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Completed

NCT Number: NCT05884372

Efficacy and Safety of Combination Denosumab With Eldecalcitol for Postmenopausal Women With Osteoporosis.(ESCORT)

Primary objective:

To compare the bone mineral density (BMD) change under the treatment of denosumab with eldecalcitol or native vitamin D in postmenopausal women with osteoporosis on bone mineral density.

Secondary objective:

To compare the efficacy of denosumab with eldecalcitol or native vitamin D treatment in postmenopausal women with osteoporosis on bone turnover markers, serum PTH, serum calcium, serum phosphorus, muscle mass, muscle strength, body balance ability, and quality of life.

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Key information

Sex eligibility

Female

Study type

Interventional

Phase

Phase 4

Primary location

Zeng,Yuhong

Xi'an, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 1.Postmenopausal patients with osteoporosis, measured by dual energy X-ray absorptiometry (DXA), the T value of lumbar spine, femoral neck or total hip BMD is ≤-2.5, or with low mineral density (-2.5 < T-score < -1.0) plus a fragility fracture of the proximal humerus or distal forearm, or a history of vertebral compression fracture.
  • 2.Voluntarily participate in this study and sign the informed consent.

Exclusion criteria

  • 1.Suffering from hyperthyroidism, Cushing's syndrome, hypogonadism, poorly controlled diabetes mellitus (glycated hemoglobin [HbA1c>9.0%]), or other diseases that may lead to secondary osteoporosis.
  • 2.Patients who have received denosumab therapy before screening: received oral bisphosphonate treatment more than 3 years or received bisphosphonate treatment within 6 months before screening, or received treatment with glucocorticoids, vitamin K, active vitamin D compounds, selective estrogen receptor modulators, calcitonin, hormone replacement therapy, or teriparatide within the 8 weeks prior to study enrollment..
  • 3.Patients who at screening have urinary tract stones detected on B-mode ultrasonography or who have a prior history of urolithiasis.
  • 4.Corrected serum calcium value at screening exceeds 2.6mmol/L (10.4mg/dL) or serum calcium value is lower than 2.12mmol/L(8 mg/dL) or hypercalciuria (> 0.4 mg/dL GF), or chronic kidney disease (eGFR < 30 mL/min/1.73 m2).
  • 5.Patients with a history of malignant tumors.
  • 6.Patients judged by investigators to be unsuitable as subjects.

Treatment and study plan

Eldecalcitol

Drug

the same as arm descriptions.

Native Vitamin D

Drug

the same as arm descriptions.

Denosumab

Drug

the same as arm descriptions.

calcium

Drug

the same as arm descriptions.

Primary outcomes

  1. the percent change from baseline at month 12 in BMD at the lumbar spine L1-4.

    Time frame: 12 months

    the percent change from baseline at month 12 in BMD at the lumbar spine L1-4.

Secondary outcomes

  1. the percent change from baseline at month 6 in BMD at the lumbar spine L1-4.

    Time frame: 6 months

    the percent change from baseline at month 6 in BMD at the lumbar spine L1-4.

  2. the percent change from baseline at each visit in BMD at the femoral neck and total hip.

    Time frame: 12 months

    the percent change from baseline at each visit in BMD at the femoral neck and total hip.

  3. the percent change from baseline at each visit in serum CTX,P1NP,PTH.

    Time frame: 12 months

    the percent change from baseline at each visit in serum CTX,P1NP,PTH.

  4. the score change from baseline at month 6 and month 12 in quality of life by 16-item Assessment of Health-Related Quality of Life in Osteoporosis,(ECOS-16).

    Time frame: 12 months

    the score change from baseline at month 6 and month 12 in quality of life by 16-item Assessment of Health-Related Quality of Life in Osteoporosis,(ECOS-16). The scale ranges from 16 to 80, with higher scores meaning higher risk.

  5. Incidence rate of new vertebral fracture and new non-vertebral fracture in 1 year.

    Time frame: 12 months

    Incidence rate of new vertebral fracture and new non-vertebral fracture in 1 year.

Other outcomes

  1. the change from baseline at month 6 and month 12 in body balance ability by measuring One Leg Standing (OLS).

    Time frame: 12 months

    the change from baseline at month 6 and month 12 in body balance ability by measuring One Leg Standing (OLS).

  2. the change from baseline at month 6 and month 12 in limb skeletal muscle content by DXA.

    Time frame: 12 months

    the change from baseline at month 6 and month 12 in limb skeletal muscle content by DXA.

  3. the change from baseline at month 6 and month 12 in physical function by measuring 5 times chair stand.

    Time frame: 12 months

    the change from baseline at month 6 and month 12 in physical function by measuring 5 times chair stand.

  4. the change from baseline at month 6 and month 12 in muscle strength by measuring handgrip strength.

    Time frame: 12 months

    the change from baseline at month 6 and month 12 in muscle strength by measuring grip strength.

  5. the change from baseline at month 6 and month 12 in body balance ability by measuring 10 Meter Walk (10MW).

    Time frame: 12 months

    the change from baseline at month 6 and month 12 in body balance ability by measuring 10 Meter Walk (10MW).

  6. the change from baseline at month 6 and month 12 in body balance ability by measuring Timed Up and Go (TUG).

    Time frame: 12 months

    the change from baseline at month 6 and month 12 in body balance ability by measuring Timed Up and Go (TUG).

Sponsors and collaborators

Lead sponsor

Xi'an Honghui Hospital

Other

Collaborators

  • Chugai Pharma China Co., Ltd.

Registry information

Acronym: ESCORT

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Jun 1, 2023
Registry last updated
Nov 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.