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临床试验/EUCTR2018-003888-56-DK
EUCTR2018-003888-56-DK进行中(未招募)1 期

Treatment of adynamic bone disorder with parathyroid hormone in patients with chronic kidney disease

Department of Nephrology, Herlev & Gentofte Hospital, Herlev Hospital0 个研究点目标入组 66 人开始时间: 2020年6月2日最近更新:
适应症
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
66

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

  • ? Age =18 years
  • ? CKD stage 4-5D (eGFR =2930 ml/min) according to KDIGO (Kidney Disease Improving Global Outcome) definition
  • ? DEXA scan with a T-score at the total hip, femoral neck or lumbar spine (L1-4) =-2 (or Z-score =-2) in a minimum of 2 vertebraes and/or former fragility fracture (vertebral, hip, for- or upper arm, ankle) assessed with VFA or x-ray of the columna
  • ? Patients with expected adynamic bone disorder, based on BSAP=21 µg/l or biopsy-verified low bone turnover
  • 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 33
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 33

排除标准

  • ? Hypercalcemia defined as sustained ionized calcium >1.35 mmol/l
  • ? Previous fracture within the last 6 months * Patients may be rescreened after the 6 months
  • ? Previous calciphylaxis
  • ? Thyroid disturbances not adequately treated based on the opinion by the clinician
  • ? Treatment with digoxin
  • ? Paget’s disease or other metabolic bone disorders
  • ? Antiresorptive or bone anabolic medication during the last 24 months (for bisphosphonates it is only during the last 12 months)
  • ? Former or present malignant disease (except skin basal or planocellular carcinoma)
  • ? Previous external beam or implant radiation therapy to the skeleton
  • ? Kidney transplanted patients
  • ? Oral prednisolone treatment exceeding a total of 450 mg during the last 6 months or active oral prednisolone treatment with a daily dose of > 5 mg
  • ? 25 hydroxyvitamin D2 and D3 <50 nmol/l *Patients may be rescreened after correction
  • ? Inability to administer teriparatide
  • ? Reduced liver function *ALAT >3x upper limit of normal or bilirubin > 2x upper limit of normal
  • ? Pregnancy, lactation or fertile women * Post-menopausal females are not considered fertile not using safe anticonception (the following contraceptive methods are considered appropriate: Intrauterine device (IUD) or hormonal anticontraceptive (oral contraceptives, implant, transdermal patches, vaginal ring or depot injection)).
  • ? Hypersensitivity to the active substance in teriparatide or to any of the excipients or content
  • ? Inability to provide informed consent
  • ? Medical conditions or treatments that may interfere with assessments of the outcomes of the trial
  • ? Drug or alcohol abuse
  • ? Unable to participate in a clinical study based on the judgement by the local investigator

研究者

发起方
Department of Nephrology, Herlev & Gentofte Hospital, Herlev Hospital

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