Peripheral Artery Disease (PAD) : Its Effects on Bone

NCT ID: NCT05034848

Last Updated: 2022-12-29

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

TERMINATED

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-31

Study Completion Date

2021-05-19

Brief Summary

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Prevalence of PAD and osteoporosis (OP) both get higher with age. Clinical and epidemiologic evidence have showed an increased cardiovascular risk in OP and bone loss and fragility fractures in patient with cardiovascular disease.

This study will examine the relationship between vascular disease in legs and sBMD and vBMD at trabecular and cortical sites and bone microarchitecture.

Detailed Description

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The primary goal of our study is to determinate if presence of PAD is associated with lower sBMD and vBMD values at the tibias, assuming that BMD should be more alterate in the predominant vascular impairement site.

Our secondary objectives are to :

* determine if severity of PAD quantified by ankle brachial index ABI is associated to a decrease of BMD values defined by T-Score at the left hip, spine and legs, but also with volumetric values, assessed by HRpQCT at the non dominant radius and at both tibias.
* determine the prevalence of osteoporosis in our population
* To evaluate the relationships between ;
* lipids and bone parameters
* vit D and parathormone with PAD severity
* levels of physical activity and both vascular and bone impairments

Conditions

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Bone Peripheral Artery Disease

Keywords

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bone osteoporosis peripheral artery disease HRpQCT

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

observational, interventional, non comparative, prospective, monocentric open study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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PAD group

PAD patients, diagnosis after undergoing an echo-doppler in the Vascular Medicine Department of Orleans regional Hospital

Group Type OTHER

Assessment of BMD by DXA and HRpQCT

Intervention Type PROCEDURE

* DXA : BMD assessment at the left hip, rachis and both legs
* HRpQCT : Volumic Bone mineral density, cortical and trabecular parameters, at the non dominant radius and legs
* Biological samples

Interventions

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Assessment of BMD by DXA and HRpQCT

* DXA : BMD assessment at the left hip, rachis and both legs
* HRpQCT : Volumic Bone mineral density, cortical and trabecular parameters, at the non dominant radius and legs
* Biological samples

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* PAD patients defined by an Ankle brachial index \< 0.9
* Written consent
* Patient affiliated with a social security organism

Exclusion Criteria

* Age \< 18 years
* Pregnancy or risk of pregnancy
* Patients Under guardianship
* Patient with known PAD who had been previously treated by surgery or endovascular pathway
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Régional d'Orléans

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric LESPESSAILLES, Dr

Role: PRINCIPAL_INVESTIGATOR

CHR Orleans

Locations

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CHR d'ORLEANS

Orléans, , France

Site Status

Countries

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France

References

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Breban S, Benhamou CL, Chappard C. Dual-energy X-ray absorptiometry assessment of tibial mid-third bone mineral density in young athletes. J Clin Densitom. 2009 Jan-Mar;12(1):22-7. doi: 10.1016/j.jocd.2008.10.009. Epub 2008 Dec 25.

Reference Type BACKGROUND
PMID: 19111489 (View on PubMed)

Collins TC, Ewing SK, Diem SJ, Taylor BC, Orwoll ES, Cummings SR, Strotmeyer ES, Ensrud KE; Osteoporotic Fractures in Men (MrOS) Study Group. Peripheral arterial disease is associated with higher rates of hip bone loss and increased fracture risk in older men. Circulation. 2009 May 5;119(17):2305-12. doi: 10.1161/CIRCULATIONAHA.108.820993. Epub 2009 Apr 20.

Reference Type BACKGROUND
PMID: 19380619 (View on PubMed)

Fehervari M, Sarkadi H, Krepuska M, Sotonyi P, Acsady G, Entz L, Lakatos P, Szeberin Z. Bone mineral density is associated with site-specific atherosclerosis in patients with severe peripheral artery disease. Calcif Tissue Int. 2013 Jul;93(1):55-61. doi: 10.1007/s00223-013-9727-5. Epub 2013 Apr 6.

Reference Type BACKGROUND
PMID: 23564349 (View on PubMed)

Gaudio A, Muratore F, Fiore V, Rapisarda R, Signorelli SS, Fiore CE. Decreased bone cortical density at the forearm in subjects with subclinical peripheral arterial disease. Osteoporos Int. 2015 Jun;26(6):1747-53. doi: 10.1007/s00198-015-3057-6. Epub 2015 Feb 12.

Reference Type BACKGROUND
PMID: 25672808 (View on PubMed)

Other Identifiers

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CHRO-2018-13

Identifier Type: -

Identifier Source: org_study_id