UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009222
Receipt number R000010829
Scientific Title Drug therapy for the prevention of glucocorticoid induced osteoporosis in elderly patients: teriparatide or bisphosphonates?
Date of disclosure of the study information 2012/11/01
Last modified on 2018/08/09 14:25:18

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Basic information

Public title

Drug therapy for the prevention of glucocorticoid induced osteoporosis in elderly patients: teriparatide or bisphosphonates?

Acronym

Drug therapy for glucocorticoid induced osteoporosis in elderly patients

Scientific Title

Drug therapy for the prevention of glucocorticoid induced osteoporosis in elderly patients: teriparatide or bisphosphonates?

Scientific Title:Acronym

Drug therapy for glucocorticoid induced osteoporosis in elderly patients

Region

Japan


Condition

Condition

glucocorticoid-induced osteoporosis

Classification by specialty

Medicine in general Endocrinology and Metabolism Clinical immunology
Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Comparison of the efficacy of teriparatide and bisphosphoonates for the prevention of symptomatic vertebral fracture in elderly patients (more than 65 years old) with collagen vascular diseases who will be or have been treated with glucocorticoid (more than 10 mg/day of prednisolone).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


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 and non-vertebral fractures deetermined by plain X-ray.
Bone mineral density values, those are measured at the lumbar spine.
The serum levels of NTX, osteocalcin, 25(OH)vitamin D, growth hormone (GH) and IGF-1.


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


Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Bisphosphonate group: receive alendronate 35 mg/week or risedronate 17.5 mg/week for 24 months

Interventions/Control_2

Teriparatide group; 0.002mg/day subcutaneouly for 24 months

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 of glucocorticoid (prednisolone) for more than 3 months or scheduled to be treated for more than 3 months.

Key exclusion criteria

1) Patients who have serious renal disorder (egfr < 35 ml /min or cr > 1.5 mg/ml).
2)Patient who has a history of renal stone past 5 years.
3)Patients with primary or secondary hyperparathyroidism.
4)Patients with hyperthyroidism or hypothyroidism.
5)Patients who are considered to be contraindicated for bisphosphonates or teriparatide.
6)Patients who are treated with warfarin.
7)Patients who have experiences of receiving drugs having influence on bone remodeling within 6 months at inclusion of the study (pth,bisphosphonates, estrogen , vitamin d3, vitamin k2, serm (raloxifene, bazedoxifene), calcitonin, Ipriflavone, steroids)
8) Patients who are thought to be inappropriate for this study by physician.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koichi Amano

Organization

Saitama Medical Center,
Saitama Medical University

Division name

Department of Rheumatology and Clinical Immunology

Zip code


Address

1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan

TEL

049-228-3859

Email

amanokoi@saitama-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hirofumi Takei

Organization

Saitama Medical Center, Saitama Medical Universitity

Division name

Department of Rheumatology & Clinical Immunology

Zip code


Address

1981 Kamoda Kawagoe, Saitama 350-8550

TEL

049-228-3859

Homepage URL


Email

takeix@saitama-med.ac.jp


Sponsor or person

Institute

Department of Rheumatology & Clinical Immunology,Saitama Medical Center, Saitama Medical Universitity

Institute

Department

Personal name



Funding Source

Organization

Department of Rheumatology & Clinical Immunology,Saitama Medical Center, Saitama Medical Universitity

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



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

2012 Year 11 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

No longer recruiting

Date of protocol fixation

2012 Year 12 Month 01 Day

Date of IRB


Anticipated trial start date

2012 Year 12 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry

2019 Year 04 Month 30 Day

Date trial data considered complete

2019 Year 05 Month 31 Day

Date analysis concluded

2019 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2012 Year 10 Month 30 Day

Last modified on

2018 Year 08 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010829


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name