Osteoporosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Ambulatory postmenopausal women. Aged 50 years and over. Lumbar spine, femoral neck or total hip bone mineral density measurement more than 2 standard deviations below the young adult mean for healthy women (T-score =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Current or recent (within 1 year of enrolment) metabolic bone disorders other than postmenopausal osteoporosis including Paget's disease, renal osteodystrophy, osteomalacia or any other disease known to influence bone metabolism. Treatment with oestrogens, progestins or selective estrogen receptor modulators (SERMS) for longer than 3 months in the past or within 3 months of study enrolement. Previous or current use of oral or intravenous bisphosphonates. Current treatment with corticosteroids, calcitonins, strontium ranelate, anticonvulsants, vitamin D >50,000IU/week, teripatide, PTH 1-84 or any other treatment known to influence bone metabolism. Current use of lipid lowering agents. Abnormalities of the oesophagus and other factors which delay oesophageal emptying such as stricture or achalasia Hypersensitivity to alendronic acid or to any of the excipients Hypocalcaemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effects of bisphosphonate alendronate on aortic calcification in postmenopausal women with osteoporosis and severe osteopenia.; Secondary Objective: - To examine the relationship between BMD and aortic calcification - To investigate the potential clinical utility of the two non-invasive techniques of PWV measurements and lateral DXA scans of the spine for measuring AC by direct comparison with the gold standard of CT. - To investigate the association between AC and several of the important endocrine and molecular factors that have been implicated in the link between osteoporosis and AC. ; Primary end point(s): Changes in pulse wave velocity (aortic stiffness). Changes in aortic calcification. ;Timepoint(s) of evaluation of this end point: Baseline, month 3, month 6, month 12, month 18, month 24 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To investigate the potential clinical utility of the two non-invasive techniques of PWV measurements and lateral DXA scans of the spine for measuring AC by direct comparison with the gold standard of CT.;Timepoint(s) of evaluation of this end point: Baseline, month 6, month 12, month 18, month 24 | — |
Countries
United Kingdom
Contacts
King's College London