
1
33
2.1
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to describe the safety and tolerability of denosumab administration as measured by adverse events, immunogenicity, and safety laboratory parameters in subjects who previously received either zoledronic acid (Zometa®) or denosumab.

Study Design

Study Type:
Interventional
Actual Enrollment :
35 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Supportive Care
Official Title:
An Open Label, Single Arm, Extension Study to Evaluate the Long Term Safety of Denosumab in the Treatment of Bone Metastases in Subjects With Advanced Cancer or Multiple Myeloma
Study Start Date :
Jul 1, 2009
Actual Primary Completion Date :
Feb 1, 2012
Actual Study Completion Date :
Apr 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

Drug: amg 162
120 mg SC injection of denosumab Q4W until the subject has access to commercially available product or for up to 2 years, which ever comes first.

Outcome Measures

Primary Outcome Measures

  1. Number of Participants Survived [2 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects currently enrolled in study 20050103, 20050136, or 20050244

  • Subjects must sign the informed consent before any study specific procedures are performed

Exclusion Criteria:
  • Developed sensitivity to mammalian cell derived drug products during the 20050103, 20050136, or 20050244 study

  • Currently receiving any unapproved investigational product other than denosumab

  • Subject is pregnant or breast feeding, or planning to become pregnant within 7 months after the end of treatment

  • Subject (male or female) is not willing to use 2 highly effective contraception during treatment and for 7 months (women) or 10 months (men) after the end of treatment

  • Male subject with a pregnant partner who is not willing to use a condom during treatment and for additional 10 months after the end of treatment

  • Any disorder that, in the opinion of the investigator, may compromise the ability of the subject to give written informed consent and/or comply with study procedures

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Jindrichuv Hradec Czech Republic 377 01
2 Research Site Kromeriz Czech Republic 767 55
3 Research Site Olomouc Czech Republic 775 20
4 Research Site Praha 1 Czech Republic 110 00
5 Research Site Praha 4 Czech Republic 140 00
6 Research Site Praha 4 Czech Republic 140 44
7 Research Site Praha 5 Czech Republic 150 06
8 Research Site Praha 6 Czech Republic 160 00
9 Research Site Zlin Czech Republic 762 75
10 Research Site Chichester United Kingdom PO19 4SE
11 Research Site Leeds United Kingdom LS9 7TF
12 Research Site London United Kingdom SE1 9RT
13 Research Site London United Kingdom W2 1NY
14 Research Site Manchester United Kingdom M20 4BX
15 Research Site Northwood United Kingdom HA6 2RN
16 Research Site Peterborough United Kingdom PE3 9GZ
17 Research Site York United Kingdom YO31 8HE

Sponsors and Collaborators

  • Amgen

Investigators

  • Study Director: MD, Amgen

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Amgen
ClinicalTrials.gov Identifier:
NCT00950911
Other Study ID Numbers:
  • 20080540
First Posted:
Aug 3, 2009
Last Update Posted:
Feb 11, 2014
Last Verified:
Dec 1, 2013

Study Results

Participant Flow

Recruitment Details Subjects recuited in this open-label extension study were those who were enrolled in the 2 parent (phase 3, randomized, double-blind, active-controlled) studies 20050103 (NCT00321620) or 20050136 (NCT00321464) at sites in the Czech Republic and United Kingdom.
Pre-assignment Detail
Arm/Group Title Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W
Arm/Group Description This cohort received Zoledronic Acid 4 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study. This cohort received Denosumab 120 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study.
Period Title: Overall Study
STARTED 17 18
COMPLETED 5 3
NOT COMPLETED 12 15

Baseline Characteristics

Arm/Group Title Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W Total
Arm/Group Description This cohort received Zoledronic Acid 4 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study. This cohort received Denosumab 120 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study. Total of all reporting groups
Overall Participants 17 18 35
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
61.6
(11.1)
61.1
(13.0)
61.3
(11.9)
Sex: Female, Male (Count of Participants)
Female
7
41.2%
6
33.3%
13
37.1%
Male
10
58.8%
12
66.7%
22
62.9%
Race/Ethnicity, Customized (Number) [Number]
White or Caucasian
17
100%
17
94.4%
34
97.1%
Black or African American
0
0%
1
5.6%
1
2.9%

Outcome Measures

1. Primary Outcome
Title Number of Participants Survived
Description
Time Frame 2 years

Outcome Measure Data

Analysis Population Description
Full Analysis Set
Arm/Group Title Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W
Arm/Group Description This cohort received Zoledronic Acid 4 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study. This cohort received Denosumab 120 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study.
Measure Participants 17 18
Number [Participants]
13
76.5%
12
66.7%

Adverse Events

Time Frame 2 years
Adverse Event Reporting Description The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Arm/Group Title Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W
Arm/Group Description This cohort received Zoledronic Acid 4 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study. This cohort received Denosumab 120 mg Q4W in the blinded treatment phase of the parent study 20050103 (NCT00321620) or 20050136 (NCT00321464), and received Denosumab 120 mg Q4W in this open-label extension study.
All Cause Mortality
Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 8/17 (47.1%) 10/18 (55.6%)
Blood and lymphatic system disorders
Anaemia 0/17 (0%) 1/18 (5.6%)
Cardiac disorders
Atrial fibrillation 1/17 (5.9%) 0/18 (0%)
Cardiac failure 1/17 (5.9%) 0/18 (0%)
Gastrointestinal disorders
Diarrhoea 0/17 (0%) 1/18 (5.6%)
Vomiting 0/17 (0%) 1/18 (5.6%)
General disorders
Death 1/17 (5.9%) 0/18 (0%)
Hepatobiliary disorders
Hepatic failure 0/17 (0%) 1/18 (5.6%)
Infections and infestations
Urosepsis 0/17 (0%) 1/18 (5.6%)
Injury, poisoning and procedural complications
Lumbar vertebral fracture 0/17 (0%) 1/18 (5.6%)
Thoracic vertebral fracture 0/17 (0%) 1/18 (5.6%)
Investigations
Platelet count decreased 0/17 (0%) 1/18 (5.6%)
Metabolism and nutrition disorders
Cachexia 1/17 (5.9%) 2/18 (11.1%)
Musculoskeletal and connective tissue disorders
Osteonecrosis 0/17 (0%) 1/18 (5.6%)
Osteonecrosis of jaw 2/17 (11.8%) 1/18 (5.6%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to meninges 0/17 (0%) 1/18 (5.6%)
Neoplasm malignant 0/17 (0%) 1/18 (5.6%)
Prostate cancer metastatic 0/17 (0%) 1/18 (5.6%)
Nervous system disorders
Convulsion 1/17 (5.9%) 0/18 (0%)
Grand mal convulsion 0/17 (0%) 1/18 (5.6%)
Partial seizures 0/17 (0%) 1/18 (5.6%)
Sciatica 0/17 (0%) 1/18 (5.6%)
Renal and urinary disorders
Haematuria 0/17 (0%) 1/18 (5.6%)
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism 0/17 (0%) 1/18 (5.6%)
Surgical and medical procedures
Hip arthroplasty 1/17 (5.9%) 0/18 (0%)
Vascular disorders
Jugular vein thrombosis 1/17 (5.9%) 0/18 (0%)
Other (Not Including Serious) Adverse Events
Zoledronic Acid 4 mg Q4W / Denosumab 120 mg Q4W Denosumab 120 mg Q4W / Denosumab 120 mg Q4W
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 13/17 (76.5%) 13/18 (72.2%)
Blood and lymphatic system disorders
Anaemia 1/17 (5.9%) 6/18 (33.3%)
Leukopenia 1/17 (5.9%) 0/18 (0%)
Lymphadenopathy 0/17 (0%) 1/18 (5.6%)
Neutropenia 3/17 (17.6%) 1/18 (5.6%)
Thrombocytopenia 1/17 (5.9%) 0/18 (0%)
Cardiac disorders
Atrial fibrillation 0/17 (0%) 1/18 (5.6%)
Palpitations 1/17 (5.9%) 0/18 (0%)
Ear and labyrinth disorders
Ear haemorrhage 1/17 (5.9%) 0/18 (0%)
Endocrine disorders
Cushingoid 1/17 (5.9%) 1/18 (5.6%)
Eye disorders
Eye pain 1/17 (5.9%) 0/18 (0%)
Eye swelling 1/17 (5.9%) 0/18 (0%)
Gastrointestinal disorders
Abdominal rigidity 0/17 (0%) 1/18 (5.6%)
Constipation 0/17 (0%) 4/18 (22.2%)
Diarrhoea 1/17 (5.9%) 2/18 (11.1%)
Duodenitis 1/17 (5.9%) 0/18 (0%)
Dyspepsia 1/17 (5.9%) 1/18 (5.6%)
Gastric disorder 0/17 (0%) 1/18 (5.6%)
Gingival bleeding 0/17 (0%) 1/18 (5.6%)
Gingival pain 0/17 (0%) 1/18 (5.6%)
Gingivitis 0/17 (0%) 1/18 (5.6%)
Haemorrhoids 1/17 (5.9%) 0/18 (0%)
Nausea 1/17 (5.9%) 5/18 (27.8%)
Oral disorder 1/17 (5.9%) 0/18 (0%)
Proctalgia 1/17 (5.9%) 0/18 (0%)
Sensitivity of teeth 0/17 (0%) 1/18 (5.6%)
Stomatitis 1/17 (5.9%) 2/18 (11.1%)
Tooth loss 1/17 (5.9%) 0/18 (0%)
Toothache 1/17 (5.9%) 0/18 (0%)
Vomiting 2/17 (11.8%) 3/18 (16.7%)
General disorders
Chest pain 2/17 (11.8%) 0/18 (0%)
Face oedema 1/17 (5.9%) 0/18 (0%)
Facial pain 1/17 (5.9%) 0/18 (0%)
Fatigue 3/17 (17.6%) 6/18 (33.3%)
Feeling hot 1/17 (5.9%) 0/18 (0%)
Gait disturbance 1/17 (5.9%) 0/18 (0%)
General physical health deterioration 1/17 (5.9%) 2/18 (11.1%)
Local swelling 1/17 (5.9%) 0/18 (0%)
Localised oedema 1/17 (5.9%) 0/18 (0%)
Mucosal necrosis 1/17 (5.9%) 0/18 (0%)
Oedema 1/17 (5.9%) 0/18 (0%)
Oedema peripheral 2/17 (11.8%) 0/18 (0%)
Pain 2/17 (11.8%) 2/18 (11.1%)
Pyrexia 1/17 (5.9%) 0/18 (0%)
Submandibular mass 0/17 (0%) 1/18 (5.6%)
Swelling 1/17 (5.9%) 0/18 (0%)
Hepatobiliary disorders
Liver disorder 1/17 (5.9%) 0/18 (0%)
Immune system disorders
Immunodeficiency 1/17 (5.9%) 0/18 (0%)
Infections and infestations
Borrelia infection 1/17 (5.9%) 0/18 (0%)
Cellulitis 1/17 (5.9%) 0/18 (0%)
Cystitis 1/17 (5.9%) 0/18 (0%)
Erysipelas 0/17 (0%) 1/18 (5.6%)
Herpes zoster 1/17 (5.9%) 1/18 (5.6%)
Influenza 1/17 (5.9%) 0/18 (0%)
Localised infection 1/17 (5.9%) 0/18 (0%)
Nasopharyngitis 1/17 (5.9%) 0/18 (0%)
Oral candidiasis 0/17 (0%) 2/18 (11.1%)
Oral fungal infection 1/17 (5.9%) 0/18 (0%)
Oral herpes 0/17 (0%) 1/18 (5.6%)
Pharyngitis 2/17 (11.8%) 0/18 (0%)
Pneumonia 1/17 (5.9%) 0/18 (0%)
Postoperative wound infection 0/17 (0%) 1/18 (5.6%)
Skin infection 0/17 (0%) 1/18 (5.6%)
Tooth abscess 1/17 (5.9%) 0/18 (0%)
Upper respiratory tract infection 0/17 (0%) 1/18 (5.6%)
Urinary tract infection 0/17 (0%) 1/18 (5.6%)
Injury, poisoning and procedural complications
Fall 0/17 (0%) 1/18 (5.6%)
Fractured coccyx 1/17 (5.9%) 0/18 (0%)
Lumbar vertebral fracture 1/17 (5.9%) 0/18 (0%)
Post procedural complication 1/17 (5.9%) 0/18 (0%)
Procedural pain 1/17 (5.9%) 1/18 (5.6%)
Tooth fracture 1/17 (5.9%) 0/18 (0%)
Investigations
Eastern Cooperative Oncology Group performance status worsened 0/17 (0%) 1/18 (5.6%)
Ejection fraction decreased 0/17 (0%) 1/18 (5.6%)
Haemoglobin decreased 0/17 (0%) 2/18 (11.1%)
Platelet count decreased 1/17 (5.9%) 0/18 (0%)
Weight decreased 1/17 (5.9%) 2/18 (11.1%)
Metabolism and nutrition disorders
Decreased appetite 1/17 (5.9%) 4/18 (22.2%)
Hyperglycaemia 1/17 (5.9%) 0/18 (0%)
Hypocalcaemia 1/17 (5.9%) 2/18 (11.1%)
Hypokalaemia 2/17 (11.8%) 0/18 (0%)
Hypoproteinaemia 1/17 (5.9%) 0/18 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 4/17 (23.5%) 0/18 (0%)
Back pain 2/17 (11.8%) 4/18 (22.2%)
Bone disorder 1/17 (5.9%) 0/18 (0%)
Bone pain 3/17 (17.6%) 2/18 (11.1%)
Muscular weakness 1/17 (5.9%) 3/18 (16.7%)
Musculoskeletal chest pain 0/17 (0%) 2/18 (11.1%)
Musculoskeletal pain 1/17 (5.9%) 1/18 (5.6%)
Neck pain 2/17 (11.8%) 0/18 (0%)
Osteitis 0/17 (0%) 1/18 (5.6%)
Pain in extremity 1/17 (5.9%) 1/18 (5.6%)
Pain in jaw 0/17 (0%) 2/18 (11.1%)
Periostitis 1/17 (5.9%) 0/18 (0%)
Sensation of heaviness 1/17 (5.9%) 0/18 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma 1/17 (5.9%) 0/18 (0%)
Tumour flare 0/17 (0%) 1/18 (5.6%)
Nervous system disorders
Brain oedema 1/17 (5.9%) 0/18 (0%)
Convulsion 1/17 (5.9%) 0/18 (0%)
Coordination abnormal 0/17 (0%) 1/18 (5.6%)
Dizziness 1/17 (5.9%) 1/18 (5.6%)
Dysarthria 1/17 (5.9%) 0/18 (0%)
Dysgeusia 0/17 (0%) 2/18 (11.1%)
Headache 2/17 (11.8%) 0/18 (0%)
Hypoaesthesia 2/17 (11.8%) 0/18 (0%)
Lethargy 1/17 (5.9%) 2/18 (11.1%)
Neuropathy peripheral 1/17 (5.9%) 2/18 (11.1%)
Paraesthesia 2/17 (11.8%) 2/18 (11.1%)
Post herpetic neuralgia 0/17 (0%) 1/18 (5.6%)
Psychiatric disorders
Anxiety 0/17 (0%) 1/18 (5.6%)
Confusional state 1/17 (5.9%) 0/18 (0%)
Depression 1/17 (5.9%) 0/18 (0%)
Insomnia 1/17 (5.9%) 1/18 (5.6%)
Renal and urinary disorders
Bladder obstruction 0/17 (0%) 1/18 (5.6%)
Urinary incontinence 0/17 (0%) 1/18 (5.6%)
Reproductive system and breast disorders
Penile oedema 1/17 (5.9%) 0/18 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 2/17 (11.8%) 3/18 (16.7%)
Dyspnoea 0/17 (0%) 2/18 (11.1%)
Dyspnoea exertional 0/17 (0%) 1/18 (5.6%)
Epistaxis 1/17 (5.9%) 0/18 (0%)
Hydrothorax 1/17 (5.9%) 0/18 (0%)
Skin and subcutaneous tissue disorders
Alopecia 1/17 (5.9%) 1/18 (5.6%)
Dermatitis allergic 0/17 (0%) 1/18 (5.6%)
Dry skin 1/17 (5.9%) 0/18 (0%)
Eczema 0/17 (0%) 1/18 (5.6%)
Erythema 0/17 (0%) 1/18 (5.6%)
Hyperhidrosis 0/17 (0%) 1/18 (5.6%)
Nail disorder 1/17 (5.9%) 0/18 (0%)
Nail dystrophy 0/17 (0%) 2/18 (11.1%)
Pain of skin 0/17 (0%) 1/18 (5.6%)
Photosensitivity allergic reaction 1/17 (5.9%) 0/18 (0%)
Skin disorder 0/17 (0%) 1/18 (5.6%)
Skin hyperpigmentation 1/17 (5.9%) 0/18 (0%)
Skin lesion 1/17 (5.9%) 0/18 (0%)
Social circumstances
Denture wearer 1/17 (5.9%) 0/18 (0%)
Surgical and medical procedures
Tooth extraction 1/17 (5.9%) 0/18 (0%)
Vascular disorders
Hypertension 1/17 (5.9%) 0/18 (0%)
Lymphoedema 1/17 (5.9%) 0/18 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results aftercompletion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.

Results Point of Contact

Name/Title Study Director
Organization Amgen Inc.
Phone 866-572-6436
Email
Responsible Party:
Amgen
ClinicalTrials.gov Identifier:
NCT00950911
Other Study ID Numbers:
  • 20080540
First Posted:
Aug 3, 2009
Last Update Posted:
Feb 11, 2014
Last Verified:
Dec 1, 2013