Osteoporosis
Conditions
Brief summary
Hemodialysis patients with low bone density (total hip T-score \<-2.5) will be assigned to receive teriparatide (those with histologic confirmation of adynamic bone disease) or ibandronate (subjects with increased osteoclast number on bone biopsy). Follow-up period: one year. A second bone biopsy at the end of the study.
Interventions
iv 1mg ibandronate monthly for one year
sc injection using a pen like device during every hemodialysis session (thrice a week)
Sponsors
Study design
Eligibility
Inclusion criteria
* Bone mineral density (T-score\<-2.5) * Adynamic bone disease for the teriparatide group * Increased osteoclast number on bone biopsy (high turnover) for the ibandronate group * Calcium greater than 8.1 mg/dl
Exclusion criteria
* Suspected carcinoma * Unstable clinical setting
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effects of ibandronate and teriparatide on bone mineral density and bone histology in HD patients. | one year |
Secondary
| Measure | Time frame |
|---|---|
| Effects of ibandronate and teriparatide on other bone disease markers | one year |
Countries
Greece