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临床试验/EUCTR2014-004819-37-GB
EUCTR2014-004819-37-GB进行中(未招募)1 期

A multi-centre, prospective, randomised trial of short course alendronate therapy or placebo combined with vitamin D and calcium to prevent loss of bone mineral density in antiretroviral-naïve, HIV-1 infected subjects initiating antiretroviral therapy. - Alendronate for Prevention of ART-associated bone loss (APART study)

niversity College Dublin0 个研究点目标入组 80 人开始时间: 2018年8月2日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
80

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

  • male>25 years old or female>30 years old
  • HIV-1 antibody positive (no CD4 or HIV RNA criteria)
  • antiretroviral therapy naïve (Not having had suppressive ART in the previous 12 months to enrollment)
  • be presumed to have achieved peak bone mass
  • eligible for initiation of antiretroviral therapy in the opinion of the investigator
  • able to provide written informed consent
  • 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 80
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 5

排除标准

  • - •subjects unable to comply with the study protocol or unable to stand/sit upright for at least 30 minutes
  • history of osteoporosis (defined as hip, femoral neck or spine T score of <-2.5 in men over age >50 or in post-menopausal women)
  • history of fragility fracture or previous femoral fracture
  • chronic renal failure (estimated GFR<60mls/min/1.73m2)
  • hypocalcaemia (corrected calcium<2.2mmol/L) or hypercalcaemia (>2.6mmol/L) at screening
  • history of Paget’s disease or known primary hyperparathyroidism
  • previous treatment with or allergy (including hypersensitivity) to bisphosphonates
  • recent history (past 12 months) of peptic or duodenal ulcers or oesophagitis, aspiration or any other upper-gastrointestinal problem or oesophageal disease that in the opinion of the investigator precludes the use of alendronate
  • history of dental disease, periodontal disease, poor oral hygiene (as judged in the opinion of the investigator) or recent invasive dental procedures (within the past 3 months) comprising dental extraction and dental prosthetic
  • current therapy with prescribed calcium or vitamin D preparations (other than over-the-counter multivitamin preparations)
  • current therapy with aspirin or other regularly prescribed non-steroidal anti-inflammatory drugs
  • recent significant steroid exposure defined as continual or cumulative use of >5mg prednisolone daily or equivalent for = three months, as per EACS guidelines
  • for female subjects: pregnancy or breastfeeding at screening, planning future pregnancies or unwilling to take measures to avoid pregnancy for the duration of the study
  • where in the investigator’s opinion, there is a necessity to initiate ART within the pre-ART study window period
  • hepatitis B (sAg positive) or hepatitis C (Ab and RNA positive) co-infection
  • any active illness (including AIDS-defining illness) which in the opinion of the investigator precludes participation in the study.
  • subjects concurrently enrolled in another clinical trial of an investigational medical product

研究者

发起方
niversity College Dublin

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