Health Condition 1: N189- Chronic kidney disease, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.All the CKD patients in stage 3 to 5 visiting nephrology OPD of our institute or admitted in the department of Nephrology. 2.Age older than 18 years. 3.DEXA scan T score less than -2.5 (suggestive of osteoporosis) and/or FRAX score of >20% of major osteoporotic fracture and >3% for hip fracture.
Exclusion criteria
Exclusion criteria: 1.Patients with ongoing dialysis. 2. Patients after total parathyroidectomy and evidence of severe hyper- or hypoparathyroidism (iPTH >800 or 3.Patients treated with bisphosphonates, fluoride, calcitonin, or anabolic steroids within 1 year of enrolment. 4. Hypocalcemia (total calcium 2.7 mmol/l or 10.8 mg/dl) (patiennts will be included in the study after correction of hypo or hypercalcemia) 5.Patients who are already received Denosummab, Teriparatide, SERM,Hormone replacement therapy, Romosuzumab. 6. Active infections and/or malignancy. 7.Ongoing pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absolute and percentage change in T score in DEXA SCAN from baseline at 12 months after therapy.Timepoint: baseline, 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.change in BMD from baseline at 12 months after therapy. 2.Change in serum Beta CTX and P1NP from baseline at 12 months after therapy. 3.Incidence of any clinically evident osteoporotic fracture during 12 months follow up period. 4.Any progression of CKD stage according to KDIGO guidelines to be calculated by eCFR by CKD EPI from baseline to 12 months after therapy.Timepoint: Baseline, 12 months | — |
Countries
India
Contacts
Institute of Post Graduate Medical Education and Research