Arterial stiffness and arterial calcification MedDRA version: 14.0 Level: LLT Classification code 10059123 Term: Arterial calcification System Organ Class: 10047065 - Vascular disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Monzygotic female twin pairs from the Twins UK cohort; dizygotic twin pairs will also be recruited from the same cohort if the initial recruitment of monozygotic twins pairs is inadequate. Written informed consent Age > 50 years. T-score for femoral neck BMD -2.5 Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 220 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 220
Exclusion criteria
Exclusion criteria: Women already on treatment with a bisphosphonate or who have been treated with a bisphosphonate in the last 5 years. Women for whom there is a clinical indication for treatment with a bisphosphonate. Known intolerance to bisphosphonates. Renal impairment with estimated glomerular filtration rate 2.8 mmol/L. Hyper or hypoparathyroidism. Thyrotoxicosis or untreated hypothyroidism. Other metabolic bone disease (other than osteoporosis). Clinically significant liver function abnormalities. Clinically significant haematological abnormalities other than mild anaemia (Hb>10.0 g/dl). Active malignancy. Participation in a CTIMP within the last four months. Pregnancy or lactation. Ongoing dental problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Does Zoledronic Acid 5 mg once yearly compared to placebo reduces arterial stiffness? ; Secondary Objective: Does the administration of Zoledronic Acid within the same cohort reduce the progression, or reversal of arterial calcification? If no presence of arterial calcification is initially detected, does the use of Zoledronic Acid prevent the condition from occuring? Does Zoledronic acid reduce the change in carotid intima-media thickness from baseline to final visit in the active treatment group compared to placebo group? ;Primary end point(s): Reduction in arterial stiffness over time.;Timepoint(s) of evaluation of this end point: 3 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary outcomes will be arterial calcification (as measured by aortic CT), common carotid intima-media thickness (CIMT) and high sensitivity CRP (hsCRP).;Timepoint(s) of evaluation of this end point: 3 years | — |
Countries
United Kingdom
Contacts
King's College London