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临床试验/EUCTR2009-016873-13-GB
EUCTR2009-016873-13-GB进行中(未招募)1 期

A novel therapy using recombinant human PTH 1-84 to stimulate bone repair and enhance fracture healing in the acute Charcot foot: a double blind placebo controlled phase IV trial - A novel therapy using human PTH 1-84 in the acute Charcot foot

King’s College Hospital NHS Foundation Trust0 个研究点目标入组 46 人开始时间: 2010年3月17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)
入组人数
46

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

入选标准

  • A patient will be eligible for study participation if he or she meets the following criteria:
  • 1.Aged 18 to 75 years inclusive
  • 2.Has diabetes mellitus either Type 1 or Type 2
  • 3.Has acute Charcot osteoarthropathy defined as recent onset of a unilateral hot swollen foot with foot skin temperature 2oC greater than the contralateral foot. Patients should either have bone fracture and joint subluxation on standard foot and ankle x-rays or bone marrow oedema and bone microfracture on MRI.
  • 4.If female, is nonpregnant (negative pregnancy tests at the baseline visit) and nonlactating.
  • 5.If female, is either not of childbearing potential (defined as postmenopausal for = 1 year or surgically sterile [bilateral tubal ligation, bilateral oophorectomy or hysterectomy]) or practising one of the following medically-acceptable methods of birth control and agrees to continue with the regimen throughout the duration of the study:
  • a.Oral, implantable or injectable contraceptives for 3 consecutive months before the baseline visit.
  • b.Total abstinence from sexual intercourse (= 1 complete menstrual cycle before the baseline visit).
  • c.Intrauterine device
  • d.Double barrier method (condoms, sponge, diaphragm or vaginal ring with spermicidal jellies or cream)
  • 6.Meets the following laboratory criteria:
  • a.Aspartate aminotransferase (AST) within 3x the upper limit of normal.
  • b.Glycated Haemoglobin A1C (HbA1C) < 12%
  • c.Patients with eGFR> 30 ml/min and/or Creatinine clearance above 30 ml/min.
  • 7.Must be able to fluently speak and understand English and be able to provide meaningful written informed consent for the study.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 46
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 46

排除标准

  • A patient will be excluded from the study if he or she meets the following exclusion criteria:
  • 1.Has active foot ulceration and infection
  • 2.Patients taking drugs that may affect calcium metabolism, patients on immuno-suppression, inhaled corticosteroids, anabolic steroids , other treatment for osteoporosis, rheumatoid arthritis.
  • 3.Patients with previous radiation therapy to skeleton, pre-existing hypercalcaemia, metabolic bone disease (including Paget’s and hyperparathyroidism)
  • 4.Has any uncontrolled illness that, in the opinion of the Investigator, would interfere with interpreting the results of the study.
  • 5.Has unexplained elevations of bone-specific alkaline phosphatase
  • 6.Has severe renal impairment defined as eGFR< 30 ml/min
  • 7.Has severe hepatic impairment defined as aspartate aminotransferase (AST) greater than 3x the upper limit of normal.
  • 8.Has pre-existing hypercalcemia and other disturbances in the phosphocalcic metabolism.

研究者

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