CTRI/2023/07/054697
Recruiting
未知
A randomized controlled trial comparing the efficacy of denosumab, teriparatide or combination of denosumab and teriparatide on bone microarchitecture in patients being initiated on glucocorticoids
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Health Condition 1: E35- Disorders of endocrine glands in diseases classified elsewhere
- Sponsor
- PGIMER
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Age \> 18 years
- •2\. Patients who are being started on glucocorticoids for various therapeutic indications.
- •3\. Steroid dose \> 2\.5 mg Prednisone (or equivalent dose of other steroids) per day for at least three months.
- •4\. Patients who are willing to give informed consent.
Exclusion Criteria
- •1\. Baseline eGFR \< 45 ml/min/1\.73 m2
- •2\. Patients who have received steroid dose of more than 2\.5 mg per day for more than 3 months in the past 1 year
- •3\. Pregnant females.
- •4\. Females with reproductive age group if they will plan for pregnancy for the next 2 years.
- •5\. Patients with intrinsic bone disorders (FD or Skeletal dysplasia).
- •6\. Patients on drugs affecting bone health or received anti\-osteoporotic therapy
- •7\. Patients with secondary causes of osteoporosis (Endogenous Cushing Syndrome, Hyperprolactinemia, Primary hyperparathyroidism, CKD, Hypoparathyroidism etc.,)
- •8\. Patients with structural abnormalities, kyphoscoliosis, hip replacement or surgical implants that may affect DXA study.
- •9\. History of chronic diseases which can directly affect bone and mineral metabolism, like Rheumatoid arthritis, Ankylosing spondylitis, Marfan syndrome, EDS, Celiac disease, and Inflammatory bowel disease.
- •10\. Patients who are not willing to give informed consent.
Outcomes
Primary Outcomes
Not specified
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