We aim to determine whether Risedronate is effective at preventing acute bone loss associated with a short course of corticosteroid (CS) therapy to treat exacerbations of inflammatory bowel disease (IBD).
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with ulcerative colitis or Crohn’s disease experiencing a flare up and requiring steroid therapy. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: •Evidence of osteoporosis (known vertebral fracture, T score<-2.5). •Pregnant and lactating women. Women of child-bearing age will be eligible provided by use reliable contraception. •Bone active therapy within previous 12 months (excluding calcium and low dose vitamin D), previous treatment with bisphosphonate at any time. •Associated disorder which may influence bone metabolism.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary outcome of this study will be a difference in percentage change in total hip BMD over the first two months of the study between treatment groups. ;Secondary Objective: Sub-group analysis will be performed to determine whether patients with Crohn's disease and Ulcerative colitis show a differential response to steroid therapy or Risedronate. Secondary objectives will also be the change in the markers of bone turnover - PINP, collagen crosslinks, alkaline phosphatase and osteocalcin ;Primary end point(s): Whether bisphosphonate prevents bone loss when administered in this way will be assessed by comparing change in BMD over the course of the study between treatment groups. | — |
Countries
United Kingdom