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Trial ยท NCT00145327

Double-blind Extension of HORIZON Pivotal Fracture Trial (Zoledronic Acid in the Treatment of Postmenopausal Osteoporosis)

NCT00145327, Phase 3, Completed, Novartis; results first posted 2011-04-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Double-blind Extension of HORIZON Pivotal Fracture Trial (Zoledronic Acid in the Treatment of Postmenopausal Osteoporosis). Trials, record NCT00145327. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00145327

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Double-blind Extension of HORIZON Pivotal Fracture Trial (Zoledronic Acid in the Treatment of Postmenopausal Osteoporosis)
NCT number
NCT00145327
Status
Completed
Phases
Phase 3
Enrollment
2,456 participants, actual
Lead sponsor
Novartis
Conditions
Osteoporosis
Interventions
Zoledronic Acid, Placebo
First posted
2005-09-05
Last updated
2011-06-28
Results first posted
2011-04-20

Source ClinicalTrials.gov

Registered outcomes16

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage Change in Bone Mineral Density (BMD) of Femoral Neck at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6 (Month 72; end of extension study)
The primary efficacy variable was the percentage change in BMD of the femoral neck as measured by dual x-ray absorptiometry (DXA) at Year 6 relative to Year 3. It was derived as 100 \*(femoral neck BMD at Year 6 - femoral neck BMD at Year 3) / (femoral neck BMD at Year 3).
SecondaryBone Resorption and Formation Biochemical Markers at Year 4.5: P1NPYear 4.5The amount of serum n-terminal propeptide of type I collagen (P1NP) as determined by the central laboratory.
SecondaryBone Resorption and Formation Biochemical Markers at Year 6: P1NPYear 6The amount of serum P1NP as determined by the central laboratory
SecondaryPercentage Change in BMD of Lumbar Spine at Year 4.5 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 4.5 (Month 54)The percentage change in BMD as measured by DXA at Year 4.5 relative to Year 3. It was derived as 100 \* (BMD at Year 4.5 - BMD at Year 3)/(BMD at Year 3).
SecondaryPercentage Change in BMD of Lumbar Spine at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6The percentage change in BMD as measured by DXA at Year 6 relative to Year 3. It was derived as 100 \* (BMD at Year 6 - BMD at Year 3)/(BMD at Year 3).
SecondaryPercentage Change in BMD of Distal Radius at Year 4.5 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 4.5 (Month 54)The percentage change in BMD as measured by DXA at Year 4.5 relative to Year 3. It was derived as 100 \* (BMD at Year 4.5 - BMD at Year 3)/(BMD at Year 3).
SecondaryPercentage Change in BMD of Distal Radius at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6 (Month 72)The percentage change in BMD as measured by DXA at Year 6 relative to Year 3. It was derived as 100 \* (BMD at Year 6 - BMD at Year 3)/(BMD at Year 3).
SecondaryPercentage Change in BMD of Femoral Neck, Total Hip and Trochanter at Year 4.5 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 4.5 (Month 54)The percentage change in BMD as measured by DXA at 4.5 relative to Year 3. It was derived as 100 \* (BMD at Year 4.5 - BMD at Year 3)/(BMD at Year 3).
SecondaryPercentage Change in BMD of Femoral Neck, Total Hip and Trochanter at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6 (Month 72)The percentage change in BMD as measured by DXA at Year 6 relative to Year 3. It was derived as 100 \* (BMD at Year 6 - BMD at Year 3)/(BMD at Year 3).
SecondaryPercentage of Patients With New and New/Worsening Morphometric Vertebral FracturesYear 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6
Lateral vertebral x-rays were performed at the final core study visit and at Year 6 and read by a central expert reader at a central imaging laboratory to assess for new or new/worsening morphometric vertebral fracture. The percentage of patients with new morphometric vertebral fractures (observed for the first time) and patients with either new or worsening morphometric vertebral fractures was calculated.

Outcomes16

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage Change in Bone Mineral Density (BMD) of Femoral Neck at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6 (Month 72; end of extension study)
Modified intent-to-treat (MITT) population. The MITT population included all patients in the ITT population who had DXA measurements of the femoral neck at Year 3 and Year 6. This was the primary population for primary efficacy parameter.
Percentage Change in BMDMEAN
SECONDARYBone Resorption and Formation Biochemical Markers at Year 4.5: P1NPYear 4.5
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 4.5 as determined by the analysis window.
ng/mLMEAN
SECONDARYBone Resorption and Formation Biochemical Markers at Year 6: P1NPYear 6
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The Number of patients analyzed = the number of patients with measurements in Year 6 as determined by the analysis window.
ng/mLMEAN
SECONDARYPercentage Change in BMD of Lumbar Spine at Year 4.5 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 4.5 (Month 54)
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 4.5 and Year 3 as determined by the analysis window.
Percentage Change in BMDMEAN
SECONDARYPercentage Change in BMD of Lumbar Spine at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 6 and Year 3 as determined by the analysis window.
Percentage change in BMDMEAN
SECONDARYPercentage Change in BMD of Distal Radius at Year 4.5 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 4.5 (Month 54)
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 4.5 and Year 3 as determined by the analysis window.
Percentage change in BMDMEAN
SECONDARYPercentage Change in BMD of Distal Radius at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6 (Month 72)
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 6 and Year 3 as determined by the analysis window.
Percentage change in BMDMEAN
SECONDARYPercentage Change in BMD of Femoral Neck, Total Hip and Trochanter at Year 4.5 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 4.5 (Month 54)
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 4.5 and Year 3 as determined by the analysis window.
Percentage change in BMDMEAN
SECONDARYPercentage Change in BMD of Femoral Neck, Total Hip and Trochanter at Year 6 Relative to Year 3Year 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6 (Month 72)
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 6 and Year 3 as determined by the analysis window.
Percentage change in BMDMEAN
SECONDARYPercentage of Patients With New and New/Worsening Morphometric Vertebral FracturesYear 3 (Extension Baseline; Month 36 prior to the first treatment of the extension study) and Year 6
Intention to treat (ITT) population included all patients who were randomized or enrolled in the extension study at Visit 8. The number of patients analyzed = the number of patients with measurements at Year 6 as determined by the analysis window.
Percentage of patientsNUMBER

Results by group96

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage Change in Bone Mineral Density (BMD) of Femoral Neck at Year 6 Relative to Year 3Zoledronic Acid 60.557Standard Error 0.2154Percentage Change in BMD
Percentage Change in Bone Mineral Density (BMD) of Femoral Neck at Year 6 Relative to Year 3Zoledronic Acid 3 Placebo 3-0.493Standard Error 0.2249Percentage Change in BMD
Percentage Change in Bone Mineral Density (BMD) of Femoral Neck at Year 6 Relative to Year 3Placebo 3 Zoledronic Acid 33.337Standard Error 0.2329Percentage Change in BMD
Bone Resorption and Formation Biochemical Markers at Year 4.5: P1NPZoledronic Acid 618.842Standard Error 0.4325ng/mL
Bone Resorption and Formation Biochemical Markers at Year 4.5: P1NPZoledronic Acid 3 Placebo 329.677Standard Error 0.6977ng/mL
Bone Resorption and Formation Biochemical Markers at Year 4.5: P1NPPlacebo 3 Zoledronic Acid 317.256Standard Error 0.3743ng/mL
Bone Resorption and Formation Biochemical Markers at Year 6: P1NPZoledronic Acid 627.356Standard Error 0.6340ng/mL
Bone Resorption and Formation Biochemical Markers at Year 6: P1NPZoledronic Acid 3 Placebo 330.344Standard Error 0.6050ng/mL
Bone Resorption and Formation Biochemical Markers at Year 6: P1NPPlacebo 3 Zoledronic Acid 325.926Standard Error 0.7765ng/mL
Percentage Change in BMD of Lumbar Spine at Year 4.5 Relative to Year 3Zoledronic Acid 62.618Standard Error 0.384Percentage Change in BMD

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDZoledronic Acid 6616
Overall StudySTARTEDZoledronic Acid 3 Placebo 3617
Overall StudySTARTEDPlacebo 3 Zoledronic Acid 31,223
Overall StudyCOMPLETEDZoledronic Acid 6474
Overall StudyCOMPLETEDZoledronic Acid 3 Placebo 3493
Overall StudyCOMPLETEDPlacebo 3 Zoledronic Acid 3975
Overall StudyNOT COMPLETEDZoledronic Acid 6142
Overall StudyNOT COMPLETEDZoledronic Acid 3 Placebo 3124
Overall StudyNOT COMPLETEDPlacebo 3 Zoledronic Acid 3248

Adverse events1,515

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCataractEye disordersZoledronic Acid 635613
otherCataractEye disordersZoledronic Acid 3 Placebo 343616
otherCataractEye disordersPlacebo 3 Zoledronic Acid 3721,221
otherDiarrhoeaGastrointestinal disordersZoledronic Acid 631613
otherDiarrhoeaGastrointestinal disordersZoledronic Acid 3 Placebo 332616
otherDiarrhoeaGastrointestinal disordersPlacebo 3 Zoledronic Acid 3571,221
otherNauseaGastrointestinal disordersZoledronic Acid 620613
otherNauseaGastrointestinal disordersZoledronic Acid 3 Placebo 326616
otherNauseaGastrointestinal disordersPlacebo 3 Zoledronic Acid 3941,221
otherFatigueGeneral disordersZoledronic Acid 624613

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityZoledronic Acid 6
Total, all-cause mortalityZoledronic Acid 3 Placebo 3
Total, all-cause mortalityPlacebo 3 Zoledronic Acid 3
Total, other adverse eventsZoledronic Acid 6421613
Total, other adverse eventsZoledronic Acid 3 Placebo 3427616
Total, other adverse eventsPlacebo 3 Zoledronic Acid 39081,221
Total, serious adverse eventsZoledronic Acid 6191613
Total, serious adverse eventsZoledronic Acid 3 Placebo 3168616
Total, serious adverse eventsPlacebo 3 Zoledronic Acid 32971,221

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22161728DERIVEDPubMed
25214069DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00145327

GET https://conductscience.org/api/trials/v1/NCT00145327/results?page=2