Fracture Healing Assessed by HR-pQCT After Administration of Calcium and Vitamin D

NCT ID: NCT02889237

Last Updated: 2021-11-26

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

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2020-06-18

Brief Summary

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This study is designed as a single-blind RCT in 80 postmenopausal women to compare the effect of immediate administration of daily calcium supplementation (1000 mg calcium) or two daily dosages of calcium + vitamin D (1000 mg calcium + 880 IU vitamin D or 1000 mg calcium + 1760 IU vitamin D) to standard care (administration of vitamin D3 12 weeks after fracture) in terms of calculated bone strength based on analysis of cortical and trabecular bone parameters using HR-pQCT, fracture healing and functional outcome.

Detailed Description

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Conditions

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Bone Fracture

Keywords

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Fracture healing Calcium supplementation Vitamin D supplementation HR-pQCT

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Standard care

Start of calcium and vitamin D3 supplementation according to standard care, i.e. 12 weeks after fracture.

Group Type NO_INTERVENTION

No interventions assigned to this group

Calcium

Immediate administration of daily calcium supplementation (1000 mg calcium)

Group Type ACTIVE_COMPARATOR

Calcium

Intervention Type DIETARY_SUPPLEMENT

Immediate administration of daily calcium supplementation for 12 weeks

Calcium and low dose vitamin D

Immediate administration of daily calcium + low dose vitamin D supplementation (1000 mg calcium + 880 IU vitamin D).

Group Type ACTIVE_COMPARATOR

Calcium + low dose vitamin D

Intervention Type DIETARY_SUPPLEMENT

Immediate administration of daily calcium and low dose vitamin D (1 sachet CaD 1000/880) supplementation for 12 weeks

Calcium and high dose vitamin D

Immediate administration of daily calcium + high dose vitamin D supplementation (1000 mg calcium + 1760 IU vitamin D)

Group Type ACTIVE_COMPARATOR

Calcium + high dose vitamin D

Intervention Type DIETARY_SUPPLEMENT

Immediate administration of daily calcium and high dose vitamin D (2 sachets CaD 500/880) supplementation for 12 weeks

Already on treatment with Calcium or vitamin D

Patients who are already treated with Calcium or Vitamin D.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Calcium

Immediate administration of daily calcium supplementation for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Calcium + low dose vitamin D

Immediate administration of daily calcium and low dose vitamin D (1 sachet CaD 1000/880) supplementation for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Calcium + high dose vitamin D

Immediate administration of daily calcium and high dose vitamin D (2 sachets CaD 500/880) supplementation for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Cacit effervescent tablet '1000' CaD® sachet 1000/880 CaD® sachets 500/880

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women older than 50 years who present themselves in clinic with a distal radius fracture due to a trauma.
* Patients with a stable distal radius fracture treated by cast immobilization.
* Patients who understand the conditions of the study and are willing and able to comply with the scheduled biochemical and radiographic evaluations and the prescribed rehabilitation.
* Patients who signed the Ethics Committee approved specific Informed Consent Form prior to inclusion.

Exclusion Criteria

* Patients who underwent surgery of the wrist or radius on a previous occasion on the same side or who need surgery this time.
* Patients with active or suspected infection such as pneumonia or complicated urinary tract infection in the last 3 months.
* Patients with malignancy or a pathological fracture in the last 12 months.
* Patients with a neuromuscular or neurosensory deficit, e.g. Parkinson's disease, which would limit the ability to assess the performance during the healing period.
* Patients with known systemic or metabolic disorders leading to progressive bone deterioration, such as: hyperthyroidism, hyperparathyroidism, chronic kidney disease with eGFR\<30 ml/min, sarcoidosis, hypercalcemia,
* Patients with an active inflammatory disease during the last year such as rheumatoid arthritis, systemic lupus erythematous, inflammatory bowel disease, e.g. Crohn's disease and ulcerative colitis.
* The use of glucocorticoids during the last 12 months.
* Patients with an allergy to calcium, calcium carbonate, cholecalciferol, aspartame, citric-acid, lactose, dimethicone, methylcellulose, sorbic acid, macrogole, polyvidone, mannitol, orange flavour, natriumsaccharine, starch or sucrose.
* Patients, who as judged by the principal Investigator, are mentally incompetent or are unlikely to be compliant with the follow-up evaluation schedule.
* Patients with other severe concurrent joint involvements that can affect their outcome.
* Patients who are already selected for another trial concerning distal radius fractures.
Minimum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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VieCuri Medical Centre

OTHER

Sponsor Role lead

Responsible Party

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Joop P.W. van den Bergh

Prof. dr. J.P.W. van den Bergh, Endocrinologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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J PW van den Bergh, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

VieCuri Medical Centre

Locations

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VieCuri Medical Centre

Venlo, Limburg, Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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NL46035.072.13

Identifier Type: -

Identifier Source: org_study_id