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** ASBMR 2022: 3D modelling of hip DXA scans in postmenopausal women with o=
steoporosis reveals superior improvements in bone density of romosozumab ve=
rsus controls
------------------------------------------------------------
=C2=B7 Post-hoc analyses of the FRAME, ARCH and the STRUCTURE phase 3 trial=
s using 3D modelling techniques showed significant cortical and trabecular =
bone improvements during the first year in romosozumab-treated patients.
=C2=B7 Romosozumab-treated patients achieved greater increases in cortical =
volumetric BMD (CvBMD), cortical thickness (Cth), cortical surface BMD (CsB=
MD) and trabecular volumetric BMD (TvBMD) than comparator groups, from as e=
arly as Month 6 through to Month 12.=C2=A0
=C2=B7 Data further demonstrated that patients at high risk of fracture may=
benefit the most from treatment with romosozumab first, followed by an ant=
iresorptive.=C2=A0
=C2=B7 Additional data offered new insights into neurological factors contr=
ibuting to fracture risk, the impact of the COVID pandemic and subsequent p=
ublic health lockdowns on the existing treatment and care gaps, and the use=
of artificial intelligence in osteoporosis screening.=C2=A0
Brussels (Belgium), 9 September 2022 =E2=80=93 07:00 (CEST) =E2=80=93 UCB a=
nd Amgen, global biopharmaceutical companies, today presented abstracts of =
three post-hoc analyses focusing on 3D modelling techniques that highlight =
significant cortical and trabecular bone improvements in patients treated w=
ith romosozumab. The data were presented along with additional 17 abstracts=
, at the American Society for Bone and Mineral Research (ASBMR) 2022 Annual=
Congress, taking place from 9th =E2=80=93 12th September in Austin, Texas,=
USA.=C2=A0
DXA-based modelling enables estimation of cortical and trabecular bone para=
meters comparable to QCT measurements and generates outputs to visualize an=
d monitor osteoporosis (OP) treatment. =C2=A0In both analyses, Lewiecki et =
al. used DXA-based modelling of the hip to assess 3D bone changes and map t=
he distribution of changes in bone parameters over time in patients from FR=
AME, ARCH and STRUCTURE.^1
In the first abstract, Lewiecki et al. looked at 3D modelling from hip DXA =
scans in postmenopausal women with osteoporosis who received oral bisphosph=
onate therapy for =E2=89=A53 years and ALN for =E2=89=A51 year prior to scr=
eening, and were randomized to ROMO or a comparator (STRUCTURE: teriparatid=
e [TPTD]) for 12 months. The analysis found greater increases in CvBMD, Cth=
, CsBMD and TvBMD from as early as Month 6 following treatment with ROMO vs=
TPTD, with additional gains observed through to Month 12. The results also=
showed TPTD treatment led to a loss in CvBMD, Cth and CsBMD.^2=C2=A0
Another abstract by Lewiecki et al. reported the results of a post-hoc anal=
ysis from the FRAME and ARCH studies. Postmenopausal women with osteoporosi=
s were randomized to romosozumab 210 mg monthly (ROMO) or a comparator (FRA=
ME: PBO; ARCH: alendronate [ALN] 70 mg) for 12 months. After 12 months, all=
patients received denosumab (DMAB) in FRAME or ALN in ARCH. 3D modelling f=
rom hip DXA scans found that at Month 12, treatment with ROMO vs PBO in FRA=
ME and ROMO vs ALN in ARCH resulted in greater increases in cortical volume=
tric bone mineral density (CvBMD), cortical thickness (Cth), cortical surfa=
ce BMD (CsBMD) and trabecular volumetric BMD (TvBMD). At month 24, the cumu=
lative gains in CvBMD, Cth, CsBMD and TvBMD were greater in the ROMO/DMAB v=
s PBO/DMAB sequence (P<0.001) and in the ROMO/ALN vs ALN/ALN sequence (P<0.=
05).^1 This data further corroborates the Cosman et al. and McClung et al. =
studies that showed greater BMD gains, reduced new vertebral fracture incid=
ence and lower incidence of clinical, non-vertebral and hip fractures with =
ROMO/DMAB treatment, and significant improved bone microarchitecture with R=
OMO/ALN treatment, respectively.^3,4 =C2=A0
Osteoporosis is the most common chronic metabolic bone disease.^5 Character=
ised by compromised bone strength, the condition causes approximately 9 mil=
lion fractures each year.^5,6 Fragility fractures can result in significant=
burden on a person=E2=80=99s life, often making everyday activities such a=
s eating, dressing, shopping or driving difficult.^7
=E2=80=9CAs people are living longer, the burden of fragility fractures due=
to osteoporosis requires effective addressing. So we are proud to communic=
ate additional data supporting romosozumab as a bone forming option for pos=
tmenopausal women with severe osteoporosis at high risk of fracture,=E2=80=
=9D said Emmanuel Caeymaex, Executive Vice President, Immunology Solutions =
& Head of US, UCB. =E2=80=9CASBMR 2022 provides an integral forum for clini=
cians and scientists around the world to come together and share the latest=
breakthroughs and innovations and so we at UCB are proud to be participati=
ng with a wealth of scientific research this year. Our goal is to ensure os=
teoporosis care is a priority now and in the future, so we can continue to =
improve patient outcomes.=E2=80=9D=C2=A0
During ASBMR 2022, UCB and Amgen showcased their commitment to the screenin=
g, treatment, and management of osteoporosis with the presentation of a tot=
al of 19 abstracts.=C2=A0
UCB & Amgen abstracts:
=C2=B7 One Year of Romosozumab Followed by One Year of Denosumab Compared W=
ith Two Years of Denosumab: BMD and Fracture Results From the FRAME and FRA=
ME Extension Studies. F. Cosman, M. Oates, D. Betah, S. Ferrari, J. Timosha=
nko, Z. Wang, M. McClung=C2=A0
=C2=B7 Trends in Osteoporosis Care Patterns during the COVID-19 Pandemic in=
Alberta, Canada. D.L. Kendler, J.P. Brown, A.G. Juby, P. Schneider, R. Wan=
i, M. Packalen, S. Avcil, S. Li, M.S. Farris, E. Graves, S. McMullen, T. Ol=
iveira=C2=A0
=C2=B7 Current trends in osteoporosis epidemiology and the widening treatme=
nt gap among commercially-insured postmenopausal women in the United States=
(US). M. Kim, P. Samai, M. Phelan, M. McDermott, C. Deignan, T. Lin, M.A. =
Brookhart
=C2=B7 Cortical and trabecular bone improvements with romosozumab followed =
by denosumab or alendronate assessed using 3D modeling from DXA images. E.M=
. Lewiecki, D. Betah, L. Humbert, C. Libanati, M. Oates, Y. Shi, R. Winzenr=
ieth, S. Ferrari, F. Omura
=C2=B7 Comparison of romosozumab and teriparatide effects on cortical and t=
rabecular bone using 3D modeling from DXA images in postmenopausal women tr=
ansitioning from bisphosphonate therapy. E.M. Lewiecki, D. Betah, L. Humber=
t, C. Libanati, M. Oates, Y. Shi, R. Winzenrieth, S. Ferrari, F. Omura
=C2=B7 Clinical Characteristics, Including History of Myocardial Infarction=
and Stroke, Among US PMO Women Initiating Treatment with Romosozumab and O=
ther Antiosteoporosis Therapies. T. Lin, Y. Liu, T. Arora, M. Oates, C. Dei=
gnan, Z. Yu, J.R. Curtis=C2=A0
=C2=B7 Effect of Romosozumab on Bone Microarchitecture as Assessed by Tissu=
e Thickness=E2=80=93Adjusted Trabecular Bone Score in Postmenopausal Women =
with Osteoporosis: Results from the ARCH Study. M.R. McClung, D. Betah, B.Z=
. Leder, D.L. Kendler, M. Oates, J. Timoshanko, Z. Wang
=C2=B7 Romosozumab Efficacy in Postmenopausal Women Without Prior Fracture =
Who Fulfill AACE Criteria for Osteoanabolic Therapy: Post-Hoc Analysis of C=
linical Trial Data. M. McClung, D. Betah, C. Deignan, Y. Shi, J. Timoshanko=
, F. Cosman=C2=A0
=C2=B7 Crystal Bone: Validation of a Novel AI/ML Algorithm in the Optum Rel=
iant dataset to Identify Patients at Risk of Osteoporotic Fracture in the N=
ext 2 Years. E. Mody, R. Yood, C. Deignan, T. Rosenflanz, P. Zhang, T. Kell=
ey, N. Payne, C. Andersen=C2=A0
=C2=B7 Crystal Bone: Validation of a Novel AI/ML Algorithm in the Stanford =
Health Care dataset to Identify Patients at Risk of Osteoporotic Fracture i=
n the Next 2 Years. D.E. Sellmeyer, C. Deignan, T. Rosenflanz, Y. Nazarenko=
, P. Zhang, C. Andersen=C2=A0
=C2=B7 One- and five-year survival after fragility fracture: Real-world ret=
rospective matched-cohort study in Ontario, Canada. G. Vincent, J.D. Adachi=
, E. Schemitsch, J. Tarride, M. Luen, R.J. Wani, J.P. Brown
=C2=B7 The Impact of Osteoporotic Fractures on Activities of Daily Living a=
nd the Indirect Economic Measures in Five Countries. E. Yeh, O. Rajkovic-Ho=
oley, M. Silvey, W.S. Ambler, R. Pinedo-Villanueva, N. Harvey, A. Moayyeri=
=C2=A0
Research Collaboration abstracts supported by UCB and Amgen:=C2=A0
=C2=B7 Gradients of risk of clinical risk factors for hip and vertebral fra=
cture depend on age and are typically larger at younger age. K. Engelke, C.=
C. Gl=C3=BCer, M. Kistler, F. Thomasius, P. Hadji, B. Schweikert, C. Libana=
ti, A. Moayyeri=C2=A0
=C2=B7 Retrospective Standalone Performance Testing of a Machine Learning A=
lgorithm for Opportunistically Detecting Vertebral Fractures on Chest and A=
bdomen CT images in a Chinese population. J. Nicolaes, Y. Liu, P. Huang, Y.=
Zhao, L. Wang, A. Yu, J. Dunkel, C. Libanati, X. Cheng=C2=A0
=C2=B7 Evaluation of Romosozumab=E2=80=99s Effects on Bone Marrow Adiposity=
in Postmenopausal Osteoporotic Women: Results from The FRAME Bone Biopsy S=
ub-Study. P. Chavassieux, J.P. Roux, C. Libanati, Y Shi, R. Chapurlat=C2=A0
=C2=B7 Neurological Clinical Risk Factors For Fracture =E2=80=93 an underap=
preciated domain: ICD Code-Based Analysis of a German Health Insurance Data=
base. F. Thomasius, K. Engelke, P. Hadji, M. Kistler, B. Schweikert, A. Moa=
yyeri, C. Libanati, C.C. Gl=C3=BCer
=C2=B7 Gradients of risk of clinical risk factors for hip and vertebral fra=
cture are generally larger in men than in women: results from a large healt=
h insurance database. C.C. Gl=C3=BCer, K. Engelke, M. Kistler, F. Thomasius=
, P. Hadji, B. Schweikert, A. Moayyeri, C. Libanati=C2=A0
=C2=B7 Inhibition/deletion of Wise (Sostdc1) potentiates cortical bone buil=
ding effects of Sost deficiency. R.B. Choi, G.G. Loots, A.G. Robling (abstr=
act #XX)
=C2=B7 Nmp4 Underlies the Treatment Plateaus of Osteoanabolics. C. Korff, E=
.G. Atkinson, D.J. Horan, M. Adaway, A.G. Robling, J.P. Bidwell=C2=A0
For further information, contact UCB:=C2=A0
Global Communications
Adriaan Snauwaert
T+32 497 70 23 46
Adriaan.snauwaert@ucb.com
Investor Relations
Antje Witte
T +32 2 559 9414
Antje.witte@ucb.com=C2=A0
About the study methodology and patient population
FRAME and ARCH (Lewiecki et al.)
Postmenopausal women with osteoporosis were randomized to romosozumab (ROMO=
) 210 mg monthly or comparator (FRAME: PBO; ARCH: alendronate [ALN] 70mg) f=
or 12 months. After 12 months all patients received denosumab (DMAB) in FRA=
ME or ALN in ARCH. For each study, data from a subset of 200 randomly selec=
ted women per treatment group who had total hip DXA scans at baseline (BL),=
month (M) 12, and M24 and had provided consent for future research were in=
cluded in the analysis. Percentage change from BL to M12 and M24 in cortica=
l volumetric BMD (CvBMD), cortical thickness (Cth), cortical surface BMD (C=
sBMD), and trabecular vBMD (TvBMD) were evaluated. Percentage changes were =
assessed by repeated measures model adjusting for baseline covariates.
STRUCTURE (Lewiecki et al.)
Postmenopausal women with osteoporosis who had received oral bisphosphonate=
(BP) therapy for =E2=89=A53 years and ALN for =E2=89=A51 year prior to scr=
eening were then randomized 1:1 to receive open-label ROMO or teriparatide =
(TPTD) for 12M. Data from women who had total hip DXA scans at baseline (BL=
), M6, and M12 and had provided consent for future research were included i=
n this analysis. Data from 308 women from STRUCTURE (ROMO, 160; TPTD, 148) =
who had evaluable 3D assessments at BL, M6, and M12 were analyzed. Percenta=
ge change from BL to M6 and M12 in cortical vBMD (CvBMD), cortical thicknes=
s (Cth), cortical surface BMD (CsBMD), and TvBMD were evaluated. Percentage=
changes were assessed by repeated measures model adjusting for BL covariat=
es.
About EVENITY=C2=AE=E2=96=BC (romosozumab)^8
Romosozumab is a bone-forming monoclonal antibody. It is designed to work b=
y inhibiting the activity of sclerostin, which simultaneously results in in=
creased bone formation and to a lesser extent decreased bone resorption. Th=
e romosozumab development program includes 19 clinical studies that enrolle=
d approximately 14,000 patients. EVENITY has been studied for its potential=
to reduce the risk of fractures in an extensive global phase 3 program tha=
t included two large fracture trials comparing romosozumab to either placeb=
o or active comparator in over 11,000 postmenopausal women with osteoporosi=
s. Amgen and UCB are co-developing romosozumab.=E2=96=BCThis product is sub=
ject to additional monitoring. This will allow quick identification of new =
safety information. Healthcare professionals are asked to report any suspec=
ted adverse reactions.
Important Safety Information about EVENITY^=C2=AE (romosozumab) in the EU/E=
EA
In the EU, Romosozumab is indicated for treatment of severe osteoporosis in=
postmenopausal women at high risk of fracture. Contraindications: Romosozu=
mab is contraindicated in patients who are allergic to romosozumab or any o=
f the excipients, who have low levels of calcium in the blood (hypocalcaemi=
a), or who have a history of myocardial infarction (heart attack) or stroke=
. Myocardial infarction or stroke: Heart attack and stroke have been report=
ed in patients receiving Romosozumab in randomised controlled trials (uncom=
mon). Treatment with Romosozumab should not be initiated in patients with a=
history of heart attack or stroke. When determining whether to use Romosoz=
umab for an individual patient, the presence of risk factors for cardiovasc=
ular problems, including established cardiovascular disease, high blood pre=
ssure, high blood fat levels, diabetes, smoking or kidney problems, should =
be evaluated. Romosozumab should only be used if the prescriber and patient=
agree that the benefit outweighs the risk. If a patient experiences a myoc=
ardial infarction or stroke during therapy, treatment with Romosozumab shou=
ld be discontinued. Hypocalcaemia: Transient hypocalcaemia has been observe=
d in patients receiving Romosozumab. Hypocalcaemia should be corrected prio=
r to initiating therapy with Romosozumab and patients should be monitored f=
or signs and symptoms of hypocalcaemia. If any patient presents with suspec=
ted symptoms of hypocalcaemia during treatment, calcium levels should be me=
asured. Patients should be adequately supplemented with calcium and vitamin=
D. Patients with severe renal impairment (estimated glomerular filtration =
rate [eGFR] 15 to 29ml/min/1.73m2) or receiving dialysis are at greater ris=
k of developing hypocalcaemia and the safety data for these patients are li=
mited. Calcium levels should be monitored in these patients. Hypersensitivi=
ty: Clinically significant hypersensitivity reactions, including angioedema=
, erythema multiforme, and urticaria occurred in the Romosozumab group in c=
linical trials. If an anaphylactic or other clinically significant allergic=
reaction occurs, appropriate therapy should be initiated and use of Romoso=
zumab should be discontinued. Osteonecrosis of the Jaw: Osteonecrosis of th=
e jaw (ONJ) has been reported rarely in patients receiving Romosozumab. The=
following risk factors should be considered when evaluating a patient=E2=
=80=99s risk of developing ONJ: (1) potency of the medicinal product that i=
nhibits bone resorption (the risk increases with the antiresorptive potency=
of the compound), and cumulative dose of bone resorption therapy, (2) canc=
er, co-morbid conditions (e.g. anaemia, coagulopathies, infection), smoking=
, (3) concomitant therapies: corticosteroids, chemotherapy, angiogenesis in=
hibitors, radiotherapy to head and neck, (4) poor oral hygiene, periodontal=
disease, poorly fitting dentures, history of dental disease, invasive dent=
al procedures e.g. tooth extractions. All patients should be encouraged to =
maintain good oral hygiene and receive routine dental check-ups. Dentures s=
hould fit correctly. Patients under dental treatment, or who will undergo d=
ental surgery (e.g. tooth extractions) whilst being treated with Romosozuma=
b should inform their doctor about their dental treatment and inform their =
dentist that they are receiving Romosozumab. Patients should immediately re=
port any oral symptoms such as dental mobility, pain or swelling or non-hea=
ling of sores or pus discharge during treatment with Romosozumab. Patients =
who are suspected of having or who develop ONJ while receiving Romosozumab =
should receive care by a dentist or an oral surgeon with expertise in ONJ. =
Discontinuation of Romosozumab therapy should be considered until the condi=
tion resolves and contributing risk factors are mitigated where possible. A=
typical Femoral Fractures: Atypical low-energy or low trauma fracture of th=
e femoral shaft, which can occur spontaneously, has been reported rarely in=
patients receiving Romosozumab. Any patient who presents with new or unusu=
al thigh, hip, or groin pain should be suspected of having an atypical frac=
ture and should be evaluated to rule out an incomplete femur fracture. Pati=
ent presenting with an atypical femur fracture should also be assessed for =
symptoms and signs of fracture in the contralateral limb. Interruption of R=
omosozumab therapy should be considered, based on an individual benefit-ris=
k assessment. Adverse Reactions: The most common adverse reactions were nas=
opharyngitis (13.6%) and arthralgia (12.4%). Common adverse reactions inclu=
ded hypersensitivity, sinusitis, rash, dermatitis, headache, neck pain, mus=
cle spasms and injection site reactions (most frequent injection site react=
ions were pain and erythema). Uncommon adverse reactions were urticaria, hy=
pocalcaemia, stroke, myocardial infarction and cataract. Finally, rare side=
effects were serious allergic reactions which caused swelling of the face,=
throat, hands, feet, ankles or lower legs (angioedema) and acute skin erup=
tion (erythema multiforme).
EVENITY^=C2=AE is a registered trademark of the UCB Group of Companies.=C2=
=A0
About UCB
UCB, Brussels, Belgium (www.ucb.com) is a global biopharmaceutical company =
focused on the discovery and development of innovative medicines and soluti=
ons to transform the lives of people living with severe diseases of the imm=
une system or of the central nervous system. With more than 8 000 people op=
erating in more than 40 countries, the company generated revenue of =E2=82=
=AC5.3 billion in 2020. UCB is listed on Euronext Brussels (symbol: UCB). F=
ollow us on Twitter: @UCB_news
About the Amgen and UCB Collaboration
Since 2004, Amgen and UCB have been working together under a collaboration =
and license agreement to research, develop and market antibody products tar=
geting the protein sclerostin. As part of this agreement, the two companies=
continue to collaborate on the development of romosozumab for the treatmen=
t of osteoporosis. This gene-to-drug project demonstrates how Amgen and UCB=
are joining forces to translate a genetic discovery into a new medicine, t=
urning conceptual science into a reality.
Forward looking statements=C2=A0
This press release contains forward-looking statements based on current pla=
ns, estimates and beliefs of management. All statements, other than stateme=
nts of historical fact, are statements that could be deemed forward-looking=
statements, including estimates of revenues, operating margins, capital ex=
penditures, cash, other financial information, expected legal, political, r=
egulatory or clinical results and other such estimates and results. By thei=
r nature, such forward-looking statements are not guarantees of future perf=
ormance and are subject to risks, uncertainties and assumptions which could=
cause actual results to differ materially from those that may be implied b=
y such forward-looking statements contained in this press release. Importan=
t factors that could result in such differences include: changes in general=
economic, business and competitive conditions, the inability to obtain nec=
essary regulatory approvals or to obtain them on acceptable terms, costs as=
sociated with research and development, changes in the prospects for produc=
ts in the pipeline or under development by UCB, effects of future judicial =
decisions or governmental investigations, product liability claims, challen=
ges to patent protection for products or product candidates, changes in law=
s or regulations, exchange rate fluctuations, changes or uncertainties in t=
ax laws or the administration of such laws and hiring and retention of its =
employees.=C2=A0
UCB is providing this information as of the date of this press release and =
expressly disclaims any duty to update any information contained in this pr=
ess release, either to confirm the actual results or to report a change in =
its expectations. There is no guarantee that new product candidates in the =
pipeline will progress to product approval or that new indications for exis=
ting products will be developed and approved. Products or potential product=
s which are the subject of partnerships, joint ventures or licensing collab=
orations may be subject to differences between the partners. Also, UCB or o=
thers could discover safety, side effects or manufacturing problems with it=
s products after they are marketed. Moreover, sales may be impacted by inte=
rnational and domestic trends toward managed care and health care cost cont=
ainment and the reimbursement policies imposed by third-party payers as wel=
l as legislation affecting biopharmaceutical pricing and reimbursement.
References
1. Lewiecki E.M., Betah D., Humbert L., Libanati C., Oates M., Shi Y., Winz=
enrieth R., Ferrari S., Omura F. Cortical and trabecular bone improvements =
with romosozumab followed by denosumab or alendronate assessed using 3D mod=
eling from DXA images. Abstract=C2=A0
2. Lewiecki E.M., Betah D., Humbert L., Libanati C., Oates M., Shi Y., Winz=
enrieth R., Ferrari S., Omura F. Comparison of romosozumab and teriparatide=
effects on cortical and trabecular bone using 3D modeling from DXA images =
in postmenopausal women transitioning from bisphosphonate therapy.=C2=A0
3. Cosman F., Oates M., Betah D., Ferrari S., Timoshanko J., Wang Z., McClu=
ng M. One Year of Romosozumab Followed by One Year of Denosumab Compared Wi=
th Two Years of Denosumab: BMD and Fracture Results From the FRAME and FRAM=
E Extension Studies.=C2=A0
4. McClung M.R., Betah D., Leder B.Z., Kendler D.L., Oates M., Timoshanko J=
., Wang Z. Effect of Romosozumab on Bone Microarchitecture as Assessed by T=
issue Thickness=E2=80=93Adjusted Trabecular Bone Score in Postmenopausal Wo=
men with Osteoporosis: Results from the ARCH Study.=C2=A0
5. S=C3=B6zen T., =C3=96z=C4=B1=C5=9F=C4=B1k L., Ba=C5=9Faran N.=C3=87. An =
overview and management of osteoporosis. Eur J Rheumatol. 2017;4(1):46-56
6. Johnell O., Kanis, J.A. An estimate of the worldwide prevalence and disa=
bility associated with osteoporotic fractures. Osteoporosis Int, 2006. 17(1=
2):1726-33
7. IOF SCOPE report 2021 [Online]. Available at: https://www.osteoporosis.f=
oundation/sites/iofbonehealth/files/2021-06/Kanis2021_Article_SCOPE2021ANew=
ScorecardForOsteo.pdf (Last accessed August 2022)
8. Evenity^=C2=AE SmPC, current version.
GenericFile
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mb.cision.com/Public/18595/3626810/9f3b7a172fdc55a1.pdf)
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