Frequency of Hyperparathyroidism in Postmenopausal Osteoporosis and Its Treatment

NCT ID: NCT05347082

Last Updated: 2022-05-06

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

Clinical Phase

NA

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-29

Study Completion Date

2022-02-20

Brief Summary

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Recently, an increase in the prevalence of hyperparathyroidism and hypovitaminosis D in postmenopause women has been occurring in Mexico and the world. Chronic exposure to the parathyroid hormone (PTH) is catabolic for the bone, worsening the state of osteoporosis. However, it is unclear whether these conditions could significantly improve bone mineral density (BMD). In the present work, it was shown that the resolution of hyperparathyroidism in postmenopausal women improves osteoporosis.

Detailed Description

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This study was an open clinical trial conducted in Mexican women diagnosed with postmenopausal osteoporosis and hyperparathyroidism associated or not with hypovitaminosis D from the climacteric clinic of the regional hospital "1o de Octubre" of the Institute of Security and Social Services for State Workers (ISSSTE).

An integral clinical evaluation with PTH and vitamin D measurement was first done to determine the frequency of primary hyperparathyroidism and hypovitaminosis D. Likewise, a thyroid ultrasound was done. Then, 8000 IU of vitamin D were orally administrated for four weeks. Statical analysis was performed using PAST 3.0 and GraphPad Prism 8.4.3. software. The arithmetic median (µ) and standard deviation (S.D.) were calculated using Excel-Word. Graphics were constructed with GraphPad Prism 8.4.3 and tables with Excel-Word. Categorical variables were analysed with chi-squared or Fisher exact test depending on the number of participants in each cell. Normality was determined using the Shapiro-Wilk test. To compare two paired samples, the Wilcoxon signed-rank test was utilized. To perform correlations, the Spearman correlation coefficient was used. The assigned α value for this study was \<0.05. In all cases, if a Montecarlo permutation was available, the exact p-value was taken instead of the raw p-value.

Conditions

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Postmenopausal Osteoporosis Postmenopause Hyperparathyroidism, Secondary Hypovitaminosis D Hyperparathyroidism, Primary

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

47 participants who met the inclusion criteria were included and all received 8000 IU of vitamin D orally for four weeks.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Vitamin D

8000 IU of vitamin D orally, once a day, for four weeks.

Group Type EXPERIMENTAL

Cholecalciferol

Intervention Type DRUG

Tablets of 4000 IU

Interventions

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Cholecalciferol

Tablets of 4000 IU

Intervention Type DRUG

Other Intervention Names

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Histofil®

Eligibility Criteria

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Inclusion Criteria

* Acceptance to participate in the study with informed consent.
* Postmenopausal osteoporosis or osteopenia.
* Primary or secondary hyperparathyroidism.
* Insufficiency or deficiency of vitamin D.
* Multi-treated postmenopausal osteoporosis.
* Postmenopausal osteoporosis without treatment.

Exclusion Criteria

* Different osteoporosis aetiology not related to oestrogenic deficiency.
* Thyroid pathology.
* Previous treatment with vitamin D, thiazide diuretics, lithium, Teriparatide or glucocorticoids.
* Known allergies to vitamin D.
* Addison's disease, pheochromocytoma, and depressive disorders.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Universidad Nacional Autonoma de Mexico

OTHER

Sponsor Role collaborator

National Polytechnic Institute, Mexico

OTHER

Sponsor Role collaborator

Hospital Regional 1o de Octubre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Juan M Ocampo Godínez, M.D., Ph.D.

Role: STUDY_DIRECTOR

Tissue Bioengineering Laboratory, National Autonomous University of Mexico [UNAM]

Patricia Loranca-Moreno, M.D., M.Sc.

Role: STUDY_DIRECTOR

Peri-postmenopause and bone metabolism clinic. Regional Hospital October 1st ISSSTE.

Paula M Sánchez-Tinoco, M.D.

Role: PRINCIPAL_INVESTIGATOR

Peri-postmenopause and bone metabolism clinic. Regional Hospital October 1st ISSSTE.

Locations

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Peri-postmenopause and bone metabolism clinic. Regional Hospital October 1st ISSSTE

Mexico City, , Mexico

Site Status

Countries

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Mexico

References

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Other Identifiers

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120.2021

Identifier Type: -

Identifier Source: org_study_id

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