Comparing two treatment regimens for osteoporosis in postmenopausal women
Official title: Effects of Cycle Therapy With Romosozumab and Denosumab 2 Years vs 1 Year Romosozumab Followed by 1 Year Denosumab in Postmenopausal Osteoporosis Patients-A Randomized Control Trial
Run by National Taiwan University Hospital · NCT06938152 · Data updated 2026-11-12
This study is testing two different treatment plans for osteoporosis in postmenopausal women to see which one helps improve bone strength and reduce the risk of fractures better.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 50 Years to 90 Years |
| Sex | Women only |
| Enrollment | 70 (estimated) |
| Sponsor | National Taiwan University Hospital Academic / other |
| Drugs / interventions | Romosozumab, Denosumab |
| Locations | 1 site (Taipei) |
| Status | Recruiting |
| Started | April 8, 2025 |
| Main results expected | April 30, 2029 |
| Study ends | December 31, 2029 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT06938152 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are postmenopausal women aged 50-90 years with a bone mineral density T-score of less than -3.0.
✕Probably not a fit
Patients with a history of certain medical conditions, recent osteoporosis treatments, or allergies to the study medications may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness of a 24-month cyclic therapy regimen using Romosozumab followed by Denosumab against a traditional sequential treatment regimen of 12 months each of Romosozumab and Denosumab. The study aims to optimize treatment strategies for postmenopausal women suffering from osteoporosis by assessing improvements in bone mineral density and fracture risk. Participants will be randomly assigned to one of the two treatment groups and monitored over the course of the study to determine which regimen yields better therapeutic outcomes.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment strategies that enhance bone health and reduce fracture risk in postmenopausal women with osteoporosis.
How similar studies have gone: While there have been studies on the individual effects of Romosozumab and Denosumab, this specific cyclic therapy approach is novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1\. Postmenopausal women aged 50-90 years * 2\. BMD T-score ≤ -3.0 at any lumbar vertebra * 3\. Physically and mentally capable of understanding and complying with the study protocol and follow-up * 4\. Signed informed consent Exclusion Criteria: * 1\. Previous osteoporosis treatment within the past two years, including Romosozumab, Teriparatide, Denosumab, Alendronate, Ibandronate, Zoledronic Acid, Risedronate, Raloxifene, or Bazedoxifene * 2\. Allergy to Romosozumab or Denosumab * 3\. Secondary osteoporosis * 4\. Autoimmune disease * 5\. Chronic steroid use (e.g., Chronic Obstruction Pulmonary Disease patients) * 6\. Hypercalcemia or hypocalcemia * 7\. Metabolic bone diseases * 8\. Primary or metastatic bone tumors * 9\. Cancer patients (except for in situ carcinoma and non-melanoma skin cancer, unless fully treated and in remission for five years) * 10\. Planned dental procedures (e.g., extractions, implants) within the next year * 11\. History of stent placement, myocardial infarction, stroke, or coronary artery disease * 12\. Renal disease (Creatinine \> 1.5 mg/dL) or dialysis patients * 13\. Smoking more than one pack per day (except for those who have quit for over ten years)
Where it's running
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National Taiwan University Hospital
Taipei, Taiwan Recruiting
Study contacts
- Study coordinator: Fon-Yih Tsuang
- Email: k880113a@gmail.com
- Phone: 886-2312-3456
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Romosozumab and denosumab alone or together for postmenopausal osteoporosis
This 6-month pilot tests whether cyclic romosozumab combined with denosumab improves bone density more than denosumab alone in postmenopausal women with osteoporosis.
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MicroRNA and bone markers linked to response to romosozumab and abaloparatide in postmenopausal osteoporosis
Researchers will test whether microRNA and other bone markers can predict how well postmenopausal women with osteoporosis respond to romosozumab and abaloparatide.
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Ibandronate vs. Zoledronic Acid After Denosumab: Is Either Equal for Postmenopausal Osteoporosis?
In postmenopausal osteoporosis, this study tests whether intravenous ibandronate given after stopping denosumab works as well as zoledronic acid over a year.
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Denosumab effects on muscle strength and insulin sensitivity
This trial will test whether denosumab improves muscle strength and insulin sensitivity in postmenopausal women with osteoporosis and type 2 diabetes who are taking metformin.
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Combining two medications for treating postmenopausal osteoporosis
This study is testing whether combining two approved medications can help women over 45 with postmenopausal osteoporosis improve their bone health and lower their risk of fractures.
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Evaluating treatments after osteoanabolic therapy for osteoporosis
This study is testing different follow-up treatments for Caucasian women with severe osteoporosis after they’ve finished a specific therapy to see which one helps improve their bone health the most.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.