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临床试验/EUCTR2014-004819-37-IE
EUCTR2014-004819-37-IE进行中(未招募)1 期

A multi-centre, prospective, randomised trial of short course alendronate therapy or placebo combined with vitamin D and calcium to prevent loss of bone mineral density in antiretroviral-naïve, HIV-1 infected subjects initiating antiretroviral therapy. - APART

niversity College Dublin0 个研究点目标入组 80 人开始时间: 2015年2月5日最近更新:
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相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
80

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • - male>30 years old or female>40 years old
  • - HIV-1 antibody positive (no CD4 or HIV RNA criteria)
  • - antiretroviral therapy naïve
  • - be presumed to have achieved peak bone mass
  • - eligible for initiation of antiretroviral therapy in the opinion of the investigator
  • - able to provide written informed consent
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 80
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 5

排除标准

  • - Subjects unable to comply with the study protocol or unable to stand/sit upright for at least 30 minutes
  • - history of osteoporosis (defined as hip, femoral neck or spine T score of <-2.5 in men over age >50 or in post-menopausal women)
  • - history of fragility fracture or previous femoral fracture
  • - chronic renal failure estimated by eGFR<60mls/min/1.73m2 at screening using the abbreviated Modification of Diet in Renal Disease (MDRD) equation:
  • - eGFR (ml/min/1,73 m2) = 175 x (CrS) -1,154 x (age)-0,203 x 0,742 (if female) x 1,21 (if black)
  • - hypocalcaemia (corrected calcium <2.2mmol/L) or hypercalcaemia (>2.6mmol/L) at screening
  • - history of Paget’s disease or known primary hyperparathyroidism
  • - previous treatment with or allergy (including hypersensitivity) to bisphosphonates
  • - recent history (past 12 months) of peptic or duodenal ulcers or oesophagitis, aspiration or any other upper gastro-intestinal problem or oesophageal disease that in the opinion of the investigator precludes the use of alendronate
  • - history of dental disease, periodontal disease, poor oral hygiene (as judged in the opinion of the investigator) or recent invasive dental procedures (within the past 3 months) comprising dental extraction and dental prosthetic
  • - current therapy with prescribed calcium or vitamin D preparations (other than over-the-counter multivitamin preparations)
  • - current therapy with aspirin or other regularly prescribed non-steroidal anti-inflammatory drugs
  • - recent significant steroid exposure defined as continual or cumulative use of >5mg prednisolone daily or equivalent for = three months, as per EACS guidelines
  • - for female subjects: pregnancy or breastfeeding at screening, planning future pregnancies or unwilling to take measures to avoid pregnancy for the duration of the study
  • - where in the investigator’s opinion, there is a necessity to initiate ART within the pre-ART study window period (i.e. within the period between screening and ART initiation (approximately 3 weeks)
  • - subjects with active hepatitis B infection (defined as hepatitis B sAg positive) or hepatitis C (defined as hepatitis C Ab and RNA positive) co-infection
  • - any active illness (including AIDS-defining illness) which in the opinion of the investigator precludes participation in the study
  • - cancer or receiving chemotherapy or radiotherapy
  • - subjects concurrently enrolled in another clinical trial of an investigational medical product

研究者

发起方
niversity College Dublin

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