Clinical trial • Phase II • Musculoskeletal

AGA2118 for Postmenopausal osteoporosis

Phase II trial of AGA2118 for Postmenopausal osteoporosis. Randomised, open-label, placebo to match aga2118 (placebo comparator)-controlled.

Overview

Trial Therapeutic Area
Musculoskeletal
Trial Disease
Postmenopausal osteoporosis
Trial Stage
Phase II
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
06-09-2024
First CTIS Authorization Date
10-01-2025

Trial design

Randomised, open-label, placebo to match aga2118 (placebo comparator)-controlled Phase II trial across 13 sites in Bulgaria, Denmark, Estonia and others.

Randomised
Yes
Open Label
Yes
Comparator
Placebo to match AGA2118 (placebo comparator)
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
260
Trial Duration For Participant
730

Eligibility

Recruits 260 Vulnerable population not selected; trial enrolls competent adult postmenopausal women. No special consent or assent handling for vulnerable populations is described in the record..

Vulnerable Population
Vulnerable population not selected; trial enrolls competent adult postmenopausal women. No special consent or assent handling for vulnerable populations is described in the record.

Inclusion criteria

  • {"criterion_text":"-Healthy, ambulatory, postmenopausal women age >=55 to <=80\n-BMD T-score of <=-2.5 to >-3.5 at the lumbar spine, total hip, or femoral neck"}

Exclusion criteria

  • {"criterion_text":"-History of vertebral fracture, or fragility fracture of the wrist, humerus, proximal femur, or pelvis\n-Malignancy within the last 5 years\n-Use of agents affecting bone metabolism\n-Vitamin D deficiency\n-Known intolerance to calcium or vitamin D supplements\n-Untreated hyper- or hypothyroidism\n-Current hyper- or hypoparathyroidism\n-Elevated transaminases\n-Significantly impaired renal function\n-Current hypo- or hypercalcemia\n-Positive for HIV, hepatitis C virus, or hepatitis B surface antigen\n-Diagnosis of a familial cancer syndrome or known genetic mutation that increases risk of cancer\n-Myocardial infarction or stroke within the past 12 months"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Percent change from Baseline to Month 12 in lumbar spine BMD","definition_or_measurement_approach":"Percent change from baseline to Month 12 in lumbar spine bone mineral density (BMD). Measurement approach indicated in study documentation: BMD assessed at skeletal sites (lumbar spine) using DEXA (DXA) imaging (Image Analysis Limited listed for DEXA and X-rays)."}

Secondary endpoints

  • {"endpoint_text":"-Percent change from Baseline to Months 3 and 6 in lumbar spine, total hip, femoral neck, and one-third distal radius BMD","definition_or_measurement_approach":"Percent change from baseline to Months 3 and 6 in BMD at lumbar spine, total hip, femoral neck and one-third distal radius measured by DEXA (DXA) per study documents."}
  • {"endpoint_text":"-Percent change from Baseline to Month 12 in total hip, femoral neck, and one-third distal radius BMD","definition_or_measurement_approach":"Percent change from baseline to Month 12 in BMD at total hip, femoral neck and one-third distal radius measured by DEXA (DXA)."}
  • {"endpoint_text":"-Percent change from Baseline to Months 1, 3, 6, 9, and 12 in [CCI]","definition_or_measurement_approach":"Percent change from baseline at listed timepoints for the specified composite/clinical chemical indicator ([CCI]) as defined in study protocol. Specific measurement method for [CCI] not provided in the CTIS record."}
  • {"endpoint_text":"-Incidence of new clinical fractures (vertebral and nonvertebral) between Baseline and Month 12","definition_or_measurement_approach":"Incidence of new clinical fractures (vertebral and nonvertebral) from baseline to Month 12 assessed by clinical assessment and imaging (X-rays/DEXA indicated in study support documents)."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
260
Recruitment Window Months
31
Consent Approach
Informed consent obtained from individual adult participants (postmenopausal women). Subject information and informed consent forms are provided in multiple languages (documents present for English, Bulgarian, Estonian, Polish and Russian). No assent procedures (for minors) are described; consent materials are adult participant ICFs.

Methods

  • Online advertisements / social media banners / online banners (documents: Poster_Social Media_Online_banner, Online Ad-Email Content) — country-targeted materials present in CTIS for Poland, Denmark, Estonia, Bulgaria.
  • Landing page / website recruitment material (document: Landing Page_Public) — country-specific landing page materials included (associated documents for countries).
  • Printed posters and leaflets (documents: Poster_Public, Leaflet_v1_Public, Leaflet_v2_Public) — used for local site/community recruitment.
  • Recruitment brochures and patient letters (documents: Recruiting Brochure, Patient Letter) — country-specific brochure/letter materials for participants.
  • Information for external doctors (document: Information for external Doctors_Public) — materials to engage referring clinicians.
  • Advertisement posters (country-specific versions e.g., Danish advertisement poster) and local-language recruiting brochures (e.g., Estonian, Bulgarian, Polish) — country-targeted offline recruitment.
  • Third-party vendor supported recruitment and advertising (Stark Raving LLC listed with duty 'Patient recruitment and advertising').

Geography

Total Number Of Sites
13
Total Number Of Participants
260

Bulgaria

Earliest CTIS Part Ii Submission Date
21-11-2024
Latest Decision Or Authorization Date
13-01-2025
Processing Time Days
53
Number Of Sites
2
Number Of Participants
25

Sites

Site Name
University Multiprofessional Hospital For Active Treatment Plovdiv AD
Department Name
Department of Rheumatology
Principal Investigator Name
Ivan Goranov
Principal Investigator Email
goranov_ivan@yahoo.com
Contact Person Name
Ivan Goranov
Contact Person Email
goranov_ivan@yahoo.com
Site Name
Diagnostic Consultative Centre Ascendent EOOD
Principal Investigator Name
Zoya Koleva
Principal Investigator Email
zoya.koleva@futuremeds.bg
Contact Person Name
Zoya Koleva
Contact Person Email
zoya.koleva@futuremeds.bg

Denmark

Earliest CTIS Part Ii Submission Date
19-12-2024
Latest Decision Or Authorization Date
10-01-2025
Processing Time Days
22
Number Of Sites
2
Number Of Participants
25

Sites

Site Name
Aarhus Universitetshospital
Department Name
Dept of Endocrinology and Internal Medicine, Aarhus University Hospital
Principal Investigator Name
Bente Langdahl
Principal Investigator Email
bente.langdahl@aarhus.rm.dk
Contact Person Name
Bente Langdahl
Contact Person Email
bente.langdahl@aarhus.rm.dk
Site Name
Aalborg University Hospital
Department Name
Clinical Institute and Department of Endocrinology, Aalborg Hospital
Principal Investigator Name
Peter Vestergaard
Principal Investigator Email
p.vestergaard@rn.dk
Contact Person Name
Peter Vestergaard
Contact Person Email
p.vestergaard@rn.dk

Estonia

Earliest CTIS Part Ii Submission Date
14-11-2024
Latest Decision Or Authorization Date
10-01-2025
Processing Time Days
57
Number Of Sites
3
Number Of Participants
25

Sites

Site Name
MediTrials OÜ
Principal Investigator Name
Raili Müller
Principal Investigator Email
Raili.myller@meditrials.ee
Contact Person Name
Raili Müller
Contact Person Email
Raili.myller@meditrials.ee
Site Name
Center for Clinical and Basic Research AS
Principal Investigator Name
Ivo Valter
Principal Investigator Email
ivo.valter@nordestmedical.eu
Contact Person Name
Ivo Valter
Contact Person Email
ivo.valter@nordestmedical.eu
Site Name
East Tallinn Central Hospital
Department Name
Rheumatology department
Principal Investigator Name
Andres Pille
Principal Investigator Email
andres.pille@itk.ee
Contact Person Name
Andres Pille
Contact Person Email
andres.pille@itk.ee

Poland

Earliest CTIS Part Ii Submission Date
26-11-2024
Latest Decision Or Authorization Date
23-12-2025
Processing Time Days
392
Number Of Sites
6
Number Of Participants
185

Sites

Site Name
Futuremeds Sp. z o.o. (Lodz)
Principal Investigator Name
Katarzyna Bartnicka-Masłowska
Principal Investigator Email
katarzyna.bartnicka@futuremeds.com
Contact Person Name
Katarzyna Bartnicka-Masłowska
Site Name
Futuremeds Sp. z o.o. (Wroclaw)
Department Name
FutureMeds Wrocław
Principal Investigator Name
Paulina Ludziak
Principal Investigator Email
paulina.ludziak@futuremeds.com
Contact Person Name
Paulina Ludziak
Contact Person Email
paulina.ludziak@futuremeds.com
Site Name
Futuremeds Sp. z o.o. (Warsaw)
Department Name
FutureMeds Targówek
Principal Investigator Name
Angieszka Jurek-Urbanowska
Principal Investigator Email
agnieszka.urbanowska@futuremeds.com
Contact Person Name
Angieszka Jurek-Urbanowska
Site Name
Futuremeds Sp. z o.o. (Warsaw Centre)
Department Name
FutureMeds Warszawa Centrum
Principal Investigator Name
Olga Jeziorska
Principal Investigator Email
olga.jeziorska@futuremeds.com
Contact Person Name
Olga Jeziorska
Contact Person Email
olga.jeziorska@futuremeds.com
Site Name
Futuremeds Sp. z o.o. (Gdynia)
Department Name
FutureMeds Gdynia
Principal Investigator Name
Barbara Grabowicz-Waśko
Principal Investigator Email
barbara.wasko@futuremeds.com
Contact Person Name
Barbara Grabowicz-Waśko
Contact Person Email
barbara.wasko@futuremeds.com
Site Name
Krakowskie Centrum Medyczne Sp. z o.o.
Principal Investigator Name
Piotr Rozpondek
Principal Investigator Email
piotr.rozpondek@futuremeds.com
Contact Person Name
Piotr Rozpondek
Contact Person Email
piotr.rozpondek@futuremeds.com

Sponsor

Primary sponsor

Full Name
Angitia Inc. Ltd.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Worldwide Clinical Trials d.o.o.
Responsibilities
Multiple operational roles including DMC and legal representation (as listed in sponsor third-party duties).
Name
Triumph Research Intelligence Limited
Responsibilities
Risk management and central monitoring activities.

Third parties

  • {"country":"United States","full_name":"Stark Raving LLC","duties_or_roles":"Patient recruitment and advertising","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Catalent Pharma Solutions LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient reimbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Merative US LP","duties_or_roles":"CTMS","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United Kingdom","full_name":"Triumph Research Intelligence Limited","duties_or_roles":"Risk management and central monitoring activities","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Croatia","full_name":"Worldwide Clinical Trials d.o.o.","duties_or_roles":"Multiple operational roles incl. DMC, Legal representation","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Image Analysis Limited","duties_or_roles":"DEXA and X-rays","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Catalent Germany Schorndorf GmbH","duties_or_roles":"","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
AGA2118
Active Substance
AGA2118
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Authorisation Status
Investigational
Maximum Dose
840 mg
Investigational Product Name
Placebo to match AGA2118
Modality
Other

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