Evaluation of Bone Architecture and Bone Strength in Adults With Hypophosphatasia (HPP)

NCT ID: NCT04181164

Last Updated: 2021-09-01

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

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-10-01

Study Completion Date

2021-12-30

Brief Summary

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The study aims to evaluate the bone architecture and bone strength in adults with Hypophosphatasia (HPP).

Detailed Description

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Conditions

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Hypophosphatasia (HPP)

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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HPP-Group

Adults with hypophosphatasia.

Microindentation

Intervention Type OTHER

Microindentation is a new technology directly measuring bone strength by a minimal invasive technique.

High resolution peripheral quantitative computed tomography (HRpQCT)

Intervention Type OTHER

HRpQCT scan can assess the cross-sectional geometry of the bone and is an appropriate investigation to evaluate bone quality.

Biochemical analysis of different bone markers.

Intervention Type BIOLOGICAL

Measurement of different bone markers by biochemical analysis of blood samples.

Control-Group

Healthy control subjects.

Microindentation

Intervention Type OTHER

Microindentation is a new technology directly measuring bone strength by a minimal invasive technique.

High resolution peripheral quantitative computed tomography (HRpQCT)

Intervention Type OTHER

HRpQCT scan can assess the cross-sectional geometry of the bone and is an appropriate investigation to evaluate bone quality.

Biochemical analysis of different bone markers.

Intervention Type BIOLOGICAL

Measurement of different bone markers by biochemical analysis of blood samples.

Interventions

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Microindentation

Microindentation is a new technology directly measuring bone strength by a minimal invasive technique.

Intervention Type OTHER

High resolution peripheral quantitative computed tomography (HRpQCT)

HRpQCT scan can assess the cross-sectional geometry of the bone and is an appropriate investigation to evaluate bone quality.

Intervention Type OTHER

Biochemical analysis of different bone markers.

Measurement of different bone markers by biochemical analysis of blood samples.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Genetically verified HPP
* Age: ≥ 18 years
* Persistently low levels of alkaline phosphatase (ALP) ≤ 35 U/L (normal range 35-105 U/L)
* At least one of the following symptoms: a) dental manifestations; b) musculoskeletal pain; c) history of fracture(s)
* Submitted informed consent


* No ALP measurements ≤ 45 U/l and ≥ 50% of all ALP measurements, registered in the electronical clinical journal ≥ 55 U/l
* Normal parathyroid hormone (PTH) and Pyridoxal-5´-phosphate (PLP)
* Vitamin D3 ≥ 25 nmol/L
* Submitted informed consent

Exclusion Criteria

* Pregnancy
* Skin infection or severe skin affection in the measurement area of microindentation
* Known allergy to Lidocain
* Former or current medical treatment influencing bone metabolism (oral corticosteroid \> 12 weeks, former or current anti-osteoporosis treatment at any time (regardless drug holiday), all kind of sex steroids (excluding oral contraception), anti-convulsants)
* Current malignant disorders


* Family history of a genetic metabolic bone disease (HPP, Osteogenesis imperfecta)
* Rickets in childhood
* Former or current Osteoporosis
* Former or current Osteomalacia
* Known diabetes
* Former or current medical treatment influencing bone metabolism (oral corticosteroid \> 12 weeks, former or current anti-osteoporosis treatment at any time (regardless drug holiday), all kind of sex steroids (excluding oral contraception), anti- convulsants)
* Skin infection or severe skin affection in the measurement area of microindentation
* Chronic liver or gallbladder disease
* Current malignant disorders
* Former or current thyrotoxicosis (T4 over normal range ≥ 6 months)
* Cushing disease
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Odense University Hospital

OTHER

Sponsor Role collaborator

Hvidovre University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Nicola Hepp

Principal Investigator, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hvidovre University Hospital

Hvidovre, Capital Region, Denmark

Site Status

Countries

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Denmark

References

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Herrera S, Diez-Perez A. Clinical experience with microindentation in vivo in humans. Bone. 2017 Feb;95:175-182. doi: 10.1016/j.bone.2016.11.003. Epub 2016 Nov 11.

Reference Type BACKGROUND
PMID: 27840302 (View on PubMed)

Other Identifiers

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HvH-BABS-Study

Identifier Type: -

Identifier Source: org_study_id

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