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Secondary OsteoporosisPhase 3OSZCONCT03930992

Efficacy of Zoledronic Acid + Colaren vs Zoledronic Acid + Conventional Treatment for Osteoporosis in HIV+ and HIV- Men

A Phase 3 study testing Colaren in HIV positive, standard treatment in HIV positive and Colaren in HIV negative in people with Secondary Osteoporosis, run by University of Guadalajara at 1 site in Mexico.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Clinical trial to assess the effectiveness of the supplement Colaren® associated with zoledronic acid 4mg/annually in the treatment of osteoporosis secondary, compared to standard treatment plus zoledronic acid 4mg/annually. The standard treatment will include 1gr of calcium/day and vitamin D supplement. Read more about this study

Who is it for?
Ages 18 to 65 years, men only
Conditions the study is for
Secondary Osteoporosis
What is being tested?
Colaren in HIV positive, standard treatment in HIV positive and Colaren in HIV negative
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteMexico
Study dates
17 Apr 2019to 31 Oct 2022
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult males 18 to 65 years old.
  • HIV diagnosis (HIV positive group) or negative HIV serology (HIV negative group).
  • Patients receiving HAART and sustained virologic control for at least two years.
  • Patients meeting diagnostic criteria for osteoporosis.
  • Subjects willing to participate voluntarily in this study and give a written consent.
  • Estimated glomerular filtration rate >60 mL/min (Using CKD-EPI formula).

Who cannot join

  • Use of calcium, vitamin D or any other drug with bone activity during the last 90 days previous to the study.
  • Use of herbs or herb products during the last 90 days previous to the study.
  • Positive test for HCV or HBV.
  • Patients who cannot be submitted to complete examination for variable analysis.
  • Glomerular filtration rate <60 mL/minute.
  • Active liver disease.
Show all 18Show fewer
  • Non-compliance to treatment (less than 90%).
  • Patients who are not willing to continue participating.
  • Non-inclusion criteria:
  • Female patients.
  • Use of immunosuppressive o immunomodulatory treatment 90 days previous to selection.
  • Use of prohibited drugs for the study like: antiestrogens, corticosteroids (doses greater than 7.5mg of prednisone/day) 90 days previous to selection.
  • Use of hormone therapy.
  • Patients with history or actual use of chemotherapy.
  • Patients deprived of freedom or imprisoned patients with mental illnesses.
  • Participant is part of another clinical trial or nutritional program.
  • Hypogonadism diagnosis with not having received hormonal replacement previous to the study.
  • Primary osteoporosis diagnosis.

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Hospital Civil de Guadalajara Fray Antonio Alcalde

    Guadalajara, Jalisco, 44280

Other trials in Mexico

About this study

Official title: Efficacy of 4 mg Zoledronic Acid Plus Colaren vs 4mg Zoledronic Acid + Conventional Treatment for Secondary Osteoporosis in HIV Positive and Negative Men

Clinical trial to assess the effectiveness of the supplement Colaren® associated with zoledronic acid 4mg/annually in the treatment of osteoporosis secondary, compared to standard treatment plus zoledronic acid 4mg/annually. The standard treatment will include 1gr of calcium/day and vitamin D supplement. In both cases, vitamin D levels will be determinated, which should remain at more than 30 ng/mL.

Including men with osteoporosis secondary to HIV and men with osteoporosis secondary to any other cause (HIV negative). Vitamin D levels, bone densitometry and markers of metabolism, bone formation and bone resorption will be assessment. The all parameters above will be assessed basally (before the start of treatment), after starting the treatment, an assessment will be made at 12 weeks where vitamin D levels and bone markers will be measured. Meanwhile, at week 24 assess only vitamin D levels; and finally, at week 52 all parameters mentioned above will be measured.

Read the detailed description

This study is a clinical trial to assess the effectiveness of the supplement Colaren® associated with annually zoledronic acid 4mg, in the treatment of osteoporosis secondary or not to HIV infection, compared to standard treatment plus zoledronic acid 4mg/annually. The standard treatment will include 1gr of calcium/day and vitamin D supplement. In both cases, vitamin D levels will be evaluated, which should remain at more than 30 ng/mL.

Including men with osteoporosis secondary to HIV and men with osteoporosis secondary to any other cause (HIV negative). Vitamin D levels, bone densitometry and markers of metabolism, bone formation and bone resorption will be assessment. The all parameters above will be assessed basally (before the start of treatment), after starting the treatment, an assessment will be made at 12 weeks where vitamin D levels and bone markers will be measured. Meanwhile, at week 24 assess only vitamin D levels; and finally, at week 52 all parameters mentioned above will be measured.

Being tested
Colaren in HIV positive, standard treatment in HIV positive, Colaren in HIV negative, standard treatment in HIV negative
Keywords
4 mg zoledronic acid, Colaren, HIV, Secondary Osteoporosis, Man

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Colaren in HIV positiveDrug

    Also called plus Zoledronic Acid 4 mg

    1 Arm (HIV+): will receive Zoledronic acid 4mg and colaren ® (vitamin D, magnesium, phosphate, calcium).

  • standard treatment in HIV positiveDrug

    Also called plus Zoledronic Acid 4 mg

    2 Arm (HIV+): will receive Zoledronic acid 4mg and standard treatment (vitamin D and calcium carbonate)

  • Colaren in HIV negativeDrug

    Also called plus Zoledronic Acid 4 mg

    3 Arm (HIV-): will receive Zoledronic acid 4mg and colaren ® (vitamin D, magnesium, phosphate, calcium).

  • standard treatment in HIV negativeDrug

    Also called plus Zoledronic Acid 4 mg

    4 Arm (HIV-): will receive Zoledronic acid 4mg and standard treatment (vitamin D and calcium carbonate)

Study groups in NCT03930992
Study groupRoleWhat they receive
1 Arm: ExperimentalExperimentalExperimental: 4 mg zoledronic acid plus colaren ® This arm include: 20 man with HIV infection plus osteoporosis
Receives: Drug: Colaren in HIV positive
2 Arm: Active comparatorActive comparatorActive comparator: 4mg zoledronic acid + standard treatment (or conventional treatment) This arm include: 20 man with HIV infection plus osteoporosis
Receives: Drug: standard treatment in HIV positive
3 Arm: ExperimentalExperimentalExperimental: 4 mg zoledronic acid plus colaren ® This arm include: 20 man without HIV infection plus osteoporosis
Receives: Drug: Colaren in HIV negative
4 Arm: Active comparatorActive comparatorActive comparator: 4mg zoledronic acid + standard treatment (or conventional treatment) This arm include: 20 man without HIV infection plus osteoporosis
Receives: Drug: standard treatment in HIV negative

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Bone turnover markers (from baseline to 12 months under treatment)

    Plasma measure of (through LEGENDplex (Multiplex)):

    Bone formation panel that include: Osteoprotegerin (OPG) measure in pg/mL, Alkaline Phosphatase Liver/Bone/Kidney (ALPL) measure in pg/mL, LEPTINA measure in pg/mL and Bone Morphogenetic Protein 2 (BMP-2) measure in pg/mL. Bone resorption panel that include: Osteopontin (OPN) measure in pg/mL, Acid Phosphatase 5 Tartrate Resistant (ACP5) measure in pg/mL, RANKL measure in pg/mL, Tumor Necrosis Factor Alpha (TNF-α) measure in pg/mL, Interleukin 6 (IL-6) measure in pg/mL, Parathyroid Hormone (PTH) measure in pg/mL, Interleukin 1 beta (IL-1β) measure in pg/mL, Dickkopf WNT Signaling Pathway Inhibitor 1 (DKK-1) measure in pg/mL.

    Measured: Time frame: from baseline, 3 and 12 months under treatment.

  2. Change from baseline of Bone mineral density at 12 months

    Bone mineral density through Dual-energy X-ray absorptiometry (DXA scan) measure.

    Classification:

    Normal: T-score ≥ -1.0 Osteopenia: -2.5 < T-score < -1.0 Osteoporosis: T-score ≤ -2.5 Severe osteoporosis: T-score ≤ -2.5 with fragility fracture

    Measured: Time frame: from baseline and 12 months under treatment.

Secondary outcomes (1)
  1. Tolerability of colaren vs standard treatment (conventional treatment): grading the severity of Adult and Pediatric Adverse Events Version 2.0

    Evaluation of tolerability of Colaren and conventional treatment through the "Division of AIDS table for grading the severity of Adult and Pediatric Adverse Events Version 2.0, November 2014" Grade 1= Mild Grade 2= Moderate Grade 3= Severe Grade 4= Potentially

    Measured: Time frame: evaluate the tolerability from month 1, 3, 6, 9 and 12, under supplementation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2019
  2. Study start17 Apr 2019
  3. Primary completion31 Oct 2022
  4. Study completion31 Oct 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Study type: Interventional, with four arms: 1. arm: 4 mg zoledronic acid annually plus colaren ® in HIV-positive; 2. arm: 4 mg zoledronic acid annually plus conventional treatment in HIV-positive; 3. arm: 4 mg zoledronic acid annually plus colaren ® in HIV-negative; 4. arm: 4 mg zoledronic acid annually plus conventional treatment in HIV-negative.
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03930992
Sponsor's protocol ID
OSZCO
Acronym
OSZCO
Status last verified
Dec 2023
First submitted
17 Apr 2019
Last updated
8 Dec 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wheater G, Elshahaly M, Tuck SP, Datta HK, van Laar JM. The clinical utility of bone marker measurements in osteoporosis. J Transl Med. 2013 Aug 29;11:201. doi: 10.1186/1479-5876-11-201.

    PubMed 23984630
  • Sattui SE, Saag KG. Fracture mortality: associations with epidemiology and osteoporosis treatment. Nat Rev Endocrinol. 2014 Oct;10(10):592-602. doi: 10.1038/nrendo.2014.125. Epub 2014 Aug 5.

    PubMed 25091729
  • Rothman MS, Bessesen MT. HIV infection and osteoporosis: pathophysiology, diagnosis, and treatment options. Curr Osteoporos Rep. 2012 Dec;10(4):270-7. doi: 10.1007/s11914-012-0125-0.

    PubMed 23100110
  • Panayiotopoulos A, Bhat N, Bhangoo A. Bone and vitamin D metabolism in HIV. Rev Endocr Metab Disord. 2013 Jun;14(2):119-25. doi: 10.1007/s11154-013-9246-8.

    PubMed 23657562
  • Leal J, Gray AM, Prieto-Alhambra D, Arden NK, Cooper C, Javaid MK, Judge A; REFReSH study group. Impact of hip fracture on hospital care costs: a population-based study. Osteoporos Int. 2016 Feb;27(2):549-58. doi: 10.1007/s00198-015-3277-9. Epub 2015 Aug 19.

    PubMed 26286626
  • Compston J, Cooper A, Cooper C, Gittoes N, Gregson C, Harvey N, Hope S, Kanis JA, McCloskey EV, Poole KES, Reid DM, Selby P, Thompson F, Thurston A, Vine N; National Osteoporosis Guideline Group (NOGG). UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporos. 2017 Dec;12(1):43. doi: 10.1007/s11657-017-0324-5. Epub 2017 Apr 19.

    PubMed 28425085
  • Bolland MJ, Grey AB, Horne AM, Briggs SE, Thomas MG, Ellis-Pegler RB, Woodhouse AF, Gamble GD, Reid IR. Annual zoledronate increases bone density in highly active antiretroviral therapy-treated human immunodeficiency virus-infected men: a randomized controlled trial. J Clin Endocrinol Metab. 2007 Apr;92(4):1283-8. doi: 10.1210/jc.2006-2216. Epub 2007 Jan 16.

    PubMed 17227801
  • Carlos F, Clark P, Maciel H, Tamayo JA. Direct costs of osteoporosis and hip fracture: an analysis for the Mexican Social Insurance Health Care System. Salud Publica Mex. 2009;51 Suppl 1:S108-13. doi: 10.1590/s0036-36342009000700014.

    PubMed 19287884

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Colaren in HIV positive, standard treatment in HIV positive and Colaren in HIV negative in people with Secondary Osteoporosis, run by University of Guadalajara at 1 site in Mexico.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mexico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Bone turnover markers (from baseline to 12 months under treatment) (time frame: Time frame: from baseline, 3 and 12 months under treatment.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03930992, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Dec 2023.

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