A Phase 2 Randomized Trial Evaluating Efficacy of AGA2118 in Postmenopausal Women with Low Bone Mass (ARTEMIS)

2024-515610-41-00 Protocol ACT23-001 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 11 Sep 2025 · Status Authorised, recruiting · 4 EU/EEA countries · 13 sites · Protocol ACT23-001

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 425
Countries 4
Sites 13

Postmenopausal Osteoporosis

To determine the effect of treatment with AGA2118 versus placebo at Month 12 on the percent change from Baseline in BMD at the lumbar spine in postmenopausal women with low BMD

Key facts

Sponsor
Angitia Inc. Ltd.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05]
Trial duration
11 Sep 2025 → ongoing
Decision date (initial)
2025-01-13
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Angitia Incorporated Limited

External identifiers

EU CT number
2024-515610-41-00
ClinicalTrials.gov
NCT06577935

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety, Efficacy, Others

To determine the effect of treatment with AGA2118 versus placebo at Month 12 on the percent change from Baseline in BMD at the lumbar spine in postmenopausal women with low BMD

Secondary objectives 3

  1. To evaluate the effect of treatment with AGA2118 versus placebo at different timepoints on percent change from Baseline in BMD at the lumbar spine, total hip, femoral neck, and one-third distal radius
  2. To evaluate the effect of treatment withAGA2118 versus placebo at different time points on percent change from Baseline in [CCI]
  3. To evaluate the incidence of new clinical fractures (vertebral and nonvertebral) from Baseline to Month 12

Conditions and MedDRA coding

Postmenopausal Osteoporosis

VersionLevelCodeTermSystem organ class
20.0 PT 10031285 Osteoporosis postmenopausal 100000004859

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Randomized, double-blind, placebo-controlled period
For the first 12 months on study, participants, sites, study personnel, and evaluators of central imaging will be blinded to all treatment groups.
Randomised Controlled Double [{"id":156068,"code":4,"name":"Analyst"},{"id":156066,"code":1,"name":"Subject"},{"id":156067,"code":2,"name":"Investigator"}]
2 Open-label period
For Months 12-24, all treatment will be open-label
Not Applicable None

Regulatory references

Scientific advice from competent authorities
European Medicines Agency, Food And Drug Administration
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Healthy, ambulatory, postmenopausal women age >=55 to <=80
  2. BMD T-score of <=-2.5 to >-3.5 at the lumbar spine, total hip, or femoral neck

Exclusion criteria 13

  1. History of vertebral fracture, or fragility fracture of the wrist, humerus, proximal femur, or pelvis
  2. Malignancy within the last 5 years
  3. Use of agents affecting bone metabolism
  4. Vitamin D deficiency
  5. Known intolerance to calcium or vitamin D supplements
  6. Untreated hyper- or hypothyroidism
  7. Current hyper- or hypoparathyroidism
  8. Elevated transaminases
  9. Significantly impaired renal function
  10. Current hypo- or hypercalcemia
  11. Positive for HIV, hepatitis C virus, or hepatitis B surface antigen
  12. Diagnosis of a familial cancer syndrome or known genetic mutation that increases risk of cancer
  13. Myocardial infarction or stroke within the past 12 months

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Percent change from Baseline to Month 12 in lumbar spine BMD

Secondary endpoints 4

  1. Percent change from Baseline to Months 3 and 6 in lumbar spine, total hip, femoral neck, and one-third distal radius BMD
  2. Percent change from Baseline to Month 12 in total hip, femoral neck, and one-third distal radius BMD
  3. Percent change from Baseline to Months 1, 3, 6, 9, and 12 in [CCI]
  4. Incidence of new clinical fractures (vertebral and nonvertebral) between Baseline and Month 12

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

AGA2118

PRD11527956 · Product

Active substance
AGA2118
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
840 mg milligram(s)
Max total dose
20160 mg milligram(s)
Max treatment duration
24 Month(s)
Authorisation status
Not Authorised
ATC code
NOTASSIGN — -
MA holder
ANGITIA INCORPORATED LIMITED
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo to match AGA2118

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Angitia Inc. Ltd.

Sponsor organisation
Angitia Inc. Ltd.
Address
5850 Canoga Avenue Floor 4
City
Woodland Hills
Postcode
91367-6554
Country
United States

Scientific contact point

Organisation
Angitia Inc. Ltd.
Contact name
Ricardo Dent, MD

Public contact point

Organisation
Angitia Inc. Ltd.
Contact name
Deborah Lium

Third parties 12

OrganisationCity, countryDuties
Stark Raving LLC
ORG-100049498
Boston, United States Other
Catalent Pharma Solutions LLC
ORG-100011506
Kansas City, United States Code 14
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Suvoda LLC
ORG-100043523
Conshohocken, United States Interactive response technologies (IRT)
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Merative US LP
ORG-100046293
Ann Arbor, United States Other
Triumph Research Intelligence Limited
ORG-100050298
Cambridge, United Kingdom Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
Worldwide Clinical Trials d.o.o.
ORG-100030991
Zagreb, Croatia On site monitoring, Code 10, Code 11, Code 12, Other, Code 2, Code 5, Data management, Code 8, Code 9
Image Analysis Limited
ORG-100049566
London, United Kingdom Other
Catalent Germany Schorndorf GmbH
ORG-100011845
Schorndorf, Germany Code 14

Locations

4 EU/EEA countries · 13 investigational sites

By country

CountryMS statusPlanned subjectsSites
Bulgaria Ended 25 2
Denmark Ended 25 2
Estonia Ended 25 3
Poland Ongoing, recruitment ended 185 6
Rest of world
Colombia, Ukraine, United States, Argentina, Mexico
165

Investigational sites

Bulgaria

2 sites · Ended
Diagnostic Consultative Centre Ascendent EOOD
N/A, Ulitsa Bacho Kiro 47, 1202, Sofia
University Multiprofessional Hospital For Active Treatment Plovdiv AD
Department of Rheumatology, Bulevard Bilgariya 234, 4003, Plovdiv

Denmark

2 sites · Ended
Aalborg University Hospital
Clinical Institute and Department of Endocrinology, Aalborg Hospital, Moelleparkvej 4, 9000, Aalborg
Aarhus Universitetshospital
Dept of Endocrinology and Internal Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

Estonia

3 sites · Ended
MediTrials OÜ
N/A, Moisavahe Tn 34c, 50708, Tartu Linn
Center for Clinical and Basic Research AS
N/A, J. Parna Tn 4, Kesklinna Linnaosa, Tallinn
East Tallinn Central Hospital
Rheumatology department, Parnu Mnt 104, Kesklinna Linnaosa, Tallinn

Poland

6 sites · Ongoing, recruitment ended
Futuremeds Sp. z o.o.
FutureMeds Wrocław, Ul. Legnicka 16, 53-673, Wroclaw
Futuremeds Sp. z o.o.
FutureMeds Gdynia, Ul. Wladyslawa IV 59, 81-384, Gdynia
Futuremeds Sp. z o.o.
Futuremeds Targówek, Ul. Sw. Wincentego 93/7, 03-291, Warsaw
Krakowskie Centrum Medyczne Sp. z o.o.
N/A, Ul. Mikolaja Kopernika 32 St, 31-501, Cracow
Futuremeds Sp. z o.o.
FutureMeds Warszawa Centrum, Ul. Sapiezynska 3, 00-215, Warsaw
Futuremeds Sp. z o.o.
N/A, Ul. Gruszowa 2, 91-363, Lodz

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2025-09-11 2025-09-12 2025-11-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 76 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_ACT23-001_Protocol Clarification Memo_ECG_redacted N/A
Protocol (for publication) D1_ACT23-001_Protocol Clarification Memo_PIC_redacted N/A
Protocol (for publication) D1_ACT23-001_Protocol_redacted Amd 4 sup
Recruitment arrangements (for publication) K1_Recruitment arrangements_BG_Public 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_Public 1.3
Recruitment arrangements (for publication) K1_Recruitment arrangements_Public 1.1
Recruitment arrangements (for publication) K1_Recruitment arrangements_Public 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Advertisement poster_Danish_Public N/A
Recruitment arrangements (for publication) K2_Recruitment material_Advertisement_est_Public 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Flyer_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Information for external Doctors_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Information for websites_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Landing Page_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Leaflet_v1_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Leaflet_v2_Public 2
Recruitment arrangements (for publication) K2_Recruitment material_Online Ad-Email Content_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Letter_BG_Redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Letter_Redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Poster_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster_Social Media_Online_banner_Public 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster_Social Media_Online_banner_v2_Public 2
Recruitment arrangements (for publication) K2_Recruitment material_Recruiting Brochure_BG_Redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Recruiting Brochure_est_Redacted 3.0
Recruitment arrangements (for publication) K2_Recruitment material_Recruiting Brochure_Redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Recruiting Brochure_rus_Redacted 3.0
Recruitment arrangements (for publication) K2_Recruitment material_Recruitment Brochure_Danish_Redacted 2.0
Subject information and informed consent form (for publication) L1_ACT23-001_POL_Biobanking ICF_pl_redacted 2.3
Subject information and informed consent form (for publication) L1_ACT23-001_POL_Main ICF_pl_redacted 5.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Biobanking ICF_BG_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Biobanking ICF_EN_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Biobanking_est_Redacted 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Biobanking_Redacted 2.3
Subject information and informed consent form (for publication) L1_SIS and ICF_Biobanking_rus_Redacted 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_BG_Redacted 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_EN_Redacted 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Participant_Redacted 3.4
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Patient_est_Redacted 3.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Patient_rus_Redacted 3.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Substudy ICF_BG_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Substudy ICF_EN_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Substudy_est_Redacted 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Substudy_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Substudy_Redacted 2.4
Subject information and informed consent form (for publication) L1_SIS and ICF_Substudy_rus_Redacted 2.2
Subject information and informed consent form (for publication) L2_Other subject information material_3D Secure Terms of Use_est_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_3D Secure Terms of Use_rus_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Reminder Card_BG_Public 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Reminder Card_est_Public 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Reminder Card_rus_Public 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Bank Transfer FAQ_est_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_Bank Transfer FAQ_rus_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_Bank Transfer Standard Message Template_est_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_Bank Transfer Standard Message Template_rus_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard Cardholder FAQ_est_Public 11.0
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard Cardholder FAQ_rus_Public 11.0
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard Cardholder Msg Templates_est_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard Cardholder Msg Templates_rus_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard_Card_Carrier_est_Public 10.1
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard_Card_Carrier_rus_Public 10.1
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard_Fee_Schedule_est_Public 10.1
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard_Fee_Schedule_rus_Public 10.1
Subject information and informed consent form (for publication) L2_Other subject information material_ClinCard_Generic_Image_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_EU Dispute Form_est_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_EU Dispute Form_rus_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_Greenphire_Bank Transfer FAQ_BG_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_Greenphire_Bank Transfer Standard Message_BG_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_KYC_est_Public 10.0
Subject information and informed consent form (for publication) L2_Other subject information material_KYC_rus_Public 10.1
Subject information and informed consent form (for publication) L2_Subjects rights document N/A
Synopsis of the protocol (for publication) D1_ACT23-001_Protocol Synopsis_POL_redacted Amd 4 sup
Synopsis of the protocol (for publication) D1_Protocol Lay Summary_BG_2024-515610-41-00_Redacted 3.1
Synopsis of the protocol (for publication) D1_Protocol Lay Summary_EE_2024-515610-41-00_Redacted 3.1
Synopsis of the protocol (for publication) D1_Protocol Lay Summary_EN_2024-515610-41-00_Redacted 3.1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BG_2024-515610-41-00_Redacted 3.1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_EE_2024-515610-41-00_Redacted 3.1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_EN_2024-515610-41-00_Redacted 3.1

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-06 Estonia Acceptable with conditions
2025-01-08
2025-01-10
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-30 Acceptable
2025-08-04
2025-08-11
3 SUBSTANTIAL MODIFICATION SM-2 2025-08-11 Acceptable
2025-08-20
2025-08-22
4 NON SUBSTANTIAL MODIFICATION NSM-1 2025-10-02 Estonia Acceptable
2025-08-20
2025-10-02
5 SUBSTANTIAL MODIFICATION SM-3 2025-11-13 Acceptable 2025-12-23