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alendronate cholecalciferol

Phase 1

Osteoporosis | Small molecule | Endocrine |Organon & Co.|Last Updated: Feb 8, 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
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment300
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT006417714-Week Study to Assess the Effect of Alendronate and Vitamin D3 Once Weekly on Fractional Calcium Absorption in Postmenopausal Osteoporotic Women (0217A-230)PHASE1 COMPLETED 56May 1, 2004Aug 1, 2005Feb 2, 2022 -
NCT00806416A Study of the Bioequivalence of 70 mg Alendronate and 70 mg Alendronate in Combination With 2800 IU Vitamin DPHASE1 COMPLETED 244May 1, 2003Jan 1, 2004Feb 8, 2022 -
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Study Endpoints
Primary Endpoints
To compare change in fractional calcium absorption following administration of MK0217A relative to matching placebo, in postmenopausal women with osteoporosis
4 Weeks
Part 1: The Total Urinary Excretion of Alendronate With Alendronate/Vitamin D Combination Tablet Relative to Alendronate Tablet
On Day 1 across the 36-hour urinary collection period (Periods 1 and 2).

Urinary excretion of alendronate was determined over a 36-hour period following single-dose administration of a 70 mg alendronate/2800-IU vitamin D3 combination tablet or 70 mg alendronate alone tablet. 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.

Part II : The Pharmacokinetic Parameters AUC0-120 hr of Vitamin D in Combination Tablet Relative to Vitamin D Tablet
On Day 1 across the 120-hour plasma collection period (Periods 1 and 2).

Serum vitamin D3 pharmacokinetic parameter AUC0-120 hr (area under the serum concentration-time curve) after treatment on Day 1was calculated following single-dose administration of a 70 mg alendronate/2800-IU vitamin D3 combination tablet or 2800-IU vitamin D3 tablet. Serum for each treatment period was collected at -24, -18, -12, -6, and 0 hours predose, and 2, 3, 5, 7, 9, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose.

Part II : The Pharmacokinetic Parameters Cmax of Vitamin D in Combination Tablet Relative to Vitamin D Tablet
On Day 1 across the 120-hour plasma collection period (Periods 1 and 2).

Serum vitamin D3 pharmacokinetic parameter Cmax (maximum concentration observed in serum) after treatmen on Day 1was calculated following single-dose administration of a 70 mg alendronate/2800-IU vitamin D3 combination tablet or 2800-IU vitamin D3 tablet. Serum for each treatment period was collected at -24, -18, -12, -6, and 0 hours predose, and 2, 3, 5, 7, 9, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose.

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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALMK0217A
2PLACEBO_COMPARATORPlacebo
Sequence 1EXPERIMENTALalendronate/vitamin D combination then alendronate
Sequence 2EXPERIMENTALalendronate then alendronate/vitamin D combination
Sequence 3EXPERIMENTALalendronate/vitamin D combination then vitamin D
Sequence 4EXPERIMENTALvitamin D then alendronate/vitamin D combination
Interventions
NameTypeDescription
alendronate sodium (+) cholecalciferolDRUGMK0217A, a tablet containing alendronate 70-mg and vitamin D3 2800 IU, once weekly for 4 weeks. All patients will be instructed to take the tablet fasting upon arising for the day with 6 to 8 oz. of plain water (i.e., tap), wait at least one-half hour while continuing to fast and before the first food, beverage (except water), or other medication. All patients must eat before lying down.
Comparator: Placebo (unspecified)DRUGMK0217A, Pbo tablet, once weekly for 4 weeks. All patients will be instructed to take the tablet fasting upon arising for the day with 6 to 8 oz. of plain water (i.e., tap), wait at least one-half hour while continuing to fast and before the first food, beverage (except water), or other medication. All patients must eat before lying down.
Comparator: alendronateDRUGA single dose table of 70 mg alendronate in one treatment period of each sequence. There will be a 12 day interval between each treatment period.
Comparator: cholecalciferol (Vitamin D)DIETARY_SUPPLEMENTA single dose tablet of 2800 IU vitamin D in one treatment period of each sequence. There will be a 12 day interval between each treatment period.
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Eligibility Criteria
Age Range50 Years — 80 Years
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * The patient is a postmenopausal osteoporotic female * The patient is willing to limit direct sunlight exposure during the course of the study * The patient must be ambulatory * The patient has serum 25-hydroxyvitamin D =25 ng/mL Exclusion Criteria: * The patient is contraind...

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Competitive Landscape -Osteoporosis 8 trials