RESTORE: REducing Future fractureS and Improving ouTcOmes of fRagility fracturE

NCT ID: NCT06455085

Last Updated: 2026-01-08

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

Clinical Phase

NA

Total Enrollment

2634 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-16

Study Completion Date

2029-06-01

Brief Summary

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RESTORE tests whether Augmented-FLS, where patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health provider, is better than Enhanced Usual Care, which includes patient and PCP education and activation. We also aim to determine the influence of age, race, ethnicity, sex, poverty level, geographic region, and timing of entry into the trial after a fracture on the effectiveness of the two strategies.

Detailed Description

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Conditions

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Osteoporosis Osteoporotic Fractures Fragility Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Enhanced Usual Care Arm

Participants will be mailed education materials and encouraged to follow up with their primary care physician.

Group Type ACTIVE_COMPARATOR

Enhanced Usual Care Arm

Intervention Type BEHAVIORAL

Patients will be mailed education materials and encouraged to follow up with their primary care physician.

Augmented-Fracture Liaison Service Arm

Participants will be mailed education materials. Participants will also be contacted by patient navigators who will guide participants through the process of getting a Bone Health Clinician appointment.

Group Type EXPERIMENTAL

Augmented-Fracture Liaison Service Arm

Intervention Type BEHAVIORAL

Patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health clinician.

Interventions

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Augmented-Fracture Liaison Service Arm

Patients are contacted by a patient navigator (serving as the liaison) and referred to a bone health clinician.

Intervention Type BEHAVIORAL

Enhanced Usual Care Arm

Patients will be mailed education materials and encouraged to follow up with their primary care physician.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 50 years and older (no upper age limit)
* Sustained a primary fragility fracture (hip/femur, pelvis, clinical spine, humerus, wrist) in the last 12 months
* Participant must self-identify a regular primary care provider (PCP)
* Participant must provide a mailing address
* Participant must plan to remain geographically proximate (able to travel if necessary) to the site from which they are recruited over the next several months

Exclusion Criteria

* Exposure to the following medications in the prior 12 months;
* Actonel or Atelvia (risedronate)
* Fosamax or Binosto (alendronate)
* Reclast, Zometa, or Aclasta (zoledronic acid, zoledronate)
* Boniva or Bondronat (ibandronate)
* Aredia (pamidronate)
* Prolia (denosumab)
* Evenity (romozosumab)
* Tymlos (abaloparatide)
* Forteo (teriparatide)
* Natpara (parathyroid hormone)
* Evista (raloxifene)
* Duavee (bazedoxifene-conjugated estrogen)
* Miacalcin (calcitonin)
* Diagnosis of the following medical conditions;
* CKD stage 4 or 5 or on dialysis
* Multiple myeloma
* Addison's disease
* Adrenal insufficiency
* Enrolled hospice care
* Solid organ transplant, or expecting a solid organ transplant
* Bone marrow transplant
* History of metabolic bone disease (except osteoporosis) such as Paget's disease, osteomalacia, osteogenesis imperfecta, or Cushing's disease
* Fractures resulting from severe trauma (e.g. motor vehicle accidents, a fall from 2 feet or higher elevation)
* Pathologic fractures secondary to malignancy or infection
* Scheduled appointment with a bone health specialist
* Participant unable to consent on their own (cognitive impairment, dementia, etc.)
* Currently enrolled in another research study that requires taking medication
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Kenneth Saag, MD, MSc

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kenneth Saag, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Maria Danila, MD, MSPH

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Mayo Clinic Arizona

Scottsdale, Arizona, United States

Site Status RECRUITING

University of Florida- Gainesville

Gainesville, Florida, United States

Site Status RECRUITING

University of Florida- Jacksonville

Jacksonville, Florida, United States

Site Status RECRUITING

Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

Rush University Medical Center

Chicago, Illinois, United States

Site Status RECRUITING

University of Illinois Chicago (UIC), UI Health

Chicago, Illinois, United States

Site Status RECRUITING

Loyola University Chicago

Maywood, Illinois, United States

Site Status RECRUITING

University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

Allina Health Orthopedics/NorthStar Trauma Network

Coon Rapids, Minnesota, United States

Site Status RECRUITING

Missouri Orthopaedic Institute

Columbia, Missouri, United States

Site Status RECRUITING

Washington University in St. Louis

St Louis, Missouri, United States

Site Status RECRUITING

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status RECRUITING

Hospital for Special Surgery

New York, New York, United States

Site Status RECRUITING

Montefiore Medical Center

The Bronx, New York, United States

Site Status RECRUITING

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Duke University

Durham, North Carolina, United States

Site Status RECRUITING

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status RECRUITING

The Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

UT Health Houston

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Elizabeth M Dye, MSN

Role: CONTACT

205-996-5025

Paolo Rusconi, PhD

Role: CONTACT

205-975-2405

Facility Contacts

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Elizabeth M Dye, MSN

Role: primary

205-996-5025

Paolo Rusconi, PhD

Role: backup

205-975-2405

Bo D Gregg

Role: primary

480-574-1825

Brittney R Manning, MPH

Role: primary

352-627-9470

Melissa T White

Role: backup

352-627-9107

Lauren DelGiudice

Role: primary

904-244-4692

Mechelle Lockhart

Role: primary

404-967-6860

Joshlean Fair

Role: primary

312-563-2955

Vladimir Ilievski

Role: primary

312-996-6060

Abigaile Wolak

Role: primary

464-220-9491

Brian Gryzlak

Role: primary

319-335-8218

Ned Tervola

Role: primary

952-914-8594

Vicki Jones

Role: primary

573-882-7583

Alejandra Aponte

Role: primary

314-273-8827

Adam Hornig

Role: primary

402-559-9116

Erin Sullivan

Role: primary

646-714-6901

Nathalie Zavala

Role: primary

718-839-7322

Isabella Patterson

Role: primary

984-974-5795

Susanne Danus

Role: primary

919-681-4453

Laiton Steele

Role: primary

336-713-3657

Rece Foss

Role: primary

614-685-3089

Niral Patel, MPH

Role: primary

615-936-2474

Kayla Somerville

Role: backup

615-875-5683

Layla Rivera

Role: primary

713-704-4137

Other Identifiers

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OFP-2022C3-30386

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

IRB-300012444

Identifier Type: -

Identifier Source: org_study_id

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