Denosumab vs Zoledronate After Lumbar Fusion

NCT ID: NCT05638399

Last Updated: 2023-02-21

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

Clinical Phase

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-15

Study Completion Date

2023-02-28

Brief Summary

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The aim of the study was to compare denosumab and zoledronate efficacy in bone mass, bone turnover markers (BTMs), Visual Analogue Scale (VAS) for leg and back, EuroQol Five-Dimension (EQ-5D) scores, Quality of Life Questionnaire of the European Foundation for Osteoporosis-31 (QUALEFFO-31) scores, and Roland-Morris Disability Functioning Questionnaire (RMDQ) scores, secondary fracture, complications and adverse events after lumbar fusion.

Detailed Description

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Lumbar degenerative disease including spinal stenosis and lumbar spondylolisthesis were the most common reason lead to older patients disability, which was the main indication for older patients to perform lumbar fusion surgery. For patients with lumbar degenerative disease older than 50 years old, a proportion of patients had osteoporosis. The trial aims to investigate whether denosumab versus zoledronate acid in osteopenic patients with lumbar fusion surgery.

Conditions

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Osteopenia Lumbar Spondylolisthesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Denosumab

denosumab (60 mg subcutaneously, per 6 month)

Group Type EXPERIMENTAL

Denosumab 60 mg/ml [Prolia]

Intervention Type DRUG

60 mg subcutaneously per 6 month

zoledronate

zoledronate (5mg, intravenous infusion once a year)

Group Type ACTIVE_COMPARATOR

Zoledronate

Intervention Type DRUG

5mg, intravenous infusion once a year

Interventions

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Denosumab 60 mg/ml [Prolia]

60 mg subcutaneously per 6 month

Intervention Type DRUG

Zoledronate

5mg, intravenous infusion once a year

Intervention Type DRUG

Other Intervention Names

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Denosumab 6 month/subcutaneous Zoledronic acid

Eligibility Criteria

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Inclusion Criteria

* Participants aged 40 to 85 years

* who diagnosed with lumbar spinal stenosis or lumbar spondylolisthesis
* osteopenia with BMD T score between -1 and -2.5 via dual energy X-ray
* low back pain or leg numbness or weakness
* MRI demonstrated signs of nerve compression
* patients with one or two level symptoms.

Exclusion Criteria

* cauda equina syndrome

* progressive neurologic deficit
* history of cancer
* scoliosis greater than 15°
* back open surgery history
* have contraindications for surgery
* who had anti-osteoporosis medication within 6 weeks
Minimum Eligible Age

40 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shenzhen People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Songlin Peng, Doctor

Role: STUDY_CHAIR

Shenzhen People's Hospital

Locations

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ShenzhenPH

Shenzhen, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Hongyu Wang, Doctor

Role: CONTACT

18241651300

Song Wang, Master

Role: CONTACT

18085243269

Facility Contacts

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Hongyu Wang, Doctor

Role: primary

18241651300

Song Wang, Master

Role: backup

18085243269

Other Identifiers

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ShenzhenPH spine06

Identifier Type: -

Identifier Source: org_study_id

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