DIVA Study - A Study of Different Regimens of Intravenous Administration of Bonviva (Ibandronate) in Women With Post-Menopausal Osteoporosis

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT00048074
Collaborator
(none)
1,395
64
3
35
21.8
0.6

Study Details

Study Description

Brief Summary

This study will assess the efficacy and safety of intravenous administration of Bonviva regimens in women with post-menopausal osteoporosis, compared to oral daily administration. Patients will also receive daily supplementation with vitamin D and calcium. The anticipated time of study treatment is 2+ years, and the target sample size is 500+ individuals.

Condition or Disease Intervention/Treatment Phase
  • Drug: ibandronate [Bonviva/Boniva]
  • Drug: ibandronate [Bonviva/Boniva]
  • Drug: ibandronate [Bonviva/Boniva]
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1395 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-blind Study Comparing the Effect of Different Treatment Regimens of Intravenous Bonviva on Lumbar Bone Mineral Density in Women With Osteoporosis
Study Start Date :
Jun 1, 2002
Actual Primary Completion Date :
May 1, 2005
Actual Study Completion Date :
May 1, 2005

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

oral placebo daily and IV ibandronate 2 mg q 2 mo

Drug: ibandronate [Bonviva/Boniva]
2mg iv every 2 months

Experimental: 2

oral ibandronate 2.5 mg daily and IV placebo q 2 mo and q 3 mo

Drug: ibandronate [Bonviva/Boniva]
2.5mg po daily

Experimental: 3

oral placebo daily and IV ibandronate 3 mg q 3 mo

Drug: ibandronate [Bonviva/Boniva]
3mg iv every 3 months

Outcome Measures

Primary Outcome Measures

  1. Relative Percent Change From Baseline in Mean Bone Mineral Density (BMD) of Lumbar Spine (L2-L4) at 12 Months [Baseline and Month 12]

    BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 12. The change in BMD was defined as the relative difference between the last individual measurement available at 12 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)

Secondary Outcome Measures

  1. Relative Percent Change From Baseline in Mean BMD of Lumbar Spine (L2-L4) at 24 Months [Baseline and Month 24]

    BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 24. The change in BMD was defined as the relative difference between the last individual measurement available at 24 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)

  2. Absolute Change From Baseline in Mean BMD of Lumbar Spine (L2 - L4) at Month 12 and Month 24 [Baseline, Month 12 and Month 24]

    BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at screening, Month 12 and Month 24. The absolute change from Baseline in mean BMD of the lumbar spine (L2-L4) was defined as the difference between the last individual measurement available at Month 12 or Month 24 and Baseline. Only participants with data available at particular timepoint were analyzed.

  3. Relative Percent Change From Baseline in BMD of Proximal Femur (Consisting of Total Hip, Trochanter, and Femoral Neck) at Month 12 and 24 [Baseline, Month 12 and Month 24]

    BMD was measured by a single DXA scan of the proximal femur at the time of screening, Month 12 and Month 24.The change in BMD of the proximal femur (total hip, trochanter, femoral neck) was defined as the relative difference between the last individual measurement available at Month 12 or Month 24and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year/2year - BMD at Baseline) / (BMD at Baseline). BMD of fractured bones that could impact the scan area were not taken into account. Only participants with data available at particular timepoint were analyzed.

  4. Absolute Change From Baseline in BMD of Proximal Femur (Consisting of Total Hip, Trochanter, and Femoral Neck) at Month 12 and 24 [Baseline, Month 12 and Month 24]

    BMD was measured by a single DXA scan of the proximal femur at the time of screening, Month 12 and Month 24. The absolute change in BMD was defined as the difference between the last individual measurement available at Month 12 or Month 24 and Baseline. BMD of fractured bones that could impact the scan area were not taken into account. Only participants with data available at particular timepoint were analyzed.

  5. Relative Change From Baseline in Serum C-telopeptide of Alpha-chain of Type I Collagen (CTX) at Month 6, 12, and 24 [Baseline, At Month 6, 12, and 24.]

    Serum CTX, a biochemical marker of bone resorption, was measured using the Elecsys s-CTX-I assay, an electrochemiluminescence immunoassay (ECLIA) technique. Samples for serum CTX measurements were collected from participants immediately prior to their IV dosing. Thus, the values reported here represent trough or residual values taken at the end of the 2 month or 3 month IV dosing interval. The change in serum CTX was defined as the relative difference between the last individual measurement available at Month 6 or Month 12 or Month 24 and Baseline, using the following formula: Relative change = 100 x (CTX at Month 6/Month 12/Month 24- CTX at Baseline) / (CTX at Baseline). Only participants with data available at particular timepoint were analyzed.

  6. Absolute Change From Baseline in Serum CTX at Month 6, 12, and 24 [Baseline, At Month 6, 12, and 24.]

    Serum CTX, a biochemical marker of bone resorption, was measured using the Elecsys s-CTX-I assay, an electrochemiluminescence immunoassay (ECLIA) technique. Samples for serum CTX measurements were collected from participants immediately prior to their IV dosing. Thus, the values reported here represent trough or residual values taken at the end of the 2 month or 3 month IV dosing interval. The absolute change from Baseline in serum CTX was defined as the difference between the last individual measurement available at Month 6 or Month 12 or Month 24 and Baseline. Only participants with data available at particular timepoint were analyzed.

  7. Percentage of Participants With Mean Lumbar Spine (L2 - L4) BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean lumber spine (L2 - L4) BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  8. Percentage of Participants With Total Hip BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean total hip BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  9. Percentage of Participants With Trochanter BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean trochanter BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  10. Percentage of Participants With Femoral Neck BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean femoral neck BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  11. Percentage of Participants With Mean Total Hip and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean total hip and mean lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  12. Percentage of Participants With Mean Trochanter and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean trochanter and lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  13. Percentage of Participants With Mean Femoral Neck and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24 [At Month 12 and 24]

    A participant is a responder if the mean femoral neck and lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.

  14. Number of Participants Who Experienced Any Adverse Events (AEs) or Serious Adverse Events (SAEs) [Approximately 2 years]

    An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.

  15. Number of Participants With Any Marked Abnormality in Laboratory Parameters [Approximately 2 years]

    Marked laboratory test value abnormalities (high and low) are those which exceed the marked reference range (i.e., a reference range greater than the standard reference range) and which also represents a clinically relevant change from baseline of at least a designated amount. The indicated abnormal laboratory parameters (along with their marked reference range) are as follows: low and high Hematocrit (0.36 - 0.60 fraction), low and high hemoglobin (11.0 - 20.0 g/dL), low and high platelets (100 - 700 * 10^9/L), low and high white blood cell (WBC) (3.0 - 18.0 * 10^9/L), high alanine aminotransferase (ALAT) (0 - 60 U/L), high blood urea nitrogen (BUN) (0 - 14.3 mmol/L) , high creatinine (0 - 154 mmol/L), low albumin (27.0 - 48.0 g/L), low and high chloride (95 - 115 mmol/L), low potassium (3.0 - 6.0 mmol/L), low sodium (130 - 150 mmol/L), high calcium (2.00 - 2.90 mmol/L), low and high phosphate (0.75 - 1.60 mmol/L).

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years to 80 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • women 55-80 years of age;

  • post-menopausal for >=5 years;

  • ambulatory.

Exclusion Criteria:
  • malignant disease diagnosed within the previous 10 years (except basal cell cancer that has been successfully removed);

  • breast cancer within the previous 20 years;

  • allergy to bisphosphonates;

  • previous treatment with an intravenous bisphosphonate at any time;

  • previous treatment with an oral bisphosphonate within the last 6 months, >1 month of treatment within the last year, or >3 months of treatment within the last 2 years.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Little Rock Arkansas United States 72205-7199
2 Irvine California United States 92618
3 Rancho Mirage California United States 92270
4 Leesburg Florida United States 34748
5 Gainesville Georgia United States 30501
6 Coeur D'alene Idaho United States 83814
7 Bethesda Maryland United States 20817
8 St Louis Missouri United States 63110
9 Billings Montana United States 59120
10 Omaha Nebraska United States 68131
11 Albuquerque New Mexico United States 87106
12 New York New York United States 10029
13 Bismarck North Dakota United States 58503
14 Fargo North Dakota United States 58103
15 Wyomissing Pennsylvania United States 19610
16 Rapid City South Dakota United States 57701
17 San Antonio Texas United States 78229
18 Virginia Beach Virginia United States 23462
19 Madison Wisconsin United States 53792
20 Darlinghurst Australia 2010
21 Melbourne Australia 3084
22 Nedlands Australia 6000
23 St. Leonards Australia 2139
24 Sydney Australia 3129
25 Bruxelles Belgium 1180
26 Liege Belgium 4020
27 Toronto Ontario Canada M5C 2T2
28 Laval Quebec Canada H7T 2P5
29 Montreal Quebec Canada H2X 3J4
30 Montreal Quebec Canada H3A 1A1
31 Saskatoon Saskatchewan Canada S7K 0H6
32 Plzen Czech Republic 305 99
33 Praha Czech Republic 128 00
34 Aalborg Denmark 9000
35 Ballerup Denmark 2750
36 København Denmark 1399
37 Vejle Denmark 7100
38 Århus Denmark 8000
39 Lyon France 69437
40 Orleans France 45000
41 Berlin Germany 12200
42 Bochum Germany 44789
43 Hamburg Germany 20246
44 Budapest Hungary 1036
45 Arenzano Italy 16011
46 Siena Italy 53100
47 Valeggio Sul Mincio Italy 37067
48 Mexico City Mexico 11000
49 Monterrey Mexico 64460
50 Haugesund Norway 5507
51 Oslo Norway 0176
52 Stavanger Norway 4010
53 Grudziadz Poland 86-300
54 Krakow Poland 30-510
55 Krakow Poland 31-501
56 Cape Town South Africa 7500
57 Pretoria South Africa
58 Sommerset West South Africa 7129
59 Barcelona Spain 08003
60 Madrid Spain 28046
61 Santander Spain 39008
62 Aberdeen United Kingdom AB25 1LD
63 Manchester United Kingdom M13 9WL
64 Newcastle Upon Tyne United Kingdom NE7 7DN

Sponsors and Collaborators

  • Hoffmann-La Roche

Investigators

  • Study Director: Clinical Trials, Hoffmann-La Roche

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT00048074
Other Study ID Numbers:
  • BM16550
First Posted:
Oct 25, 2002
Last Update Posted:
Feb 3, 2016
Last Verified:
Jan 1, 2016

Study Results

Participant Flow

Recruitment Details A total of 1804 participants were screened for the study, from which 1395 participants were enrolled and randomized into treatment with ibandronate. The trial was conducted at 58 centers in 16 countries from June 2002 to May 2005.
Pre-assignment Detail Out of the 1395 participants who were randomized into the study, only 1382 participants received at least one dose of trial treatment and had at least one follow-up assessment as 4 participants did not have safety follow-up and 9 participants did not receive trial treatment.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Period Title: Overall Study
STARTED 465 448 469
COMPLETED 384 361 372
NOT COMPLETED 81 87 97

Baseline Characteristics

Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV Total
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months. Total of all reporting groups
Overall Participants 465 448 469 1382
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
65.7
(6.08)
66.6
(6.26)
65.8
(6.30)
66.0
(6.22)
Sex: Female, Male (Count of Participants)
Female
465
100%
448
100%
469
100%
1382
100%
Male
0
0%
0
0%
0
0%
0
0%

Outcome Measures

1. Primary Outcome
Title Relative Percent Change From Baseline in Mean Bone Mineral Density (BMD) of Lumbar Spine (L2-L4) at 12 Months
Description BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 12. The change in BMD was defined as the relative difference between the last individual measurement available at 12 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)
Time Frame Baseline and Month 12

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 368 350 359
Mean (Standard Deviation) [Percent Change]
3.8199
(3.8576)
5.0872
(3.8746)
4.8188
(3.7613)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ibandronate 2.5mg Daily, Ibandronate 2mg q 2 mo IV
Comments The primary hypothesis was that the difference in the effects of daily oral ibandronate and IV ibandronate (2mg q 2 mo IV) on the relative change in lumbar spine BMD (L2 - L4) was small, no more than 1%, the margin of clinical equivalence.
Type of Statistical Test Non-Inferiority or Equivalence
Comments The IV dosing regimen (2mg q 2 mo IV) was considered non-inferior to the 2.5 mg daily regimen if the lower bound of the two-sided 95% CI on the difference in mean percent change in BMD was greater or equal to -1 percentage point.
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 1.257
Confidence Interval (2-Sided) 95%
0.701 to 1.814
Parameter Dispersion Type:
Value:
Estimation Comments Treatment effect is the difference in the mean values of the IV regimen (2mg q 2 mo IV) and the active-control.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Ibandronate 2.5mg Daily, Ibandronate 3mg q 3 mo IV
Comments The primary hypothesis was that the difference in the effects of daily oral ibandronate and IV ibandronate (3mg q 3 mo IV) on the relative change in lumbar spine BMD (L2 - L4) was small, no more than 1%, the margin of clinical equivalence.
Type of Statistical Test Non-Inferiority or Equivalence
Comments The IV dosing regimen (3mg q 3 mo IV) was considered non-inferior to the 2.5 mg daily regimen if the lower bound of the two-sided 95% CI on the difference in mean percent change in BMD was greater or equal to -1 percentage point.
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 1.025
Confidence Interval (2-Sided) 95%
0.471 to 1.578
Parameter Dispersion Type:
Value:
Estimation Comments Treatment effect is the difference in the mean values of the IV regimen (3mg q 3 mo IV) and the active-control.
2. Secondary Outcome
Title Relative Percent Change From Baseline in Mean BMD of Lumbar Spine (L2-L4) at 24 Months
Description BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 24. The change in BMD was defined as the relative difference between the last individual measurement available at 24 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)
Time Frame Baseline and Month 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 334 320 334
Mean (Standard Deviation) [Percent Change]
4.8412
(4.8654)
6.3999
(4.7392)
6.2777
(5.0049)
3. Secondary Outcome
Title Absolute Change From Baseline in Mean BMD of Lumbar Spine (L2 - L4) at Month 12 and Month 24
Description BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at screening, Month 12 and Month 24. The absolute change from Baseline in mean BMD of the lumbar spine (L2-L4) was defined as the difference between the last individual measurement available at Month 12 or Month 24 and Baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame Baseline, Month 12 and Month 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Month 12, n= 368, 350, 359
0.028
(0.0287)
0.037
(0.0282)
0.035
(0.0269)
Month 24, n= 334, 320, 334
0.036
(0.0361)
0.047
(0.0347)
0.046
(0.0357)
4. Secondary Outcome
Title Relative Percent Change From Baseline in BMD of Proximal Femur (Consisting of Total Hip, Trochanter, and Femoral Neck) at Month 12 and 24
Description BMD was measured by a single DXA scan of the proximal femur at the time of screening, Month 12 and Month 24.The change in BMD of the proximal femur (total hip, trochanter, femoral neck) was defined as the relative difference between the last individual measurement available at Month 12 or Month 24and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year/2year - BMD at Baseline) / (BMD at Baseline). BMD of fractured bones that could impact the scan area were not taken into account. Only participants with data available at particular timepoint were analyzed.
Time Frame Baseline, Month 12 and Month 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Total hip, Month 12, n = 364, 343, 357
1.7857
(2.8171)
2.5150
(2.6737)
2.3604
(3.5156)
Total hip , Month 24, n = 330, 316, 333
2.2011
(3.6997)
3.3699
(2.9749)
3.1279
(4.5422)
Trochanter, Month 12, n = 364, 343, 357
2.9721
(4.1651)
4.0275
(3.8890)
3.8144
(6.0921)
Trochanter, Month 24, n = 330, 316, 333
3.4669
(4.7241)
5.0428
(4.4640)
4.9165
(7.5057)
Femoral neck, Month 12, n = 364, 343, 357
1.6129
(4.1050)
1.9700
(3.5537)
2.3055
(3.9283)
Femoral neck, Month 24, n = 330, 316, 333
2.2457
(4.3015)
2.7449
(4.1996)
2.7849
(4.6723)
5. Secondary Outcome
Title Absolute Change From Baseline in BMD of Proximal Femur (Consisting of Total Hip, Trochanter, and Femoral Neck) at Month 12 and 24
Description BMD was measured by a single DXA scan of the proximal femur at the time of screening, Month 12 and Month 24. The absolute change in BMD was defined as the difference between the last individual measurement available at Month 12 or Month 24 and Baseline. BMD of fractured bones that could impact the scan area were not taken into account. Only participants with data available at particular timepoint were analyzed.
Time Frame Baseline, Month 12 and Month 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Total hip, Month 12, n = 364, 343, 357
0.013
(0.0202)
0.018
(0.0192)
0.016
(0.0213)
Total hip, Month 24, n = 330, 316, 333
0.015
(0.0259)
0.025
(0.0211)
0.022
(0.0278)
Trochanter, Month 12, n = 364, 343, 357
0.016
(0.0229)
0.022
(0.0209)
0.020
(0.0250)
Trochanter, Month 24, n = 330, 316, 333
0.019
(0.0256)
0.029
(0.0242)
0.026
(0.0322)
Femoral neck , Month 12, n = 364, 343, 357
0.010
(0.0243)
0.013
(0.0227)
0.014
(0.0240)
Femoral neck , Month 24, n = 330, 316, 333
0.014
(0.0258)
0.018
(0.0279)
0.018
(0.0278)
6. Secondary Outcome
Title Relative Change From Baseline in Serum C-telopeptide of Alpha-chain of Type I Collagen (CTX) at Month 6, 12, and 24
Description Serum CTX, a biochemical marker of bone resorption, was measured using the Elecsys s-CTX-I assay, an electrochemiluminescence immunoassay (ECLIA) technique. Samples for serum CTX measurements were collected from participants immediately prior to their IV dosing. Thus, the values reported here represent trough or residual values taken at the end of the 2 month or 3 month IV dosing interval. The change in serum CTX was defined as the relative difference between the last individual measurement available at Month 6 or Month 12 or Month 24 and Baseline, using the following formula: Relative change = 100 x (CTX at Month 6/Month 12/Month 24- CTX at Baseline) / (CTX at Baseline). Only participants with data available at particular timepoint were analyzed.
Time Frame Baseline, At Month 6, 12, and 24.

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Month 6, n = 358, 342, 345
-54.715
(30.2820)
-55.539
(42.6206)
-51.196
(31.0579)
Month 12, n = 360, 342, 347
-54.387
(33.2810)
-48.042
(95.3711)
-49.873
(36.0415)
Month 24, n = 310, 301, 298
-51.549
(35.0888)
-41.338
(76.8201)
-44.325
(38.1338)
7. Secondary Outcome
Title Absolute Change From Baseline in Serum CTX at Month 6, 12, and 24
Description Serum CTX, a biochemical marker of bone resorption, was measured using the Elecsys s-CTX-I assay, an electrochemiluminescence immunoassay (ECLIA) technique. Samples for serum CTX measurements were collected from participants immediately prior to their IV dosing. Thus, the values reported here represent trough or residual values taken at the end of the 2 month or 3 month IV dosing interval. The absolute change from Baseline in serum CTX was defined as the difference between the last individual measurement available at Month 6 or Month 12 or Month 24 and Baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame Baseline, At Month 6, 12, and 24.

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Month 6, n = 358, 342, 345
-0.318
(0.2550)
-0.322
(0.2015)
-0.281
(0.2018)
Month 12, n = 360, 342, 347
-0.321
(0.2624)
-0.318
(0.2239)
-0.290
(0.2196)
Month 24, n = 310, 301, 298
-0.324
(0.2693)
-0.285
(0.2092)
-0.276
(0.2323)
8. Secondary Outcome
Title Percentage of Participants With Mean Lumbar Spine (L2 - L4) BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean lumber spine (L2 - L4) BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 368, 350, 359
85.1
18.3%
92.3
20.6%
91.6
19.5%
Above baseline, Month 24, n = 334, 320, 334
84.7
18.2%
92.8
20.7%
92.8
19.8%
9. Secondary Outcome
Title Percentage of Participants With Total Hip BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean total hip BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 364, 343, 357
74.5
16%
86.0
19.2%
82.6
17.6%
Above baseline, Month 24, n = 330, 316, 333
77.0
16.6%
88.6
19.8%
85.6
18.3%
10. Secondary Outcome
Title Percentage of Participants With Trochanter BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean trochanter BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 364, 343, 357
76.6
16.5%
88.6
19.8%
86.3
18.4%
Above baseline, Month 24, n = 330, 316, 333
80.0
17.2%
92.1
20.6%
88.6
18.9%
11. Secondary Outcome
Title Percentage of Participants With Femoral Neck BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean femoral neck BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 364, 343, 357
65.1
14%
74.1
16.5%
70.0
14.9%
Above baseline, Month 24, n = 330, 316, 333
67.6
14.5%
77.5
17.3%
76.6
16.3%
12. Secondary Outcome
Title Percentage of Participants With Mean Total Hip and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean total hip and mean lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 363, 343, 355
66.9
14.4%
80.5
18%
76.3
16.3%
Above baseline, Month 24, n = 330, 314, 332
68.8
14.8%
83.1
18.5%
80.1
17.1%
13. Secondary Outcome
Title Percentage of Participants With Mean Trochanter and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean trochanter and lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 363, 343, 355
68.0
14.6%
83.4
18.6%
79.7
17%
Above baseline, Month 24, n = 330, 314, 332
70.9
15.2%
85.7
19.1%
83.1
17.7%
14. Secondary Outcome
Title Percentage of Participants With Mean Femoral Neck and Lumbar Spine BMD Above or Equal to Baseline at Month 12 and 24
Description A participant is a responder if the mean femoral neck and lumbar spine BMD had remained the same or increased above baseline. Only participants with data available at particular timepoint were analyzed.
Time Frame At Month 12 and 24

Outcome Measure Data

Analysis Population Description
Per protocol population: Participants who were randomized, received at least one dose of study medication and had at least one efficacy (BMD or serum CTX) follow-up data point and did not have any major violations of the protocol.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 375 350 364
Above baseline, Month 12, n = 363, 343, 355
58.4
12.6%
69.4
15.5%
64.5
13.8%
Above baseline, Month 24, n = 330, 314, 332
59.7
12.8%
72.3
16.1%
71.7
15.3%
15. Secondary Outcome
Title Number of Participants Who Experienced Any Adverse Events (AEs) or Serious Adverse Events (SAEs)
Description An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.
Time Frame Approximately 2 years

Outcome Measure Data

Analysis Population Description
Safety Population: All participants who were randomized and had at least one dose of study drug, whether withdrawn prematurely or not, and who had at least one follow-up data point.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 465 448 469
Any AE
408
87.7%
397
88.6%
400
85.3%
Any SAE
67
14.4%
73
16.3%
62
13.2%
16. Secondary Outcome
Title Number of Participants With Any Marked Abnormality in Laboratory Parameters
Description Marked laboratory test value abnormalities (high and low) are those which exceed the marked reference range (i.e., a reference range greater than the standard reference range) and which also represents a clinically relevant change from baseline of at least a designated amount. The indicated abnormal laboratory parameters (along with their marked reference range) are as follows: low and high Hematocrit (0.36 - 0.60 fraction), low and high hemoglobin (11.0 - 20.0 g/dL), low and high platelets (100 - 700 * 10^9/L), low and high white blood cell (WBC) (3.0 - 18.0 * 10^9/L), high alanine aminotransferase (ALAT) (0 - 60 U/L), high blood urea nitrogen (BUN) (0 - 14.3 mmol/L) , high creatinine (0 - 154 mmol/L), low albumin (27.0 - 48.0 g/L), low and high chloride (95 - 115 mmol/L), low potassium (3.0 - 6.0 mmol/L), low sodium (130 - 150 mmol/L), high calcium (2.00 - 2.90 mmol/L), low and high phosphate (0.75 - 1.60 mmol/L).
Time Frame Approximately 2 years

Outcome Measure Data

Analysis Population Description
Safety Population: All participants who were randomized and had at least one dose of study drug, whether withdrawn prematurely or not, and who had at least one follow-up data point. Only participants with data available for the indicated laboratory abnormality were analyzed.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
Measure Participants 465 448 469
Hematocrit - High, n = 453, 433, 456
0
0%
0
0%
1
0.2%
Hematocrit - low, n = 453, 433, 456
0
0%
2
0.4%
5
1.1%
Hemoglobin - High, n = 453, 433, 456
0
0%
1
0.2%
1
0.2%
Hemoglobin - Low n = 453, 433, 456
2
0.4%
5
1.1%
5
1.1%
Platelets - High, n = 452, 431, 455
0
0%
2
0.4%
1
0.2%
Platelets - Low, n = 452, 431, 455
2
0.4%
0
0%
1
0.2%
WBC - High, n = 453, 433, 456
0
0%
1
0.2%
2
0.4%
WBC - Low, n = 453, 433, 456
4
0.9%
4
0.9%
2
0.4%
ALAT (SGPT) - High, n = 453, 434, 456
13
2.8%
12
2.7%
18
3.8%
BUN - High, n = 453, 434, 456
1
0.2%
2
0.4%
0
0%
Creatinine - High, n = 453, 434, 456
0
0%
2
0.4%
0
0%
Albumin - Low, n = 453, 434, 456
0
0%
1
0.2%
0
0%
Chloride - High, n = 453, 433, 456
1
0.2%
0
0%
0
0%
Chloride - Low, n = 453, 433, 456
4
0.9%
3
0.7%
3
0.6%
Potassium - Low, n = 453, 433, 456
0
0%
1
0.2%
0
0%
Sodium - Low, n = 453, 433, 456
0
0%
1
0.2%
1
0.2%
Calcium - High, n = 453, 434, 456
0
0%
1
0.2%
0
0%
Phosphate - High, n = 453, 434, 456
7
1.5%
4
0.9%
6
1.3%
Phosphate - Low, n = 453, 434, 456
6
1.3%
3
0.7%
2
0.4%

Adverse Events

Time Frame Approximately 2 years
Adverse Event Reporting Description SAEs and non-serious AEs were reported for members of the safety population, comprised of participants who were randomized and had at least one dose of study drug, whether withdrawn prematurely or not, and who had at least one follow-up data point.
Arm/Group Title Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Arm/Group Description Participants received 2.5 milligrams (mg) of ibandronate orally daily and IV placebo injection at intervals of either 2 or 3 months for a total treatment period of 24 months. Participants received 2 mg of ibandronate intravenously (IV) every two months and placebo tablet daily for a total treatment period of 24 months. Participants received 3 mg of ibandronate IV every three months and placebo tablet daily for a total treatment period of 24 months.
All Cause Mortality
Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 67/465 (14.4%) 73/448 (16.3%) 62/469 (13.2%)
Blood and lymphatic system disorders
Anaemia 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Cardiac disorders
Myocardial infarction 1/465 (0.2%) 4/448 (0.9%) 2/469 (0.4%)
Angina pectoris 1/465 (0.2%) 1/448 (0.2%) 2/469 (0.4%)
Acute myocardial infarction 1/465 (0.2%) 0/448 (0%) 2/469 (0.4%)
Arrhythmia 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Atrial fibrillation 0/465 (0%) 2/448 (0.4%) 0/469 (0%)
Cardiac failure 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Myocardial ischaemia 1/465 (0.2%) 1/448 (0.2%) 0/469 (0%)
Angina unstable 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Atrial flutter 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Cardiovascular disorder 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Coronary artery disease 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Mitral valve disease 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Sick sinus syndrome 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Tricuspid valve incompetence 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Ventricular arrhythmia 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Ear and labyrinth disorders
Vestibular neuronitis 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Endocrine disorders
Goitre 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Hyperparathyroidism primary 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Toxic nodular goitre 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Eye disorders
Cataract 0/465 (0%) 1/448 (0.2%) 2/469 (0.4%)
Iridocyclitis 2/465 (0.4%) 0/448 (0%) 0/469 (0%)
Hypotony of eye 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Open angle glaucoma 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Retinal artery thrombosis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Retinal degeneration 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Gastrointestinal disorders
Gastric ulcer 0/465 (0%) 2/448 (0.4%) 1/469 (0.2%)
Gastritis 1/465 (0.2%) 0/448 (0%) 2/469 (0.4%)
Colonic stenosis 0/465 (0%) 2/448 (0.4%) 0/469 (0%)
Diverticulum intestinal 1/465 (0.2%) 1/448 (0.2%) 0/469 (0%)
Gastrointestinal haemorrhage 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Pancreatitis acute 1/465 (0.2%) 1/448 (0.2%) 0/469 (0%)
Rectocele 0/465 (0%) 2/448 (0.4%) 0/469 (0%)
Abdominal pain 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Diarrhoea 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Diverticulum 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Duodenal ulcer haemorrhage 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Gastrointestinal ulcer haemorrhage 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Gastrooesophageal reflux disease 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Intestinal perforation 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Melaena 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Oesophageal ulcer 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Small intestinal perforation 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Subileus 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
General disorders
Oedema peripheral 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Pyrexia 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Hepatobiliary disorders
Cholelithiasis 2/465 (0.4%) 1/448 (0.2%) 1/469 (0.2%)
Bile duct stone 2/465 (0.4%) 0/448 (0%) 1/469 (0.2%)
Cholecystitis chronic 2/465 (0.4%) 0/448 (0%) 1/469 (0.2%)
Cholecystitis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Immune system disorders
Drug hypersensitivity 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Sarcoidosis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Infections and infestations
Abscess limb 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Bronchopneumonia 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Diverticulitis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Furuncle 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Klebsiella bacteraemia 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Periorbital cellulitis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Pneumonia 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Postoperative infection 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Pyelonephritis acute 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Sinusitis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Tuberculosis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Urinary tract infection 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Urosepsis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Injury, poisoning and procedural complications
Ankle fracture 2/465 (0.4%) 3/448 (0.7%) 1/469 (0.2%)
Femoral neck fracture 2/465 (0.4%) 0/448 (0%) 0/469 (0%)
Joint dislocation 0/465 (0%) 0/448 (0%) 2/469 (0.4%)
Radius fracture 2/465 (0.4%) 0/448 (0%) 0/469 (0%)
Spinal compression fracture 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Wrist fracture 2/465 (0.4%) 0/448 (0%) 0/469 (0%)
Drug toxicity 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Extradural haematoma 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Femur fracture 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Foot fracture 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Forearm fracture 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Hip fracture 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Incisional hernia 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Lumbar vertebral fracture 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Meniscus lesion 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Muscle injury 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Pelvic fracture 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Postoperative constipation 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Radiation injury 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Tendon rupture 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Thoracic vertebral fracture 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Tibia fracture 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Vascular graft occlusion 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Wound dehiscence 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Investigations
Hepatic enzyme increased 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
International normalised ratio increased 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Red blood cell sedimentation rate increased 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Metabolism and nutrition disorders
Dehydration 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Diabetes mellitus 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Diabetes mellitus non-insulin-dependent 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Musculoskeletal and connective tissue disorders
Osteoarthritis 2/465 (0.4%) 3/448 (0.7%) 0/469 (0%)
Back pain 0/465 (0%) 2/448 (0.4%) 0/469 (0%)
Intervertebral disc protrusion 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Musculoskeletal chest pain 1/465 (0.2%) 1/448 (0.2%) 0/469 (0%)
Bunion 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Dupuytren's contracture 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Polymyalgia rheumatica 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Spinal osteoarthritis 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 2/465 (0.4%) 2/448 (0.4%) 1/469 (0.2%)
Colon cancer 1/465 (0.2%) 1/448 (0.2%) 0/469 (0%)
Basal cell carcinoma 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Benign neoplasm of thyroid gland 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Bladder cancer 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Breast neoplasm 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Colon adenoma 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Colon cancer metastatic 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Diffuse large B-cell lymphoma 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Gallbladder cancer 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Lung adenocarcinoma 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Lung neoplasm malignant 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Malignant melanoma 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Myelofibrosis 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Neuroma 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Non-hodgkin's lymphoma 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Oesophageal squamous cell carcinoma 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Ovarian adenoma 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Ovarian cancer metastatic 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Renal neoplasm 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Small cell lung cancer stage unspecified 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Nervous system disorders
Cerebrovascular accident 1/465 (0.2%) 1/448 (0.2%) 1/469 (0.2%)
Transient ischaemic attack 0/465 (0%) 1/448 (0.2%) 2/469 (0.4%)
Cerebral infarction 0/465 (0%) 0/448 (0%) 2/469 (0.4%)
Sciatica 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Syncope 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Cerebellar syndrome 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Cerebral circulatory failure 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Cerebral haemorrhage 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Cerebrovascular insufficiency 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Dementia 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Dizziness 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Epilepsy 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Grand mal convulsion 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Loss of consciousness 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Migraine 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Paraparesis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Reversible ischaemic neurological deficit 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Spinal vascular disorder 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Temporal lobe epilepsy 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Psychiatric disorders
Anxiety 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Histrionic personality disorder 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Suicide attempt 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Renal and urinary disorders
Cystocele 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Diabetic nephropathy 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Nephrolithiasis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Stress incontinence 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Urinary incontinence 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Reproductive system and breast disorders
Ovarian cyst 3/465 (0.6%) 0/448 (0%) 1/469 (0.2%)
Uterine prolapse 0/465 (0%) 2/448 (0.4%) 0/469 (0%)
Vaginal prolapse 0/465 (0%) 1/448 (0.2%) 1/469 (0.2%)
Fallopian tube cyst 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Vaginal pain 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Respiratory, thoracic and mediastinal disorders
Asthma 0/465 (0%) 3/448 (0.7%) 1/469 (0.2%)
Chronic obstructive pulmonary disease 2/465 (0.4%) 1/448 (0.2%) 0/469 (0%)
Pulmonary embolism 1/465 (0.2%) 1/448 (0.2%) 0/469 (0%)
Acute respiratory distress syndrome 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Cough 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Lung infiltration 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Nasal polyps 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Pulmonary hypertension 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Pulmonary oedema 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Pulmonary thrombosis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Upper respiratory tract inflammation 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Skin and subcutaneous tissue disorders
Angioneurotic oedema 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Hyperkeratosis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Vascular disorders
Arterial occlusive disease 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Arteriosclerosis 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Femoral artery occlusion 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Hypertensive crisis 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Hypotension 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Peripheral ischaemia 0/465 (0%) 1/448 (0.2%) 0/469 (0%)
Temporal arteritis 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Varicose vein 0/465 (0%) 0/448 (0%) 1/469 (0.2%)
Venous insufficiency 1/465 (0.2%) 0/448 (0%) 0/469 (0%)
Other (Not Including Serious) Adverse Events
Ibandronate 2.5mg Daily Ibandronate 2mg q 2 mo IV Ibandronate 3mg q 3 mo IV
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 301/465 (64.7%) 316/448 (70.5%) 284/469 (60.6%)
Gastrointestinal disorders
Abdominal pain upper 33/465 (7.1%) 24/448 (5.4%) 29/469 (6.2%)
Dyspepsia 28/465 (6%) 28/448 (6.3%) 23/469 (4.9%)
Constipation 27/465 (5.8%) 33/448 (7.4%) 18/469 (3.8%)
Diarrhoea 18/465 (3.9%) 23/448 (5.1%) 20/469 (4.3%)
Nausea 25/465 (5.4%) 22/448 (4.9%) 13/469 (2.8%)
Infections and infestations
Nasopharyngitis 65/465 (14%) 66/448 (14.7%) 43/469 (9.2%)
Influenza 51/465 (11%) 43/448 (9.6%) 35/469 (7.5%)
Bronchitis 23/465 (4.9%) 28/448 (6.3%) 22/469 (4.7%)
Urinary tract infection 28/465 (6%) 24/448 (5.4%) 18/469 (3.8%)
Gastroenteritis 24/465 (5.2%) 19/448 (4.2%) 12/469 (2.6%)
Metabolism and nutrition disorders
Hypercholesterolaemia 32/465 (6.9%) 29/448 (6.5%) 19/469 (4.1%)
Musculoskeletal and connective tissue disorders
Back pain 56/465 (12%) 62/448 (13.8%) 58/469 (12.4%)
Arthralgia 50/465 (10.8%) 55/448 (12.3%) 56/469 (11.9%)
Osteoarthritis 19/465 (4.1%) 26/448 (5.8%) 30/469 (6.4%)
Pain in extremity 16/465 (3.4%) 27/448 (6%) 18/469 (3.8%)
Bone pain 8/465 (1.7%) 23/448 (5.1%) 11/469 (2.3%)
Nervous system disorders
Headache 21/465 (4.5%) 27/448 (6%) 21/469 (4.5%)
Vascular disorders
Hypertension 54/465 (11.6%) 44/448 (9.8%) 47/469 (10%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights

Results Point of Contact

Name/Title Roche Trial Information Hotline
Organization F. Hoffmann-La Roche AG
Phone +41 616878333
Email global.trial_information@roche.com
Responsible Party:
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT00048074
Other Study ID Numbers:
  • BM16550
First Posted:
Oct 25, 2002
Last Update Posted:
Feb 3, 2016
Last Verified:
Jan 1, 2016