Status:

RECRUITING

Effects of Cycle Therapy vs Sequential Therapy With Romosozumab and Denosumab in Postmenopausal Osteoporosis Patients

Lead Sponsor:

National Taiwan University Hospital

Conditions:

Osteoporosis

Osteoporosis Postmenopausal

Eligibility:

FEMALE

50-90 years

Phase:

PHASE4

Brief Summary

This study is a prospective, randomized, controlled clinical trial comparing the efficacy of a 24-month cyclic therapy regimen (6 months of Romosozumab followed by 6 months of Denosumab, repeated for ...

Detailed Description

Osteoporosis is common in postmenopausal women and the elderly, and has been recognized by the World Health Organization as the second most prevalent metabolic bone disease worldwide. Most patients sh...

Eligibility Criteria

Inclusion

  • 1\. Postmenopausal women aged 50-90 years
  • 2\. BMD T-score ≤ -3.0 at any lumbar vertebra
  • 3\. Physically and mentally capable of understanding and complying with the study protocol and follow-up
  • 4\. Signed informed consent

Exclusion

  • 1\. Previous osteoporosis treatment within the past two years, including Romosozumab, Teriparatide, Denosumab, Alendronate, Ibandronate, Zoledronic Acid, Risedronate, Raloxifene, or Bazedoxifene
  • 2\. Allergy to Romosozumab or Denosumab
  • 3\. Secondary osteoporosis
  • 4\. Autoimmune disease
  • 5\. Chronic steroid use (e.g., Chronic Obstruction Pulmonary Disease patients)
  • 6\. Hypercalcemia or hypocalcemia
  • 7\. Metabolic bone diseases
  • 8\. Primary or metastatic bone tumors
  • 9\. Cancer patients (except for in situ carcinoma and non-melanoma skin cancer, unless fully treated and in remission for five years)
  • 10\. Planned dental procedures (e.g., extractions, implants) within the next year
  • 11\. History of stent placement, myocardial infarction, stroke, or coronary artery disease
  • 12\. Renal disease (Creatinine \> 1.5 mg/dL) or dialysis patients
  • 13\. Smoking more than one pack per day (except for those who have quit for over ten years)

Key Trial Info

Start Date :

April 8 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2029

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT06938152

Start Date

April 8 2025

End Date

December 31 2029

Last Update

December 19 2025

Active Locations (1)

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1

National Taiwan University Hospital

Taipei, Taiwan