Canadian Bone Strength Development Study

NCT ID: NCT06287840

Last Updated: 2024-03-06

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

RECRUITING

Total Enrollment

204 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-04-01

Study Completion Date

2028-12-31

Brief Summary

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The goal of this project is to learn about differences in bone development between children with and without type-1 diabetes (T1D). The main questions this study aims to answer are:

1. Assess how and when sex-specific bone developmental trajectories in the leg and arm will differ between children with T1D and control cohorts relative to the critical period of rapid skeletal growth in puberty. It is hypothesized that children with T1D will have inferior bone development, particularly lower gains in bone strength.
2. Assess why bone trajectories differ between T1D and control cohorts by identifying the role of body composition, site-specific muscle force and physical activity on differences in bone properties in female and male children with and without T1D. It is hypothesized that children with T1D will have lower gains in lean mass, muscle force, number of daily bone impacts and minutes of moderate-vigorous physical activity and will be associated with inferior gains in bone development.
3. Assess why T1D may impair sex-specific bone development by exploring the role of disease-related factors (e.g., duration, glucose control, hormones and markers of bone turnover) and fracture history on bone trajectories of children with T1D. It is hypothesized that longer exposure to T1D, poorer glucose control, alterations in hormones, lower bone formation markers and higher history of fracture will be negatively associated with bone trajectories of children with T1D.

Participant's physical growth, bone growth, muscle strength, physical activity and nutrition habits will be assessed and followed up annually for up to 4 years.

Detailed Description

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The Canadian Bone Strength Development Study is a multi-site project examining differences in bone development between children with and without type-1 diabetes. Research for this study will be conducted at the University of Saskatchewan, University of Calgary, The Hospital for Sick Children (SickKids) and The Children's Hospital of Eastern Ontario (CHEO). 204 children (50% female) will be included. Participants will make 4 annual visits to the laboratory. During each laboratory visit, anthropometric measurements (e.g., height and weight), bone strength and microarchitecture, muscle strength, nutrition and physical activity will be assessed. Investigators will compare between group differences in bone growth trajectories using multilevel models.

Conditions

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Type-1 Diabetes

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Children with Type-1 Diabetes

* Females: 10-11 years old
* Males: 11-12 years old
* Diagnosed with type-1 diabetes for at least 6 months

No interventions assigned to this group

Control

* Females: 10-11 years old
* Males: 11-12 years old

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Females: 10-11 years old.
* Males: 11 - 12 years old.
* Diagnosed with type-1 diabetes for at least 6 months.
* Capacity to give informed consent (patient and parent/guardian). Children with the capacity to give assent will do so in addition to parental consent.


* Females: 10-11 years old.
* Males: 11 - 12 years old.
* Capacity to give informed consent (patient and parent/guardian). Children with the capacity to give assent will do so in addition to parental consent.

Exclusion Criteria

* Consuming any medications or have additional illnesses associated with bone health, osteoporosis (including renal disease, celiac disease, hypogonadism, hyperthyroidism) or altered physical growth (precocious puberty).
* Have gone through adolescent growth spurt at study entry.

Control Group (Typically Developing Children):


* Have an illness or are taking medications influencing bone health or physical growth.
* Evidence of pathologic low trauma or vertebral fracture(s).
* Have gone through adolescent growth spurt at study entry.
Minimum Eligible Age

10 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Calgary

OTHER

Sponsor Role collaborator

The Hospital for Sick Children

OTHER

Sponsor Role collaborator

Children's Hospital of Eastern Ontario

OTHER

Sponsor Role collaborator

University of Saskatchewan

OTHER

Sponsor Role lead

Responsible Party

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Saija Kontulainen

Professor, Associate Dean Research and Graduate Studies, Graduate Chair

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Saskatchewan

Saskatoon, Saskatchewan, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Saija Kontulainen, PhD

Role: CONTACT

(306)966-1077

Facility Contacts

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Saija Kontulainen, PhD

Role: primary

(306)966-1077

Other Identifiers

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488294

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

17-301

Identifier Type: -

Identifier Source: org_study_id

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