About this trial
This is a randomized, double-blind, placebo- and active-controlled Phase II study evaluating the efficacy and safety of TST002 injection (a humanized monoclonal antibody) in postmenopausal women with osteoporosis or low bone mass, aged 45-80 years.
Approximately 110 participants will be randomized 1:1:1:1:1 (stratified by baseline BMD T-score) to one of five arms: TST002 400 mg every 8 weeks (Q8W), TST002 800 mg Q8W, TST002 1200 mg every 12 weeks (Q12W), placebo, or open-label denosumab 60 mg subcutaneously every 24 weeks. The study includes a screening period (Day -28 to Day -1), a main study period (Week 0-24), and an extension period (Week 25-52), with all participants followed through Week 52 (Day 365).
The primary objective is to evaluate the effect of repeated IV TST002 infusions on lumbar spine bone mineral density (BMD). Secondary objectives include characterization of pharmacokinetics, pharmacodynamics, immunogenicity, safety, and tolerability.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntary signed informed consent; able to walk freely; willing/able to complete all study procedures.
BMI 18.0-30.0 kg/m² (inclusive); body weight ≥45 kg.
Postmenopausal women aged 45-80 years (inclusive) at screening, postmenopausal ≥2 years (≥12 consecutive months without spontaneous vaginal bleeding/spotting).
BMD T-score <-2.00 at lumbar spine (L1-L4 total), total hip, or femoral neck at screening; OR history of fragility fracture with T-score <-1.00 at one of these sites (central imaging read).
Disqualifiers
BMD T-score ≤-3.50 at lumbar spine, total hip, or femoral neck at screening.
Prior hip fracture.
≥2 vertebral fractures on screening lateral spine X-ray (investigator-assessed).
Known skeletal, endocrine, or rheumatic disease that could confound results (e.g., Paget's disease, osteomalacia, osteopetrosis, osteogenesis imperfecta, sclerosteosis, rheumatoid arthritis, ankylosing spondylitis, Cushing's disease, hyperprolactinemia, uncontrolled thyroid disease, hyper-/hypoparathyroidism, or CN VIII compression hearing loss).
Trial design
Single group
Treatments tested in this trial
Denosumab
DrugActive comparator
Placebo
DrugVehicle Placebo
Treatment groups
Trial outcomes
Primary outcomes
Percent change from baseline in lumbar spine Bone Mineral Density (BMD)
Lumbar spine (L1-L4) bone mineral density, central imaging read (DXA)
Secondary outcomes
Percent change from baseline in lumbar spine Bone Mineral Density (BMD)
Central imaging read (DXA)
Percent change from baseline in total hip Bone Mineral Density (BMD)
Central imaging read (DXA)
Percent change from baseline in femoral neck Bone Mineral Density (BMD)
Central imaging DXA
TST002 plasma concentration
Plasma concentrations at each dosing timepoint
Locations
Sponsors and contacts
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