Circulating Myokine Levels and Bone Metabolism

NCT ID: NCT04206618

Last Updated: 2021-01-12

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

220 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-01

Study Completion Date

2020-11-10

Brief Summary

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Circulating levels of several myokines will be measured in serum samples obtained from women in various categories of bone density and according to the presence of fracture or not as well as before and after treatment with teriparatide and denosumab

Detailed Description

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Serum samples for the measurement of several myokines will be obtained from: 1) equal groups of premenopausal women with normal BMD, postmenopausal women with normal BMD, postmenopausal women with osteopenia, and postmenopausal women with osteoporosis; 2) women with hip fracture compared with controls (women subjected to surgery due to knee osteoathritis); 3) women with osteoporosis treated with teriparatide or denosumab for 12 months

Conditions

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Osteoporosis, Postmenopausal

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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premenopausal normal

premenopausal women with normal BMD who will be subjected to a single morning, fasting blood drainage

No interventions assigned to this group

postmenopausal normal

postmenopausal women with normal BMD who will be subjected to a single morning, fasting blood drainage

No interventions assigned to this group

postmenopausal osteopenia

postmenopausal women with osteopenia who will be subjected to a single morning, fasting blood drainage

No interventions assigned to this group

postmenopausal osteoporosis

postmenopausal women with osteoporosis who will be subjected to a single morning, fasting blood drainage

No interventions assigned to this group

hip fracture

postmenopausal women at the moment of hip fracture who will be subjected to a single, fasting blood drainage right before osteosynthesis

No interventions assigned to this group

controls (knee osteoarthitis)

postmenopausal women with knee osteoarthritis who will be subjected to a single, fasting blood drainage right before arthroplasty and serve as controls

No interventions assigned to this group

teriparatide group

postmenopausal women with osteoporosis who will be treated with teriparatide (Forsteo) 1 injection of 20mcg subcutaneously daily for 12 months

Teriparatide

Intervention Type DRUG

1 subcutaneous injection daily for 12 months

denosumab group

postmenopausal women with osteoporosis who will be treated with denosumab (Prolia) 1 injection of 60mg subcutaneously every 6 months for 12 months

Denosumab

Intervention Type DRUG

1 subcutaneous injection every 6 months for 12 months

Interventions

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Teriparatide

1 subcutaneous injection daily for 12 months

Intervention Type DRUG

Denosumab

1 subcutaneous injection every 6 months for 12 months

Intervention Type DRUG

Other Intervention Names

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rhPTH 1-34 RANKL inhibitor

Eligibility Criteria

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Inclusion Criteria

Substudy 1:

• adult women

Substudy 2:

• postmenopausal women with an incident hip fracture

Substudy 3:

• postmenopausal women with osteoporosis

Exclusion Criteria

* secondary osteoporosis
* any disease that could affect muscle and/or bone metabolism
* any medication that could affect muscle and/or bone metabolism
Minimum Eligible Age

20 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Beth Israel Deaconess Medical Center

OTHER

Sponsor Role collaborator

424 General Military Hospital

OTHER

Sponsor Role lead

Responsible Party

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Athanasios D. Anastasilakis

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Athanasios Anastasilakis, phD

Role: PRINCIPAL_INVESTIGATOR

424 General Military Hospital

Locations

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424 General Military Hospital

Thessaloniki, Northern Greece, Greece

Site Status

Countries

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Greece

References

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Bowser M, Herberg S, Arounleut P, Shi X, Fulzele S, Hill WD, Isales CM, Hamrick MW. Effects of the activin A-myostatin-follistatin system on aging bone and muscle progenitor cells. Exp Gerontol. 2013 Feb;48(2):290-7. doi: 10.1016/j.exger.2012.11.004. Epub 2012 Nov 21.

Reference Type BACKGROUND
PMID: 23178301 (View on PubMed)

Lotinun S, Pearsall RS, Horne WC, Baron R. Activin receptor signaling: a potential therapeutic target for osteoporosis. Curr Mol Pharmacol. 2012 Jun;5(2):195-204. doi: 10.2174/1874467211205020195.

Reference Type BACKGROUND
PMID: 21787285 (View on PubMed)

Anastasilakis AD, Polyzos SA, Makras P, Gkiomisi A, Savvides M, Papatheodorou A, Terpos E. Circulating activin-A is elevated in postmenopausal women with low bone mass: the three-month effect of zoledronic acid treatment. Osteoporos Int. 2013 Jul;24(7):2127-32. doi: 10.1007/s00198-012-2198-0. Epub 2012 Nov 3.

Reference Type BACKGROUND
PMID: 23124716 (View on PubMed)

Lodberg A, Eijken M, van der Eerden BCJ, Okkels MW, Thomsen JS, Bruel A. A soluble activin type IIA receptor mitigates the loss of femoral neck bone strength and cancellous bone mass in a mouse model of disuse osteopenia. Bone. 2018 May;110:326-334. doi: 10.1016/j.bone.2018.02.026. Epub 2018 Feb 28.

Reference Type BACKGROUND
PMID: 29499419 (View on PubMed)

Lotinun S, Pearsall RS, Davies MV, Marvell TH, Monnell TE, Ucran J, Fajardo RJ, Kumar R, Underwood KW, Seehra J, Bouxsein ML, Baron R. A soluble activin receptor Type IIA fusion protein (ACE-011) increases bone mass via a dual anabolic-antiresorptive effect in Cynomolgus monkeys. Bone. 2010 Apr;46(4):1082-8. doi: 10.1016/j.bone.2010.01.370. Epub 2010 Jan 18.

Reference Type BACKGROUND
PMID: 20080223 (View on PubMed)

Ruckle J, Jacobs M, Kramer W, Pearsall AE, Kumar R, Underwood KW, Seehra J, Yang Y, Condon CH, Sherman ML. Single-dose, randomized, double-blind, placebo-controlled study of ACE-011 (ActRIIA-IgG1) in postmenopausal women. J Bone Miner Res. 2009 Apr;24(4):744-52. doi: 10.1359/jbmr.081208.

Reference Type BACKGROUND
PMID: 19049340 (View on PubMed)

Fahmy-Garcia S, Farrell E, Witte-Bouma J, Robbesom-van den Berge I, Suarez M, Mumcuoglu D, Walles H, Kluijtmans SGJM, van der Eerden BCJ, van Osch GJVM, van Leeuwen JPTM, van Driel M. Follistatin Effects in Migration, Vascularization, and Osteogenesis in vitro and Bone Repair in vivo. Front Bioeng Biotechnol. 2019 Mar 1;7:38. doi: 10.3389/fbioe.2019.00038. eCollection 2019.

Reference Type BACKGROUND
PMID: 30881954 (View on PubMed)

Lodberg A, van der Eerden BCJ, Boers-Sijmons B, Thomsen JS, Bruel A, van Leeuwen JPTM, Eijken M. A follistatin-based molecule increases muscle and bone mass without affecting the red blood cell count in mice. FASEB J. 2019 May;33(5):6001-6010. doi: 10.1096/fj.201801969RR. Epub 2019 Feb 13.

Reference Type BACKGROUND
PMID: 30759349 (View on PubMed)

Anastasilakis AD, Polyzos SA, Makras P, Savvidis M, Mantzoros CS. The comparative effect of teriparatide and denosumab on activins, follistatins, and inhibins in women with postmenopausal osteoporosis. J Bone Miner Res. 2024 Sep 2;39(9):1306-1314. doi: 10.1093/jbmr/zjae106.

Reference Type DERIVED
PMID: 38976019 (View on PubMed)

Anastasilakis AD, Polyzos SA, Savvidis M, Anastasilakis DA, Sarridimitriou A, Kumar A, Kalra B, Makras P, Mantzoros CS. Association of activins, follistatins and inhibins with incident hip fracture in women with postmenopausal osteoporosis: a proof of concept, case-control study. Endocrine. 2023 Sep;81(3):573-578. doi: 10.1007/s12020-023-03402-x. Epub 2023 May 23.

Reference Type DERIVED
PMID: 37221430 (View on PubMed)

Anastasilakis AD, Polyzos SA, Rodopaios NE, Makras P, Kumar A, Kalra B, Mantzoros CS. Activins, follistatins and inhibins in postmenopausal osteoporosis: A proof of concept, case-control study. Metabolism. 2023 Apr;141:155397. doi: 10.1016/j.metabol.2022.155397. Epub 2022 Dec 30.

Reference Type DERIVED
PMID: 36587801 (View on PubMed)

Other Identifiers

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MYOBONE

Identifier Type: -

Identifier Source: org_study_id

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