Prospective Study of Profile of Hepatic Osteodystrophy in Patients With Non-Choleastatic Liver Cirrhosis and Impact of Bisphosphonate Supplementation

NCT ID: NCT02249741

Last Updated: 2014-09-26

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

PHASE4

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2014-02-28

Brief Summary

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Background and Objectives: Patients with liver cirrhosis are more prone to develop reduced bone mineral density i.e. hepatic osteodystrophy (HOD). It includes both osteopenia and osteoporosis and may lead to increased fracture risks. There is scanty data on prevalence of HOD in Indian population and its treatment outcome. The investigators aimed to determine prevalence of HOD, factors associated with it and the impact of bisphosphonates on bone mineral density in patients with liver cirrhosis.

Patients and Methods: Consecutive patients with liver cirrhosis admitted at Sir Ganga Ram Hospital, New Delhi between August 2012 and July 2013 were enrolled. Patients with chronic kidney disease, hyperparathyroidism and those on steroids were excluded. Bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry (DEXA) at the lumbar spine and femoral neck. Osteopenia and osteoporosis were defined according to WHO criteria. All patients also underwent 25-hydroxy-vitamin-D, sex hormone (testosterone in male and LH and Estradiol in female) and parathyroid hormone (PTH) along with routine investigations. Transient elastography was also done in all patients. Ibandronic acid 150 mg per day orally for six months was given in patients with osteoporosis and DEXA scan repeated.

Detailed Description

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Conditions

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Cirrhosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients with osteoporosis

Treated with Ibandronic acid as per protocol

Group Type EXPERIMENTAL

Treated with Ibandronic acid as per protocol

Intervention Type DRUG

treated with Ibandronic acid at a dose of 150 mg once a month for six months

Interventions

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Treated with Ibandronic acid as per protocol

treated with Ibandronic acid at a dose of 150 mg once a month for six months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Liver Cirrhosis
2. Age 18-70 years
3. Informed and written consent

Exclusion Criteria

1. Chronic renal failure
2. Prolonged steroid use more than 3 months
3. Patients on immunosuppressive therapy
4. Primary hyperparathyroidism
5. Post menopausal women
6. Pregnancy
7. Cushing's syndrome
8. Malignancy
9. HIV Co-infection
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr. Ashish Kumar

OTHER

Sponsor Role lead

Responsible Party

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Dr. Ashish Kumar

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Department of Gastroenterology & Hepatology, Sir Ganga Ram Hospital

New Delhi, New Delhi, India

Site Status

Countries

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India

Other Identifiers

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Gastro-2012-RB-1

Identifier Type: -

Identifier Source: org_study_id

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