UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002457
Receipt number R000003009
Scientific Title Early diagnosis and early intervention by alendronate of glucocorticoid-induced osteoporosis in patients who are initially treated with glucocorticoid
Date of disclosure of the study information 2009/09/06
Last modified on 2012/03/06 13:12:44

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Basic information

Public title

Early diagnosis and early intervention by alendronate of glucocorticoid-induced osteoporosis in patients who are initially treated with glucocorticoid

Acronym

Early DIagnosis and Treatment of OsteopoRosis in Japan (EDITOR-J)

Scientific Title

Early diagnosis and early intervention by alendronate of glucocorticoid-induced osteoporosis in patients who are initially treated with glucocorticoid

Scientific Title:Acronym

Early DIagnosis and Treatment of OsteopoRosis in Japan (EDITOR-J)

Region

Japan


Condition

Condition

Connective tissue diseases

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Glucocorticoid-induced osteoporosis is induced in patients with connective tissue diseases who are treated with glucocorticoid, whose population is thought to be about 2 million in Japan. However, early diagnosis and early intervention remain unclear. In this study we clarify the following issues; 1) early diagnosis of change of bone metabolism by bone marker proteins just after the initiation of glucocorticoid therapy, 2) correlation of the early diagnosis of the bone metabolism and bone mineral density and fracture by the longitudinal observation, 3) clinical efficacy of early intervention by alendronate in patients who are treated with glucocorticoid.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1) Changes of bone metabolism markers at one week after the initiation of glucocorticoid therapy
2) Changes of bone metabolism at six months after the early intervention by alendronate in patients initially treated with glucocorticoid

Key secondary outcomes

1) Change of bone metabolism markers at 6 months after the initiation of glucocorticoid therapy
2) Correlation of the changes of bone markers at one week after the treatment with the changes of bone metabolism at six months after the treatement


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Glucocorticoid + alfacalcidol 1 (0.5) microgram/day

Interventions/Control_2

Glucocorticoid + alendronate 35 mg/week

Interventions/Control_3

Glucocorticoid + alfacalcidol 1 (0.5) microgram/day + alendronate 35 mg/week

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Patients who are diagnosed as connective tissue diseases and are initially treated with more than 20 mg/day glucocorticoid (prednisolone)

Key exclusion criteria

1) female who are pregnant
2) male
3) patients who are already diagnosed as osteoporosis
4) patients who are already treated with glucocorticoid
5) patients who are already treated with bisphosphonate
6) patients diagnosed as esophageal narrowing or esophageal achalasia
7) patients who cannot stand or sit for more than 30 minutes
8) patients sensitive to bisphosphonates
9) patients with hypocalcemia
10) patients who are not appropriate to the study by a doctor's judgement

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshiya Tanaka

Organization

School of Medicine, University of Occupational and Environmental Health, Japan

Division name

First Department of Internal Medicine

Zip code


Address

1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, 807-8555, Japan

TEL

093-603-1611

Email



Public contact

Name of contact person

1st name
Middle name
Last name Yosuke Okada

Organization

School of Medicine, University of Occupational and Environmental Health, Japan

Division name

First Department of Internal Medicine

Zip code


Address

1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, 807-8555, Japan

TEL

093-603-1611

Homepage URL


Email



Sponsor or person

Institute

University of Occupational and Environmental Health, Japan

Institute

Department

Personal name



Funding Source

Organization

A Research Grant-In-Aid for Scientific Research from the Ministry of Health, Labor and Welfare of Japan

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 09 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2007 Year 02 Month 24 Day

Date of IRB


Anticipated trial start date

2007 Year 06 Month 01 Day

Last follow-up date

2010 Year 09 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 09 Month 06 Day

Last modified on

2012 Year 03 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003009


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name