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Efficacy and Safety of Alendronate in Chinese Children or Adolescents With Osteogenesis Imperfecta

Primary Purpose

Osteogenesis Imperfecta

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Alendronate
Sponsored by
Peking Union Medical College Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteogenesis Imperfecta

Eligibility Criteria

undefined - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. children or adolescents aged 0-18 years,
  2. had either a history of at least once minor-impact fracture or age and sex adjusted areal BMD Z score of -1.0 or less at lumbar spine or total hip;
  3. with or without blue sclera, impaired hearing, joint hypermobility or dentinogenesis imperfecta;
  4. with or without slim long bone; with or without cranial epactal bones, signs of multiple fractures, bony deformity in skeletal X-ray films.

Exclusion Criteria:

  1. previous history of rickets, hyperparathyroidism, other metabolic or inherited bone diseases; malignant disease; coeliac disease; hyperthyroidism;
  2. therapy history of BPs within recent two years; severe renal failure (creatinine clearance <40 ml/min), chronic liver disease; severe diseases of gastrointestinal tract;
  3. unable to keep upright for at least 30 minutes daily .

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    an open label, prospective, self-controlled study

    Arm Description

    Children or adolescents under the age of 18 years old with minor trauma fracture were recruited from 30 provinces of China. The diagnosis of OI was made by endocrinology department of Peking Union Medical College Hospital(PUMCH).

    Outcomes

    Primary Outcome Measures

    changes from baseline of areal BMD at lumbar spine and total hip
    annual clinical fracture incidence

    Secondary Outcome Measures

    changes of bone turnover biomarkers
    changes of height

    Full Information

    First Posted
    November 19, 2014
    Last Updated
    December 9, 2014
    Sponsor
    Peking Union Medical College Hospital
    Collaborators
    National Natural Science Foundation of China
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02303873
    Brief Title
    Efficacy and Safety of Alendronate in Chinese Children or Adolescents With Osteogenesis Imperfecta
    Official Title
    Efficacy and Safety of Alendronate in Chinese Children or Adolescents With Osteogenesis Imperfecta: an Age Stratified Prospective Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2007 (undefined)
    Primary Completion Date
    July 2011 (Actual)
    Study Completion Date
    August 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Peking Union Medical College Hospital
    Collaborators
    National Natural Science Foundation of China

    4. Oversight

    5. Study Description

    Brief Summary
    Alendronate should be considered as an alternative therapy of osteogenesis imperfecta (OI) because it significantly increased areal bone mineral density (BMD) and its Z score, decreased fracture incidence, inhibited bone resorption biomarkers. Alendronate exerted beneficial roles in different age brackets, especially in young patients with OI.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Osteogenesis Imperfecta

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    99 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    an open label, prospective, self-controlled study
    Arm Type
    Experimental
    Arm Description
    Children or adolescents under the age of 18 years old with minor trauma fracture were recruited from 30 provinces of China. The diagnosis of OI was made by endocrinology department of Peking Union Medical College Hospital(PUMCH).
    Intervention Type
    Drug
    Intervention Name(s)
    Alendronate
    Intervention Description
    Alendronate was administrated as 70 mg/week orally (Fosamax, Merck Sharp & Dohme.LTD.).
    Primary Outcome Measure Information:
    Title
    changes from baseline of areal BMD at lumbar spine and total hip
    Time Frame
    baseline and 12,24,36 months
    Title
    annual clinical fracture incidence
    Time Frame
    baseline and 12,24,36 months
    Secondary Outcome Measure Information:
    Title
    changes of bone turnover biomarkers
    Time Frame
    baseline and 6,12,24,36 months
    Title
    changes of height
    Time Frame
    baseline and 12,24,36 months

    10. Eligibility

    Sex
    All
    Maximum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: children or adolescents aged 0-18 years, had either a history of at least once minor-impact fracture or age and sex adjusted areal BMD Z score of -1.0 or less at lumbar spine or total hip; with or without blue sclera, impaired hearing, joint hypermobility or dentinogenesis imperfecta; with or without slim long bone; with or without cranial epactal bones, signs of multiple fractures, bony deformity in skeletal X-ray films. Exclusion Criteria: previous history of rickets, hyperparathyroidism, other metabolic or inherited bone diseases; malignant disease; coeliac disease; hyperthyroidism; therapy history of BPs within recent two years; severe renal failure (creatinine clearance <40 ml/min), chronic liver disease; severe diseases of gastrointestinal tract; unable to keep upright for at least 30 minutes daily .

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of Alendronate in Chinese Children or Adolescents With Osteogenesis Imperfecta

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