A Study to Evaluate Oral Salmon Calcitonin in the Treatment of Osteoporosis in Postmenopausal Women Taking Calcium and Vitamin D

Sponsor
Nordic Bioscience A/S (Industry)
Overall Status
Completed
CT.gov ID
NCT00525798
Collaborator
Novartis (Industry)
4,665
16
2
56
291.6
5.2

Study Details

Study Description

Brief Summary

The purpose of this Phase III study is to evaluate the efficacy and safety of oral salmon calcitonin in the treatment of patients with osteoporosis

Condition or Disease Intervention/Treatment Phase
  • Drug: SMC021 Oral calcitonin
  • Drug: SMC021 Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
4665 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blind, Multi-Center, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Oral Salmon Calcitonin in the Treatment of Osteoporosis in Postmenopausal Women Taking Calcium and Vitamin D
Study Start Date :
Mar 1, 2007
Actual Primary Completion Date :
Aug 1, 2011
Actual Study Completion Date :
Nov 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: 1

SMC021 - Oral Calcitonin

Drug: SMC021 Oral calcitonin
0.8mg SMC021 - oral calcitonin, once daily

Placebo Comparator: SMC021- Placebo

SMC021 - placebo

Drug: SMC021 Placebo
SMC021 - Placebo, once daily

Outcome Measures

Primary Outcome Measures

  1. Number of Patients With New Vertebral Fractures [From baseline to month 36]

    The primary variable was the occurrence or not of a new vertebral fracture during the 3 year observation period. New vertebral fractures were identified from an assessment of x-ray of the lateral spine through time (at baseline and at yearly intervals thereafter). The outcome is the number of new vertebral fractures from baseline to 36 months.

Secondary Outcome Measures

  1. Number of Patients With Non-vertebral Fractures [From baseline to month 36]

    The secondary outcome was the occurrence or not of a non-vertebral fracture during the 3 year observation period. Non-vertebral fractures of interest were: hip fractures, forearm fractures, humurus fractures, rib fractures and clavicular fractures. Any new non-vertebral fractures while on-study were recorded. A copy of radiographs confirming the fracture, as well as a copy of the radiologist's report was to be obtained. A copy of the emergency room discharge letter or a hospital discharge letter was also obtained.

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years to 85 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Postmenopausal women with osteoporosis, ambulatory, in general good health, not receiving medication that affects bone metabolism, and free from any underlying condition, other than osteoporosis, that may result in abnormal bone metabolism.
Exclusion Criteria:
  • BMD T-score below -4.0 (based on absolute values g/cm2 as given in the protocol) at one or more of the measured sites

  • More than 2 prevalent vertebral fractures (Genant et al, 15).

  • If BMD is lower than -2.5 T-score at one or more of the measured sites, the participants will be excluded from the study, if they have a severe vertebral fracture (Genant et al, 15).

  • Evidence of any clinical osteoporotic fracture and/or if they have a history of a clinical osteoporotic fracture (excluding wrist fractures)

  • BMD T-score > -1.5 in all of the following regions: Lumbar spine, femoral neck or total hip.

Other protocol defined inclusion/exclusion criteria may apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 United Osteporosis Centers Gainesville Georgia United States 30501
2 Michigan Bone & Mineral Clinic PC, Detroit Michigan United States 48236
3 Oregon Osteoporosis Center Portland Oregon United States 97213
4 CCBR Brazil Rio de Janeiro Brazil 22271-100
5 CCBR China Beijing China 102206
6 CCBR Czech Pardubice Czech Republic 53002
7 CCBR Aalborg Aalborg Denmark 9000
8 CCBR Ballerup Ballerup Denmark 2750
9 CCBR Vejle Vejle Denmark 7100
10 CCBR Estonia Tallinn Estonia 10128
11 Hopital Edouard Herriot Lyon France 69437
12 CCBR Hong Kong Hong Kong Hong Kong
13 Department of Internal Medicine, University of Florence Florence Italy
14 CCBR Lithuania Vilnius Lithuania 10323
15 CCBR Poland Warsaw Poland 04703
16 CCBR Romania Bucharest Romania 030463

Sponsors and Collaborators

  • Nordic Bioscience A/S
  • Novartis

Investigators

  • Study Chair: Bente J Riis, M.D., Nordic Bioscience A/S

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Nordic Bioscience A/S
ClinicalTrials.gov Identifier:
NCT00525798
Other Study ID Numbers:
  • SMC021A2303
First Posted:
Sep 6, 2007
Last Update Posted:
Oct 29, 2012
Last Verified:
Oct 1, 2012

Study Results

Participant Flow

Recruitment Details Patients were enrolled at 16 centers in 12 countries: 3 centers in the US and 3 centers in Denmark. 1 center in Brazil, Estonia, Czech Republic, Poland, Lithuania, Romania, Italy, France, Hong Kong, and China. First patient randomized: 26 Feb 2007 Last patient visit: 30 Jul 2011
Pre-assignment Detail
Arm/Group Title SMC021 Placebo
Arm/Group Description 1 tablet of 0,80 mg SMC021 daily 1 tablet of placebo daily
Period Title: Overall Study
STARTED 2334 2331
COMPLETED 1578 1732
NOT COMPLETED 756 599

Baseline Characteristics

Arm/Group Title SMC021 Placebo Total
Arm/Group Description 1 tablet of 0,80 mg SMC021 daily 1 tablet of placebo daily Total of all reporting groups
Overall Participants 2334 2331 4665
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
912
39.1%
860
36.9%
1772
38%
>=65 years
1422
60.9%
1471
63.1%
2893
62%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
66.5
(6.12)
67.0
(6.16)
66.8
(6.14)
Sex: Female, Male (Count of Participants)
Female
2334
100%
2331
100%
4665
100%
Male
0
0%
0
0%
0
0%
Region of Enrollment (participants) [Number]
United States
31
1.3%
30
1.3%
61
1.3%
France
2
0.1%
2
0.1%
4
0.1%
Hong Kong
74
3.2%
73
3.1%
147
3.2%
Czech Republic
230
9.9%
232
10%
462
9.9%
Estonia
167
7.2%
166
7.1%
333
7.1%
Brazil
492
21.1%
492
21.1%
984
21.1%
Poland
176
7.5%
176
7.6%
352
7.5%
Lithuania
149
6.4%
150
6.4%
299
6.4%
Romania
172
7.4%
171
7.3%
343
7.4%
Denmark
599
25.7%
598
25.7%
1197
25.7%
Italy
18
0.8%
17
0.7%
35
0.8%
China
224
9.6%
224
9.6%
448
9.6%

Outcome Measures

1. Primary Outcome
Title Number of Patients With New Vertebral Fractures
Description The primary variable was the occurrence or not of a new vertebral fracture during the 3 year observation period. New vertebral fractures were identified from an assessment of x-ray of the lateral spine through time (at baseline and at yearly intervals thereafter). The outcome is the number of new vertebral fractures from baseline to 36 months.
Time Frame From baseline to month 36

Outcome Measure Data

Analysis Population Description
all patients randomized who received at least one dose of study drug, with the addition of evaluable baseline spine X-ray and at least one follow-up for calculation of vertebral fractures.
Arm/Group Title SMC021 Placebo
Arm/Group Description 1 tablet of 0,80 mg SMC021 daily 1 tablet of placebo daily
Measure Participants 2064 2125
Number [Participants]
94
4%
99
4.2%
2. Secondary Outcome
Title Number of Patients With Non-vertebral Fractures
Description The secondary outcome was the occurrence or not of a non-vertebral fracture during the 3 year observation period. Non-vertebral fractures of interest were: hip fractures, forearm fractures, humurus fractures, rib fractures and clavicular fractures. Any new non-vertebral fractures while on-study were recorded. A copy of radiographs confirming the fracture, as well as a copy of the radiologist's report was to be obtained. A copy of the emergency room discharge letter or a hospital discharge letter was also obtained.
Time Frame From baseline to month 36

Outcome Measure Data

Analysis Population Description
all randomized patients
Arm/Group Title SMC021 Placebo
Arm/Group Description 1 tablet of 0,80 mg SMC021 daily 1 tablet of placebo daily
Measure Participants 2334 2331
Number [Participants]
75
3.2%
82
3.5%

Adverse Events

Time Frame From baseline to 36 month
Adverse Event Reporting Description
Arm/Group Title SMC021 Placebo
Arm/Group Description 1 tablet of 0,80 mg SMC021 daily 1 tablet of placebo daily
All Cause Mortality
SMC021 Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
SMC021 Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 340/2334 (14.6%) 378/2331 (16.2%)
Blood and lymphatic system disorders
Anemia 0/2334 (0%) 2/2331 (0.1%)
Iron deficiency anaemia 0/2334 (0%) 1/2331 (0%)
Cardiac disorders
Atrial fibrillation 10/2334 (0.4%) 8/2331 (0.3%)
Acute myocardial infarction 6/2334 (0.3%) 3/2331 (0.1%)
Coronary artery disease 5/2334 (0.2%) 5/2331 (0.2%)
Angina pectoris 5/2334 (0.2%) 4/2331 (0.2%)
Myocardial ischaemia 4/2334 (0.2%) 3/2331 (0.1%)
Angina unstable 3/2334 (0.1%) 6/2331 (0.3%)
Myocardial infarction 3/2334 (0.1%) 4/2331 (0.2%)
Arrhytmia 3/2334 (0.1%) 1/2331 (0%)
Cardiac failure 3/2334 (0.1%) 1/2331 (0%)
Cardiac failure congestive 3/2334 (0.1%) 0/2331 (0%)
Atrial flutter 2/2334 (0.1%) 2/2331 (0.1%)
Arteriosclerosis coronary artery 2/2334 (0.1%) 0/2331 (0%)
Aortic valve stenosis 1/2334 (0%) 1/2331 (0%)
Sick sinus syndrome 1/2334 (0%) 1/2331 (0%)
Bradycardia 1/2334 (0%) 0/2331 (0%)
Cardiovascular insufficiency 1/2334 (0%) 0/2331 (0%)
Pericarditis 1/2334 (0%) 0/2331 (0%)
Tachycardia 1/2334 (0%) 0/2331 (0%)
Ventricular extrasystoles 1/2334 (0%) 0/2331 (0%)
Acute coronary syndrome 0/2334 (0%) 1/2331 (0%)
Aortic valve disease 0/2334 (0%) 1/2331 (0%)
Bundle branch block left 0/2334 (0%) 1/2331 (0%)
Cardiomyopathy 0/2334 (0%) 1/2331 (0%)
Coronary artery dilatation 0/2334 (0%) 1/2331 (0%)
Coronary artery stenosis 0/2334 (0%) 1/2331 (0%)
Coronary artery thrombosis 0/2334 (0%) 1/2331 (0%)
Hypertrophic cardiomyopathy 0/2334 (0%) 1/2331 (0%)
Mitral valve incompetence 0/2334 (0%) 1/2331 (0%)
Supraventricular tachycardia 0/2334 (0%) 1/2331 (0%)
Ventricular dysfunction 0/2334 (0%) 1/2331 (0%)
Ventricular failure 0/2334 (0%) 1/2331 (0%)
Congenital, familial and genetic disorders
Hereditary haemorrhagic telangiectasia 1/2334 (0%) 0/2331 (0%)
Abdominal wall anomaly 0/2334 (0%) 1/2331 (0%)
Ear and labyrinth disorders
Vertigo 1/2334 (0%) 3/2331 (0.1%)
Deafness 1/2334 (0%) 0/2331 (0%)
Meniere´s disease 1/2334 (0%) 0/2331 (0%)
Otosclerosis 1/2334 (0%) 0/2331 (0%)
Deafness unilateral 0/2334 (0%) 1/2331 (0%)
Vertigo positional 0/2334 (0%) 1/2331 (0%)
Vestibular ataxia 0/2334 (0%) 1/2331 (0%)
Endocrine disorders
Goitre 2/2334 (0.1%) 2/2331 (0.1%)
Hypothyroidism 1/2334 (0%) 0/2331 (0%)
Thyroid disorder 1/2334 (0%) 0/2331 (0%)
Hypothyroidic goitre 0/2334 (0%) 1/2331 (0%)
Eye disorders
Cataract 6/2334 (0.3%) 3/2331 (0.1%)
Glaucoma 2/2334 (0.1%) 1/2331 (0%)
Retinal detachment 1/2334 (0%) 1/2331 (0%)
Macular degeneration 1/2334 (0%) 0/2331 (0%)
Maculopathy 1/2334 (0%) 0/2331 (0%)
Scleritis 1/2334 (0%) 0/2331 (0%)
Eye disorder 0/2334 (0%) 2/2331 (0.1%)
Angle closure glaucoma 0/2334 (0%) 1/2331 (0%)
Optic atrophy 0/2334 (0%) 1/2331 (0%)
Gastrointestinal disorders
Abdominal pain 3/2334 (0.1%) 2/2331 (0.1%)
Inguinal hernia 3/2334 (0.1%) 0/2331 (0%)
Abdominal hernia 2/2334 (0.1%) 2/2331 (0.1%)
Dyspepsia 2/2334 (0.1%) 2/2331 (0.1%)
Ileus 2/2334 (0.1%) 2/2331 (0.1%)
Haemorrhoids 2/2334 (0.1%) 1/2331 (0%)
Intestinal obstruction 2/2334 (0.1%) 0/2331 (0%)
Colonic polyp 1/2334 (0%) 4/2331 (0.2%)
Gastrointestinal haemorrhage 1/2334 (0%) 2/2331 (0.1%)
Colitis 1/2334 (0%) 1/2331 (0%)
Diarrhoea 1/2334 (0%) 1/2331 (0%)
Duodenal ulcer 1/2334 (0%) 1/2331 (0%)
Femoral hernia 1/2334 (0%) 1/2331 (0%)
Pancreatitis acute 1/2334 (0%) 1/2331 (0%)
Coeliac disease 1/2334 (0%) 0/2331 (0%)
Colitis ulcerative 1/2334 (0%) 0/2331 (0%)
Enterocele 1/2334 (0%) 0/2331 (0%)
Food poisoning 1/2334 (0%) 0/2331 (0%)
Gastric ulcer 1/2334 (0%) 0/2331 (0%)
Gastrointestinal disorder 1/2334 (0%) 0/2331 (0%)
Gastrointestinal inflammation 1/2334 (0%) 0/2331 (0%)
Hiatus hernia 1/2334 (0%) 0/2331 (0%)
Lumbar hernia 1/2334 (0%) 0/2331 (0%)
Mechanical ileus 1/2334 (0%) 0/2331 (0%)
Melaena 1/2334 (0%) 0/2331 (0%)
Small intestinal obstruction 1/2334 (0%) 0/2331 (0%)
Abdominal pain upper 0/2334 (0%) 2/2331 (0.1%)
Constipation 0/2334 (0%) 2/2331 (0.1%)
Gastric ulcer haemorrhage 0/2334 (0%) 2/2331 (0.1%)
Abdominal discomfort 0/2334 (0%) 1/2331 (0%)
Abdominal pain lower 0/2334 (0%) 1/2331 (0%)
Gastrooesophageal reflux disease 0/2334 (0%) 1/2331 (0%)
Intussusception 0/2334 (0%) 1/2331 (0%)
Oesophagitis 0/2334 (0%) 1/2331 (0%)
Rectal polyp 0/2334 (0%) 1/2331 (0%)
Umbilical hernia, obstructive 0/2334 (0%) 1/2331 (0%)
General disorders
Chest pain 3/2334 (0.1%) 8/2331 (0.3%)
Death 3/2334 (0.1%) 2/2331 (0.1%)
Pyrexia 2/2334 (0.1%) 0/2331 (0%)
Adverse drug reaction 1/2334 (0%) 0/2331 (0%)
Device occlusion 1/2334 (0%) 0/2331 (0%)
Oedema peripheral 1/2334 (0%) 0/2331 (0%)
Thrombosis in device 1/2334 (0%) 0/2331 (0%)
Chest discomfort 0/2334 (0%) 2/2331 (0.1%)
Accidental death 0/2334 (0%) 1/2331 (0%)
Sudden cardiac death 0/2334 (0%) 1/2331 (0%)
Ulcer 0/2334 (0%) 1/2331 (0%)
Hepatobiliary disorders
Cholelithiasis 19/2334 (0.8%) 9/2331 (0.4%)
Cholecystitis acute 2/2334 (0.1%) 2/2331 (0.1%)
Cholecystitis chronic 2/2334 (0.1%) 0/2331 (0%)
Gallbladder polyp 1/2334 (0%) 0/2331 (0%)
Bile duct stone 0/2334 (0%) 2/2331 (0.1%)
Biliary colic 0/2334 (0%) 1/2331 (0%)
Cholecystitis 0/2334 (0%) 1/2331 (0%)
Immune system disorders
Hypersensitivity 0/2334 (0%) 1/2331 (0%)
Infections and infestations
Pneumonia 12/2334 (0.5%) 11/2331 (0.5%)
Diverticulitis 3/2334 (0.1%) 3/2331 (0.1%)
Appendicitis 3/2334 (0.1%) 1/2331 (0%)
Urinary tract infection 2/2334 (0.1%) 2/2331 (0.1%)
Bronchitis 1/2334 (0%) 3/2331 (0.1%)
Gastroenteritis 1/2334 (0%) 2/2331 (0.1%)
Pyelonephritis 1/2334 (0%) 2/2331 (0.1%)
Septic shock 1/2334 (0%) 1/2331 (0%)
Urosepsis 1/2334 (0%) 1/2331 (0%)
Bacterial infection 1/2334 (0%) 0/2331 (0%)
Cystitis 1/2334 (0%) 0/2331 (0%)
Encephalitis viral 1/2334 (0%) 0/2331 (0%)
Gallbladder empyema 1/2334 (0%) 0/2331 (0%)
Gangrene 1/2334 (0%) 0/2331 (0%)
Gastroenteritis salmonella 1/2334 (0%) 0/2331 (0%)
Hepatitis C 1/2334 (0%) 0/2331 (0%)
Parainfluenzae virus infection 1/2334 (0%) 0/2331 (0%)
Perineal infection 1/2334 (0%) 0/2331 (0%)
Pyelonephritis acute 1/2334 (0%) 0/2331 (0%)
Tuberculosis 1/2334 (0%) 0/2331 (0%)
Erysipelas 0/2334 (0%) 2/2331 (0.1%)
Herpes zoster 0/2334 (0%) 2/2331 (0.1%)
Bronchopneumonia 0/2334 (0%) 1/2331 (0%)
Infection 0/2334 (0%) 1/2331 (0%)
Neurological infection 0/2334 (0%) 1/2331 (0%)
Paronychia 0/2334 (0%) 1/2331 (0%)
Pelvic inflammatory disease 0/2334 (0%) 1/2331 (0%)
Pyometra 0/2334 (0%) 1/2331 (0%)
Salmonellosis 0/2334 (0%) 1/2331 (0%)
Sepsis 0/2334 (0%) 1/2331 (0%)
Vaginal infection 0/2334 (0%) 1/2331 (0%)
Viral pericarditis 0/2334 (0%) 1/2331 (0%)
Injury, poisoning and procedural complications
Wrist fracture 8/2334 (0.3%) 8/2331 (0.3%)
Femoral neck fracture 5/2334 (0.2%) 3/2331 (0.1%)
Humurus fracture 4/2334 (0.2%) 4/2331 (0.2%)
Femur fracture 3/2334 (0.1%) 9/2331 (0.4%)
Concussion 3/2334 (0.1%) 0/2331 (0%)
Tibia fracture 2/2334 (0.1%) 3/2331 (0.1%)
Ankle fracture 2/2334 (0.1%) 2/2331 (0.1%)
Radius fracture 2/2334 (0.1%) 1/2331 (0%)
Hip fracture 1/2334 (0%) 4/2331 (0.2%)
Contusion 1/2334 (0%) 1/2331 (0%)
Joint dislocation 1/2334 (0%) 1/2331 (0%)
Multiple fractures 1/2334 (0%) 1/2331 (0%)
Spinal fracture 1/2334 (0%) 1/2331 (0%)
Thoracic vertebral fracture 1/2334 (0%) 1/2331 (0%)
Traumatic brain injury 1/2334 (0%) 1/2331 (0%)
Alcohol poisoning 1/2334 (0%) 0/2331 (0%)
Avulsion fracture 1/2334 (0%) 0/2331 (0%)
Burns secound degree 1/2334 (0%) 0/2331 (0%)
Burns third degree 1/2334 (0%) 0/2331 (0%)
Face injury 1/2334 (0%) 0/2331 (0%)
Forearm fracture 1/2334 (0%) 0/2331 (0%)
Jaw fracture 1/2334 (0%) 0/2331 (0%)
Limb traumatic amputation 1/2334 (0%) 0/2331 (0%)
Muscle injury 1/2334 (0%) 0/2331 (0%)
Perineal laceration 1/2334 (0%) 0/2331 (0%)
Road traffic accident 1/2334 (0%) 0/2331 (0%)
Toxicity to various agents 1/2334 (0%) 0/2331 (0%)
Ulna fracture 1/2334 (0%) 0/2331 (0%)
Pelvic fracture 0/2334 (0%) 3/2331 (0.1%)
Upper limb fracture 0/2334 (0%) 3/2331 (0.1%)
Lumbar vertebral fracture 0/2334 (0%) 2/2331 (0.1%)
Meniscus lesion 0/2334 (0%) 2/2331 (0.1%)
Rib fracture 0/2334 (0%) 2/2331 (0.1%)
Wound 0/2334 (0%) 2/2331 (0.1%)
Fibula fracture 0/2334 (0%) 1/2331 (0%)
Foot fracture 0/2334 (0%) 1/2331 (0%)
Limb injury 0/2334 (0%) 1/2331 (0%)
Lower limb fracture 0/2334 (0%) 1/2331 (0%)
Patella fracture 0/2334 (0%) 1/2331 (0%)
Post procedural haematoma 0/2334 (0%) 1/2331 (0%)
Post procedural haemorrhage 0/2334 (0%) 1/2331 (0%)
Postoperative hernia 0/2334 (0%) 1/2331 (0%)
Postpericardiotomy syndrome 0/2334 (0%) 1/2331 (0%)
Tendon injury 0/2334 (0%) 1/2331 (0%)
Tendon rupture 0/2334 (0%) 1/2331 (0%)
Investigations
Electrocardiogram QT prolonged 2/2334 (0.1%) 1/2331 (0%)
International normalised ratio increased 1/2334 (0%) 0/2331 (0%)
Arteriogram coronary 0/2334 (0%) 1/2331 (0%)
Arthroscopy 0/2334 (0%) 1/2331 (0%)
Metabolism and nutrition disorders
Diabetes mellitus 1/2334 (0%) 3/2331 (0.1%)
Dehydration 1/2334 (0%) 1/2331 (0%)
Type 2 diabetes mellitus 0/2334 (0%) 1/2331 (0%)
Musculoskeletal and connective tissue disorders
Osteoarthritis 19/2334 (0.8%) 17/2331 (0.7%)
Arthralgia 3/2334 (0.1%) 4/2331 (0.2%)
Spinal column stenosis 3/2334 (0.1%) 1/2331 (0%)
Foot deformity 2/2334 (0.1%) 5/2331 (0.2%)
Back pain 2/2334 (0.1%) 4/2331 (0.2%)
Osteonecrosis 2/2334 (0.1%) 0/2331 (0%)
Pseudarthrosis 2/2334 (0.1%) 0/2331 (0%)
Rheumatoid arthritis 2/2334 (0.1%) 0/2331 (0%)
Intervertebral disc protrusion 1/2334 (0%) 6/2331 (0.3%)
Arthritis 1/2334 (0%) 1/2331 (0%)
Fibromyalgia 1/2334 (0%) 0/2331 (0%)
Fistula 1/2334 (0%) 0/2331 (0%)
Haemarthrosis 1/2334 (0%) 0/2331 (0%)
Intervertebral disc disorder 1/2334 (0%) 0/2331 (0%)
Synovial cyst 1/2334 (0%) 0/2331 (0%)
Bone pain 0/2334 (0%) 1/2331 (0%)
Bursitis 0/2334 (0%) 1/2331 (0%)
Mobility decreased 0/2334 (0%) 1/2331 (0%)
Periarthritis 0/2334 (0%) 1/2331 (0%)
Rotator cuff syndrome 0/2334 (0%) 1/2331 (0%)
Spondylolisthesis 0/2334 (0%) 1/2331 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 14/2334 (0.6%) 12/2331 (0.5%)
Rectal cancer 3/2334 (0.1%) 3/2331 (0.1%)
Lung neoplasm malignant 2/2334 (0.1%) 4/2331 (0.2%)
Malignant melanoma 2/2334 (0.1%) 2/2331 (0.1%)
Chronic lymphocytic leukaemia 2/2334 (0.1%) 1/2331 (0%)
Thyroid cancer 2/2334 (0.1%) 1/2331 (0%)
Lymphoma 2/2334 (0.1%) 0/2331 (0%)
Multiple myeloma 2/2334 (0.1%) 0/2331 (0%)
Ovarian cancer 2/2334 (0.1%) 0/2331 (0%)
Skin cancer 2/2334 (0.1%) 0/2331 (0%)
Adult T-cell lymphoma/leukaemia 1/2334 (0%) 0/2331 (0%)
B-cell lymphoma 1/2334 (0%) 0/2331 (0%)
Basal cell carcinoma 1/2334 (0%) 0/2331 (0%)
Benign renal neoplasm 1/2334 (0%) 0/2331 (0%)
Bronchial carcinoma 1/2334 (0%) 0/2331 (0%)
Cervix carcinoma stage 0 1/2334 (0%) 0/2331 (0%)
Cervix neoplasm 1/2334 (0%) 0/2331 (0%)
Endometríal cancer 1/2334 (0%) 0/2331 (0%)
Lipoma of breast 1/2334 (0%) 0/2331 (0%)
Lung adenocarcinoma 1/2334 (0%) 0/2331 (0%)
Lung cancer metastatic 1/2334 (0%) 0/2331 (0%)
Metastasis 1/2334 (0%) 0/2331 (0%)
Nasal cavity cancer 1/2334 (0%) 0/2331 (0%)
Ovarian germ cell teratoma benign 1/2334 (0%) 0/2331 (0%)
Renal cell carcinoma 1/2334 (0%) 0/2331 (0%)
Renal oncocytoma 1/2334 (0%) 0/2331 (0%)
Squamos cell carcinoma of skin 1/2334 (0%) 0/2331 (0%)
Uterine carcinoma in situ 1/2334 (0%) 0/2331 (0%)
Uterine leiomyoma 1/2334 (0%) 0/2331 (0%)
Bladder cancer 0/2334 (0%) 3/2331 (0.1%)
Vulval cancer 0/2334 (0%) 2/2331 (0.1%)
Adenocarcinoma 0/2334 (0%) 1/2331 (0%)
Adenoma benign 0/2334 (0%) 1/2331 (0%)
Adrenocortical carcinoma 0/2334 (0%) 1/2331 (0%)
Benign ovarian tumour 0/2334 (0%) 1/2331 (0%)
Breast cancer metastatic 0/2334 (0%) 1/2331 (0%)
Carcinoid tumour of the stomach 0/2334 (0%) 1/2331 (0%)
Cervix carcinoma 0/2334 (0%) 1/2331 (0%)
Cervix carcinoma stage III 0/2334 (0%) 1/2331 (0%)
Colon cancer 0/2334 (0%) 1/2331 (0%)
Gastrooesophageal cancer 0/2334 (0%) 1/2331 (0%)
Lung neoplasm 0/2334 (0%) 1/2331 (0%)
Meningioma 0/2334 (0%) 1/2331 (0%)
Mucoepidermoid carcinoma 0/2334 (0%) 1/2331 (0%)
Ovarian cancer metastatic 0/2334 (0%) 1/2331 (0%)
Pancreatic carcinoma 0/2334 (0%) 1/2331 (0%)
Rectosigmoid cancer 0/2334 (0%) 1/2331 (0%)
Renal cancer 0/2334 (0%) 1/2331 (0%)
Spinal haemangioma 0/2334 (0%) 1/2331 (0%)
Thyroid neoplasm 0/2334 (0%) 1/2331 (0%)
Uterine cancer 0/2334 (0%) 1/2331 (0%)
Nervous system disorders
Cerebrovascular accident 10/2334 (0.4%) 8/2331 (0.3%)
Ischaemic stroke 5/2334 (0.2%) 5/2331 (0.2%)
Syncope 3/2334 (0.1%) 4/2331 (0.2%)
Transient ischaemic attack 2/2334 (0.1%) 9/2331 (0.4%)
Headache 1/2334 (0%) 3/2331 (0.1%)
Reversible ischaemic neurological deficit 2/2334 (0.1%) 0/2331 (0%)
Dizziness 1/2334 (0%) 1/2331 (0%)
Loss of consciousness 1/2334 (0%) 1/2331 (0%)
Brain stem infarction 1/2334 (0%) 0/2331 (0%)
Brain stem thrombosis 1/2334 (0%) 0/2331 (0%)
Cervicobrachial syndrome 1/2334 (0%) 0/2331 (0%)
Diabetic neuropathy 1/2334 (0%) 0/2331 (0%)
Neuropathy peripheral 1/2334 (0%) 0/2331 (0%)
Paraesthesia 1/2334 (0%) 0/2331 (0%)
Subarachnoid haemorrhage 1/2334 (0%) 0/2331 (0%)
Trigeminal neuralgia 1/2334 (0%) 0/2331 (0%)
Cerebral infarction 0/2334 (0%) 4/2331 (0.2%)
Cerebral thrombosis 0/2334 (0%) 3/2331 (0.1%)
Amnesia 0/2334 (0%) 2/2331 (0.1%)
Epilepsy 0/2334 (0%) 2/2331 (0.1%)
Haemorrhagic stroke 0/2334 (0%) 2/2331 (0.1%)
Hypertensive encephalopathy 0/2334 (0%) 2/2331 (0.1%)
Carotid artery stenosis 0/2334 (0%) 1/2331 (0%)
Cerebral haemorrhage 0/2334 (0%) 1/2331 (0%)
Cerebrovascular disorder 0/2334 (0%) 1/2331 (0%)
Convulsion 0/2334 (0%) 1/2331 (0%)
Hypoaesthesia 0/2334 (0%) 1/2331 (0%)
IIIrd nerve paralysis 0/2334 (0%) 1/2331 (0%)
Lumbar radiculopathy 0/2334 (0%) 1/2331 (0%)
Paralysis 0/2334 (0%) 1/2331 (0%)
Parkinsonism 0/2334 (0%) 1/2331 (0%)
Sciatica 0/2334 (0%) 1/2331 (0%)
Spinal cord compression 0/2334 (0%) 1/2331 (0%)
VIIth nerve paralysis 0/2334 (0%) 1/2331 (0%)
Vascular dementia 0/2334 (0%) 1/2331 (0%)
Vertebral artery stenosis 0/2334 (0%) 1/2331 (0%)
Psychiatric disorders
Depression 2/2334 (0.1%) 1/2331 (0%)
Insomnia 1/2334 (0%) 0/2331 (0%)
Renal and urinary disorders
Urinary incontinence 2/2334 (0.1%) 2/2331 (0.1%)
Cystitis noninfective 1/2334 (0%) 1/2331 (0%)
Nephrolithiasis 1/2334 (0%) 1/2331 (0%)
Renal cyst 1/2334 (0%) 1/2331 (0%)
Bladder prolapse 1/2334 (0%) 0/2331 (0%)
Bladder disorder 0/2334 (0%) 1/2331 (0%)
Calculus ureteric 0/2334 (0%) 1/2331 (0%)
Haematuria 0/2334 (0%) 1/2331 (0%)
Renal colic 0/2334 (0%) 1/2331 (0%)
Renal failure 0/2334 (0%) 1/2331 (0%)
Urethral caruncle 0/2334 (0%) 1/2331 (0%)
Urethral polyp 0/2334 (0%) 1/2331 (0%)
Urinary bladder polyp 0/2334 (0%) 1/2331 (0%)
Urinary retention 0/2334 (0%) 1/2331 (0%)
Reproductive system and breast disorders
Cystocele 2/2334 (0.1%) 4/2331 (0.2%)
Uterine polyp 2/2334 (0.1%) 3/2331 (0.1%)
Rectocele 2/2334 (0.1%) 1/2331 (0%)
Vaginal haemorrhage 2/2334 (0.1%) 1/2331 (0%)
Uterine prolapse 1/2334 (0%) 5/2331 (0.2%)
Vaginal prolapse 1/2334 (0%) 2/2331 (0.1%)
Endometrial disorder 1/2334 (0%) 0/2331 (0%)
Hydrometra 1/2334 (0%) 0/2331 (0%)
Breast enlargement 0/2334 (0%) 1/2331 (0%)
Genital disorder female 0/2334 (0%) 1/2331 (0%)
Ovarian cyst 0/2334 (0%) 1/2331 (0%)
Uterine haemorrhage 0/2334 (0%) 1/2331 (0%)
Respiratory, thoracic and mediastinal disorders
Asthma 4/2334 (0.2%) 1/2331 (0%)
Dyspnoea 2/2334 (0.1%) 0/2331 (0%)
Chronic obstructive pulmonary disease 1/2334 (0%) 2/2331 (0.1%)
Pulmonary embolism 1/2334 (0%) 1/2331 (0%)
Laryngeal oedema 1/2334 (0%) 0/2331 (0%)
Pleural effusion 1/2334 (0%) 0/2331 (0%)
Pleurisy 1/2334 (0%) 0/2331 (0%)
Pneumothorax 0/2334 (0%) 3/2331 (0.1%)
Acute respiratory failure 0/2334 (0%) 1/2331 (0%)
Bronchitis chronic 0/2334 (0%) 1/2331 (0%)
Haemoptysis 0/2334 (0%) 1/2331 (0%)
Laryngeal polyp 0/2334 (0%) 1/2331 (0%)
Skin and subcutaneous tissue disorders
Eczema 1/2334 (0%) 0/2331 (0%)
Actinic keratosis 0/2334 (0%) 1/2331 (0%)
Social circumstances
Breast prothesis user 0/2334 (0%) 1/2331 (0%)
Joint prothesis user 0/2334 (0%) 1/2331 (0%)
Surgical and medical procedures
Knee arthroplasty 3/2334 (0.1%) 3/2331 (0.1%)
Hip arthroplasty 3/2334 (0.1%) 2/2331 (0.1%)
Varicose vein operation 3/2334 (0.1%) 0/2331 (0%)
Appendicectomy 2/2334 (0.1%) 2/2331 (0.1%)
Mastectomy 1/2334 (0%) 1/2331 (0%)
Wrist surgery 1/2334 (0%) 1/2331 (0%)
Bone operation 1/2334 (0%) 0/2331 (0%)
Oophorectomy bilateral 1/2334 (0%) 0/2331 (0%)
Vaginaplasty 1/2334 (0%) 0/2331 (0%)
Vascular graft 1/2334 (0%) 0/2331 (0%)
Cataract operation 0/2334 (0%) 7/2331 (0.3%)
Aortic bypass 0/2334 (0%) 1/2331 (0%)
Breast prothesis removal 0/2334 (0%) 1/2331 (0%)
Cardiac pacemaker battery replacement 0/2334 (0%) 1/2331 (0%)
Cardiac pacemaker insertion 0/2334 (0%) 1/2331 (0%)
Cardiac pacemaker replacement 0/2334 (0%) 1/2331 (0%)
Cholecystectomy 0/2334 (0%) 1/2331 (0%)
Fracture reduction 0/2334 (0%) 1/2331 (0%)
Gallbladder operation 0/2334 (0%) 1/2331 (0%)
Genitourinary operation 0/2334 (0%) 1/2331 (0%)
Haemorrhoid operation 0/2334 (0%) 1/2331 (0%)
Hospitalisation 0/2334 (0%) 1/2331 (0%)
Osteosynthesis 0/2334 (0%) 1/2331 (0%)
Percutaneous coronary intervention 0/2334 (0%) 1/2331 (0%)
Radical hysterectomy 0/2334 (0%) 1/2331 (0%)
Shoulder operation 0/2334 (0%) 1/2331 (0%)
Vascular disorders
Hypertension 5/2334 (0.2%) 4/2331 (0.2%)
Varicose vein 3/2334 (0.1%) 2/2331 (0.1%)
Arteriosclerosis 2/2334 (0.1%) 1/2331 (0%)
Deep vein thrombosis 2/2334 (0.1%) 1/2331 (0%)
Femoral arterial stenosis 2/2334 (0.1%) 0/2331 (0%)
Aneurysm 1/2334 (0%) 0/2331 (0%)
Arterial occlusive disease 1/2334 (0%) 0/2331 (0%)
Circulatory collapse 1/2334 (0%) 0/2331 (0%)
Hypotension 1/2334 (0%) 0/2331 (0%)
Peripheral ischaemia 1/2334 (0%) 0/2331 (0%)
Temporal arteritis 1/2334 (0%) 0/2331 (0%)
Thrombophlebitis superficial 1/2334 (0%) 0/2331 (0%)
Hypertensive crisis 0/2334 (0%) 2/2331 (0.1%)
Aortic occlusion 0/2334 (0%) 1/2331 (0%)
Arteriosclerosis obliterans 0/2334 (0%) 1/2331 (0%)
Orthostatic hypotension 0/2334 (0%) 1/2331 (0%)
Vasculitis 0/2334 (0%) 1/2331 (0%)
Other (Not Including Serious) Adverse Events
SMC021 Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2152/2334 (92.2%) 2141/2331 (91.8%)
Blood and lymphatic system disorders
Anemia 69/2334 (3%) 77/2331 (3.3%)
Ear and labyrinth disorders
Vertigo 60/2334 (2.6%) 63/2331 (2.7%)
Eye disorders
Cataract 63/2334 (2.7%) 84/2331 (3.6%)
Gastrointestinal disorders
Nausea 357/2334 (15.3%) 117/2331 (5%)
Dyspepsia 228/2334 (9.8%) 129/2331 (5.5%)
Constipation 165/2334 (7.1%) 172/2331 (7.4%)
Diarrhea 157/2334 (6.7%) 120/2331 (5.1%)
Abdominal pain upper 153/2334 (6.6%) 107/2331 (4.6%)
Abdominal discomfort 114/2334 (4.9%) 57/2331 (2.4%)
Gastritis 64/2334 (2.7%) 57/2331 (2.4%)
Abdominal distension 54/2334 (2.3%) 44/2331 (1.9%)
General disorders
Vomiting 72/2334 (3.1%) 46/2331 (2%)
Edema peripheral 44/2334 (1.9%) 63/2331 (2.7%)
Chest pain 37/2334 (1.6%) 69/2331 (3%)
Infections and infestations
Nasopharyngitis 262/2334 (11.2%) 269/2331 (11.5%)
Influenza 133/2334 (5.7%) 160/2331 (6.9%)
Bronchitis 104/2334 (4.5%) 127/2331 (5.4%)
Pneumonia 102/2334 (4.4%) 108/2331 (4.6%)
Cystitis 100/2334 (4.3%) 96/2331 (4.1%)
Urinary tract infection 88/2334 (3.8%) 95/2331 (4.1%)
Viral infection 54/2334 (2.3%) 70/2331 (3%)
Sinusitis 46/2334 (2%) 52/2331 (2.2%)
Upper respiratory tract infection 35/2334 (1.5%) 48/2331 (2.1%)
Injury, poisoning and procedural complications
Contusion 55/2334 (2.4%) 54/2331 (2.3%)
Wrist fracture 42/2334 (1.8%) 47/2331 (2%)
Metabolism and nutrition disorders
Hypercholesterolemia 137/2334 (5.9%) 149/2331 (6.4%)
Hypertriglyceridemia 118/2334 (5.1%) 120/2331 (5.1%)
Hypocalcemia 53/2334 (2.3%) 33/2331 (1.4%)
Musculoskeletal and connective tissue disorders
Back Pain 311/2334 (13.3%) 339/2331 (14.5%)
Arthralgia 284/2334 (12.2%) 320/2331 (13.7%)
Pain in extremity 136/2334 (5.8%) 186/2331 (8%)
Osteoarthritis 129/2334 (5.5%) 142/2331 (6.1%)
Musculoskeletal pain 66/2334 (2.8%) 82/2331 (3.5%)
Muscle spasms 47/2334 (2%) 42/2331 (1.8%)
Nervous system disorders
Dizziness 120/2334 (5.1%) 105/2331 (4.5%)
Headache 72/2334 (3.1%) 80/2331 (3.4%)
Psychiatric disorders
Depression 62/2334 (2.7%) 58/2331 (2.5%)
Insomnia 45/2334 (1.9%) 60/2331 (2.6%)
Respiratory, thoracic and mediastinal disorders
Cough 79/2334 (3.4%) 88/2331 (3.8%)
Skin and subcutaneous tissue disorders
Erythema 123/2334 (5.3%) 14/2331 (0.6%)
Vascular disorders
Hot flush 263/2334 (11.3%) 41/2331 (1.8%)
Hypertension 238/2334 (10.2%) 267/2331 (11.5%)

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. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Dr. Bente Juul Riis
Organization Nordic Bioscience
Phone +45 22901317
Email bjr@nordicbioscience.com
Responsible Party:
Nordic Bioscience A/S
ClinicalTrials.gov Identifier:
NCT00525798
Other Study ID Numbers:
  • SMC021A2303
First Posted:
Sep 6, 2007
Last Update Posted:
Oct 29, 2012
Last Verified:
Oct 1, 2012