UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004217
Receipt number R000005067
Scientific Title Combination therapy with alendronate and alphacalcidol for prevention of symptomatic vertebral fracture in elderly patients treated with high-dose glucocorticoid: a multicenter open-label randomized controlled trial.
Date of disclosure of the study information 2010/10/01
Last modified on 2010/09/15 20:54:42

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Basic information

Public title

Combination therapy with alendronate and alphacalcidol for prevention of symptomatic vertebral fracture in elderly patients treated with high-dose glucocorticoid: a multicenter open-label randomized controlled trial.

Acronym

ALIS study

Scientific Title

Combination therapy with alendronate and alphacalcidol for prevention of symptomatic vertebral fracture in elderly patients treated with high-dose glucocorticoid: a multicenter open-label randomized controlled trial.

Scientific Title:Acronym

ALIS study

Region

Japan


Condition

Condition

glucocorticoid-induced osteoporosis

Classification by specialty

Medicine in general Endocrinology and Metabolism Clinical immunology
Geriatrics Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Efficacy of alphacalcidol for prevention of symptomatic vertebral fracture in elderly patients treated with alendronate in glucocorticoid-induced osteoporosis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Symptomatic vertebral fractures, those are determined by conventional thoracic and spinal radiographs in lateral and antero-posterior projections at any time during study.

Key secondary outcomes

Non symptomatic vertebral fractures, those are determined by conventional thoracic and spinal radiographs in lateral and antero-posterior projections at 0, 6, 12, 24 months.
Bone mineral density values, those are measured at the lumbar spine on day 0 and at 6, 12, 24 months.
The serum levels of NTX, osteocalcin, 25(OH)vitamin D, growth hotmone, IGF-, those are measured on days 0, 7 and at 1, 3, 6, 12 months after glucocorticoid treatment.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Alendronate group: receive alendronate 35mg once a week for 96 weeks

Interventions/Control_2

Alendronate + Alfacalcidol group: receive alendronate 35mg once a week + alfacalcidol 1 (0.5) microgram/day for 96 weeks

Interventions/Control_3


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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who are initially treated with more than 10 mg/day glucocorticoid (prednisolone) for more than 3 months or scheduled to be treated for more than 3 months.

Key exclusion criteria

1)Patient who was not treated for more than 6 months (except, who had symptomatic vertebral fractures).
2)Patient who has serious renal disorder (EGFR: <35ml or Cre: more than 1.5mg/ml).
3)Patient who has a history of renal stone past 5 years.
4)Patient with primary or secondary hyperparathyroidism.
5)Patient with hyperthyroidism or hypothyroidism.
6)Patients who is diagnosed as contraindication of alendronate treatements or Alfacalcidol.
7)Patient who are treated with warfarin.
8)Patient who is inappropriate for this study by physician.
9)Patient who has experiences of receiving bisphosphonate treatment within 6 months at inclusion of the study.
10)Patient who has experiences of receiving drugs having influence on bone remodeling within 6 months at inclusion of the study (Estrogen, Vitamin D, Calcitonin, Raloxifene, Ipriflavone, Vitamin K, Steroid)

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takao Sugiyama

Organization

National Hospital Organization Shimoshizu National Hospital

Division name

Department of Rheumatology

Zip code


Address

Shikawata 934-5, Yotsukaido-city, Chiba, Japan

TEL

043-452-2511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Ichiro Tatsuno

Organization

Chiba University Graduate School of Medicine

Division name

Department of Clinical Cell Biology

Zip code


Address

1-8-1, Inohana-cho, Chuou-ku, Chiba-city, Japan

TEL

043-222-7171

Homepage URL


Email

ichiro-tatsuno@faculty.chiba-u.jp


Sponsor or person

Institute

Society for glucocorticoid-induced osteoporosis

Institute

Department

Personal name



Funding Source

Organization

Foundation for Advancement of International Science

Organization

Division

Category of Funding Organization

Non profit foundation

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

国立病院機構 下志津病院(千葉県)
千葉大学医学部附属病院(千葉県)
国立病院機構 千葉東病院(千葉県) 
国保松戸市立病院(千葉県)
獨協医科大学医学部付属病院(栃木県)         
上都賀総合病院(栃木県)
国立病院機構 相模原病院(神奈川県)
埼玉医科大学総合医療センター(埼玉県)
JFE川鉄千葉病院(千葉県)
亀田総合病院(千葉県)


Other administrative information

Date of disclosure of the study information

2010 Year 10 Month 01 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

Preinitiation

Date of protocol fixation

2010 Year 07 Month 16 Day

Date of IRB


Anticipated trial start date

2010 Year 10 Month 01 Day

Last follow-up date

2014 Year 03 Month 01 Day

Date of closure to data entry

2014 Year 05 Month 01 Day

Date trial data considered complete

2014 Year 06 Month 01 Day

Date analysis concluded

2014 Year 07 Month 01 Day


Other

Other related information



Management information

Registered date

2010 Year 09 Month 15 Day

Last modified on

2010 Year 09 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005067


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name