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Targeting mTOR with everolimus and/or physical training for preventing postmenopausal bone loss and accelerated skeletal aging. The RapaLoad study.

Phase 1
Conditions
Healthy
Therapeutic area: Diseases [C] - Hormonal diseases [C19]
Registration Number
CTIS2023-508093-28-00
Lead Sponsor
Odense University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
136
Inclusion Criteria

Postmenopausal women aged 45-60 years old as evidenced by measuring serum levels of LH and FSH and absence of menstruation for at least 1 year., - No history of low energy hip or vertebral fractures during the last 6 months., Ability to provide informed consent.

Exclusion Criteria

- Diabetes (type 1 and 2), Patients with impaired wound healing or history of a chronic open wound, Scheduled for immunosuppressant therapy for transplant or scheduled to undergo chemother-apy or any other treatment for malignancy, Untreated dyslipidemia with LDL-c > 4.9 mmol/L and family history of dyslipidemia, Total cho-lesterol > 9.1 mmol/L, or triglycerides > 9.9 mmol/L, Any form of clinically relevant primary or secondary immune dysfunction or deficiency, Unstable ischemic heart disease, Bone mineral density (BMD) measured by DXA scanning with T-score <-3, Known allergy to rapamycin or rapalogs, The study will exclude participants with inability to speak and understand Danish and with ina-bility to cooperate or perform physical training, Inability to give informed consent, Heart failure similar to NYHA Class IV, Primary hyperparathyroidism, Known disorders affecting bone metabolism, e.g., uncontrolled thyrotoxicosis, severe renal im-pairment (eGFR <20) or liver function (baseline phosphatase higher than twice upper limit (105 U/L)), active rheumatic diseases, celiac disease, severe chronic obstructive lung disease (COPD), hypopituitarism, or Cushing’s disease, Previous use of bone antiresorptive or bone anabolic drugs within the last 5 years, Use of anabolic steroids in the previous year, Treatment with drugs known to affect cytochrome P450 3A due to its role in everolimus metab-olism, History of coagulopathy or medical condition requiring long-term anticoagulation, Anemia – Hg < 9.0 g/dl, Leukopenia – white blood cells (WBC) < 3,500/mm3, Neutropenia abso-lute neutrophil count < 2,000/mm3, or Platelet count – platelet count < 125,000/mm3

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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