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The primary objective is:
1) to describe adherence (and the main factors influencing adherence) to PTH(1-84) treatment when prescribed in a normal clinical setting.
The secondary objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parathyroid Hormone (PTH) (1-84) | PTH(1-84) was prescribed in accordance with the terms of the marketing authorization. Participants were observed for 24 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parathyroid Hormone (PTH) (1-84) | Drug | Adherence to PTH(1-84) treatment in Usual Clinical Settings |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Discontinued Before 6 Months of Treatment | A participant was defined as "permanently discontinued" if treatment with PTH(1-84) was not ongoing at the 6-month time point and at any future time points afterwards. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Discontinued Before 3, 12, 18, and 24 Months of Treatment | A participant was defined as "permanently discontinued" if treatment with PTH(1-84) was not ongoing at the 6-month time point and at any future time points afterwards. A participant was defined as "temporarily discontinued" if treatment with PTH(1-84) was not ongoing at the time point but was then ongoing at a future time point. This was the case when a participant or investigator wanted to pause the treatment for a length of time (e.g. because of an adverse event or interruption). Therefore, a participant was defined as still "ongoing" during the trial if treatment with PTH(1-84) had not been permanently or temporarily discontinued at that time point. A participant was only defined as "missing" or "unknown" if they attended the relevant visit and there was no result or "unknown" was entered as the result. Results for months 3, 12, 18 and 24 are cumulative data up until that time point. |
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Inclusion Criteria:
Exclusion Criteria:
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Postmenopausal women with osteoporosis and a high risk of fractures prescribed PTH(1-84) in a normal clinical setting.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director, Clinical Science | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nycomed | Roskilde | 4000 | Denmark |
Participants with a diagnosis of osteoporosis and prescribed parathyroid hormone (PTH)(1-84) in a normal clinical setting were enrolled in this non-interventional study for 24 months observation. 1179 participants were enrolled however for 9 patients the data was missing.
Participants took part in the study at 120 investigative sites in Austria, Denmark, Germany, Greece, Ireland, the Netherlands, Spain, and the United Kingdom from 1 April 2007 to 6 March 2013.
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| ID | Title | Description |
|---|---|---|
| FG000 | Parathyroid Hormone (PTH) (1-84) | PTH(1-84) was prescribed in accordance with the terms of the marketing authorization. Participants were observed for 24 months. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Parathyroid Hormone (PTH) (1-84) | PTH(1-84) was prescribed in accordance with the terms of the marketing authorization. Participants were observed for 24 months. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Who Discontinued Before 6 Months of Treatment | A participant was defined as "permanently discontinued" if treatment with PTH(1-84) was not ongoing at the 6-month time point and at any future time points afterwards. | All enrolled participants | Posted | Number | participants | 6 months |
|
|
24 months
At each visit the investigator had to document any occurrence of adverse drug reactions and abnormal laboratory findings related to the treatment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Parathyroid Hormone (PTH) (1-84) | PTH(1-84) was prescribed in accordance with the terms of the marketing authorization. Participants were observed for 24 months. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Palpitations | Cardiac disorders | MedDRA 11.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Takeda | 800-778-2860 | clinicaltrialregistry@tpna.com |
| ID | Term |
|---|---|
| D010281 | Parathyroid Hormone |
| ID | Term |
|---|---|
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
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| From enrollment to 3, 12, 18, and 24 months |
| Duration of Treatment | Duration of treatment was defined as the last known date that PTH(1-84) was taken minus the first date that PTH(1-84) was taken plus one. In the calculation of duration, no adjustment was made for the prescribed dose frequency or for periods of temporary discontinuation due to adverse drug reactions (ADRs) or temporary patient suspension of treatment. | 24 months |
| Treatment Compliance by Visit | A participant was defined as compliant if the participant took the treatment as prescribed by the Physician, i.e. complied with the Physician's advice and followed the treatment regimen prescribed. A participant whose dose frequency and treatment length were changed during treatment, e.g. in response to a raised serum calcium level, was regarded as fully compliant if the revised treatment regimen was adhered to. Data on compliance were obtained at each visit and relate to the period since the previous recorded visit. | From enrollment to 3, 6, 12, 18, and 24 months |
| years |
|
| Sex/Gender, Customized | Although the indication in the Summary of Product characteristics is only females, some males were initially enrolled in countries where the PTH treatment is reimbursed. | Number | participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
| Height | Mean | Standard Deviation | cm |
|
| Weight | Mean | Standard Deviation | kg |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
|
| Age at Onset of Menopause | Total number of menopausal participants at baseline was 1148. | Mean | Standard Deviation | years |
|
| Age at Onset of Menopause by Category | Total number of menopausal participants at baseline was 1148, respectively. | Number | participants |
|
| Type of Menopause | Total number of menopausal participants at baseline was 1148. | Number | participants |
|
| Calcium and/or Vitamin D Supplement | Number | participants |
|
| Time Since Starting PTH(1-84) | Mean | Standard Deviation | days |
|
| PTH (1-84) Dosing Frequency | Number | participants |
|
| Family History of Osteoporosis | Number | participants |
|
| Alcohol Consumption | Number | participants |
|
| Current Smoker | Number | participants |
|
| Past Smoker | Number | participants |
|
| Glucocorticosteroid Use | Number | participants |
|
| Total Hip Bone Mineral Density (BMD) | Measured by dual energy X-ray absorptiometry (DXA). The total number of participants for whom baseline hip BMD data was available was 654. | Mean | Standard Deviation | g/cm^2 |
|
| Total Hip T-score | T-score is the bone mineral density (BMD) at the site when compared to the young normal reference mean; a healthy thirty-year-old. Normal is a T-score of -1.0 or higher; Osteopenia is defined as between -1.0 and -2.5 Osteoporosis is defined as -2.5 or lower. The total number of participants for whom Baseline hip T-score data was available was 812. | Mean | Standard Deviation | units on a scale |
|
| Spine Bone Mineral Density (BMD) | The total number of participants for whom baseline spine bone mineral density data was available was 738. | Mean | Standard Deviation | g/cm^2 |
|
| Spine T-score | The total number of participants for whom Baseline spine T-score data was available was 954. | Mean | Standard Deviation | units on a scale |
|
| Number of Participants With at Least One Fracture | Number | participants |
|
| Was Patient/relative/helper instructed in PTH(1-84) (self) injection technique? | Number | participants |
|
|
|
| Secondary | Number of Participants Who Discontinued Before 3, 12, 18, and 24 Months of Treatment | A participant was defined as "permanently discontinued" if treatment with PTH(1-84) was not ongoing at the 6-month time point and at any future time points afterwards. A participant was defined as "temporarily discontinued" if treatment with PTH(1-84) was not ongoing at the time point but was then ongoing at a future time point. This was the case when a participant or investigator wanted to pause the treatment for a length of time (e.g. because of an adverse event or interruption). Therefore, a participant was defined as still "ongoing" during the trial if treatment with PTH(1-84) had not been permanently or temporarily discontinued at that time point. A participant was only defined as "missing" or "unknown" if they attended the relevant visit and there was no result or "unknown" was entered as the result. Results for months 3, 12, 18 and 24 are cumulative data up until that time point. | All enrolled participants | Posted | Number | participants | From enrollment to 3, 12, 18, and 24 months |
|
|
|
| Secondary | Duration of Treatment | Duration of treatment was defined as the last known date that PTH(1-84) was taken minus the first date that PTH(1-84) was taken plus one. In the calculation of duration, no adjustment was made for the prescribed dose frequency or for periods of temporary discontinuation due to adverse drug reactions (ADRs) or temporary patient suspension of treatment. | Participants for whom data were available | Posted | Mean | Full Range | months | 24 months |
|
|
|
| Secondary | Treatment Compliance by Visit | A participant was defined as compliant if the participant took the treatment as prescribed by the Physician, i.e. complied with the Physician's advice and followed the treatment regimen prescribed. A participant whose dose frequency and treatment length were changed during treatment, e.g. in response to a raised serum calcium level, was regarded as fully compliant if the revised treatment regimen was adhered to. Data on compliance were obtained at each visit and relate to the period since the previous recorded visit. | Posted | Number | participants | From enrollment to 3, 6, 12, 18, and 24 months |
|
|
|
| 10 |
| 1,170 |
| 276 |
| 1,170 |
| Diarrhoea | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pain | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA 11.0 | Systematic Assessment |
|
| Blood calcium increased | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Weight decreased | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Tachycardia | Cardiac disorders | MedDRA 11.0 | Systematic Assessment |
|
| Motion sickness | Ear and labyrinth disorders | MedDRA 11.0 | Systematic Assessment |
|
| Tinnitus | Ear and labyrinth disorders | MedDRA 11.0 | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hyperparathyroidism | Endocrine disorders | MedDRA 11.0 | Systematic Assessment |
|
| Panophthalmitis | Eye disorders | MedDRA 11.0 | Systematic Assessment |
|
| Visual impairment | Eye disorders | MedDRA 11.0 | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Reflux gastritis | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Chest discomfort | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Chills | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Discomfort | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Feeling abnormal | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Gait disturbance | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Injection site haematoma | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Injection site reaction | General disorders | MedDRA 11.0 | Systematic Assessment |
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| Malaise | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pain | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 11.0 | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA 11.0 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 11.0 | Systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Blood calcium abnormal | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Blood pressure systolic increased | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Weight decreased | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Weight increased | Investigations | MedDRA 11.0 | Systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypocalcemia | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Arthropathy | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Mobility decreased | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Musculoskeletal discomfort | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Balance disorder | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Burning sensation mucosal | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Encephalopathy | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Transient ischaemic attack | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA 11.0 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA 11.0 | Systematic Assessment |
|
| Restlessness | Psychiatric disorders | MedDRA 11.0 | Systematic Assessment |
|
| Sleep disorder | Psychiatric disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypercalciuria | Renal and urinary disorders | MedDRA 11.0 | Systematic Assessment |
|
| Nephrolithiasis | Renal and urinary disorders | MedDRA 11.0 | Systematic Assessment |
|
| Nocturia | Renal and urinary disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pelvic pain | Reproductive system and breast disorders | MedDRA 11.0 | Systematic Assessment |
|
| Asphyxia | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Lipoatrophy | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Petechiae | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Pruritus generalised | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Rash generalised | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Rash papulosquamous | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Systematic Assessment |
|
| Circulatory collapse | Vascular disorders | MedDRA 11.0 | Systematic Assessment |
|
| Haematoma | Vascular disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hot flush | Vascular disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypertensive crisis | Vascular disorders | MedDRA 11.0 | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA 11.0 | Systematic Assessment |
|
Any study related publication will be multi-center or single-center publications. All proposed site publications and presentations will be submitted to (sponsor) NPS Pharmaceuticals for review in advance of publication.
| D000602 | Amino Acids, Peptides, and Proteins |
| Temporarily discontinued |
|
| Ongoing |
|
| Unknown |
|
| Missing |
|
| Non-compliant |
|
| Missing |
|