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Trial · NCT04974723

Real-world Effectiveness and Cardiovascular Safety Study of Abaloparatide in Postmenopausal Women

NCT04974723, Completed, Radius Health, Inc.; results first posted 2024-04-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Real-world Effectiveness and Cardiovascular Safety Study of Abaloparatide in Postmenopausal Women. Trials, record NCT04974723. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04974723

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Trial

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

Title
Real-world Effectiveness and Cardiovascular Safety Study of Abaloparatide in Postmenopausal Women
NCT number
NCT04974723
Status
Completed
Enrollment
22,054 participants, actual
Lead sponsor
Radius Health, Inc.
Conditions
Osteoporosis, Postmenopausal
Interventions
Abaloparatide, Teriparatide
First posted
2021-07-23
Last updated
2024-04-19
Results first posted
2024-04-19
Limitations and caveats
This was a non-controlled, non-randomized study. The data source was administrative claims data that was not collected for research purposes and included potential inaccuracies related to use of prescription medications. Only deaths recorded on the hospital discharge status were available for the derivation of cardiovascular death in this study. Detailed clinical data such as BMD values were not available, and unknown confounding factors were not adjusted for in propensity score matching.

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With a Nonvertebral FractureFrom index date up to 19 months
A nonvertebral fracture is any fragility fracture at the hip, pelvis, femur, ankle, shoulder (including shoulder, humerus, clavicle), radius/ulna, wrist, or tibia/fibula. The date of the first prescription claim for either abaloparatide or teriparatide during the identification period was considered the index date. A claims-based algorithm with high specificity for fracture site was used to identify osteoporosis related fractures. Patients were followed for up to 18 months after their index date, plus 30 days follow-up or until their first nonvertebral fracture event or hospital death, whichever came first.
SecondaryNumber of Participants With Composite Endpoint of Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, or In-hospital Cardiovascular DeathFrom index date up to 19 months
Cardiovascular safety was evaluated based only on events occurring from the beginning of the index period through 19 months. The date of the first prescription claim for either abaloparatide or teriparatide during the identification period was considered the index date. Cardiovascular events (MI and stroke) were defined as the first post-index incidence recorded on a hospital claim or physician claim. A validated claims-based algorithm was used to identify deaths, based on hospital discharge status, that are likely to be caused by cardiovascular events. Patients were followed for up to 18 months while on treatment plus 30 days follow-up, or until their first cardiovascular event (MI or stroke) or hospital death, whichever came first.
SecondaryNumber of Participants With a Composite Endpoint of Nonfatal MI, Nonfatal Stroke, Heart Failure or In-hospital Cardiovascular DeathFrom index date up to 19 months
Cardiovascular safety was evaluated based only on events occurring from the beginning of the index period through 19 months. The date of the first prescription claim for either abaloparatide or teriparatide during the identification period was considered the index date. Cardiovascular events (MI, stroke, and heart failure) were defined as the first post-index incidence recorded on a hospital claim or physician claim. A validated claims-based algorithm was used to identify deaths, based on hospital discharge status, that are likely to be caused by cardiovascular events. Patients were followed for up to 18 months while on treatment plus 30 days follow-up, or until their first cardiovascular event (MI, stroke, or heart failure) or hospital death, whichever came first.
OtherNumber of Participants With Hip FractureFrom index date up to 19 months
The date of the first prescription claim for either abaloparatide or teriparatide during the identification period was considered the index date. A claims-based algorithm with high specificity for fracture site was used to identify osteoporosis related fractures. Patients were followed up for 18 months after their index date, plus 30 days follow-up or until their first hip fracture event or hospital death, whichever came first.

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With a Nonvertebral FractureFrom index date up to 19 monthsAll patients meeting the study inclusion/exclusion criteria and selected after PS-matching.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Composite Endpoint of Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, or In-hospital Cardiovascular DeathFrom index date up to 19 monthsAll patients meeting the study inclusion/exclusion criteria and selected after PS-matching.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With a Composite Endpoint of Nonfatal MI, Nonfatal Stroke, Heart Failure or In-hospital Cardiovascular DeathFrom index date up to 19 monthsAll patients meeting the study inclusion/exclusion criteria and selected after PS-matching.ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNumber of Participants With Hip FractureFrom index date up to 19 monthsAll patients meeting the study inclusion/exclusion criteria and selected after PS-matching.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group8

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With a Nonvertebral FracturePatients Treated With ABL313Participants
Number of Participants With a Nonvertebral FracturePatients Treated With TPTD333Participants
Number of Participants With Composite Endpoint of Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, or In-hospital Cardiovascular DeathPatients Treated With ABL221Participants
Number of Participants With Composite Endpoint of Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, or In-hospital Cardiovascular DeathPatients Treated With TPTD211Participants
Number of Participants With a Composite Endpoint of Nonfatal MI, Nonfatal Stroke, Heart Failure or In-hospital Cardiovascular DeathPatients Treated With ABL495Participants
Number of Participants With a Composite Endpoint of Nonfatal MI, Nonfatal Stroke, Heart Failure or In-hospital Cardiovascular DeathPatients Treated With TPTD471Participants
Number of Participants With Hip FracturePatients Treated With ABL112Participants
Number of Participants With Hip FracturePatients Treated With TPTD125Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPatients Treated With Abaloparatide11,027
Overall StudySTARTEDPatients Treated With Teriparatide11,027
Overall StudyCOMPLETEDPatients Treated With Abaloparatide11,027
Overall StudyCOMPLETEDPatients Treated With Teriparatide11,027
Overall StudyNOT COMPLETEDPatients Treated With Abaloparatide0
Overall StudyNOT COMPLETEDPatients Treated With Teriparatide0

Adverse events0

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

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPatients Treated With ABL1011,027
Total, all-cause mortalityPatients Treated With TPTD911,027
Total, other adverse eventsPatients Treated With ABL00
Total, other adverse eventsPatients Treated With TPTD00
Total, serious adverse eventsPatients Treated With ABL00
Total, serious adverse eventsPatients Treated With TPTD00

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
35524068DERIVED

Source PubMed

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 comparisons5

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

ComparisonSource
Patients Treated With ABL vs Patients Treated With TPTD: Number of Participants With a Composite Endpoint of Nonfatal MI, Nonfatal Stroke, Heart Failure or In-hospital Cardiovascular DeathTrial comparisons
Patients Treated With ABL vs Patients Treated With TPTD: Number of Participants With a Nonvertebral FractureTrial comparisons
Patients Treated With ABL vs Patients Treated With TPTD: Number of Participants With Hip FractureTrial comparisons
Patients Treated With ABL vs Patients Treated With TPTD: deaths from any causeTrial comparisons
Patients Treated With ABL vs Patients Treated With TPTD: Number of Participants With Composite Endpoint of Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, or In-hospital Cardiovascular DeathTrial comparisons

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/NCT04974723

GET https://conductscience.org/api/trials/v1/NCT04974723/registered