OsteoporosisRESTORENCT06455085
RESTORE: REducing Future fractureS and Improving ouTcOmes of fRagility fracturE
A study testing Augmented-Fracture Liaison Service Arm in people with Osteoporosis and Osteoporotic Fractures, run by University of Alabama at Birmingham at 23 sites in United States.
Trial summary
RESTORE tests whether Augmented-FLS, where patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health provider, is better than Enhanced Usual Care, which includes patient and PCP education and activation. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Osteoporosis, Osteoporotic Fractures, Fragility Fracture
- What is being tested?
- Augmented-Fracture Liaison Service Arm
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,634 participants
- Where
- 23 sitesUnited States
- Study dates
- 16 Dec 2024to 1 Jun 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 50 years and older (no upper age limit)
- Sustained a primary fragility fracture (hip/femur, pelvis, clinical spine, humerus, wrist) in the last 12 months
- Participant must self-identify a regular primary care provider (PCP)
- Participant must provide a mailing address
- Participant must plan to remain geographically proximate (able to travel if necessary) to the site from which they are recruited over the next several months
Who cannot join
- Exposure to the following medications in the prior 12 months;
- Actonel or Atelvia (risedronate)
- Fosamax or Binosto (alendronate)
- Reclast, Zometa, or Aclasta (zoledronic acid, zoledronate)
- Boniva or Bondronat (ibandronate)
- Aredia (pamidronate)
Show all 28Show fewer
- Prolia (denosumab)
- Evenity (romozosumab)
- Tymlos (abaloparatide)
- Forteo (teriparatide)
- Natpara (parathyroid hormone)
- Evista (raloxifene)
- Duavee (bazedoxifene-conjugated estrogen)
- Miacalcin (calcitonin)
- Diagnosis of the following medical conditions;
- CKD stage 4 or 5 or on dialysis
- Multiple myeloma
- Addison's disease
- Adrenal insufficiency
- Enrolled hospice care
- Solid organ transplant, or expecting a solid organ transplant
- Bone marrow transplant
- History of metabolic bone disease (except osteoporosis) such as Paget's disease, osteomalacia, osteogenesis imperfecta, or Cushing's disease
- Fractures resulting from severe trauma (e.g. motor vehicle accidents, a fall from 2 feet or higher elevation)
- Pathologic fractures secondary to malignancy or infection
- Scheduled appointment with a bone health specialist
- Participant unable to consent on their own (cognitive impairment, dementia, etc.)
- Currently enrolled in another research study that requires taking medication
Trial locations and contacts
23 sites in 1 country. Contact the study team or a site near you to ask about taking part.
23 sites in 1 country
United States23 sites, 23 recruiting
- Recruiting
Emory University
Atlanta, Georgia, 30322
Mechelle Lockhart, 404-967-6860, mechelle.a.lockhart@emory.edu
Camille Vaughan, MD, MS
- Recruiting
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Elizabeth M Dye, MSN, 205-996-5025, emmills@uabmc.edu
Paolo Rusconi, PhD, 205-975-2405, paolorusconi@uabmc.edu
- Recruiting
The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599
Isabella Patterson, 984-974-5795, isabella_patterson@med.unc.edu
Donald Caraccio, MD
- Recruiting
Rush University Medical Center
Chicago, Illinois, 60612
Joshlean Fair, 312-563-2955, joshlean_fair@rush.edu
Sonali Khandelwal, MD
- Recruiting
University of Illinois Chicago (UIC), UI Health
Chicago, Illinois, 60612
Vladimir Ilievski, 312-996-6060, ilievski@uic.edu
Brian Layden, MD
- Recruiting
Missouri Orthopaedic Institute
Columbia, Missouri, 65212
Vicki Jones, 573-882-7583, jonesvicki@health.missouri.edu
James L Cook, DVM, PhD
- Recruiting
The Ohio State University
Columbus, Ohio, 43210
Rece Foss, 614-685-3089, rece.foss@osumc.edu
Steven Ing, MD, MSCE
- Recruiting
Allina Health Orthopedics/NorthStar Trauma Network
Coon Rapids, Minnesota, 55433
Ned Tervola, 952-914-8594, ned.tervola@allina.com
Gennadiy Busel, MD
- Recruiting
Duke University
Durham, North Carolina, 27710
Susanne Danus, 919-681-4453, susanne.danus@duke.edu
Richard Lee, MD
- Recruiting
University of Florida- Gainesville
Gainesville, Florida, 32611
Brittney R Manning, MPH, 352-627-9470, broth423@ufl.edu
Melissa T White, 352-627-9107, mel6514@ufl.edu
- Recruiting
UT Health Houston
Houston, Texas, 77030
Layla Rivera, 713-704-4137, layla.rivera@uth.tmc.edu
Nuzha Amjad, MD
- Recruiting
University of Iowa
Iowa City, Iowa, 52242
Brian Gryzlak, 319-335-8218, brian-gryzlak@uiowa.edu
Amal Shibli-Rahhal, MD, MSc, MME
- Recruiting
University of Florida- Jacksonville
Jacksonville, Florida, 32209
Lauren DelGiudice, 904-244-4692, lauren.delgiudice@jax.ufl.edu
Porter Young, MD
- Recruiting
Dartmouth-Hitchcock Clinic
Lebanon, New Hampshire, 03756
Kate Dawson, 603-650-3769, Kate.E.Dawson@hitchcock.org
Ugis Gruntmanis, MD
- Recruiting
Loyola University Chicago
Maywood, Illinois, 60153
Abigaile Wolak, 464-220-9491, awolak2@luc.edu
Pauline Camacho, MD
- Recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Niral Patel, MPH, 615-936-2474, niral.patel@vumc.org
Kayla Somerville, 615-875-5683, kayla.n.somerville.1@vumc.org
- Recruiting
Hospital for Special Surgery
New York, New York, 10021
Erin Sullivan, 646-714-6901, sullivane@hss.edu
Emily Stein, MD
- Recruiting
UAMS Health
North Little Rock, Arkansas, 72117
Ryan Hill, MD
- Recruiting
University of Nebraska Medical Center
Omaha, Nebraska, 69198
Adam Hornig, 402-559-9116, adam.hornig@unmc.edu
Laura Graeff-Armas, MD Graeff-Armas, MD
- Recruiting
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
Bo D Gregg, 480-574-1825, gregg.bodean@mayo.edu
Krupa Doshi, MD
- Recruiting
Washington University in St. Louis
St Louis, Missouri, 63110
Alejandra Aponte, 314-273-8827, mariaalejandra@wustl.edu
Mashid Mohseni, MD
- Recruiting
Montefiore Medical Center
The Bronx, New York, 104661
Nathalie Zavala, 718-839-7322, nathalie.zavala@einsteinmed.edu
Vafa Tabatabaie, MD
- Recruiting
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
Laiton Steele, 336-713-3657, laiton.steele@advocatehealth.org
Chris Gillette, PhD
About this study
RESTORE tests whether Augmented-FLS, where patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health provider, is better than Enhanced Usual Care, which includes patient and PCP education and activation. We also aim to determine the influence of age, race, ethnicity, sex, poverty level, geographic region, and timing of entry into the trial after a fracture on the effectiveness of the two strategies.
- Conditions
- Osteoporosis, Osteoporotic Fractures, Fragility Fracture
- Being tested
- Augmented-Fracture Liaison Service Arm, Enhanced Usual Care Arm
- Medical subject headings
- Osteoporosis, Osteoporotic Fractures
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Augmented-Fracture Liaison Service ArmBehavioural
Patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health clinician.
Enhanced Usual Care ArmBehavioural
Patients will be mailed education materials and encouraged to follow up with their primary care physician.
| Study group | Role | What they receive |
|---|---|---|
| Enhanced Usual Care Arm | Active comparator | Participants will be mailed education materials and encouraged to follow up with their primary care physician. Receives: Behavioral: Enhanced Usual Care Arm |
| Augmented-Fracture Liaison Service Arm | Experimental | Participants will be mailed education materials. Participants will also be contacted by patient navigators who will guide participants through the process of getting a Bone Health Clinician appointment. Receives: Behavioral: Augmented-Fracture Liaison Service Arm |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of subsequent fracture
Incidence of fracture 24 months post randomization
Measured: 24 months post randomization
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2024
- Study start16 Dec 2024
- Primary completion1 Jun 2029 (estimated)
- Study completion1 Jun 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for OsteoporosisStudies of the same condition, open and under way.
- More trials run by University of Alabama at BirminghamThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 2,634 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Alabama at Birmingham
- Sponsor type
- University, hospital or other
- Collaborators
- Patient-Centered Outcomes Research Institute
- Responsible party
- Principal investigator, Kenneth Saag, MD, MSc, University of Alabama at Birmingham
- Investigators
- Kenneth Saag, MD, MSc, Principal investigator, University of Alabama at BirminghamMaria Danila, MD, MSPH, Principal investigator, University of Alabama at Birmingham
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06455085
- Sponsor's protocol ID
- IRB-300012444
- Other IDs
- OFP-2022C3-30386
- Acronym
- RESTORE
- Status last verified
- Jan 2026
- First submitted
- 6 Jun 2024
- Last updated
- 5 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized data will be made available upon request.
Study at a glance
From the registry record, last updated by the sponsor on 5 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- RESTORE: REducing Future fractureS and Improving ouTcOmes of fRagility fracturE
- ClinicalTrials.gov ID
- NCT06455085
- Acronym / sponsor ID
- RESTORE / IRB-300012444
- Conditions
- Osteoporosis, Osteoporotic Fractures, Fragility Fracture
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 2,634 participants (estimated)
- Lead sponsor
- University of Alabama at BirminghamUniversity, hospital or other
- Collaborators
- Patient-Centered Outcomes Research Institute
- Study start
- 16 Dec 2024 (actual)
- Primary completion
- 1 Jun 2029 (estimated)
- Study completion
- 1 Jun 2029 (estimated)
- First posted
- 12 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RESTORE tests whether Augmented-FLS, where patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health provider, is better than Enhanced Usual Care, which includes patient and PCP education and activation. We also aim to determine the influence of age, race, ethnicity, sex, poverty level, geographic region, and timing of entry into the trial after a fracture on the effectiveness of the two strategies.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Enhanced Usual Care Arm | Active comparator | Behavioral: Enhanced Usual Care ArmParticipants will be mailed education materials and encouraged to follow up with their primary care physician. |
| Augmented-Fracture Liaison Service Arm | Experimental | Behavioral: Augmented-Fracture Liaison Service ArmParticipants will be mailed education materials. Participants will also be contacted by patient navigators who will guide participants through the process of getting a Bone Health Clinician appointment. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age 50 years and older (no upper age limit)
- Sustained a primary fragility fracture (hip/femur, pelvis, clinical spine, humerus, wrist) in the last 12 months
- Participant must self-identify a regular primary care provider (PCP)
- Participant must provide a mailing address
- Participant must plan to remain geographically proximate (able to travel if necessary) to the site from which they are recruited over the next several months
Key exclusion criteria (28 listed)
- Exposure to the following medications in the prior 12 months;
- Actonel or Atelvia (risedronate)
- Fosamax or Binosto (alendronate)
- Reclast, Zometa, or Aclasta (zoledronic acid, zoledronate)
- Boniva or Bondronat (ibandronate)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Augmented-Fracture Liaison Service ArmPatients are contacted by a patient navigator (serving as the liaison) and referred to a bone health clinician. | Behavioural | Augmented-Fracture Liaison Service Arm |
| Enhanced Usual Care ArmPatients will be mailed education materials and encouraged to follow up with their primary care physician. | Behavioural | Enhanced Usual Care Arm |
Primary outcome
Incidence of subsequent fracture
Time frame: 24 months post randomization
Incidence of fracture 24 months post randomization
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 May 2026.
- Individual participant dataSharing planned: Yes. Anonymized data will be made available upon request.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Kenneth Saag, MD, MSc principal investigator
University of Alabama at Birmingham
Maria Danila, MD, MSPH principal investigator
University of Alabama at Birmingham
23 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Augmented-Fracture Liaison Service Arm in people with Osteoporosis and Osteoporotic Fractures, run by University of Alabama at Birmingham at 23 sites in United States.
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 5 inclusion and 28 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: looking for participants now, as of the sponsor's last update on 5 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 23 sites in United States. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Elizabeth M Dye, MSN (205-996-5025, emmills@uabmc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of subsequent fracture (time frame: 24 months post randomization). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 5 May 2026.