Osteoporosis, Postmenopausal, Osteopenia, Falls
Conditions
Keywords
osteoporosis, frailty, falls
Brief summary
The purpose of this study is to evaluate the effect of alfacalcidol 1 µg daily on the number of fallers in postmenopausal, alendronate-treated, osteopenic or osteoporotic women. primary outcome = number of fallers (patients with at least one locomotor fall incl.mixed falls)
Interventions
alfacalcidol 1 µg once daily, oral, for 3 years
placebo once daily, oral, for 3 years
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 65 years * postmenopausal women * osteopenia/osteoporosis as defined by WHO criteria
Exclusion criteria
* Neoplasm or other severe diseases with life expectancy less than one year or expectation of rapid worsening within one year * Chronic inflammatory rheumatoid disease * Arthritis with continuous pain and influence on locomotion * Inflammatory or metabolic bone disease, excluding osteoporosis. * Subjects with antiosteoporotic medications who are not willing to switch over to alendronate treatment. Estrogen treatment can be continued * 25-OH-Vitamin D3 \< 12 ng/ml (12 ng/ml = 30 mmol/L) * Systemic corticosteroid treatments of more than one month within previous 12 months * Intolerability for alfacalcidol * Hypercalcaemia (\>2,7 mmol/l) * Milk alkali syndrome * Uncorrected, severe visual impairments * Creatinin \> 2.5 mg/dl (\>220 µmol/L)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| primary outcome: number of fallers (patients with at least one locomotor fall incl.mixed falls) | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| secondary outcome: number of falls (locomotor falls, incl.mixed falls), all falls/fallers, neuromuscular parameters, BMD, biochemical parameters of calcium and bone metabolism; cognition and moods; muscle biopsies | 3 years |
Countries
Germany