HIV Infections Clinical Trial
Official title:
Bisphosphonate Therapy for HIV-Associated Osteopenia
Bisphosphonates are a type of drug used to prevent and treat bone loss. The purpose of this
study is to determine if zoledronate, an investigational bisphosphonate, can improve bone
mineral density (BMD) in HIV-infected adults.
Study hypothesis: Zoledronate will reduce bone resorption in HIV-infected persons with
osteopenia.
Decreased BMD and bone loss is estimated to affect up to 67.5% of the HIV-infected
population. HIV-associated bone loss may be a result of antiretroviral treatment (ART), but
can also be caused by the infection itself. To date, treatment for this bone loss has not
been established. Before prescribing drugs to treat bone loss, physicians must take into
account patients' already demanding ART schedules and potential nonadherence. This study will
evaluate the efficacy of a single IV dose of zoledronate, an investigational bisphosphonate,
in treating HIV-associated bone loss.
This study will last 1 year. Participants will be randomly assigned to receive zoledronate or
placebo at study entry; their assigned intervention will be given in a 20- to 30-minute
infusion on an outpatient basis. There will be 7 study visits: at screening, study entry,
Week 2, and Months 3, 6, 9, and 12. Blood collection will occur at all visits. Medical
history, a physical exam, a dual-energy x-ray absorptiometry (DEXA) scan to measure bone
density, and a nutrition evaluation will occur at selected visits.
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