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alendronate +vitamin D combination

Phase 1

Osteoporosis | Small molecule | Endocrine |Organon & Co.|Last Updated: Feb 3, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment318
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00803790A Study of the Bioequivalence of 70-mg Alendronate and 70-mg Alendronate in Combination With 5600 IU Vitamin D (MK0217A-253)PHASE1 COMPLETED 318May 1, 2006Jul 1, 2006Feb 3, 2022 -
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Study Endpoints
Primary Endpoints
Part 1: Urinary Excretion of Alendronate
Day 1-2 across the 36 hour urinary collection period (Periods 1 and 2)

Bioequivalence was demonstrated by measuring the total urinary excretion of alendronate which was determined over a 36-hour period following single dose administration of 70-mg alendronate+5600 International Units (IU) vitamin D combination tablet and 70mg alendronate tablet alone. Urine for each treatment period was collected at -2 to 0 hours predose, 0 to 8, 8 to 24, and 24 to 36 hours postdose on Days 1 and 2.

Part II: AUC (Area Under the Plasma Concentration-time Curve) of Vitamin D
Day 1 across the 80-hour plasma collection period (Period 1 and 2)

The serum vitamin D pharmacokinetic parameter was calculated following the treatment of 70mg alendronate+5600 IU vitamin D combination tablet and 5600 IU vitamin D tablet on Day 1: area under the plasma concentration-time curve (AUC0-80hr). Serum samples for determination of vitamin D concentrations were obtained at -2 and 0 hrs predose on Day 1 and at 2, 3, 5, 7, 9, 12, 16, 24, 36, 48, 72 and 80 hours post dose for each treatment period.

Secondary Endpoints
Part II : Maximum Concentration (Cmax) of Vitamin D
Day 1 across the 80-hour plasma collection period (Periods 1 and 2)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sequence 1- alendronate+vitamin D combination then alendronateEXPERIMENTALParticipants in Part 1 received 70mg alendronate+5600 International Units (IU) vitamin D combination tablet in Period 1 followed by 70mg alendronate tablet in Period 2. A washout of at least 12 days separated each treatment period.
Sequence 2 alendronate then alendronate+vitamin D combinationEXPERIMENTALParticipants in Part 1 received 70mg alendronate tablet in Period 1 followed by 70mg alendronate+5600 IU vitamin D combination tablet in Period 2. A washout of at least 12 days separated each treatment period.
Sequence 3 alendronate+vitamin D combination then vitamin DEXPERIMENTALParticipants in Part 2 received 70mg alendronate+5600 IU vitamin D combination tablet in Period 1 followed by a single dose of 5600 IU vitamin D, administered as two 2800 IU tablets in Period 2. A washout of at least 12 days separated each treatment period.
Sequence 4- vitamin D then alendronate+vitamin D combinationEXPERIMENTALParticipants in Part 2 received a single dose of 5600 IU vitamin D, administered as two 2800 IU tablets in Period 1 followed by a 70mg alendronate+5600 IU vitamin D combination tablet in Period 2. A washout of at least 12 days separated each treatment period.
Interventions
NameTypeDescription
alendronate sodium+vitamin D combinationDRUGA single dose tablet of 70mg alendronate sodium+5600 IU vitamin D combination tablet in one treatment period of each sequence.
Comparator: alendronateDRUGA single dose tablet of 70mg alendronate in one treatment period of each sequence.
Comparator: Vitamin DDIETARY_SUPPLEMENTTwo tablets of 2800 IU vitamin D, totaling 5600 IU, in one treatment period of each sequence.
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Male or nonpregnant female age 18 to 85 years * female of childbearing potential on appropriate method of contraception and not nursing * Body Mass Index (BMI) less than or equal to 30 kg/m2 * subject is in good health Exclusion Criteria: * mental or legal incapacitation * r...

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