Simvastatin to Prevent SCI-Induced Bone Loss

NCT ID: NCT02946424

Last Updated: 2021-12-08

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-01

Study Completion Date

2023-09-30

Brief Summary

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This is a double blind, randomized, placebo -controlled clinical trial with the primary goal of determining the osteogenic benefits of simvastatin in acute SCI.

Detailed Description

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Investigators will test if a 1- year course of simvastatin (40 mg daily) will prevent bone loss compared to placebo in the first year following SCI.

Conditions

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Spinal Cord Injuries Osteoporosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Simvastatin treatment

Simvastatin for one year time period

Group Type EXPERIMENTAL

Simvastatin

Intervention Type DRUG

12 month course of daily simvastatin

Placebo treatment

Placebo for one year time period

Group Type PLACEBO_COMPARATOR

Placebo Oral Capsule

Intervention Type DRUG

12 month course of daily placebo

Interventions

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Placebo Oral Capsule

12 month course of daily placebo

Intervention Type DRUG

Simvastatin

12 month course of daily simvastatin

Intervention Type DRUG

Other Intervention Names

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Zocor

Eligibility Criteria

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Inclusion Criteria

* 18-60 years of age
* acute SCI (AIS A-C) who are enrolled at our center in an ongoing surveillance study.
* use a wheelchair as their primary mobility mode
* reside in the greater Denver metropolitan area
* within 3 months of injury
* medically stable
* able to follow directions
* provide informed consent.

Exclusion Criteria

\- have any simvastatin contraindications including:

* drug allergy,
* active liver disease,
* renal dysfunction,
* concurrent use of drugs that cause myopathy or increase the risk of myopathy with simvastatin therapy (gemfibrozil, niacin, cyclosporine, danazol, amiodarone, dronedarone, ranolazine, calcium channel blockers, colchicine), strong CYP34A inhibitors (itraconazole, ketoconazole, posaconazole, voriconazole, erythromycin, clarithromycin, telithromycin, HIV protease inhibitors, boceprevir, telaprevir, nefazodone, cobicistat-containing products), low plasma cholesterol levels,
* uncontrolled or poorly controlled diabetes,
* unstable anti-coagulation treatment,
* taking a statin in the preceding 12 months,
* metabolic bone disease, thyroid disorder,
* history of bilateral oophorectomy,
* current use of medications potentially affecting bone health including bisphosphonates, androgenic steroids, estrogenic steroids, anti-epileptics, lithium glucocorticoid use for more than 3 months,
* have received inhaled glucocorticoids in the past 12 months,
* pregnant or lactating women,
* women of childbearing potential who are unwilling or unable to use a reliable form of contraception.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Craig Hospital

OTHER

Sponsor Role lead

Responsible Party

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Leslie Morse

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Leslie Morse, DO

Role: PRINCIPAL_INVESTIGATOR

Craig Hospital

Locations

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Craig Hospital

Englewood, Colorado, United States

Site Status

Countries

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United States

References

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Kowalski JL, Nguyen N, Battaglino RA, Falci SP, Charlifue S, Morse LR. miR-338-5p Levels and Cigarette Smoking are Associated With Neuropathic Pain Severity in Individuals With Spinal Cord Injury: Preliminary Findings From a Genome-Wide microRNA Expression Profiling Screen. Arch Phys Med Rehabil. 2022 Apr;103(4):738-746. doi: 10.1016/j.apmr.2021.09.005. Epub 2021 Oct 27.

Reference Type DERIVED
PMID: 34717922 (View on PubMed)

Other Identifiers

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SCIMS Statin

Identifier Type: -

Identifier Source: org_study_id