Overview
Sponsor-declared trial summary
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
- 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
- To evaluate the effect of treatment withAGA2118 versus placebo at different time points on percent change from Baseline in [CCI]
- To evaluate the incidence of new clinical fractures (vertebral and nonvertebral) from Baseline to Month 12
Conditions and MedDRA coding
Postmenopausal Osteoporosis
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10031285 | Osteoporosis postmenopausal | 100000004859 |
Study design 2 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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
- Healthy, ambulatory, postmenopausal women age >=55 to <=80
- BMD T-score of <=-2.5 to >-3.5 at the lumbar spine, total hip, or femoral neck
Exclusion criteria 13
- History of vertebral fracture, or fragility fracture of the wrist, humerus, proximal femur, or pelvis
- Malignancy within the last 5 years
- Use of agents affecting bone metabolism
- Vitamin D deficiency
- Known intolerance to calcium or vitamin D supplements
- Untreated hyper- or hypothyroidism
- Current hyper- or hypoparathyroidism
- Elevated transaminases
- Significantly impaired renal function
- Current hypo- or hypercalcemia
- Positive for HIV, hepatitis C virus, or hepatitis B surface antigen
- Diagnosis of a familial cancer syndrome or known genetic mutation that increases risk of cancer
- Myocardial infarction or stroke within the past 12 months
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Percent change from Baseline to Month 12 in lumbar spine BMD
Secondary endpoints 4
- Percent change from Baseline to Months 3 and 6 in lumbar spine, total hip, femoral neck, and one-third distal radius BMD
- Percent change from Baseline to Month 12 in total hip, femoral neck, and one-third distal radius BMD
- Percent change from Baseline to Months 1, 3, 6, 9, and 12 in [CCI]
- Incidence of new clinical fractures (vertebral and nonvertebral) between Baseline and Month 12
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |