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临床试验/ACTRN12612000776808
ACTRN12612000776808已完成4 期

Bisphosphonate Therapy with Zoledronic acid or Tenofovir Switching to Improve Low Bone Mineral Density in HIV-Infected Adults: a Strategic, Randomised Trial

St Vincents Hospital0 个研究点目标入组 84 人开始时间: 2012年7月23日最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
入组人数
84

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 o limit(—)
性别
All

入选标准

  • 1. provision of written, informed consent
  • 2. HIV infected adult equal to or greater than 18 years of age
  • 3. stable and well-tolerated ART including tenofovir for the preceding 6 months
  • 4. plasma HIV RNA <50 copies/ml for at least the preceding 3 months
  • 5. eGFR >60ml/min (patients at higher risk of zoledronic acid/tenofovir nephrotoxicity)
  • 6. spine or neck of femur T score = -1.0 measured by DXA (i.e. osteopenia)

排除标准

  • 1. prior bisphosphonate therapy
  • 2. use of tenofovir for previously active chronic hepatitis B co-infection
  • 3. requiring therapy for low BMD (e.g. prior fragility fracture; other metabolic bone disease)
  • 4. other secondary causes of osteoporosis: hypogonadism (low total testosterone/oestrogen and luteinizing hormone >25% above upper normal limit); hypothyroidism (low T4 and elevated TSH); hyperparathyroidism (elevated parathyroid hormone); inhaled fluticasone in a patient receiving ritonavir; prednisolone equal to or greater than 7.5mg/d or equivalent
  • 5. contra-indications to zoledronic acid (known hypersensitivity to bisphosphonates, hypocalcaemia, prior or current uveitis, eGFR<35 mL/min)
  • 6. recent (within the last 2 months) or planned dental surgery (at investigators discretion)
  • 7. previous virological failure, genotypic resistance, intolerance or contraindication to proposed switch antiretroviral drug
  • 8. HLA-B*5701 positive (abacavir contra-indicated) or prior ischaemic cardiovascular disease if planning to switch from tenofovir to abacavir
  • 9. concurrent use of any nephrotoxic drug
  • 10. breast-feeding or pregnancy

研究者

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