Zoledronic Acid in Cystic Fibrosis
- Registration Number
- NCT01702415
- Lead Sponsor
- Papworth Hospital NHS Foundation Trust
- Brief Summary
Null hypotheses: zoledronic acid does not improve bone density in cystic fibrosis.
Low bone mineral density (osteoporosis) is prevalent in adults with cystic fibrosis (CF); they have an increased rate of bone fractures in comparison to the general population. CF patients start to lose bone density in adolescence/early adulthood due to an imbalance in bone breakdown and formation. Predicted survival for patients with CF has increased from 16 years in 1970 to 36.5 years in 2009 which has resulted in an increase in comorbidities associated with increased longevity in CF e.g. decreased bone density. Oral and intravenous bisphophosphonates are known to increase bone density in CF; the current licensed oral preparations require daily or weekly dosing which are difficult to maintain. Zoledronate, which is licensed for use, is administered intravenously once a year which should be easier to administer. The current evidence relates to its use in other disease groups e.g. glucocorticoid induced osteoporosis and oncology. The purpose of this study is to ascertain its efficacy in cystic fibrosis.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Diagnosis of cystic fibrosis
- Aged at least 18 years
- Bone mineral density score of -1.5 or less at lumbar spine or total hip
- Able to give informed consent
- Previous solid organ transplant
- on solid organ transplant waiting list
- Long trem oral glucocorticosteroids
- CRP >20mg on day of randomisation
- Hypocalcaemia
- Poor dental hygiene
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo Placebo Zoledronic acid Zoledronic acid Active IMP
- Primary Outcome Measures
Name Time Method Bone density 12 months Bone density measure by DEXA
- Secondary Outcome Measures
Name Time Method Effect of zoledronic acid on the number of bone fractures 12 months Bone fractures
Trial Locations
- Locations (1)
Papworth Hospital NHS Foundation Trust
🇬🇧Cambridge, Cambridgeshire, United Kingdom