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Ibandronate

Phase 3

Male Osteoporosis | Small molecule | Endocrine |Roche Holding AG|Last Updated: Mar 29, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment135

FDA Designations

No designations recorded

Clinical trial landscape

Ibandronate · 10 trials · 6 indications

Phase 3 9Phase 2 1
NCT01290094A Study of Bonviva/Boniva (Ibandronate) in Biphosphonate-Naïve Women With Post-Menopausal OsteoporosisPost Menopausal Osteoporosis
COMPLETED41 Analytics
NCT00493623BONDIR Study: A Study of Intravenous Bonviva (Ibandronate) After Recent Vertebral Osteoporotic Fracture in Patients With Osteoporosis.Osteoporosis
COMPLETED68 Analytics
NCT00397839The Effect Of Oral Ibandronate In Male OsteoporosisMale Osteoporosis
COMPLETED135 Analytics
NCT00545779BONCURE Study: A Study of Monthly Bonviva (Ibandronate) in Women With Post-Menopausal Osteoporosis on Bisphosphonate Therapy.Post-Menopausal Osteoporosis
COMPLETED677 Analytics
NCT02561039A Study of Ibandronate (Bondronat) in Participants With Malignant Bone DiseasePain; Bone Neoplasms; Neoplasm Metastasis
COMPLETED97 Analytics
NCT02716792A Study to Evaluate Renal Safety of Intravenous Ibandronate (Bondronat) in Participants With Metastatic Bone Disease Due to Breast CancerPain; Bone Neoplasms; Neoplasm Metastasis
COMPLETED334 Analytics
NCT00048074DIVA Study - A Study of Different Regimens of Intravenous Administration of Bonviva (Ibandronate) in Women With Post-Menopausal OsteoporosisPost Menopausal Osteoporosis
COMPLETED1,395 Analytics
NCT00048061MOBILE Study - A Study of Bonviva (Ibandronate) Regimens in Women With Post-Menopausal OsteoporosisPost Menopausal Osteoporosis
COMPLETED1,609 Analytics
NCT00545207A Study of Bonviva (Ibandronate) Once Monthly in Post-Menopausal Women With Osteopenia.Post-Menopausal Osteopenia
COMPLETED150 Analytics
PHASE3COMPLETED
A Study of Bonviva/Boniva (Ibandronate) in Biphosphonate-Naïve Women With Post-Menopausal Osteoporosis
Post Menopausal OsteoporosisUnlock trial analytics
PHASE3COMPLETED
BONDIR Study: A Study of Intravenous Bonviva (Ibandronate) After Recent Vertebral Osteoporotic Fracture in Patients With Osteoporosis.
OsteoporosisUnlock trial analytics
PHASE3COMPLETED
The Effect Of Oral Ibandronate In Male Osteoporosis
Male OsteoporosisUnlock trial analytics
PHASE3COMPLETED
BONCURE Study: A Study of Monthly Bonviva (Ibandronate) in Women With Post-Menopausal Osteoporosis on Bisphosphonate Therapy.
Post-Menopausal OsteoporosisUnlock trial analytics
PHASE3COMPLETED
A Study of Ibandronate (Bondronat) in Participants With Malignant Bone Disease
Pain; Bone Neoplasms; Neoplasm MetastasisUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Renal Safety of Intravenous Ibandronate (Bondronat) in Participants With Metastatic Bone Disease Due to Breast Cancer
Pain; Bone Neoplasms; Neoplasm MetastasisUnlock trial analytics
PHASE3COMPLETED
DIVA Study - A Study of Different Regimens of Intravenous Administration of Bonviva (Ibandronate) in Women With Post-Menopausal Osteoporosis
Post Menopausal OsteoporosisUnlock trial analytics
PHASE3COMPLETED
MOBILE Study - A Study of Bonviva (Ibandronate) Regimens in Women With Post-Menopausal Osteoporosis
Post Menopausal OsteoporosisUnlock trial analytics
PHASE3COMPLETED
A Study of Bonviva (Ibandronate) Once Monthly in Post-Menopausal Women With Osteopenia.
Post-Menopausal OsteopeniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Mean Lumbar Spine Bone Mineral Density (BMD) at Month 12
Baseline, Month 12

Percent change was calculated as \[(measure at time "t" minus \[-\] measure at baseline) divided by (/) measure at baseline\] multiplied by (\*) 100, where t=12 months. The baseline value is used as a reference to calculate the relative change from baseline.

Percent Change From Baseline in Mean Lumbar Spine BMD at Month 24
Baseline, Month 24

Percent change was calculated as \[(measure at time "t" - measure at baseline)/measure at baseline\]\*100, where t=24 months. The baseline value is used as a reference to calculate the relative change from baseline.

Percent Change From Baseline in Mean Hip Bone BMD at Month 12
Baseline, Month 12

Percent change was calculated as \[(measure at time "t" - measure at baseline)/measure at baseline\]\*100, where t=12 months. The baseline value is used as a reference to calculate the relative change from baseline.

Percent Change From Baseline in Mean Hip BMD at Month 24
Baseline, Month 24

Percent change was calculated as \[(measure at time "t" - measure at baseline)/measure at baseline\]\*100, where t=24 months. The baseline value is used as a reference to calculate the relative change from baseline.

Success of Bonviva therapy (>=20% diminution of pain intensity between day 0 and 7, with stabilization or diminution of concomitant analgesics between day 3 and 7).
Day 7
Mean Percent Change in BMD of the Lumbar Spine From Baseline to Month 12
12 months

BMD will be assessed using an analysis of covariance model (ANCOVA) with datea obtained from dual-Energy X-ray absorptiometry scans.

Percentage of Participants Current Daily or Weekly Bisphosphonate Users in Part A Who Answer 'Yes' to Any of the Questions in the Candidate Identification Questionnaire (CIQ)
Visit 0 (less than or equal to [<=] Day -30)

The CIQ was completed in Part A by all the participants. The information from the CIQ was used to determine the percentage of current daily or weekly bisphosphonate users for whom monthly ibandronate represented a potentially more satisfactory therapeutic option. In the CIQ participants were asked to answer either 'yes' or 'no' to the following 3 questions: 1. I would prefer a monthly oral dosing schedule to my current (daily or weekly) dosing schedule. 2. More than once per month, I have experienced stomach upset within 48 hours of taking my osteoporosis medication. 3. Over the past 3 months, I have missed taking 3 or more doses of my current (daily or weekly) osteoporosis medication.

Percentage of Participants Who Reported Preference for Monthly Ibandronate
Visit 0 (<= Day -30)

Percentage of participants who reported preference for monthly ibandronate were reported.

Percentage of Participants With Positive Change in Total Composite Satisfaction Score (CSS) at Month 6 in Part B by CIQ Fracture (Fr) Group
Month 6

Participants with a positive change from their baseline CSS at Month 6 are considered those participants who are satisfied with once-monthly dosing of ibandronate after 6 months of use were reported. The CSS is scaled from 0 to 100 and is an average of the 4 domain scores of the Osteoporosis Patient Satisfaction Questionnaire (OPSAT-Q): Convenience (questions 1 to 6), Quality of Life (questions 7 and 8), Overall Satisfaction (questions 9 and 10) and Side Effects (questions 11 to 16). Higher scores indicating greater satisfaction.

Response rate according to reduction in BPI most acute pain score from Baseline
Month 4
Change in KPI
Baseline to Month 4
Creatinine clearance (CrCl) Estimated by Cockcroft-Gault Formula
28 days after last infusion (approximately 2 years)
Relative Percent Change From Baseline in Mean Bone Mineral Density (BMD) of Lumbar Spine (L2-L4) at 12 Months
Baseline and Month 12

BMD was measured by a single dual-energy x-ray absorptiometry (DXA) scan of the lumbar spine at the time of screening and at Month 12. The change in BMD was defined as the relative difference between the last individual measurement available at 12 months and Baseline, using the following formula: Relative change = 100 x (BMD at 1 year - BMD at Baseline) / (BMD at Baseline)

Relative Change From Baseline at One Year (12 Months) in Mean Lumbar Spine (L2 - L4) Bone Mineral Density
From Baseline (Month 0) to Month 12

Relative change in Bone Mineral Density (BMD) is the percentage change from baseline of BMD of vertebrae L2 - L4 that are not fractured and not affected by an osteoarthritic process to such a degree that accurate measurement of BMD would be considered jeopardized by the central reading center after 12 months of treatment. It is calculated as the sum of bone mineral content divided by the sum of area of all lumbar vertebrae L2 - L4 that are not fractured and not affected by an osteoarthritic process at Month 12. Participants available at particular time point for assessment were included in the analysis.

Trabecular BV/TV at distal radius of non-dominant arm
12 arms
Pain and analgesic consumption
Days 1, 7 and 14

Secondary Endpoints

Percent Change From Baseline in Lumbar Spine T-score at Month 12 and 24
Baseline, Month 12, Month 24
Percent Change From Baseline in Total Hip T-score at Month 12 and 24
Baseline, Month 12, Month 24
Percentage of Participants Who Received All Planned Study Medication (Compliance)
Baseline up to Month 12
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Single ArmEXPERIMENTAL -
1EXPERIMENTAL -
2PLACEBO_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
IbandronateEXPERIMENTAL -
Ibandronate IV InfusionEXPERIMENTALParticipants will receive ibandronate, 6 mg via IV infusion, every 3 to 4 weeks for 4 months.
Ibandronate PO TabletEXPERIMENTALParticipants will receive ibandronate, 50 mg PO daily, for 4 months.
Ibandronate 15-Minute InfusionEXPERIMENTALParticipants will receive ibandronate IV infusions over a 15-minute interval.
Ibandronate 60-Minute InfusionACTIVE_COMPARATORParticipants will receive ibandronate IV infusions over a 60-minute interval.
3EXPERIMENTALoral placebo daily and IV ibandronate 3 mg q 3 mo
Ibandronate 2.5 mgACTIVE_COMPARATORParticipants will receive 2.5 milligram (mg) ibandronate Per oral (PO) daily and an oblong placebo tablet PO monthly. Participants will also receive calcium 500 mg /day and vitamin D 400 international units (IU)/day .
Ibandronate 50/50 mgEXPERIMENTALParticipants will receive 100 mg ibandronate PO monthly taken on a single day (2 X 50 mg tablets) and round placebo tablet PO daily. Participants will also receive calcium 500 mg /day and vitamin D 400 IU/day.
Ibandronate 100 mgEXPERIMENTALParticipants will receive 100 mg ibandronate PO monthly divided over two consecutive days (50 mg tablet/day) and a round placebo tablet PO daily. Participants will also receive calcium 500 mg /day and vitamin D 400 IU/day
Ibandronate 150 mgEXPERIMENTALParticipants will receive 150 mg ibandronate PO monthly taken on a single day and a round placebo tablet PO daily. Participants will also receive calcium 500 mg /day and vitamin D 400 IU/day

Interventions

NameTypeDescription
ibandronate [Bonviva/Boniva]DRUG3 mg intravenously every 3 months
PlaceboDRUGPlacebo i.v. single dose
IbandronateDRUGIbandronate orally (tablet) at a dose of 150 mg once per month
CalciumDIETARY_SUPPLEMENT500 mg/day
Vitamin DDIETARY_SUPPLEMENT400 IU/day
ibandronate [Bondronat]DRUG6mg iv on days 1-3
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Eligibility Criteria

Age Range50 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Female patients, \> 50 years of age * Diagnosed osteoporosis * Bone mineral density \< minus 2.5 SD or osteoporotic fracture * At least 3 years after menopause Exclusion Criteria: * Impaired renal function * Contra-indication to Calcium or Vitamin D therapy * Previous or cur...

Countries:Bosnia and HerzegovinaFranceUnited StatesAlbaniaCroatiaNorth MacedoniaSerbiaTurkey (Türkiye)BulgariaAustraliaBelgiumCanadaCzechiaDenmarkGermanyHungaryItalyMexicoNorwayPolandSouth AfricaSpainUnited KingdomBrazilRomaniaSwitzerland
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Competitive Landscape -Osteoporosis 8 trials (matched to "Male Osteoporosis")

Frequently asked questions about Ibandronate

What is Ibandronate used for?

Ibandronate is a small molecule bisphosphonate used for post-menopausal osteoporosis, post-menopausal osteopenia, male osteoporosis, bone pain, bone neoplasms, and neoplasm metastasis. It is being developed by Roche Holding AG (RHHBY) and is currently in Phase 3 clinical development for these endocrine-related conditions.

How does Ibandronate work?

Ibandronate is a bisphosphonate that inhibits bone resorption. It works by binding to hydroxyapatite in bone and inhibiting osteoclast activity, thereby reducing bone turnover and increasing bone mineral density. This mechanism helps prevent fractures and manage conditions like osteoporosis.

Who makes Ibandronate?

Ibandronate is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is conducting Phase 3 clinical trials for the drug across multiple indications, including post-menopausal osteoporosis and male osteoporosis.

What phase is Ibandronate in?

Ibandronate is in Phase 3 clinical development. It has completed three Phase 3 trials with a total enrollment of 3,045 participants. The drug is investigational and not yet approved, as it remains in clinical development for its studied indications.

What clinical trials is Ibandronate in?

Ibandronate has completed three Phase 3 trials: NCT00048074 (DIVA study in post-menopausal osteoporosis, 1,395 patients), NCT00397839 (male osteoporosis, 135 patients), and NCT00493623 (BONDIR study in osteoporosis after vertebral fracture, 68 patients). All trials are completed.

Is Ibandronate the same as Bonviva?

Yes, Ibandronate is also known as Bonviva. Clinical trials such as the DIVA study (NCT00048074) and BONDIR study (NCT00493623) refer to intravenous Bonviva, which is the brand name for Ibandronate. This name is used in studies for post-menopausal osteoporosis and osteoporosis.