Effect of Acetylcholinesterase Inhibitors on Bone Metabolism
- Registration Number
- NCT06041789
- Lead Sponsor
- Duke University
- Brief Summary
People with Alzheimer's disease are at an increased risk of bone fracture. Some studies have shown that those taking donepezil have a lower rate of bone fractures, but the reasons for this are unknown. The purpose of this study is to measure the effect of donepezil treatment on bone metabolism factors including bone mineral density, bone turnover markers, and bone quality.
Participants in this study will have a bone density test and have blood samples collected at the baseline study visit. Participants will then be randomly assigned to donepezil or matching memantine to be taken daily by mouth for 12 months. Blood samples will be collected at 6 and 12 months. A repeat bone density test will be performed at 12 months. Participants will also complete questionnaires at each study visit.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 45
- Diagnosis of cognitive impairment, including clinical assessment, radiographic or laboratory biomarker assessment
- Willing to initiate treatment for cognitive impairment
- A) For females: either age > 55 years, or Age < 55 years and at least 12 months since last menstrual period B) For males, age > 50 years
- Geriatric Depression Scale score < 6
- English-speaking
- Currently on acetylcholinesterase inhibitor or memantine
- History of bradycardia, heart block, long QT, unexplained syncope, or other contraindication for donepezil; subject with ECG showing HR < 50, PR interval > 200 ms, QTc > 440 ms in men or > 460 ms in women, or evidence of atrioventricular block
- Currently on osteoporosis medication (e.g., bisphosphonate, SERM, denosumab, teriparatide, abaloparatide, romozosumab, calcitonin)
- Use of bisphosphonate within last 5 years
- Use within last 6 months of estrogens or testosterone, androgen deprivation therapy or aromatase inhibitors, antiepileptic, heparin therapy, thiazolidinediones
- History of disorders associated with secondary osteoporosis: collagen vascular diseases, malabsorption, inflammatory bowel disease, severe liver disease/cirrhosis, hyperthyroidism (endogenous or exogenous)
- History of fracture of the humerus, wrist, or vertebra due to fall from standing height or less
- History of hip fracture, hip replacement, or non-ambulatory
- Long-term use (>6 months) of corticosteroids
- History of Parkinson's, HIV, Huntington's disease
- History of solid organ transplantation
- History of bariatric surgery or intending to lose weight by bariatric surgery or weight loss medication (e.g. GLP-1 agonist) in the next 12-months
- Severe kidney impairment (eGFR < 30 ml/min),
- Active malignancy currently undergoing chemotherapeutic, surgical, or radiation therapy, except non-melanomatous skin cancer
- 1-year mortality > 25%, measured by ePrognosis calculator
- Planning to move out of the area in the next 12-months
- Planning surgery in the next 12-months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Donepezil Donepezil - Memantine Memantine -
- Primary Outcome Measures
Name Time Method Change in bone mineral density, as measured by dual x-ray absorptiometry (DXA) baseline, 12 months
- Secondary Outcome Measures
Name Time Method Change in Trabecular Bone score baseline, 12 months measure of bone quality, using DXA spine images
Change in bone resorption marker C-terminal telopeptide (CTX) baseline, 6 months, 12 months measured using commercially available ELISA test on serum
Change in bone formation marker amino-terminal propeptide of type I procollagen (P1NP) baseline, 6 months, 12 months measured using commercially available ELISA test on serum
Trial Locations
- Locations (1)
Duke Memory Disorders Clinic
🇺🇸Durham, North Carolina, United States
Duke Memory Disorders Clinic🇺🇸Durham, North Carolina, United StatesConnie ThackerContact