Prevalence of Vertebral Fractures in Patients With Type 1 Diabetes

NCT ID: NCT04064437

Last Updated: 2024-02-13

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

Total Enrollment

192 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-07-29

Study Completion Date

2021-03-02

Brief Summary

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Background : Type 1 diabetes is associated with an increased risk of fractures. The mechanisms accounting for this bone fragility are not yet fully understood. The lower bone mineral density (BMD) observed in individuals with type 1 diabetes cannot solely explain the higher fracture incidence. Bone microarchitecture defects significantly contribute to bone fragility. Few studies assessed spine fractures in type 1 diabetes.

This cross-sectional multicenter case-control study aims (1) to evaluate the prevalence of asymptomatic vertebral fractures in individuals with type 1 diabetes in comparison to age- and sex-matched healthy controls; (2) to compare individuals with diabetes with vertebral fractures and those without vertebral fracture using clinical, biochemical and radiological parameters.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 1 Bone Fracture Bone Health

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Individuals with type 1 diabetes

Clinical tests

Intervention Type DIAGNOSTIC_TEST

The investigators perform the following clinical tests: vibration threshold test, monofilament test, and height, weight and waist circumference measurement in every participant.

Biochemical tests

Intervention Type DIAGNOSTIC_TEST

The investigators perform blood and urine tests in every participant.

DXA scan

Intervention Type DIAGNOSTIC_TEST

The investigators perform a dual energy x-ray absorptiometry (DXA scan or osteodensitometry) in every participant.

AGE Reader

Intervention Type DIAGNOSTIC_TEST

The investigators perform a skin advanced glycation end products (AGEs) measurement with the AGE Reader machine in every participant.

Healthy controls

Clinical tests

Intervention Type DIAGNOSTIC_TEST

The investigators perform the following clinical tests: height, weight and waist circumference measurement in every participant.

Biochemical tests

Intervention Type DIAGNOSTIC_TEST

The investigators perform blood and urine tests in every participant.

DXA scan

Intervention Type DIAGNOSTIC_TEST

The investigators perform a dual energy x-ray absorptiometry (DXA scan or osteodensitometry) in every participant.

AGE Reader

Intervention Type DIAGNOSTIC_TEST

The investigators perform a skin advanced glycation end products (AGEs) measurement with the AGE Reader machine in every participant.

Interventions

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Clinical tests

The investigators perform the following clinical tests: vibration threshold test, monofilament test, and height, weight and waist circumference measurement in every participant.

Intervention Type DIAGNOSTIC_TEST

Clinical tests

The investigators perform the following clinical tests: height, weight and waist circumference measurement in every participant.

Intervention Type DIAGNOSTIC_TEST

Biochemical tests

The investigators perform blood and urine tests in every participant.

Intervention Type DIAGNOSTIC_TEST

DXA scan

The investigators perform a dual energy x-ray absorptiometry (DXA scan or osteodensitometry) in every participant.

Intervention Type DIAGNOSTIC_TEST

AGE Reader

The investigators perform a skin advanced glycation end products (AGEs) measurement with the AGE Reader machine in every participant.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of type 1 diabetes for at least 5 years;
* Age 20 years and older.


* Age 20 years and older.

Exclusion Criteria

* Pregnancy or breastfeeding;
* Conditions associated with bone disease (significant liver disease, intestinal malabsorption other than celiac disease, organ transplant, active cancer, rheumatoid arthritis, hyperthyroidism, hypothyroidism with abnormal thyroid-stimulating hormone (TSH), hyperparathyroidism, hypoparathyroidism, acromegaly, Cushing syndrome, adrenal insufficiency);
* Any of these medications in the past 6 months : glucocorticoids ≥ 7,5 mg prednisone/day or equivalency ≥ 3 months, aromatase inhibitors, antiandrogens, antiepileptic drugs, anticoagulants, sodium-glucose cotransporter-2 (SGLT-2) inhibitors, thiazolidinediones;
* Past medical history of traumatic vertebral fracture;
* Inability to consent.

Healthy controls


* As above (as individuals with diabetes), and :
* Diagnosis of diabetes or prediabetes;
* Celiac disease;
* Chronic kidney disease (CrCl \< 60 mL/min);
* Any of theses medications in the past 6 months : biphosphonates, teriparatide, denosumab, calcitonin;
* Past medical history of fragility fracture.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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CHU de Quebec-Universite Laval

OTHER

Sponsor Role lead

Responsible Party

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Claudia Gagnon

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Claudia Gagnon, Dr

Role: PRINCIPAL_INVESTIGATOR

CHU de Québec - Université Laval

Locations

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Institut de recherches cliniques de Montréal (IRCM)

Montreal, Quebec, Canada

Site Status

Centre de recherche du CHU de Québec - Université Laval

Québec, , Canada

Site Status

Countries

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Canada

References

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Coll JC, Garceau E, Leslie WD, Genest M, Michou L, Weisnagel SJ, Mac-Way F, Albert C, Morin SN, Rabasa-Lhoret R, Gagnon C. Prevalence of Vertebral Fractures in Adults With Type 1 Diabetes: DenSiFy Study (Diabetes Spine Fractures). J Clin Endocrinol Metab. 2022 Apr 19;107(5):e1860-e1870. doi: 10.1210/clinem/dgac031.

Reference Type RESULT
PMID: 35090169 (View on PubMed)

Other Identifiers

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2019-4550

Identifier Type: -

Identifier Source: org_study_id

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