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Trial · NCT00503399

Comparison of the Effects of 2 Drugs on Lumbar Spine Volumetric BMD in Men With Glucocorticoid-Induced Osteoporosis

NCT00503399, Phase 3, Completed, Eli Lilly and Company; results first posted 2011-11-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Comparison of the Effects of 2 Drugs on Lumbar Spine Volumetric BMD in Men With Glucocorticoid-Induced Osteoporosis. Trials, record NCT00503399. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00503399

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Trial

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

Title
Comparison of the Effects of 2 Drugs on Lumbar Spine Volumetric BMD in Men With Glucocorticoid-Induced Osteoporosis
NCT number
NCT00503399
Status
Completed
Phases
Phase 3
Enrollment
92 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Osteoporosis
Interventions
Teriparatide, Risedronate
First posted
2007-07-18
Last updated
2012-03-13
Results first posted
2011-11-08

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Tomography (QCT) at 18 MonthsBaseline, 18 months
Least Squares (LS) Means were adjusted for age, baseline serum aminoterminal propeptide of Type I procollagen (P1NP), fracture less than 12 months before study start, duration of prior bisphosphonate use, screening glucocorticoid dose, and cumulative glucocorticoid dose before and during the trial.
SecondaryChange From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Technology (QCT) at 6 MonthsBaseline, 6 months
Least Squares (LS) Means were adjusted for age, baseline propeptide of Type I procollagen (P1NP), fracture less than 12 months before study start, duration of prior bisphosphonate use, screening glucocorticoid dose, and cumulative glucocorticoid dose before and during the trial.
Secondary
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
Baseline, 6 months, 18 months
Three-dimensional (3-D) microstructure variables of T12 were assessed by HR-QCT. In contrast with regular QCT that assessed 3 millimeter (mm) slide thickness, HR-QCT used segmentation of 1 single vertebra with approximately 100 consecutive slides reconstructed at 300-400 micrometer (µm) slice increments covering the complete vertebral body. Least Squares (LS) Means were adjusted for age, baseline P1NP, fracture less than 12 months before study start, duration of prior bisphosphonate use, screening glucocorticoid dose, and cumulative glucocorticoid dose before and during the trial.
SecondaryChange From Baseline in Anterior Bending and Axial Torsion by Finite Element Analysis in the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months: Stiffness and StrengthBaseline, 6 months, 18 months
Anterior bending and axial torsion were measured using HR-QCT-based finite element analysis to determine stiffness and strength of T12. Stiffness evaluated strength of the vertebral body, defined as the slope of the initial step of the force-displacement curve. Strength of the vertebral body was evaluated under compressive loading conditions using computer simulation. LS Means were adjusted for age, baseline P1NP, fracture less than 12 months before study start, duration of prior bisphosphonate use, screening glucocorticoid dose, and cumulative glucocorticoid dose before and during the trial.
SecondaryChange From Baseline in Axial Compression by Finite Element Analysis in the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months: Stiffness and StrengthBaseline, 6 months, 18 months
Axial compression was measured using HR-QCT-based finite element analysis to determine stiffness and strength of T12. Stiffness evaluated the strength of the vertebral body, defined as the slope of the initial step of the force-displacement curve. Strength of the vertebral body was evaluated under compressive loading conditions using computer simulation. LS Means were adjusted for age, baseline P1NP, fracture less than 12 months before study start, duration of prior bisphosphonate use, screening glucocorticoid dose, and cumulative glucocorticoid dose before and during the trial.
SecondaryChange From Baseline in Areal Bone Mineral Density (BMD) at Lumbar Spine, Femoral Neck, and Total Hip at 18 MonthsBaseline, 18 monthsDual x-ray absorptiometry (DXA) techniques validated this measurement at skeletal sites that are at risk of osteoporotic fracture, such as lumbar spine, femoral neck, and hip.
SecondaryChange From Baseline in Serum Aminoterminal Propeptide of Type I Procollagen (P1NP) at 3 Months, 6 Months, and 18 MonthsBaseline, 3 months, 6 months, 18 monthsP1NP was used as a serum biochemical marker of collagen synthesis, reflecting the formation of new osteoid.
SecondaryChange From Baseline in Serum Type I Collagen Degradation Fragments (β-CTx) at 3 Months, 6 Months, and 18 Months3, 6, 18 monthsβ-CTx was used as a biochemical marker of bone turnover/resorption, reflecting collagen breakdown of the bone matrix.
SecondaryNumber of Participants With Adverse Events (AEs)Baseline up to 18 months
Summary tables of serious AEs (SAEs) and all other non-serious AEs are located in the Reported Adverse Event Module. Fractures that occurred during the study were collected separately as an additional safety variable. The number of participants experiencing hypercalcemia was summarized for each treatment arm. Hypercalcemia was defined as a serum calcium level corrected for albumin of \>2.7 millimole per liter (mmol/L) (10.8 milligram per deciliter \[mg/dL\]).

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Tomography (QCT) at 18 MonthsBaseline, 18 months
The analysis population was the primary efficacy population, which included all randomized participants who received at least 1 dose of study medication (full analysis set) and had a lumbar spine volumetric trabecular BMD measurement at baseline and at ≥1 post-baseline visit.
milligram per cubic centimeter (mg/cm^3)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Technology (QCT) at 6 MonthsBaseline, 6 months
The analysis population was the primary efficacy population, which included all randomized participants who received at least 1 dose of study medication (full analysis set) and had a lumbar spine volumetric trabecular BMD measurement at baseline and at ≥1 post-baseline visit.
milligram per cubic centimeter (mg/cm^3)LEAST_SQUARES_MEAN
SECONDARY
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
Baseline, 6 months, 18 monthsThe analysis population was the full analysis set (FAS), which included all randomized participants who received at least 1 dose of study medication.milligram per cubic centimeter (mg/cm^3)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Anterior Bending and Axial Torsion by Finite Element Analysis in the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months: Stiffness and StrengthBaseline, 6 months, 18 monthsThe analysis population was the full analysis set (FAS), which included all randomized participants who received at least 1 dose of study medication.Newton/millimeter/radian (N/mm/rad)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Axial Compression by Finite Element Analysis in the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months: Stiffness and StrengthBaseline, 6 months, 18 monthsThe analysis population was the full analysis set (FAS), which included all randomized participants who received at least 1 dose of study medication.Newton per millimeter (N/mm)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Areal Bone Mineral Density (BMD) at Lumbar Spine, Femoral Neck, and Total Hip at 18 MonthsBaseline, 18 monthsThe analysis population was the full analysis set (FAS), which included all randomized participants who received at least 1 dose of study medication.grams per square centimeter (g/cm^2)MEAN
SECONDARYChange From Baseline in Serum Aminoterminal Propeptide of Type I Procollagen (P1NP) at 3 Months, 6 Months, and 18 MonthsBaseline, 3 months, 6 months, 18 monthsThe analysis population was the full analysis set (FAS), which included all randomized participants who received at least 1 dose of study medication.micrograms per deciliter (μg/dL)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Serum Type I Collagen Degradation Fragments (β-CTx) at 3 Months, 6 Months, and 18 Months3, 6, 18 monthsThe analysis population was the full analysis set (FAS), which included all randomized participants who received at least 1 dose of study medication.nanograms per deciliter (ng/dL)LEAST_SQUARES_MEAN
SECONDARYNumber of Participants With Adverse Events (AEs)Baseline up to 18 monthsThe safety analysis set included all participants who received study treatment.participantsNUMBER

Results by group62

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Tomography (QCT) at 18 MonthsTeriparatide12.28Standard Error 3.16milligram per cubic centimeter (mg/cm^3)
Change From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Tomography (QCT) at 18 MonthsRisedronate2.94Standard Error 3.14milligram per cubic centimeter (mg/cm^3)
Change From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Technology (QCT) at 6 MonthsTeriparatide4.31Standard Error 3.15milligram per cubic centimeter (mg/cm^3)
Change From Baseline in Lumbar Spine Volumetric Trabecular Bone Mineral Density (BMD) by Quantitative Computerized Technology (QCT) at 6 MonthsRisedronate2.52Standard Error 3.16milligram per cubic centimeter (mg/cm^3)
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
TeriparatideIntegral BMD at 6 months-0.42Standard Error 6.42milligram per cubic centimeter (mg/cm^3)
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
RisedronateIntegral BMD at 6 months-1.91Standard Error 7.11milligram per cubic centimeter (mg/cm^3)
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
TeriparatideIntegral BMD at 18 months10.72Standard Error 6.22milligram per cubic centimeter (mg/cm^3)
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
RisedronateIntegral BMD at 18 months0.68Standard Error 7.08milligram per cubic centimeter (mg/cm^3)
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
TeriparatideTrabecular BMD at 6 months-0.70Standard Error 5.26milligram per cubic centimeter (mg/cm^3)
Change From Baseline in High Resolution Quantitative Computerized Technology (HR-QCT) of Integral and Trabecular Bone Mineral Density (BMD) of the 12th Thoracic Vertebra (T12) at 6 Months and 18 Months
RisedronateTrabecular BMD at 6 months-0.87Standard Error 5.85milligram per cubic centimeter (mg/cm^3)

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTeriparatide45
Overall StudySTARTEDRisedronate47
Overall StudyCOMPLETEDTeriparatide38
Overall StudyCOMPLETEDRisedronate39
Overall StudyNOT COMPLETEDTeriparatide7
Overall StudyNOT COMPLETEDRisedronate8

Adverse events136

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal pain upperGastrointestinal disordersTeriparatide0450
otherAbdominal pain upperGastrointestinal disordersRisedronate2472
otherConstipationGastrointestinal disordersTeriparatide1451
otherConstipationGastrointestinal disordersRisedronate2472
otherNauseaGastrointestinal disordersTeriparatide1451
otherNauseaGastrointestinal disordersRisedronate3473
otherReflux oesophagitisGastrointestinal disordersTeriparatide1451
otherReflux oesophagitisGastrointestinal disordersRisedronate2472
otherOedema peripheralGeneral disordersTeriparatide3454
otherOedema peripheralGeneral disordersRisedronate2472

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTeriparatide
Total, all-cause mortalityRisedronate
Total, other adverse eventsTeriparatide2245
Total, other adverse eventsRisedronate3047
Total, serious adverse eventsTeriparatide1345
Total, serious adverse eventsRisedronate2247

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23149277DERIVEDPubMed
23322362DERIVEDPubMed

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 comparisons1

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

Comparison
Teriparatide vs Risedronate: serious adverse events

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.

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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/NCT00503399

GET https://conductscience.org/api/trials/v1/NCT00503399/results?page=2