Can a Follow-Up drug keep bones strong after initial osteoporosis therapy?
NCT ID NCT06164795
First seen Jul 22, 2026 · Last updated Jul 23, 2026 · Updated 1 time
Summary
This study looks at postmenopausal women with severe osteoporosis who have finished a course of either romosozumab or teriparatide. Researchers want to see which follow-up drug—zoledronate, denosumab, teriparatide, romosozumab, or abaloparatide—best maintains or improves bone density. The goal is to find the most effective sequential treatment to reduce fracture risk.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- zoledronate, denosumab, teriparatide, romosozumab, or abaloparatide
- What this could lead to
- If successful, this study could identify the most effective bone-strengthening drug to use after initial treatment, helping prevent fractures in women with severe osteoporosis.
- What could go wrong
- This is an observational study, not a randomized trial, so results may be influenced by patient selection. Differences in bone density may not translate to fewer fractures.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2023
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Postmenopausal women treated with severe osteoporosis
- Ages
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50 to 85 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: • Postmenopausal women treated with severe osteoporosis completing their course with romosozumab or teriparatide Exclusion Criteria: * a bone disease other than postmenopausal osteoporosis * use of medications other than romosozumab or teriparatide affecting bone metabolism during the last 12 months before entering the study * creatinine clearance \<60 mL/min/1.73 m2 * liver failure * any type of cancer * uncontrolled endocrine diseases * serum 25-hydroxy vitamin D (25-OHD) concentrations lower than 20 ng/mL (50 nmol/L) * hypersensitivity to denosumab or zoledronate or teriparatide or romosozumab or any of the excipients
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
8 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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, KAT General Hospital
RECRUITINGAthens, 14561, Greece
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251 Airforce & VA General Hospital
RECRUITINGAthens, 11525, Greece
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424 General Military Hospital
RECRUITINGThessaloniki, 56429, Greece
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Campus Bio-Medico University
RECRUITINGRoma, 00128, Italy
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Department of Medicine, Surgery and Neurosciences, University of Siena
RECRUITINGSiena, 53100, Italy
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First Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens
RECRUITINGAthens, 11527, Greece
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Fondazione IRCCS Cà Granda-Ospedale Maggiore Policlinico
RECRUITINGMilan, Italy
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University-Hospital S. Maria della Misericordia
RECRUITINGUdine, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Bone drugs may double as liver fat fighters — a trial puts them to the test
- Can a single infusion lock in bone gains after osteoporosis treatment?
- Could common statins be a surprise weapon against brittle bones?
- Could adding a second drug boost bone strength in osteoporosis?
- New study compares powerful Bone-Building drug combos for osteoporosis