Clinical trial

Efficacy of a Single Infusion of Zoledronic Acid to Mitigate the Rebound Effect of Rapid Bone Loss Following Denosumab Treatment Discontinuation

Name
REB21-1898
Description
This two-year observational, open-label clinical trial will evaluate the efficacy of a once-yearly infusion of zoledronic acid after denosumab discontinuation to maintain tissue mineral density and bone microarchitecture using high-resolution peripheral quantitative computed tomography (HR-pQCT) among post-menopausal women with osteoporosis.
Trial arms
Trial start
2022-09-01
Estimated PCD
2024-07-01
Trial end
2025-07-01
Status
Active (not recruiting)
Treatment
Zoledronic acid
Once-yearly infusion of zoledronic acid following denosumab discontinuation
Other names:
Dr. Reddy's Zoledronic acid
Size
20
Primary endpoint
Change in volumetric Bone Mineral Density (BMD)/bone microarchitecture from baseline
Change from Baseline (within 1-month of infusion) to 6-months and 12-months
Change in areal Bone Mineral Density (BMD) from baseline
Change from Baseline (within 1-month of infusion) to 6-months and 12-months
Eligibility criteria
Inclusion Criteria: * Post-menopausal females with osteoporosis * Anticipating or preparing to transition off active denosumab treatment for osteoporosis with the use of a once-yearly infusion of zoledronic acid * Received at least 2 injections of denosumab treatment * Had a recent test (within 6 months) of serum creatine, calcium and phosphate Exclusion Criteria: * Any person for whom zoledronic acid would be considered contraindicated * Pre-menopausal females * Any person with significant chronic kidney disease (eGFR \< 50 ml/m2 at time of osteoporosis clinical assessment) * Any person with previous adverse reactions or allergy to bisphosphonate therapies * Any person with non-corrected hypocalcaemia * Any person currently taking, and unable to discontinue the use of, prohibited medications including: ZOMETA, other bisphosphonate therapies, calcitonin, aminoglycosides, loop diuretics and agiogenesis inhibitors * Any person with other history, condition, therapy, or uncontrolled intercurrent illness, which could in the opinion of the Qualified Medical Investigator affect compliance with study requirements or which would make the participant unsuitable for this study * Any person with simultaneous participation in another interventional clinical study (e.g., Phase 1-3 clinical studies) or treatment with any investigational medicinal product within 30 days prior to screening visit
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'enrollmentInfo': {'count': 20, 'type': 'ESTIMATED'}}
Updated at
2024-05-14

1 organization