Metabolic Bone Disease Clinical Trial
Official title:
Denosumab Counteracts Metabolic Bone Disease in Chronic Intestinal Failure Patients: A Randomized, Controlled Clinical Trial
Low bone mineral density (BMD) is commonly reported in patients receiving home parenteral nutrition (HPN). Denosumab represent a new drug, which helped to prevent osteoclast. The aim of the study was to assess its value in chronic intestinal failure patients.
Low bone mineral density (BMD) is commonly reported in patients receiving home parenteral
nutrition (HPN). Oral and intravenous calcium, vitamin D and bisphosphonates have been
commonly used to treat BMD, but their efficiency is may be inadequate due to limited
absorption and compliance. Denosumab represent a new drug, which helped to prevent
osteoclast development and activation, hence decreased bone resorption in some studies. The
aim of the study was to assess its value in chronic intestinal failure patients receiving
HPN.
Between November 2011 and March 2013 denosumab was administered to 16 HPN patients (9 F, 7 M
mean age 55.4) with intestinal failure. Regional dual-energy x-ray absorptiometry of spine
and hip were performed before the therapy was initiated, and after 12 months. BMD, T-score
and Z-score were measured.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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