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Japanese

Jan. 20, 2023

April. 02, 2023

jRCT1051220150

Equivalence Trial of Denosumab vs Zoledronate Following Romosozumab (DZR Trial)

Comparison of Denosumab and Zoledronate following Romosozumab

Takahashi Shinji

Osaka Metropolitan University Hospital

1-4-3, Asahimachi, Abenoku, Osaka

+81-6-6645-3851

stakahashi@omu.ac.jp

Takahashi Shinji

Osaka Metropolitan University Hospital

1-4-3, Asahimachi, Abeno-ku, Osaka

+81-666453851

stakahashi@omu.ac.jp

Pending

Jan. 20, 2023

65

Interventional

randomized controlled trial

open(masking not used)

active control

parallel assignment

treatment purpose

Patients on romosozumab for osteoporosis who are 50 years of age or older and have one of the following criteria at the time of starting romosozumab
1. bone mineral density less than 2.5 SD and more than 1 fragility fracture
2. lumbar spine bone density less than -3.3 SD
3. more than 2 existing vertebral fractures
4. semi-quantitative evaluation method result of existing vertebral fracture is Genant grade 3.
5. judged to be necessary to improve surgical outcomes for osteoporosis
6. more than 7.5 mg of steroids (more than 3 months) and T-score <-2.5
Bone fracture despite treatment with bone resorption inhibitors
8. persistent loss of bone mineral density despite treatment with bone resorption inhibitors

Translated with www.DeepL.com/Translator (free version)

1. patients with severe renal dysfunction (creatinine clearance <35 mL/min)
2. patients with a history of hypersensitivity to denosumab or bisphosphonates
3. patients with dehydration (high fever, severe diarrhea, vomiting, etc.)
4. patients with hypocalcemia

50age old over
No limit

Both

Osteoporosis

Denosumab or zoledronate after romosozumab

osteoporosis, denosumab, zoledronate, romosozumab

denosumab, zoledronate, romosozumab

D010024

D000069448, D000077211

Bone mineral density (Lumbar spine, Total hip)

Bone metabolism (P1NP, TRACP-5b)

Osaka Metropolitan University Hospital Certified Review Board
ABENO MEDIX 6F,1-2-7 Asahi-machi, Abeno-ku, Osaka, Osaka, Osaka

+81-6-6645-3456

gr-a-knky-crb@omu.ac.jp
Approval

Jan. 05, 2022

No

none

History of Changes

No Publication date
2 April. 02, 2023 (this page) Changes
1 Jan. 20, 2023 Detail