ASTEROID: A Study in Adult Patients With Type I, III or IV Osteogenesis Imperfecta Treated With BPS804

Sponsor
Ultragenyx Pharmaceutical Inc (Industry)
Overall Status
Completed
CT.gov ID
NCT03118570
Collaborator
Mereo BioPharma (Industry)
112
25
5
38
4.5
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to select a suitable dose of BPS804 by measuring the strength/quality of bone using a special type of CT scanner. Participants will be treated for 12 months and followed up for a further 12 months.

Condition or Disease Intervention/Treatment Phase
  • Drug: setrusumab
  • Dietary Supplement: Calcium
  • Dietary Supplement: Vitamin D
  • Drug: zoledronic acid (optional)
Phase 2

Detailed Description

This study was previously posted by Mereo Biopharma and was transferred to Ultragenyx in February 2021.

Study Design

Study Type:
Interventional
Actual Enrollment :
112 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Double-blind, Dose-finding Study, incorporating an open-label substudyDouble-blind, Dose-finding Study, incorporating an open-label substudy
Masking:
Double (Participant, Investigator)
Masking Description:
Sponsor will be masked until the primary analysis of the study except for open-label substudy treatment arm. The study site pharmacist will be unmasked to treatment allocation throughout. Study treatment will be monitored by a separate unmasked monitoring team.
Primary Purpose:
Treatment
Official Title:
A Phase 2b, Multicentre, Multinational, Double-blind, Dose-finding Study, Incorporating an Open Label Substudy, in Adult Patients With Type I, III or IV Osteogenesis Imperfecta Treated With Setrusumab (BPS804)
Actual Study Start Date :
Sep 11, 2017
Actual Primary Completion Date :
Oct 1, 2019
Actual Study Completion Date :
Nov 12, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Setrusumab 20 mg/kg (Blinded)

Setrusumab 20 mg/kg intravenous (IV) infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.

Drug: setrusumab
Intravenous infusion
Other Names:
  • BPS804
  • Dietary Supplement: Calcium
    tablets

    Dietary Supplement: Vitamin D
    capsules

    Drug: zoledronic acid (optional)
    Following completion of the study treatment (Month 12) participants can receive an optional single dose of zoledronic acid. Participants can receive an optional further dose of zoledronic acid at Month 18 at the discretion of their treating physician.

    Experimental: Setrusumab 8 mg/kg (Blinded)

    Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.

    Drug: setrusumab
    Intravenous infusion
    Other Names:
  • BPS804
  • Dietary Supplement: Calcium
    tablets

    Dietary Supplement: Vitamin D
    capsules

    Drug: zoledronic acid (optional)
    Following completion of the study treatment (Month 12) participants can receive an optional single dose of zoledronic acid. Participants can receive an optional further dose of zoledronic acid at Month 18 at the discretion of their treating physician.

    Experimental: Setrusumab 2 mg/kg (Blinded)

    Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.

    Drug: setrusumab
    Intravenous infusion
    Other Names:
  • BPS804
  • Dietary Supplement: Calcium
    tablets

    Dietary Supplement: Vitamin D
    capsules

    Drug: zoledronic acid (optional)
    Following completion of the study treatment (Month 12) participants can receive an optional single dose of zoledronic acid. Participants can receive an optional further dose of zoledronic acid at Month 18 at the discretion of their treating physician.

    Experimental: Setrusumab 20 mg/kg (Open-Label)

    Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.

    Drug: setrusumab
    Intravenous infusion
    Other Names:
  • BPS804
  • Dietary Supplement: Calcium
    tablets

    Dietary Supplement: Vitamin D
    capsules

    Drug: zoledronic acid (optional)
    Following completion of the study treatment (Month 12) participants can receive an optional single dose of zoledronic acid. Participants can receive an optional further dose of zoledronic acid at Month 18 at the discretion of their treating physician.

    Placebo Comparator: Placebo

    Placebo IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.

    Dietary Supplement: Calcium
    tablets

    Dietary Supplement: Vitamin D
    capsules

    Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline in Radial Trabecular Volumetric Bone Mineral Density (Tr vBMD) at Month 12 [Baseline, Month 12 (end of treatment [EOT])]

      Assessed by high resolution peripheral quantitative computed tomography (HRpQCT). HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presents the ratio of the means between the visit and Baseline from analysis of covariance (ANCOVA).

    2. Change From Baseline in Radial Bone Strength (Failure Load) at Month 12 [Baseline, Month 12 (EOT)]

      Assessed by finite element analysis (FEA) of models generated from HRpQCT images of the distal radius.

    3. Change From Baseline in Radial Bone Strength (Stiffness) at Month 12 [Baseline, Month 12 (EOT)]

      Assessed by FEA of models generated from HRpQCT images of the distal radius.

    Secondary Outcome Measures

    1. Change From Baseline in Radial and Tibial Tr VBMD Over Time: Full Analysis Set [Baseline, Months 6, 12 (EOT), 18, 24]

      Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.

    2. Changes From Baseline in Radial and Tibial Tr VBMD at Months 6 and 12: Open-Label Arm [Baseline, Months 6, 12 (EOT)]

      Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.

    3. Changes From Baseline in Radial and Tibial Bone Strength (Failure Load) Over Time: Full Analysis Set [Baseline, Months 6, 12 (EOT), 18, 24]

      Assessed by FEA of models generated from HRpQCT images of the distal radius.

    4. Changes From Baseline in Radial and Tibial Bone Strength (Failure Load) at Months 6 and 12: Open-Label Arm [Baseline, Months 6, 12 (EOT)]

      Assessed by FEA of models generated from HRpQCT images of the distal radius.

    5. Changes From Baseline in Radial and Tibial Bone Strength (Stiffness) Over Time: Full Analysis Set [Baseline, Months 6, 12 (EOT), 18, 24]

      Assessed by FEA of models generated from HRpQCT images of the distal radius.

    6. Changes From Baseline in Radial and Tibial Bone Strength (Stiffness) at Months 6 and 12: Open-Label Arm [Baseline, Months 6, 12 (EOT)]

      Assessed by FEA of models generated from HRpQCT images of the distal radius.

    7. Percentage of Participants With at Least 1 New Fracture (Peripheral, Vertebral, Long-Bone, Any) at Month 12 [Month 12 (EOT)]

      Fracture assessment, confirmed by central radiographic reading, was carried out for peripheral including all major long bones, minor bone (digits, ribs) and vertebral fractures. Fractures without clinical symptoms, detected only by means of radiographic investigations, were not included in the analysis.

    8. Change From Baseline in Lumbar, Total Body, and Femoral Neck Bone Mineral Density (BMD) T-score at Month 6 [Baseline, Month 6]

      BMD was evaluated by dual-energy x-ray absorptiometry (DXA). T-Score was calculated based on actual measured bone density value. T-scores are standardized scores that reflect the standard deviations (SDs) above/below the normal mean for young adults. A score of 50 indicates the population mean with a standard deviation of 10. A positive change in DXA T-score indicates an improvement in BMD.

    9. Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD at Month 6 [Baseline, Month 6]

      BMD was evaluated by DXA.

    10. Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD T-score at Month 12 [Baseline, Month 12 (EOT)]

      BMD was evaluated by DXA. T-Score was calculated based on actual measured bone density value. T-scores are standardized scores that reflect the standard deviations (SDs) above/below the normal mean for young adults. A score of 50 indicates the population mean with a standard deviation of 10. A positive change in DXA T-score indicates an improvement in BMD.

    11. Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD at Month 12 [Baseline, Month 12 (EOT)]

      BMD was evaluated by DXA.

    12. Change From Baseline in Total vBMD (Radial and Tibial) Over Time [Baseline, Months 6, 12 (EOT), 18, and 24]

      Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.

    13. Change From Baseline in Cortical vBMD (Radial and Tibial) Over Time [Baseline, Months 6, 12 (EOT), 18, and 24]

      Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.

    14. Number of Participants With Clinically Significant Changes From Baseline in Body Height, Weight and Body Mass Index (BMI) at 6 and 12 Months: Full Analysis Set [Baseline, Month 6, Month 12 (EOT)]

    15. Change From Baseline in Lean and Fat Body Mass From Whole Body at Months 6 and 12 [Baseline, Months 6, 12 (EOT)]

      Lean and fat body mass was evaluated using whole body DXA (including the head).

    16. Change From Baseline in Amino-Terminal Propeptide of Type 1 Procollagen (P1NP) up to Month 12 [Baseline, Months 1, 3, 6, 9, 12 (EOT)]

    17. Change From Baseline in Carboxy-Terminal Telo-Peptide [CTX-1] up to Month 12 [Baseline, Months 1, 3, 6, 9, 12 (EOT)]

    18. Change From Baseline in Short Form 12 Health Survey (SF-12) Physical Component Summary Score at Months 6 and 12 [Baseline, Months 6, 12 (EOT)]

      The SF-12 is a generic, 12-item survey that measures 8 domains of health: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. It yields scale scores for each of these 8 domains and 2 summary measures of physical and mental health: The Physical Component Summary and the Mental Component Summary. The total score for the Physical Component Summary ranges from 0 to 100, where higher scores reflect better physical functioning.

    19. Change From Baseline in SF-12 Mental Component Summary Score at Months 6 and 12 [Baseline, Months 6, 12 (EOT)]

      The SF-12 is a generic, 12-item survey that measures 8 domains of health: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. It yields scale scores for each of these 8 domains and 2 summary measures of physical and mental health: The Physical Component Summary and the Mental Component Summary. The total score for the Mental Component Summary ranges from 0 to 100, where higher scores reflect better mental health functioning.

    20. Change From Baseline in Index (Utility) Score on EuroQol 5-Dimension 5-Level Descriptive System (EQ-5D-5L) Score at Months 6 and 12 [Baseline, Months 6 and 12 (EOT)]

      The EQ-5D-5L is a standardised measure of health status comprised of a descriptive system of 5 health-related quality of life states (i.e., mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and a Visual Analogue Scale (VAS) of overall health. Each dimension is rated on a 5-point response scale indicating severity of problems, where 1 is "no problems" and 5 is "extreme problems". The 5 questions are scored and together contribute to the EQ-5D index (utility) score between 0 and 1 (1 being perfect health).

    21. Change From Baseline in Osteogenesis Imperfecta Specific Quality of Life Questionnaire for Adults (OIQoL-A) Total Score at Months 6 and 12 [Baseline, Months 6, 12 (EOT)]

      The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The total score is calculated on a 0-100 scale, where higher scores indicate a greater (negative) impact on quality of life.

    22. Change From Baseline in OIQoL-A Pain Subscale Score at Months 6 and 12 [Baseline, Months 6, 12 (EOT)]

      The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The Pain subscale ranges from 0 to 10, with higher value representing worse pain.

    23. Change From Baseline in OIQoL-A Activity Subscale Score at Months 6 and 12 [Baseline, Months 6, 12 (EOT)]

      The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The Activities subscale ranges from 0 to 100, with higher value representing increased difficulty.

    24. Percentage of Participants Who Were Positive for Anti-Setrusumab Antibodies at Any Time During the Study up to Month 14 [up to Month 14]

      Serum samples were screened for antibodies binding to setrusumab using a validated assay method by or under the supervision of the sponsor.

    25. Percentage of Participants With Adverse Events (AEs), Treatment-Emergent AEs (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation or Death [Non-serious AEs: up to Month 14; Serious AEs: up to Month 24. (Average duration of exposure to placebo was 5 months and for setrusumab was 11 month plus follow-up to 24 months.)]

      An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. A serious AE (SAE) is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; is another important medical event. The intensity for each AE was graded as mild, moderate or severe, according to the investigator's judgement. An event was considered related to study drug if there were a "reasonable possibility" of a relationship, according to the investigator's clinical judgment. A TEAE was defined as an event occurring or worsening on or after the first dose of study medication.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patients with a clinical diagnosis of OI Type I, III or IV with a confirmed defect in the COL1A1/COL1A2 genes, as confirmed by genetic testing

    • One or more fractures in the past 5 years

    • Capable of giving signed consent

    Exclusion Criteria:
    • History of skeletal malignancies or other bone diseases (other than OI)

    • History of neural foraminal stenosis (except if due to scoliosis)

    • History of myocardial infarction, angina pectoris, ischaemic stroke or transient ischaemic attack

    • History of endocrine or thyroid/parathyroid conditions that could affect bone metabolism

    • Treatment with bisphosphonates within 3 months of randomisation

    • Treatment with teraparatide, denosumab or other anabolic/anti-reabsorptive medications within 6 months of randomisation

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Mereo Investigator Site Birmingham Alabama United States 35294
    2 Mereo Investigator Site Jacksonville Florida United States 32207
    3 Mereo Investigator Site Baltimore Maryland United States 21287
    4 Mereo Investigator Site Boston Massachusetts United States 012115
    5 Mereo Investigator Site Saint Paul Minnesota United States 55101
    6 Mereo Investigator Site Saint Louis Missouri United States 63110
    7 Mereo Investigator Site Albuquerque New Mexico United States 87106
    8 Mereo Investigator Site Cincinnati Ohio United States 45229
    9 Mereo Investigator Site Portland Oregon United States 97239
    10 Mereo Investigator Site Pittsburgh Pennsylvania United States 15225
    11 Mereo Investigator Site Nashville Tennessee United States 37232
    12 Mereo Investigator Site Houston Texas United States 77030
    13 Mereo Investigator Site Toronto Ontario Canada
    14 Mereo Investigator Site Montreal Quebec Canada
    15 Mereo Investigator Site Quebec City Quebec Canada
    16 Mereo Investigator Site Aarhus Denmark
    17 Mereo Investigator Site Odense Denmark
    18 Mereo Investigator Site Paris Paris Cedex 14 France
    19 Mereo Investigator Site Lyon France
    20 Mereo Investigator Site Paris France
    21 Mereo Investigator Site Cambridge Cambridgeshire United Kingdom
    22 Mereo Investigator Site Newcastle upon Tyne Newcastle United Kingdom
    23 Mereo Investigator Site Oxford Oxfordshire United Kingdom
    24 Mereo Investigator Site Bristol United Kingdom
    25 Mereo Investigator Site London United Kingdom

    Sponsors and Collaborators

    • Ultragenyx Pharmaceutical Inc
    • Mereo BioPharma

    Investigators

    • Study Director: Medical Director, Mereo BioPharma

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Ultragenyx Pharmaceutical Inc
    ClinicalTrials.gov Identifier:
    NCT03118570
    Other Study ID Numbers:
    • MBPS205
    • 2016-005096-27
    First Posted:
    Apr 18, 2017
    Last Update Posted:
    Mar 2, 2022
    Last Verified:
    Feb 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Ultragenyx Pharmaceutical Inc
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Participants were randomized 1:1:1:1 to 3 doses of setrusumab (20 mg/kg, 8 mg/kg and 2 mg/kg) and placebo for a 12-month Treatment Period. Per Protocol Amendment 4, participants originally randomized to the placebo group were reassigned to receive 20 mg/kg open-label setrusumab (1 discontinued study prior to the transition). Two participants in the setrusumab 20 mg/kg open-label group were randomized into this group after Amendment 4 and did not receive placebo.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Arm/Group Description Setrusumab 20 mg/kg intravenous (IV) infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Participants were randomized to this group after amendment 4. Placebo IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Due to a protocol amendment, placebo was actually received for an average of 5 months. Participants originally randomized to the placebo group were reassigned to receive 20 mg/kg open-label setrusumab after amendment 4.
    Period Title: Overall Study
    STARTED 31 29 30 2 20
    Reassigned From Placebo to 20 mg/kg Open-Label Setrusumab 0 0 0 0 19
    COMPLETED 26 22 25 2 15
    NOT COMPLETED 5 7 5 0 5

    Baseline Characteristics

    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo Total
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Placebo IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Due to a protocol amendment, placebo was actually received for an average of 5 months. Total of all reporting groups
    Overall Participants 31 29 30 2 20 112
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    40.6
    (13.73)
    40.4
    (14.34)
    47.2
    (12.42)
    43.5
    (14.85)
    40.9
    (14.68)
    42.4
    (13.80)
    Sex: Female, Male (Count of Participants)
    Female
    17
    54.8%
    20
    69%
    21
    70%
    1
    50%
    14
    70%
    73
    65.2%
    Male
    14
    45.2%
    9
    31%
    9
    30%
    1
    50%
    6
    30%
    39
    34.8%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    3
    9.7%
    1
    3.4%
    2
    6.7%
    0
    0%
    1
    5%
    7
    6.3%
    Not Hispanic or Latino
    27
    87.1%
    27
    93.1%
    28
    93.3%
    2
    100%
    19
    95%
    103
    92%
    Unknown or Not Reported
    1
    3.2%
    1
    3.4%
    0
    0%
    0
    0%
    0
    0%
    2
    1.8%
    Race/Ethnicity, Customized (Count of Participants)
    Black or African American
    2
    6.5%
    1
    3.4%
    1
    3.3%
    0
    0%
    0
    0%
    4
    3.6%
    White
    29
    93.5%
    27
    93.1%
    29
    96.7%
    2
    100%
    20
    100%
    107
    95.5%
    Not Collected or Not Reported
    0
    0%
    1
    3.4%
    0
    0%
    0
    0%
    0
    0%
    1
    0.9%

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline in Radial Trabecular Volumetric Bone Mineral Density (Tr vBMD) at Month 12
    Description Assessed by high resolution peripheral quantitative computed tomography (HRpQCT). HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presents the ratio of the means between the visit and Baseline from analysis of covariance (ANCOVA).
    Time Frame Baseline, Month 12 (end of treatment [EOT])

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment (per protocol almost all efficacy endpoints were to be analyzed only in the blinded treatment arms). Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Number (95% Confidence Interval) [ratio]
    1.004
    0.993
    0.992
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.644
    Comments Analysis is based on a log transformed analysis of covariance (ANCOVA) model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.485
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.404
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    2. Primary Outcome
    Title Change From Baseline in Radial Bone Strength (Failure Load) at Month 12
    Description Assessed by finite element analysis (FEA) of models generated from HRpQCT images of the distal radius.
    Time Frame Baseline, Month 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 28 22 25
    Least Squares Mean (Standard Error) [newton (N)]
    61.25
    (21.669)
    32.25
    (24.342)
    8.86
    (23.200)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.006
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.190
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.704
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    3. Primary Outcome
    Title Change From Baseline in Radial Bone Strength (Stiffness) at Month 12
    Description Assessed by FEA of models generated from HRpQCT images of the distal radius.
    Time Frame Baseline, Month 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 28 22 25
    Least Squares Mean (Standard Error) [N/mm]
    1638.70
    (625.808)
    1422.00
    (703.275)
    209.89
    (671.777)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.011
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.047
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.756
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    4. Secondary Outcome
    Title Change From Baseline in Radial and Tibial Tr VBMD Over Time: Full Analysis Set
    Description Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.
    Time Frame Baseline, Months 6, 12 (EOT), 18, 24

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Radial: Month 6
    1.007
    1.000
    0.998
    Radial: Month 12
    1.004
    0.993
    0.992
    Radial: Month 18
    1.002
    0.992
    0.979
    Radial: Month 24
    0.997
    0.998
    0.979
    Tibial: Month 6
    1.004
    1.016
    0.990
    Tibial: Month 12
    0.991
    1.018
    0.973
    Tibial: Month 18
    0.989
    1.042
    0.983
    Tibial: Month 24
    1.000
    1.062
    1.017
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.329
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.953
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.795
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.644
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.485
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.404
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.827
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.459
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.022
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.821
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.911
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.152
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.668
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.109
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.358
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.742
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.567
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.430
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.634
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.146
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.521
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.991
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.069
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.625
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    5. Secondary Outcome
    Title Changes From Baseline in Radial and Tibial Tr VBMD at Months 6 and 12: Open-Label Arm
    Description Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    All participants in the open-label arm who took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Open-Label)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 21
    Radial: Month 6
    0.994
    Radial: Month 12
    1.011
    Tibial: Month 6
    1.013
    Tibial: Month 12
    1.035
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.615
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.376
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.259
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.253
    Comments Analysis is based on a log transformed ANCOVA model with change from baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    6. Secondary Outcome
    Title Changes From Baseline in Radial and Tibial Bone Strength (Failure Load) Over Time: Full Analysis Set
    Description Assessed by FEA of models generated from HRpQCT images of the distal radius.
    Time Frame Baseline, Months 6, 12 (EOT), 18, 24

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Radial: Month 6
    31.22
    39.95
    -3.28
    Radial: Month 12
    61.25
    32.25
    8.86
    Radial: Month 18
    50.39
    43.11
    -10.53
    Radial: Month 24
    -19.59
    45.03
    -50.65
    Tibial: Month 6
    46.00
    45.91
    -65.33
    Tibial: Month 12
    76.15
    60.20
    -65.96
    Tibial: Month 18
    50.69
    88.33
    -49.50
    Tibial: Month 24
    -24.75
    41.37
    -74.94
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.064
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.019
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.845
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.006
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.190
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.704
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.002
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.021
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.504
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.462
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.134
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.086
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.199
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 8
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.219
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.112
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.086
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.245
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.232
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.237
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.088
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.302
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.626
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 8
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.517
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.262
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    7. Secondary Outcome
    Title Changes From Baseline in Radial and Tibial Bone Strength (Failure Load) at Months 6 and 12: Open-Label Arm
    Description Assessed by FEA of models generated from HRpQCT images of the distal radius.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    All participants in the open-label arm who took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Open-Label)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 21
    Radial: Month 6
    110.16
    Radial: Month 12
    88.32
    Tibial: Month 6
    69.78
    Tibial: Month 12
    112.92
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.004
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.080
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.031
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    8. Secondary Outcome
    Title Changes From Baseline in Radial and Tibial Bone Strength (Stiffness) Over Time: Full Analysis Set
    Description Assessed by FEA of models generated from HRpQCT images of the distal radius.
    Time Frame Baseline, Months 6, 12 (EOT), 18, 24

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Radial: Month 6
    795.67
    1048.61
    109.65
    Radial: Month 12
    1638.70
    1422.00
    209.89
    Radial: Month 18
    1295.98
    803.50
    -215.92
    Radial: Month 24
    -625.46
    1172.45
    -1258.55
    Tibial: Month 6
    1344.84
    1051.40
    -1356.71
    Tibial: Month 12
    2326.63
    1543.85
    -1428.87
    Tibial: Month 18
    1047.16
    1697.21
    -815.38
    Tibial: Month 24
    -1250.69
    622.77
    -1844.84
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.060
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.015
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.795
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.011
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.047
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.756
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.006
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.137
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.639
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.325
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.108
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.078
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.106
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.236
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.164
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.031
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.224
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.291
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.324
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.188
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.503
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.385
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.727
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.338
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    9. Secondary Outcome
    Title Changes From Baseline in Radial and Tibial Bone Strength (Stiffness) at Months 6 and 12: Open-Label Arm
    Description Assessed by FEA of models generated from HRpQCT images of the distal radius.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    All participants in the open-label arm who took at least 1 dose of study treatment. Participants with an assessment at given time point.
    Arm/Group Title Setrusumab 20 mg/kg (Open-Label)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 21
    Radial: Month 6
    5056.51
    Radial: Month 12
    4992.82
    Tibial: Month 6
    4225.92
    Tibial: Month 12
    5827.81
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    10. Secondary Outcome
    Title Percentage of Participants With at Least 1 New Fracture (Peripheral, Vertebral, Long-Bone, Any) at Month 12
    Description Fracture assessment, confirmed by central radiographic reading, was carried out for peripheral including all major long bones, minor bone (digits, ribs) and vertebral fractures. Fractures without clinical symptoms, detected only by means of radiographic investigations, were not included in the analysis.
    Time Frame Month 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Peripheral
    6.5
    21%
    17.2
    59.3%
    13.3
    44.3%
    Vertebral
    0
    0%
    0
    0%
    0
    0%
    Long-Bone
    3.2
    10.3%
    13.8
    47.6%
    3.3
    11%
    Any
    16.1
    51.9%
    34.5
    119%
    23.3
    77.7%
    11. Secondary Outcome
    Title Change From Baseline in Lumbar, Total Body, and Femoral Neck Bone Mineral Density (BMD) T-score at Month 6
    Description BMD was evaluated by dual-energy x-ray absorptiometry (DXA). T-Score was calculated based on actual measured bone density value. T-scores are standardized scores that reflect the standard deviations (SDs) above/below the normal mean for young adults. A score of 50 indicates the population mean with a standard deviation of 10. A positive change in DXA T-score indicates an improvement in BMD.
    Time Frame Baseline, Month 6

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Lumbar
    0.273
    0.338
    0.110
    Total Body
    0.072
    0.071
    0.122
    Femoral Neck
    -0.024
    0.102
    0.087
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.080
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.238
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.238
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.035
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.687
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.107
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.128
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    12. Secondary Outcome
    Title Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD at Month 6
    Description BMD was evaluated by DXA.
    Time Frame Baseline, Month 6

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Lumbar
    4.06
    4.70
    1.58
    Total Body
    0.77
    0.83
    1.21
    Femoral Neck
    -0.42
    1.64
    1.61
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.088
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.184
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.144
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.028
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.694
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.143
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.111
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    13. Secondary Outcome
    Title Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD T-score at Month 12
    Description BMD was evaluated by DXA. T-Score was calculated based on actual measured bone density value. T-scores are standardized scores that reflect the standard deviations (SDs) above/below the normal mean for young adults. A score of 50 indicates the population mean with a standard deviation of 10. A positive change in DXA T-score indicates an improvement in BMD.
    Time Frame Baseline, Month 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Lumbar
    0.587
    0.486
    0.174
    Total Body
    0.181
    0.199
    0.108
    Femoral Neck
    0.163
    0.159
    0.104
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.026
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.007
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.004
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.085
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.040
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.061
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.189
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    14. Secondary Outcome
    Title Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD at Month 12
    Description BMD was evaluated by DXA.
    Time Frame Baseline, Month 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Lumbar
    8.55
    6.79
    2.50
    Total Body
    1.98
    2.03
    1.06
    Femoral Neck
    3.30
    2.65
    1.90
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Lumbar
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.035
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.003
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.003
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Total body
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.088
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.016
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.068
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Femoral neck
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.160
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    15. Secondary Outcome
    Title Change From Baseline in Total vBMD (Radial and Tibial) Over Time
    Description Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.
    Time Frame Baseline, Months 6, 12 (EOT), 18, and 24

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Radial, Month 6
    1.011
    0.995
    1.000
    Radial, Month 12
    1.017
    1.008
    0.999
    Radial, Month 18
    1.013
    0.992
    0.996
    Radial, Month 24
    0.998
    1.009
    0.985
    Tibial, Month 6
    1.017
    1.011
    0.995
    Tibial, Month 12
    1.024
    1.011
    0.989
    Tibial, Month 18
    1.020
    1.021
    0.987
    Tibial, Month 24
    1.001
    1.025
    0.994
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.065
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.405
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.966
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.003
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.229
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.807
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.042
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.283
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.536
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.765
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.247
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.050
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.037
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.174
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.558
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.020
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.346
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.387
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.093
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.156
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.324
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.920
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.040
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.643
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    16. Secondary Outcome
    Title Change From Baseline in Cortical vBMD (Radial and Tibial) Over Time
    Description Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA.
    Time Frame Baseline, Months 6, 12 (EOT), 18, and 24

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Radial, Month 6
    1.004
    1.002
    0.998
    Radial, Month 12
    1.005
    1.003
    1.001
    Radial, Month 18
    1.011
    1.001
    1.007
    Radial, Month 24
    1.011
    1.018
    1.002
    Tibial, Month 6
    1.012
    0.997
    0.998
    Tibial, Month 12
    1.017
    1.004
    0.998
    Tibial, Month 18
    1.024
    1.004
    0.993
    Tibial, Month 24
    1.020
    1.017
    0.996
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.285
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.544
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.615
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.179
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.513
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.849
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.037
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.880
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.153
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.073
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.007
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Radial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.791
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.010
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.553
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.652
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.482
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.685
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.002
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.672
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 18
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.377
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.015
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.086
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Tibial, Month 24
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.712
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    17. Secondary Outcome
    Title Number of Participants With Clinically Significant Changes From Baseline in Body Height, Weight and Body Mass Index (BMI) at 6 and 12 Months: Full Analysis Set
    Description
    Time Frame Baseline, Month 6, Month 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6: Body Height
    0
    0%
    0
    0%
    0
    0%
    Month 6: Weight
    0
    0%
    0
    0%
    0
    0%
    Month 6: BMI
    0
    0%
    0
    0%
    0
    0%
    Month 12: Body Height
    0
    0%
    0
    0%
    0
    0%
    Month 12: Weight
    0
    0%
    0
    0%
    0
    0%
    Month 12: BMI
    0
    0%
    0
    0%
    0
    0%
    18. Secondary Outcome
    Title Change From Baseline in Lean and Fat Body Mass From Whole Body at Months 6 and 12
    Description Lean and fat body mass was evaluated using whole body DXA (including the head).
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6: Lean
    519.152
    -410.664
    168.206
    Month 12: Lean
    867.668
    -225.474
    184.164
    Month 6: Fat
    42.567
    105.420
    426.388
    Month 12: Fat
    421.266
    -85.495
    792.485
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Lean, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.045
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Lean, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.101
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Lean, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.482
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Lean, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.011
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Lean, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.508
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Lean, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.563
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Fat, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.917
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Fat, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.789
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Fat, Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.262
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Fat, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.426
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Fat, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.871
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Fat, Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.113
    Comments Analysis is based on a log transformed ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    19. Secondary Outcome
    Title Change From Baseline in Amino-Terminal Propeptide of Type 1 Procollagen (P1NP) up to Month 12
    Description
    Time Frame Baseline, Months 1, 3, 6, 9, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 1
    24.349
    14.288
    0.060
    Month 3
    17.903
    6.735
    0.640
    Month 6
    13.096
    6.665
    -0.429
    Month 9
    7.265
    0.238
    -2.254
    Month 12
    5.452
    4.172
    4.428
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 1
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 1
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 1
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.984
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 3
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 3
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.050
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 3
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.857
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.079
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.912
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 9
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.054
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 9
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.950
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 9
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.555
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.221
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.393
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.385
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    20. Secondary Outcome
    Title Change From Baseline in Carboxy-Terminal Telo-Peptide [CTX-1] up to Month 12
    Description
    Time Frame Baseline, Months 1, 3, 6, 9, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 1
    -0.077
    -0.047
    -0.041
    Month 3
    -0.044
    -0.029
    -0.043
    Month 6
    -0.013
    -0.025
    -0.028
    Month 9
    -0.020
    -0.039
    -0.031
    Month 12
    -0.037
    -0.002
    -0.034
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 1
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 1
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 1
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value < 0.001
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 3
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.003
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 3
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.050
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 3
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.006
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.519
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.226
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.190
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 9
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.388
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 9
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.109
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 9
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.204
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.119
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.925
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.204
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    21. Secondary Outcome
    Title Change From Baseline in Short Form 12 Health Survey (SF-12) Physical Component Summary Score at Months 6 and 12
    Description The SF-12 is a generic, 12-item survey that measures 8 domains of health: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. It yields scale scores for each of these 8 domains and 2 summary measures of physical and mental health: The Physical Component Summary and the Mental Component Summary. The total score for the Physical Component Summary ranges from 0 to 100, where higher scores reflect better physical functioning.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6
    0.672
    -0.463
    1.342
    Month 12
    -1.178
    -0.994
    2.171
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.588
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.697
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.283
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.354
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.430
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.091
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    22. Secondary Outcome
    Title Change From Baseline in SF-12 Mental Component Summary Score at Months 6 and 12
    Description The SF-12 is a generic, 12-item survey that measures 8 domains of health: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. It yields scale scores for each of these 8 domains and 2 summary measures of physical and mental health: The Physical Component Summary and the Mental Component Summary. The total score for the Mental Component Summary ranges from 0 to 100, where higher scores reflect better mental health functioning.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6
    0.966
    -0.492
    -1.133
    Month 12
    2.807
    -1.473
    -1.664
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.527
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.738
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.465
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.068
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.328
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.277
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    23. Secondary Outcome
    Title Change From Baseline in Index (Utility) Score on EuroQol 5-Dimension 5-Level Descriptive System (EQ-5D-5L) Score at Months 6 and 12
    Description The EQ-5D-5L is a standardised measure of health status comprised of a descriptive system of 5 health-related quality of life states (i.e., mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and a Visual Analogue Scale (VAS) of overall health. Each dimension is rated on a 5-point response scale indicating severity of problems, where 1 is "no problems" and 5 is "extreme problems". The 5 questions are scored and together contribute to the EQ-5D index (utility) score between 0 and 1 (1 being perfect health).
    Time Frame Baseline, Months 6 and 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6
    0.0627
    0.0362
    -0.0383
    Month 12
    0.0424
    0.0252
    0.0214
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.092
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.310
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.304
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.155
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.392
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.464
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    24. Secondary Outcome
    Title Change From Baseline in Osteogenesis Imperfecta Specific Quality of Life Questionnaire for Adults (OIQoL-A) Total Score at Months 6 and 12
    Description The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The total score is calculated on a 0-100 scale, where higher scores indicate a greater (negative) impact on quality of life.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6
    -3.584
    -1.848
    -0.649
    Month 12
    -1.668
    -0.587
    -3.846
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.150
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.468
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.800
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.563
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.839
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.186
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    25. Secondary Outcome
    Title Change From Baseline in OIQoL-A Pain Subscale Score at Months 6 and 12
    Description The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The Pain subscale ranges from 0 to 10, with higher value representing worse pain.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6
    -3.990
    -3.906
    -6.003
    Month 12
    -3.655
    -4.968
    -7.178
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.278
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.292
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.115
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.356
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.205
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.078
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    26. Secondary Outcome
    Title Change From Baseline in OIQoL-A Activity Subscale Score at Months 6 and 12
    Description The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The Activities subscale ranges from 0 to 100, with higher value representing increased difficulty.
    Time Frame Baseline, Months 6, 12 (EOT)

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set: all participants who are randomized to one of the blinded treatment arms and took at least 1 dose of study treatment. Participants with an assessment at given timepoint.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded)
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    Measure Participants 31 29 30
    Month 6
    -5.980
    -2.722
    1.907
    Month 12
    -0.964
    4.489
    -1.630
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.037
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.342
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 6
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.515
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Setrusumab 20 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.786
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Setrusumab 8 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.212
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Setrusumab 2 mg/kg (Blinded)
    Comments Month 12
    Type of Statistical Test Superiority
    Comments Comparison is between the Visit and Baseline
    Statistical Test of Hypothesis p-Value 0.655
    Comments Analysis is based on an ANCOVA model with Change from Baseline as outcome parameter; including categorical effects of treatment and randomization stratum as well as the associated baseline value as a covariate.
    Method ANCOVA
    Comments
    27. Secondary Outcome
    Title Percentage of Participants Who Were Positive for Anti-Setrusumab Antibodies at Any Time During the Study up to Month 14
    Description Serum samples were screened for antibodies binding to setrusumab using a validated assay method by or under the supervision of the sponsor.
    Time Frame up to Month 14

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who received at least 1 dose of study drug. The 19 participants who transitioned from the Placebo arm to the Setrusumab 20 mg/kg Open-Label arm are reflected in both arms for this analysis.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Placebo IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Due to a protocol amendment, placebo was actually received for an average of 5 months.
    Measure Participants 31 29 30 21 20
    Binding Antibodies
    16.1
    51.9%
    17.2
    59.3%
    16.7
    55.7%
    9.5
    475%
    15.0
    75%
    Neutralizing Antibodies
    16.1
    51.9%
    17.2
    59.3%
    16.7
    55.7%
    0
    0%
    0
    0%
    Both Binding and Neutralizing Antibodies
    16.1
    51.9%
    17.2
    59.3%
    16.7
    55.7%
    0
    0%
    0
    0%
    28. Secondary Outcome
    Title Percentage of Participants With Adverse Events (AEs), Treatment-Emergent AEs (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation or Death
    Description An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. A serious AE (SAE) is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; is another important medical event. The intensity for each AE was graded as mild, moderate or severe, according to the investigator's judgement. An event was considered related to study drug if there were a "reasonable possibility" of a relationship, according to the investigator's clinical judgment. A TEAE was defined as an event occurring or worsening on or after the first dose of study medication.
    Time Frame Non-serious AEs: up to Month 14; Serious AEs: up to Month 24. (Average duration of exposure to placebo was 5 months and for setrusumab was 11 month plus follow-up to 24 months.)

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who received at least 1 dose of study drug. The 19 participants who transitioned from the Placebo arm to the Setrusumab 20 mg/kg Open-Label arm are reflected in both arms for this analysis.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Placebo IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Due to a protocol amendment, placebo was actually received for an average of 5 months.
    Measure Participants 31 29 30 21 20
    All AEs
    100.0
    322.6%
    96.6
    333.1%
    90.0
    300%
    100.0
    5000%
    90.0
    450%
    TEAEs
    100.0
    322.6%
    96.6
    333.1%
    90.0
    300%
    95.2
    4760%
    80.0
    400%
    Treatment-Related TEAEs
    71.0
    229%
    41.4
    142.8%
    36.7
    122.3%
    42.9
    2145%
    25.0
    125%
    Serious TEAEs
    12.9
    41.6%
    24.1
    83.1%
    23.3
    77.7%
    23.8
    1190%
    10.0
    50%
    Treatment-Related Serious TEAEs
    6.5
    21%
    0
    0%
    0
    0%
    9.5
    475%
    0
    0%
    TEAEs Leading to Death
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    TEAEs Leading to Permanent Study Treatment Discontinuation
    6.5
    21%
    0
    0%
    0
    0%
    9.5
    475%
    5.0
    25%

    Adverse Events

    Time Frame Non-serious AEs: up to Month 14; Serious AEs: up to Month 24. (Average duration of exposure to placebo was 5 months and for setrusumab was 11 month plus follow-up to 24 months.)
    Adverse Event Reporting Description Safety Population: all participants who received at least 1 dose of study drug. The 19 participants who transitioned from the Placebo arm to the Setrusumab 20 mg/kg Open-Label arm are reflected in both arms for this analysis.
    Arm/Group Title Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Arm/Group Description Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 8 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 2 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Setrusumab 20 mg/kg IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules. Placebo IV infusion once a month for 12 months plus 500 mg calcium oral tablets and 800 IU vitamin D capsules.
    All Cause Mortality
    Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Serious Adverse Events
    Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 4/31 (12.9%) 7/29 (24.1%) 7/30 (23.3%) 5/21 (23.8%) 2/20 (10%)
    Congenital, familial and genetic disorders
    Platybasia 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Eye disorders
    Blindness unilateral 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Visual impairment 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Gastrointestinal disorders
    Noninfective sialoadenitis 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Rectal haemorrhage 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    General disorders
    Chills 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Hepatobiliary disorders
    Cholelithiasis 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Immune system disorders
    Anaphylactic reaction 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Infections and infestations
    Anal abscess 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Appendicitis 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Device related infection 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Joint abscess 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Pneumonia 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Wound infection 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Pyelonephritis acute 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Injury, poisoning and procedural complications
    Femur fracture 0/31 (0%) 1/29 (3.4%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Pelvic fracture 1/31 (3.2%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Tibia fracture 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Ankle fracture 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Fibula fracture 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Fracture of penis 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Hand fracture 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Ilium fracture 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Lumbar vertebral fracture 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Radius fracture 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Rib fracture 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Subcutaneous haematoma 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Wound 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Scapula fracture 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Bone pain 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Fracture nonunion 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Squamous cell carcinoma 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Nervous system disorders
    Headache 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Hydrocephalus 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Neuritis 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Pneumonia aspiration 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Pneumothorax 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Pulmonary hypertension 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Respiratory failure 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Other (Not Including Serious) Adverse Events
    Setrusumab 20 mg/kg (Blinded) Setrusumab 8 mg/kg (Blinded) Setrusumab 2 mg/kg (Blinded) Setrusumab 20 mg/kg (Open-Label) Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 29/31 (93.5%) 28/29 (96.6%) 27/30 (90%) 19/21 (90.5%) 16/20 (80%)
    Blood and lymphatic system disorders
    Anaemia 1/31 (3.2%) 0/29 (0%) 2/30 (6.7%) 2/21 (9.5%) 0/20 (0%)
    Increased tendency to bruise 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Cardiac disorders
    Tachycardia 0/31 (0%) 0/29 (0%) 3/30 (10%) 0/21 (0%) 0/20 (0%)
    Ear and labyrinth disorders
    Ear pain 0/31 (0%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Middle ear effusion 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Eye disorders
    Blepharospasm 2/31 (6.5%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Gastrointestinal disorders
    Dental caries 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 1/21 (4.8%) 1/20 (5%)
    Diarrhoea 4/31 (12.9%) 3/29 (10.3%) 2/30 (6.7%) 1/21 (4.8%) 1/20 (5%)
    Dyspepsia 2/31 (6.5%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Gastrooesophageal reflux disease 1/31 (3.2%) 2/29 (6.9%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Nausea 2/31 (6.5%) 3/29 (10.3%) 5/30 (16.7%) 2/21 (9.5%) 2/20 (10%)
    Toothache 2/31 (6.5%) 0/29 (0%) 1/30 (3.3%) 1/21 (4.8%) 0/20 (0%)
    Vomiting 3/31 (9.7%) 1/29 (3.4%) 1/30 (3.3%) 3/21 (14.3%) 1/20 (5%)
    General disorders
    Asthenia 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Chest pain 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 2/21 (9.5%) 0/20 (0%)
    Fatigue 3/31 (9.7%) 2/29 (6.9%) 7/30 (23.3%) 3/21 (14.3%) 0/20 (0%)
    Influenza like illness 1/31 (3.2%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Injection site extravasation 1/31 (3.2%) 1/29 (3.4%) 0/30 (0%) 1/21 (4.8%) 1/20 (5%)
    Malaise 0/31 (0%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Non-cardiac chest pain 0/31 (0%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Pain 2/31 (6.5%) 0/29 (0%) 2/30 (6.7%) 1/21 (4.8%) 0/20 (0%)
    Peripheral swelling 0/31 (0%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Pyrexia 1/31 (3.2%) 2/29 (6.9%) 2/30 (6.7%) 2/21 (9.5%) 2/20 (10%)
    Immune system disorders
    Seasonal allergy 0/31 (0%) 0/29 (0%) 2/30 (6.7%) 1/21 (4.8%) 0/20 (0%)
    Infections and infestations
    Bronchitis 1/31 (3.2%) 1/29 (3.4%) 0/30 (0%) 1/21 (4.8%) 1/20 (5%)
    Cystitis 0/31 (0%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Ear infection 3/31 (9.7%) 1/29 (3.4%) 0/30 (0%) 1/21 (4.8%) 0/20 (0%)
    Gastroenteritis 3/31 (9.7%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Herpes zoster 2/31 (6.5%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Influenza 2/31 (6.5%) 0/29 (0%) 0/30 (0%) 4/21 (19%) 1/20 (5%)
    Lower respiratory tract infection 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 1/20 (5%)
    Nasopharyngitis 5/31 (16.1%) 3/29 (10.3%) 4/30 (13.3%) 5/21 (23.8%) 3/20 (15%)
    Sinusitis 2/31 (6.5%) 3/29 (10.3%) 4/30 (13.3%) 0/21 (0%) 0/20 (0%)
    Tooth abscess 0/31 (0%) 0/29 (0%) 2/30 (6.7%) 0/21 (0%) 0/20 (0%)
    Upper respiratory tract infection 1/31 (3.2%) 0/29 (0%) 1/30 (3.3%) 1/21 (4.8%) 1/20 (5%)
    Urinary tract infection 3/31 (9.7%) 3/29 (10.3%) 2/30 (6.7%) 3/21 (14.3%) 1/20 (5%)
    Injury, poisoning and procedural complications
    Contusion 1/31 (3.2%) 2/29 (6.9%) 1/30 (3.3%) 3/21 (14.3%) 0/20 (0%)
    Fall 6/31 (19.4%) 4/29 (13.8%) 3/30 (10%) 2/21 (9.5%) 2/20 (10%)
    Foot fracture 3/31 (9.7%) 4/29 (13.8%) 3/30 (10%) 6/21 (28.6%) 1/20 (5%)
    Hand fracture 1/31 (3.2%) 3/29 (10.3%) 2/30 (6.7%) 0/21 (0%) 0/20 (0%)
    Infusion related reaction 4/31 (12.9%) 3/29 (10.3%) 1/30 (3.3%) 2/21 (9.5%) 0/20 (0%)
    Joint dislocation 0/31 (0%) 0/29 (0%) 1/30 (3.3%) 3/21 (14.3%) 0/20 (0%)
    Joint injury 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 1/20 (5%)
    Ligament sprain 3/31 (9.7%) 1/29 (3.4%) 2/30 (6.7%) 1/21 (4.8%) 2/20 (10%)
    Limb injury 0/31 (0%) 3/29 (10.3%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Muscle strain 1/31 (3.2%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Procedural pain 2/31 (6.5%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Rib fracture 2/31 (6.5%) 3/29 (10.3%) 3/30 (10%) 0/21 (0%) 0/20 (0%)
    Tooth fracture 3/31 (9.7%) 2/29 (6.9%) 6/30 (20%) 0/21 (0%) 0/20 (0%)
    Wound 0/31 (0%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    Investigations
    Alanine aminotransferase abnormal 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Alanine aminotransferase increased 2/31 (6.5%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Aspartate aminotransferase abnormal 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Aspartate aminotransferase increased 2/31 (6.5%) 1/29 (3.4%) 1/30 (3.3%) 1/21 (4.8%) 0/20 (0%)
    Blood alkaline phosphatase increased 2/31 (6.5%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 0/20 (0%)
    International normalised ratio increased 0/31 (0%) 1/29 (3.4%) 3/30 (10%) 1/21 (4.8%) 1/20 (5%)
    Lipase increased 1/31 (3.2%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Prothrombin time prolonged 0/31 (0%) 1/29 (3.4%) 3/30 (10%) 1/21 (4.8%) 1/20 (5%)
    Vitamin D decreased 0/31 (0%) 1/29 (3.4%) 2/30 (6.7%) 2/21 (9.5%) 0/20 (0%)
    Metabolism and nutrition disorders
    Hypokalaemia 0/31 (0%) 0/29 (0%) 0/30 (0%) 2/21 (9.5%) 1/20 (5%)
    Type 2 diabetes mellitus 0/31 (0%) 2/29 (6.9%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Vitamin D deficiency 2/31 (6.5%) 0/29 (0%) 1/30 (3.3%) 1/21 (4.8%) 0/20 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 15/31 (48.4%) 8/29 (27.6%) 9/30 (30%) 8/21 (38.1%) 5/20 (25%)
    Back pain 6/31 (19.4%) 4/29 (13.8%) 8/30 (26.7%) 4/21 (19%) 1/20 (5%)
    Bone pain 4/31 (12.9%) 3/29 (10.3%) 4/30 (13.3%) 2/21 (9.5%) 0/20 (0%)
    Muscle spasms 2/31 (6.5%) 1/29 (3.4%) 2/30 (6.7%) 1/21 (4.8%) 0/20 (0%)
    Musculoskeletal chest pain 2/31 (6.5%) 1/29 (3.4%) 3/30 (10%) 2/21 (9.5%) 0/20 (0%)
    Musculoskeletal discomfort 1/31 (3.2%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Myalgia 2/31 (6.5%) 1/29 (3.4%) 0/30 (0%) 1/21 (4.8%) 1/20 (5%)
    Neck pain 1/31 (3.2%) 1/29 (3.4%) 4/30 (13.3%) 1/21 (4.8%) 0/20 (0%)
    Pain in extremity 5/31 (16.1%) 5/29 (17.2%) 3/30 (10%) 4/21 (19%) 1/20 (5%)
    Nervous system disorders
    Dizziness 2/31 (6.5%) 0/29 (0%) 3/30 (10%) 0/21 (0%) 1/20 (5%)
    Headache 4/31 (12.9%) 5/29 (17.2%) 6/30 (20%) 7/21 (33.3%) 2/20 (10%)
    Hypoaesthesia 3/31 (9.7%) 0/29 (0%) 1/30 (3.3%) 0/21 (0%) 0/20 (0%)
    Migraine 1/31 (3.2%) 0/29 (0%) 3/30 (10%) 0/21 (0%) 0/20 (0%)
    Paraesthesia 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Trigeminal neuralgia 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Renal and urinary disorders
    Nephrolithiasis 0/31 (0%) 0/29 (0%) 2/30 (6.7%) 1/21 (4.8%) 0/20 (0%)
    Renal colic 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Reproductive system and breast disorders
    Dysmenorrhoea 0/31 (0%) 0/29 (0%) 0/30 (0%) 1/21 (4.8%) 1/20 (5%)
    Menorrhagia 0/31 (0%) 0/29 (0%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Respiratory, thoracic and mediastinal disorders
    Cough 2/31 (6.5%) 2/29 (6.9%) 2/30 (6.7%) 3/21 (14.3%) 0/20 (0%)
    Dyspnoea 0/31 (0%) 1/29 (3.4%) 2/30 (6.7%) 0/21 (0%) 0/20 (0%)
    Skin and subcutaneous tissue disorders
    Ecchymosis 1/31 (3.2%) 1/29 (3.4%) 0/30 (0%) 0/21 (0%) 1/20 (5%)
    Vascular disorders
    Hypertension 1/31 (3.2%) 0/29 (0%) 2/30 (6.7%) 1/21 (4.8%) 0/20 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Medical Information
    Organization Ultragenyx Pharmaceutical Inc
    Phone 1-888-756-8567
    Email medinfo@ultragenyx.com
    Responsible Party:
    Ultragenyx Pharmaceutical Inc
    ClinicalTrials.gov Identifier:
    NCT03118570
    Other Study ID Numbers:
    • MBPS205
    • 2016-005096-27
    First Posted:
    Apr 18, 2017
    Last Update Posted:
    Mar 2, 2022
    Last Verified:
    Feb 1, 2022