- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00572299
Glucocorticoids Promote Osteoclast Survival
Study Overview
Detailed Description
Aminobisphosphonates are extensively used to prevent fractures in patients with osteoporosis (1-6). Treatment with these drugs leads to decreases in bone resorption and biochemical markers of bone turnover and progressive increases in bone mineral density (BMD). The increase in BMD in response to bisphosphonate therapy in glucocorticoid-treated patients is, however, less than half that measured in women and men with osteoporosis unrelated to glucocorticoid drugs even though the patients with osteoporosis are usually older. The goal of this objective is to determine the contribution of increased osteoclast survival to the diminished response to bisphosphonate therapy in patients receiving excess glucocorticoids compared to patients with osteoporosis.
- Liberman U, Weiss SR, Broll J, et al. Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis. N Engl J Med 1995;333:1437-1443.
- Bone HG, Downs RW, Tucci JR, et al. Dose-response relationships for alendronate treatment in osteoporotic elderly women. J Clin Endocrinol Metab 1997;82:265-274.
- McClung M, Clemmesen B, Daifotis A, et al. Alendronate prevents postmenopausal bone loss in women without osteoporosis. Ann Intern Med 1998;128:253-261.
- Recker RR, Weinstein RS, Chestnut CH III, et al. Histomorphometric evaluation of daily and intermittent oral ibandronate in women with postmenopausal osteoporosis: results from the BONE study. Osteoporosis Int 2004;15:231-237.
- Saag KG, Emkey R, Schnitzer TJ, et al. Alendronate for the prevention and treatment of glucocorticoid-induced osteoporosis. Glucocorticoid-Induced Osteoporosis Intervention Study Group. N Engl J Med 1998;339:292-299.
- Orwoll E, Ettinger M, Weiss S, et al. Alendronate for the treatment of osteoporosis in men. N Engl J Med 2000;343:604-610.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Arkansas
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Little Rock, Arkansas, United States, 72205
- University of Arkansas hospitals and clinics and the Central Arkansas Veterans Healthcare System
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- 18 years old or greater
- agree to at least one bone biopsy
- agree to BMD, blood and urine tests
- receiving at least 10 mg/day of prednisone for at least three months
- either be a candidate for alendronate or be taking alendronate (70 mg/week for at least three months)
Exclusion Criteria:
- any metabolic bone disorder such as Paget's disease, renal osteodystrophy, parathyroid disease or osteomalacia
- obesity enough to make a biopsy difficult
- concurrent use of any tetracycline
- hypercalcemia
- kidney stones in the last two years
- home O2
- gastric surgery, stapling or bypass
- inflammatory bowel disease
- untreated thyroid disease
- organ transplants
- malabsorption
- anticoagulation
- current infection
- serious illness
- allergy to Demerol, Valium, iodine, tetracycline, tape
- use of anticonvulsant drugs, heparin, Forteo, calcitonin or high-dose fluoride within the past six months
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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glucocorticoids
patients receiving glucocorticoid treatment
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glucocorticoids and bisphosphonates
patients receiving both glucocorticoids and bisphosphonates
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70 mg of alendronate orally per week for at least three months in patients receiving at least 10 mg/day or oral prednisone for at least three months
Other Names:
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Jimmie L Valentine, IRB at UAMS
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Musculoskeletal Diseases
- Bone Diseases
- Bone Diseases, Metabolic
- Osteoporosis
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Bone Density Conservation Agents
- Prednisone
- Alendronate
Other Study ID Numbers
- 28727
- VA Merit Review grant (Other Grant/Funding Number: VA Merit Review grant)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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