New osteoporosis drug could offer cheaper alternative to prolia
NCT ID NCT05345691
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This phase 3 trial tested whether a biosimilar called Bmab 1000 works as well as the established drug Prolia® for treating osteoporosis in postmenopausal women. 479 women aged 55-79 with osteoporosis received either Bmab 1000 or Prolia® as an injection every 6 months. The study measured changes in bone density and bone turnover markers to see if the two drugs are equivalent.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bmab 1000 (a biosimilar of denosumab, given as an injection every 6 months)
- What this could lead to
- If successful, this could provide a more affordable treatment option for osteoporosis, helping to prevent fractures in postmenopausal women.
- What could go wrong
- This is a biosimilar comparison trial, not a new breakthrough. Even if it works, it may not offer any advantage over the existing drug, and long-term safety data are still limited.
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.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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479 people
The number who actually took part.
- Started
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May 2022
- Finished
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Jun 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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55 to 80 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: 1. Postmenopausal women, aged ≥55 and \<80 years at screening. Postmenopausal is defined as 12 months of spontaneous amenorrhea with serum FSH (follicle-stimulating hormone) levels ≥40 mIU/mL at screening or 6 weeks postsurgical bilateral oophorectomy with or without hysterectomy. 2. Evidence of osteoporosis as assessed by lumbar spine (L1-L4) absolute BMD corresponding to a T-score classification ≤-2.5 and ≥-4.0. 3. At least 3 vertebrae in the L1-L4 region and at least one hip joint are evaluable by DXA at screening. 4. Patients with body weight ≥50 to \<90 kg at screening. Exclusion Criteria: 1. Patients with T-score of \<-4.0 at the lumbar spine, total hip, or femoral neck. 2. Known history of previous exposure to denosumab (Prolia®, Xgeva®, or any biosimilar denosumab). 3. For prior or ongoing use of any osteoporosis treatment (other than calcium and vitamin D supplements) following points to be considered for the washout periods prior to the screening visit: a. Oral bisphosphonate i. Ineligible if used for 3 or more years cumulatively ii. If used for \<3 years, a gap of at least 1 year since the last dose is required at the screening visit b. Dose received any time 4. Systemic glucocorticosteroids 5. Patients with ongoing serious infections 6. Evidence of any of the following per the patient's history, DXA, or X-ray review and/or current disease: 1. Patient in bed rest for 2 or more weeks during the last 3 months prior to screening 2. Current hyperthyroidism or hypothyroidism 3. History and/or current hyperparathyroidism or hypoparathyroidism 4. Current hypocalcemia or hypercalcemia based on albumin-adjusted serum calcium 5. Any bone disease including bone metastasis or metabolic disease (except for osteoporosis), eg, osteomalacia or osteogenesis imperfecta, rheumatoid arthritis, Paget's disease, ALP (alkaline phosphatase) elevation (at investigator's discretion), Cushing's disease, clinically significant hyperprolactinemia (at investigator's discretion), fibrous dysplasia, malabsorption syndrome which may interfere with the interpretation of the results 6. History and/or presence of one severe or 3 or more moderate vertebral fractures 7. History and/or presence of hip fracture or bilateral hip replacement 8. Presence of an active healing fracture according to assessment of investigator 9. History of severe skeletal pain with bisphosphonates which, as per the investigator, is a risk to her participation in the trial 10. Oral/dental or periodontal conditions:
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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.
Contacts and locations
Locations
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PPD Global Ltd, Granta Park, Great Abington,
Cambridge, UK, CB21 6GQ, United Kingdom
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Other studies related to the condition(s) this trial covers.
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