跳至主要内容
临床试验/CTRI/2024/03/064791
CTRI/2024/03/064791尚未招募不适用

A Prospective, Observational, Investigator-initiated Study (IIS) to Investigate the Real-World Effectiveness and Safety of Denosumab in Patients with Osteoporosis due to Chronic Kidney Disease.

Dr Jatin Kothari2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2024年4月5日最近更新:

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
20
试验地点
2
主要终点
Percentage change in BMD at lumbar spine and femur neck by dual x-ray absorptiometry (DEXA)

研究概览

简要总结

This will be a prospective, single arm IIS in dialysis dependent CKD patients, diagnosed with Osteoporosis and receiving Denosumab as per clinical practice. The duration of study will be 24 months (18 months treatment + 6 months follow up). The collected data will be analysed to see the effectiveness and safety profile of denosumab in these patients.

研究设计

研究类型
Observational

入排标准

年龄范围
18.00 Year(s) 至 99.00 Year(s)(—)
性别
All

入选标准

  • (1.)Age greater than 18 years.
  • (2.) Patients with at least 3 months Maintenance Hemodialysis (MHD).
  • (3.) Patients having a history of prior fracture in either the lumbar spine or the proximal femur whose T-score less than −1.0 in the LS and FN, or (4.) T-score -2.5 to -4.0, or (5.) Patients at high risk of bone fracture.
  • Criteria for assigning high risk will be a previous history of fragility fracture, a family history of bone fracture in the proximal femur, or having a risk of bone fracture during the past 10 years of greater than 15% according to the FRAX scale.
  • (6.) Baseline clinically acceptable physical examination.
  • (7.) Stable Electrocardiograph results at screening.
  • (8.) Patients receiving Denosumab as part of routine clinical practice.

排除标准

  • (1.) Hypoparathyroidism, hypocalcemia (albumin adjusted serum Calcium conc.
  • less than 8.5 mg/dl) or Vitamin D deficiency (25-hydroxyvitamin D level less than 30 ng/ml at screening) (2.) Contraindications for receiving denosumab.
  • (3.) Known hypersensitivity to denosumab.
  • (4.) Patients who had been pretreated with Denosumab in the past 6 months (5.) Active infection.
  • (6.) Known history of coronary artery disease (CAD), history of Stroke, a history of malignancy, other cardiac ailments active infection, pregnancy, and known alcohol or drug abuse at screening.
  • (7.) Patients currently on Teriparatide/ Bisphosphonates.
  • (8.) History of malignancy or parathyroidectomy.
  • (9.) Hypocalcemic (Ca less than 8.5 mg/dL), pregnant, lactating/nursing, at screening.
  • (10.) Physicians discretion.

结局指标

主要结局

Percentage change in BMD at lumbar spine and femur neck by dual x-ray absorptiometry (DEXA)

时间窗: from baseline to 6, 12 ,18 and 24 months

次要结局

  • -Incidence of any fracture at 1 and 2 years.(- Changes in Fracture Risk Assessment Tool (FRAX) score)

研究者

发起方
Dr Jatin Kothari
申办方类型
Other [self]
责任方
Principal Investigator
主要研究者

Dr Jatin Kothari

Apex Kidney Care Pvt. Ltd.

研究点 (2)

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