Zoledronate for Osteopenia in Pediatric Crohn's

NCT ID: NCT00798473

Last Updated: 2008-11-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-09-30

Study Completion Date

2008-11-30

Brief Summary

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Background:

* Up to 30% of children and adolescents with Crohn's disease have decreased bone strength, or decrease bone density, called osteopenia.
* Bisphosphonates are a group of drugs that have been well studied and found to be effective in the treatment of osteopenia in menopausal women.
* Zoledronate is a very potent third generation bisphosphonate, that is safe and easy to administer, and has been found effective in the treatment of menopausal women with osteopenia.

Hypothesis: The investigators hypothesize that zoledronate can improve bone density in children and adolescents with Crohn's disease with osteopenia.

Detailed Description

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* This study is recruiting 40 children and adolescents, aged 6 to 18, who have a proven abnormal bone density as measured on a special type of x-ray called a DEXA-scan.
* Participants are allocated at random to one of two groups: either treatment with zoledronate, or a placebo.
* Neither the participants or the physicians are aware of which group each participant is in.
* Participants are followed every three months for one year, and assessed with blood tests, urine tests, physical examination, diet questionnaire and exercise questionnaire.
* Participants have a repeat DEXA scan at 6 and 12 months after beginning the study.
* Once all participants are enrolled and followed for one whole year, we will compare the bone density of the group treated with zoledronate with the group treated with placebo.

Conditions

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Crohn's Disease Osteopenia Osteoporosis

Keywords

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Crohn's disease Osteopenia Osteoporosis Bisphosphonates Zoledronate

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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1

Zoledronic acid, 0.06 mg/kg IV in a single infusion, maximum of 4 mg

Group Type EXPERIMENTAL

zoledronic acid

Intervention Type DRUG

Zoledronic acid 0.066 mg/kg (maximum 4 mg) given as a single intravenous infusion over ten minutes

2

IV saline infusion

Group Type PLACEBO_COMPARATOR

IV saline infusion

Intervention Type OTHER

Interventions

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zoledronic acid

Zoledronic acid 0.066 mg/kg (maximum 4 mg) given as a single intravenous infusion over ten minutes

Intervention Type DRUG

IV saline infusion

Intervention Type OTHER

Other Intervention Names

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zoledronate zometa

Eligibility Criteria

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Inclusion Criteria

* patients aged 6 to 18,
* diagnosed with Crohn's disease with osteopenia,
* a minimum of 6 months of adequate calcium and vitamin D intake. (Osteopenia was defined for the purposes of this study as: Z-score lumber spine BMD by DEXA of -2.0 or less, or -1.5 and a risk factor (either steroid use for 6 months or more or decrease of 0.5 z-score in the preceding 12 months).)

Exclusion Criteria

* renal dysfunction,
* insufficient calcium or vitamin D intake,
* current medication or condition affecting bone metabolism,
* documented fracture, previously diagnosed bone disease,
* documented intolerance/hypersensitivity to bisphosphonates,
* previous treatment with bisphosphonates within the last 6 months.
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Crohn's and Colitis Foundation

OTHER

Sponsor Role collaborator

McGill University Health Centre/Research Institute of the McGill University Health Centre

OTHER

Sponsor Role lead

Responsible Party

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McGill University Health Center

Principal Investigators

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Sylviane Forget, MD MSc FRCPC

Role: PRINCIPAL_INVESTIGATOR

McGill University Health Centre/Research Institute of the McGill University Health Centre

Celia Rodd, MD FRCPC

Role: PRINCIPAL_INVESTIGATOR

McGill University Health Centre/Research Institute of the McGill University Health Centre

Locations

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McGill University Health Center - Montreal Children's Hospital

Montreal, Quebec, Canada

Site Status

Countries

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Canada

Other Identifiers

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MCH002-56

Identifier Type: -

Identifier Source: org_study_id