MedDRA version: 19.0 Level: LLT Classification code 10009119 Term: Chronic renal failure System Organ Class: 100000004857
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient female of 65 years or older Chronic kidney disease stage 5 patient, hemodialyzed with extracorporeal treatment for at least 3 months History of vertebral fracture Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range 0 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: Cinacalcet treatment Substitutive hormonal treatment Calcium phosphate balance (PTH, 25(OH) vitamin D3, Calcium, phosphate) outside the KDIGO guidelines Hypersensibility to active substance or one of excipients of Prolia®
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect of denosumab on bone mineral density (femoral T-score) at 24 months in a population of old osteoporotic chronic kidney disease females;Secondary Objective: To evaluate the effect of denosumab on bone mineral density evolution (femoral T-score) after 24 months of follow-up To evaluate the effect of denosumab on bone mineral density evolution (lumbar T-score) after 24 months of follow-up To evaluate the effect of denosumab on coronary and abdominal aorta calcification scores evolution after 24 months of follow-up To evaluate the effect of denosumab on parameters of bone remodelling (OPG, RANKL, sclerostin, DKK-1), of mineral and calcium metabolism (FGF23 Ct, Klotho, PTH, 25(OH) vitamin D3, phosphorus, calcium, bone alklaline phosphatase, osteocalcin, CTX), of inflammation (CRP) after 24 months of follow-up To evaluate the effect of denosumab on cardiovascular morbidity (cardiovascular events) and mortality after 24 months of follow-up To evaluate the tolerance after 24 months of follow-up;Primary end point(s): Relative variation of femoral bone mineral density after 24 months of follow-up (T-score evaluated by osteodensitometry);Timepoint(s) of evaluation of this end point: month 0, month 24 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Relative variation of femoral bone mineral density after 12 months of follow-up and evolution during the 24 months of follow-up - Relative variation of lumbar bone mineral density after 12 and 24 months of follow-up and evolution during the 24 months of follow-up - Evolution of coronary calcification scores at 12 and 24 months of follow-up - Evolution of abdominal aorta calcification scores at 12 and 24 months of follow-up - Variation of parameters of bone remodelling, calcium phosphorus metabolism and inflammation at 6, 12, 18 et 24 months of follow-up - Morbi-mortality at 24 months of follow-up - Adverse events occuring during the entire study;Timepoint(s) of evaluation of this end point: month 0, 6, 12, 18, 24 | — |
Countries
France
Contacts
CHU Montpellier