Use of Teriparatide to Accelerate Fracture Healing

NCT ID: NCT00594906

Last Updated: 2014-12-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2012-07-31

Brief Summary

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The purpose of this study is to compare the effect of the drug teriparatide to the effect of placebo on pelvic fracture healing.

Detailed Description

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Teriparatide is a man-made form of a naturally occurring hormone called parathyroid. It increases bone density and bone strength to help prevent fractures and can be used to treat osteoporosis in people who have a high risk of bone fracture. The purpose of this study is to compare the effect of teriparatide to the effect of placebo on pelvic fracture healing.

This study will last 16 weeks. Participants will be randomly assigned to receive either teriparatide or placebo for the duration of the study. Participants will also be given calcium and vitamin D supplements to take daily throughout the study. At 4-week intervals, participants will undergo functional evaluations that will include the instrumented sit-to-stand test, the timed-up-and-go, and a gait velocity test. Participants will also undergo a DXA scan upon enrollment; undergo a CT evaluation upon enrollment and 16 weeks post-fracture; and complete specific pain, self-perceived function, mental status, and depression scales throughout the study.

Conditions

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Pelvic Fracture

Keywords

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Fracture Healing Teriparatide Forteo Pelvic Fractures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Injection

30 participants will receive teriparatide (Forteo) injection pens.

Group Type ACTIVE_COMPARATOR

Teriparatide

Intervention Type DRUG

Daily 20-mcg subcutaneous injections for the duration of the study (16 weeks)

Placebo

30 participants will receive placebo injection pens.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Daily 20-mcg subcutaneous injections for the duration of the study (16 weeks)

Interventions

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Teriparatide

Daily 20-mcg subcutaneous injections for the duration of the study (16 weeks)

Intervention Type DRUG

Placebo

Daily 20-mcg subcutaneous injections for the duration of the study (16 weeks)

Intervention Type DRUG

Other Intervention Names

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Forteo

Eligibility Criteria

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Inclusion Criteria

* Females must be menopausal (no menses within the last 12 months)
* Low energy fragility fractures of the pelvis, including anterior column, posterior column, inferior or superior rami, or sacrum
* Maximum of 2 weeks post fracture
* Mental status consistent with completing the study protocol

Exclusion Criteria

* Currently receiving any treatment for osteoporosis, including estrogen and estrogenic-like compounds
* Received radiation treatment to any site at any time in the past
* Received chemotherapy for cancer at any time in the past
* Any active cancer
* Surgical repair (or attempted repair) of the fracture site in the pelvis
* Use of any bone-active medications
* Use of anticonvulsant therapy
* Use of immunosuppressants
* Any renal, gastrointestinal, liver, or metabolic bone disease
* Pregnancy
* High calcium, parathyroid hormone, or alkaline phosphatase, as based on laboratory results
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Edward Puzas

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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J.Edward Puzas, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Locations

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University of Rochester

Rochester, New York, United States

Site Status

Countries

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United States

Other Identifiers

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P50AR054041

Identifier Type: NIH

Identifier Source: secondary_id

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P50AR054041

Identifier Type: NIH

Identifier Source: org_study_id

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