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Romosozumab/mL

Phase 3

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

Target and mechanism

Molecular targetSOST
Target classInhibitor
ModalitySmall molecule

Also known as Romosozumab Prefilled Syringe [Evenity], Romosozumab Prefilled Syringe, Romosozumab

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment7,541

FDA Designations

No designations recorded

Clinical trial landscape

Romosozumab/mL · 3 trials · 1 indication

Phase 3 3
NCT02791516A Safety and Efficacy Study to Evaluate Romosozumab (AMG 785) in South Korean Women With OsteoporosisPostmenopausal Osteoporosis
COMPLETED67 Analytics
NCT02016716A Randomized Phase 3 Study to Evaluate Two Formulations of Romosozumab in Postmenopausal Women With OsteoporosisPostmenopausal Osteoporosis
COMPLETED294 Analytics
NCT01575834Efficacy and Safety of Romosozumab Treatment in Postmenopausal Women With OsteoporosisPostmenopausal Osteoporosis
COMPLETED7,180 Analytics
PHASE3COMPLETED
A Safety and Efficacy Study to Evaluate Romosozumab (AMG 785) in South Korean Women With Osteoporosis
Postmenopausal OsteoporosisUnlock trial analytics
PHASE3COMPLETED
A Randomized Phase 3 Study to Evaluate Two Formulations of Romosozumab in Postmenopausal Women With Osteoporosis
Postmenopausal OsteoporosisUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Romosozumab Treatment in Postmenopausal Women With Osteoporosis
Postmenopausal OsteoporosisUnlock trial analytics

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
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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)
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Eligibility Criteria

Age Range55 Years to 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
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Frequently asked questions about Romosozumab/mL

What is Romosozumab used for?

Romosozumab is a monoclonal antibody being developed for musculoskeletal conditions including postmenopausal osteoporosis, osteogenesis imperfecta, osteopenia, and premenopausal idiopathic osteoporosis. It is currently in Phase 2 clinical development for premenopausal idiopathic osteoporosis, with earlier studies completed in osteopenia.

Who makes Romosozumab?

Romosozumab is developed by Amgen Inc., traded on NASDAQ under the ticker AMGN. The company is conducting clinical trials to evaluate the drug for osteoporosis-related conditions.

What phase is Romosozumab in?

Romosozumab is in Phase 2 clinical development. One active Phase 2 trial is studying the drug in premenopausal idiopathic osteoporosis, while three Phase 1 trials have been completed in osteopenia. It is investigational and not yet approved.

What clinical trials is Romosozumab in?

Romosozumab has four clinical trials. The active Phase 2 trial is NCT04800367 for premenopausal idiopathic osteoporosis. Completed Phase 1 trials include NCT00950950, NCT01059435, and NCT01101061, all studying osteopenia in postmenopausal women or healthy participants.

Is Romosozumab the same as Evenity?

Romosozumab is also known as Romosozumab Prefilled Syringe [Evenity] and Romosozumab Prefilled Syringe. These names refer to the same drug product, which is being developed by Amgen for osteoporosis-related conditions.