MedPath

Use of Bisphosphonates in the Treatment of Osteopathy After Liver Transplantation

Not Applicable
Conditions
Osteoporosis
Liver Transplantation
Registration Number
NCT00302484
Lead Sponsor
Medical University of Vienna
Brief Summary

Patients with a terminal chronic liver disease have a disordered bone metabolism resulting in a higher risk of falling ill with osteoporosis. Although liver transplantation restores liver function, immunosuppressive therapy (especially corticosteroids) after transplantation increases again the risk of osteoporosis and bone fragility. Zoledronate, a bisphosphonate, slows down the destruction of bone. The purpose of this study is to determine whether bisphosphonates are effective in the prevention of osteoporosis following immunosuppressive therapy after liver transplantation.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
96
Inclusion Criteria
  • primary liver transplantation
  • retransplantation within two weeks
  • written informed consent
  • Age ≥ 18 years
Exclusion Criteria
  • chronic kidney disease:
  • Creatinine Clearance < 35 ml/min or Serum Creatinine > 2,5 mg/dl
  • known hypersensitivity to Zoledronate, or any of the recipients of the drug
  • bone specific medication (Bisphosphonate, Fluoride, Calcitonin) within the last three months before liver transplantation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
first bone fracture or death within 24 months after liver transplantation
Secondary Outcome Measures
NameTimeMethod
bone mineral density (pre-transplant, 6 and 12 months post-transplant)
serum biochemical bone markers (osteocalcin, alkaline phosphatase, parathyroid hormone)
histomorphometric measurements of transiliacal bone biopsies (intraoperative, 6 months post-transplant)

Trial Locations

Locations (1)

Medical University of Vienna, Department of Surgery, Division of Transplantation

🇦🇹

Vienna, Austria

© Copyright 2025. All Rights Reserved by MedPath