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Bisphosphonate Therapy for Osteogenesis Imperfecta
This study is currently recruiting participants.
Verified by Indiana University, January 2008
Sponsored by: Indiana University School of Medicine
Information provided by: Indiana University
ClinicalTrials.gov Identifier: NCT00159419
  Purpose

The study is designed to evaluate the efficacy and safety of "Bisphosphonate Therapy for Osteogenesis Imperfecta (OI)." We, the researchers at Indiana University School of Medicine, are characterizing the changes effected by oral bisphosphonate therapy and comparing them to a regimen of intravenous bisphosphonate therapy in a group of children with OI and also in children with other disorders that result in low bone mass and fractures.


Condition Intervention Phase
Osteogenesis Imperfecta
Osteoporosis
Paget Disease of Bone
Drug: Alendronate
Drug: Pamidronate
Phase IV

Genetics Home Reference related topics: Melnick-Needles syndrome osteogenesis imperfecta
MedlinePlus related topics: Bone Diseases Fractures Osteogenesis Imperfecta Osteoporosis Paget's Disease of Bone
Drug Information available for: Alendronate Alendronate sodium
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title: Bisphosphonate Therapy for Osteogenesis Imperfecta

Further study details as provided by Indiana University:

Primary Outcome Measures:
  • Bone mineral density measured 4 times monthly [ Time Frame: 6 years ] [ Designated as safety issue: Yes ]
  • fracture rates [ Time Frame: 6 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Audiologic effects (annual) [ Time Frame: 6 years ] [ Designated as safety issue: Yes ]
  • dental effects (annual) [ Time Frame: 6 years ] [ Designated as safety issue: Yes ]
  • pain assessments [ Time Frame: 6 years ] [ Designated as safety issue: No ]
  • bone turnover assessments [ Time Frame: 6 years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 30
Study Start Date: August 1999
Estimated Study Completion Date: August 2008
Estimated Primary Completion Date: August 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Alendronate
    10 mg po q day
    Drug: Pamidronate
    1mg/kg/day x 3days
Detailed Description:

The study is designed to evaluate the efficacy and safety of "Bisphosphonate Therapy for Osteogenesis Imperfecta (OI)." OI is an inherited disorder of collagen synthesis. Collagen is the major structural protein of the matrix of tendons, skin, and bones. Affected persons have low bone mineral density (and experience multiple fractures and progressive bony deformity). In its most severe form, the disorder is lethal in infancy. We plan to characterize the changes effected by oral bisphosphonate therapy and compare them to a regimen of intravenous bisphosphonate therapy in a group of children with OI.

Additionally, we have begun to treat patients with OI and other conditions of low bone mineralization for age who are not eligible for the standard protocol (too young, history of abdominal pain, etc.) with bisphosphonate. We also plan to screen the parents and siblings of our patients diagnosed with osteogenesis imperfecta, in order to determine if they also have osteoporosis.

  Eligibility

Ages Eligible for Study:   3 Years to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis of OI, as defined by genetic analysis revealing a defect of type I collagen, OR by bone mineral density (BMD) <2.5 standard deviations (SD) for age plus two of the following:

    • Family history of OI
    • Frequent fractures
    • Blue sclerae
    • Multiple wormian bones on skull x-ray
    • Hearing disturbance
    • Dentogenesis imperfecta
  • Age between 3 and 21 years at the start of the study period.
  • Children must be able to swallow whole tablets
  • Parents of children must be able to understand protocol and give informed consent.

Exclusion Criteria:

  • Therapy with bisphosphonates during the past 12 months.
  • Other "non-traditional" therapy for OI in the last 6 months, such as growth hormone or anabolic steroids.
  • Other chronic diseases besides OI that interfere with bone morphology or gastrointestinal absorption
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00159419

Locations
United States, Indiana
IU School of Medicine Recruiting
Indianapolis, Indiana, United States, 46202
Contact: LeeAnn Ford, RN, CCRC     317-274-0668     lford@iupui.edu    
Contact: Linda A DiMeglio, MD     317/274-3889     dimeglio@iupui.edu    
Principal Investigator: Linda A DiMeglio, MD, MPH            
Sponsors and Collaborators
Indiana University School of Medicine
Investigators
Principal Investigator: Linda A DiMeglio, MD, MPH Indiana University School of Medicine
  More Information

Responsible Party: Indiana University School of Medicine ( Linda DiMeglio, MD )
Study ID Numbers: NIH/NCRR
Study First Received: September 7, 2005
Last Updated: January 16, 2008
ClinicalTrials.gov Identifier: NCT00159419  
Health Authority: United States: Institutional Review Board

Keywords provided by Indiana University:
Osteogenesis Imperfecta
Fractures
Pediatric
Osteoporosis
Juvenile Pagets

Study placed in the following topic categories:
Osteogenesis Imperfecta
Osteogenesis imperfecta
Collagen Diseases
Fractures, Bone
Osteochondrodysplasias
Osteoporosis
Bone Diseases, Metabolic
Bone Diseases
Pagets disease
Diphosphonates
Musculoskeletal Diseases
Genetic Diseases, Inborn
Alendronate
Osteitis Deformans
Bone Diseases, Developmental
Connective Tissue Diseases
Pamidronate
Osteitis

Additional relevant MeSH terms:
Physiological Effects of Drugs
Bone Density Conservation Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009