Recent Updates
Recently added Catalysts

Romosozumab /mL

Phase 3

Postmenopausal Osteoporosis | Small molecule | Endocrine |Amgen Inc.|Last Updated: Aug 28, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment7,541
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02791516A Safety and Efficacy Study to Evaluate Romosozumab (AMG 785) in South Korean Women With OsteoporosisPHASE3 COMPLETED 67Jan 16, 2017Dec 21, 2018Oct 7, 201910 South Korea
NCT02016716A Randomized Phase 3 Study to Evaluate Two Formulations of Romosozumab in Postmenopausal Women With OsteoporosisPHASE3 COMPLETED 294Dec 3, 2013Dec 8, 2014Nov 8, 201812 United States, Czechia +1
NCT01575834Efficacy and Safety of Romosozumab Treatment in Postmenopausal Women With OsteoporosisPHASE3 COMPLETED 7,180Mar 15, 2012Dec 28, 2016Aug 28, 2024218 United States, Argentina +22
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Percent Change From Baseline to Month 6 in Bone Mineral Density at the Lumbar Spine
Baseline and month 6

Bone mineral density (BMD) at the lumbar spine was assessed by dual-energy x-ray absorptiometry (DXA). Images were assessed by a central reader.

Percent Change From Baseline in Bone Mineral Density (BMD) at the Lumbar Spine
Baseline and month 6

Bone mineral density was measured by dual-energy X-ray absorptiometry (DXA).

Percentage of Participants With New Vertebral Fracture Through Month 12
12 Months

New vertebral fractures occurred when there was ≥ 1 grade increase from the previous grade of 0 in any vertebra from T4 to L4 using the Genant semiquantitative scoring method. The Genant semiquantitative scoring method was based on assessment of x-rays according to the following scale: * Grade 0 (Normal) = no fracture; * Grade 1 (Mild) = mild fracture, 20 to 25% reduction in vertebral height (anterior, middle, or posterior); * Grade 2 (Moderate) = moderate fracture, 25 to 40% reduction in anterior, middle, and/or posterior height; * Grade 3 (Severe) = severe fracture, greater than 40% reduction in anterior, middle, and/or posterior height.

Percentage of Participants With New Vertebral Fracture Through Month 24
24 months

New vertebral fractures occurred when there was ≥ 1 grade increase from the previous grade of 0 in any vertebra from T4 to L4 using the Genant semiquantitative scoring method. The Genant semiquantitative scoring method was based on assessment of x-rays according to the following scale: * Grade 0 (Normal) = no fracture; * Grade 1 (Mild) = mild fracture, 20 to 25% reduction in vertebral height (anterior, middle, or posterior); * Grade 2 (Moderate) = moderate fracture, 25 to 40% reduction in anterior, middle, and/or posterior height; * Grade 3 (Severe) = severe fracture, greater than 40% reduction in anterior, middle, and/or posterior height.

Secondary Endpoints
Percent Change From Baseline to Month 6 in Bone Mineral Density at the Total Hip
Baseline and month 6
Percent Change From Baseline to Month 6 in Bone Mineral Density at the Femoral Neck
Baseline and month 6
Percent Change From Baseline in Total Hip BMD
Baseline and month 6
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants received placebo subcutaneous injection once a month for 6 months.
RomosozumabEXPERIMENTALParticipants received 210 mg romosozumab by subcutaneous injection once a month for 6 months.
Romosozumab 90 mg/mLEXPERIMENTALParticipants received 210 mg romosozumab monthly, administered as 2 subcutaneous (SC) 1.17 mL injections of a 90 mg/mL solution, for 6 months.
Placebo 90 mg/mLEXPERIMENTALParticipants received matching placebo administered as 2 subcutaneous injections of 1.17 mL every month for 6 months.
Romosozumab 70 mg/mLEXPERIMENTALParticipants received 210 mg romosozumab monthly, administered as 3 subcutaneous 1.0 mL injections of a 70 mg/mL solution, for 6 months.
Placebo 70 mg/mLPLACEBO_COMPARATORParticipants received matching placebo administered as 3 subcutaneous injections of 1.0 mL every month for 6 months.
Interventions
NameTypeDescription
RomosozumabDRUGAdministered by subcutaneous injection once a month (QM)
PlaceboDRUGAdministered by subcutaneous injections once a month
Romosozumab 90 mg/mLDRUGAdministered as 2 SC injections of a 90 mg/mL concentration in a 1.17 mL crystal zenith resin prefilled syringe (PFS).
Placebo 90 mg/mLDRUGPlacebo administered as 2 SC injections with the 1.17 mL crystal zenith resin PFS.
Romosozumab 70 mg/mLDRUGAdministered as 3 SC injections of a 70 mg/mL concentration in a 1.0 mL glass PFS.
Placebo 70 mg/mLDRUGPlacebo administered as 3 SC injections with the 1.0 mL glass PFS.
DenosumabDRUGAdministered by subcutaneous injection once every 6 months (Q6M)
Unlock Study Design Details
Eligibility Criteria
Age Range55 Years — 90 Years
SexFEMALE
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Ambulatory postmenopausal Korean women, ≥ 55 to ≤ 90 years of age at enrollment. * Postmenopause is defined as no spontaneous vaginal bleeding or spotting for 12 or more consecutive months prior to screening. * BMD T-score \</= -2.50 at the lumbar spine, total hip or femoral n...

Countries:South KoreaUnited StatesCzechiaPolandArgentinaAustraliaBelgiumBrazilCanadaColombiaDenmarkDominican RepublicEstoniaGermanyHungaryIndiaJapanLatviaLithuaniaMexicoNew ZealandRomaniaSpainSwitzerlandUnited Kingdom
Unlock Eligibility Criteria