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Treatment of Osteoporosis - TOP 2-5 Clinical Studies (Pear Control)

Extension of the TOP 1-study (NCT03901989): Treatment of Osteoporosis by Panaceo, Pear Control Study Assessed Effect on Bone Mineral Density and Bone Turnover of Panaceo Compared to Placebo in Osteoporotic Patients

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05178719
Enrollment
81
Registered
2022-01-05
Start date
2016-03-16
Completion date
2021-10-21
Last updated
2022-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteoporosis

Brief summary

Due to the fact that bone mineral density (BMD) is a not enough sensitive parameter for assessment of the bone quality and that the changes in BMD are gradually, extension of the clinical follow up is recommended. On that way the result will be more reliable. Therefore the protocol TOP 2-5 is the extension of TOP 1-study with a slight change of the study design. All subjects will be treated with Panaceo. It will be a pear control, where the patient is control to himself, or herself (each patient from placebo group (TOP1) can be compared after further years of threatment. Additionally, extension of the follow up will provide an assessment of the fracture risk in a more reliable manner, which is considered as the most preferably outcome in majority clinical studies of osteoporosis treatment, because it is the most important requirement for the acceptance by the regulatory agencies (FDA, EMA).

Detailed description

Pear control study over 4 supplementation years. Study Population: The study population will consist of patients from a previous study (start: 100 and drop out rate) with osteoporosis defined according BMD (bone mineral density) criteria: T score -2, 5 on the femoral neck, and, or T -2, 5 on L1-L5, who has not been treated before, or in whom privies treatment did not been successful, despite a gender or age. Subjects will receive PMA-zeolite . Demonstration of efficacy of Panaceo in the treatment of osteoporosis by increasing bone mineral density and reduction of fracture risk. Demonstration of efficacy of Panaceo in the treatment osteoporosis despite of the gender and cause. Demonstration of efficacy of Panaceo in the patients who was on drug treatment (bisfosfonates or SERM) more than five years without significant improvement or those who are suspected on the bone turnover over-suppression. Tolerability Safety (adverse events, vital signs, clinical chemistry)

Interventions

given for a total period of 4 years

Sponsors

University of Rijeka
CollaboratorOTHER
Polyclinic K-center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Masking description

no masking

Intervention model description

The clinical study started in a randomized, double-blinded, controlled study aimed to assess the effect of zeolite-intervention in osteoporotic patients on the bone mineral density and bone turnover in comparison to osteoporotic patients. In the rears 2-5 only receiving the study substance. The study TOP 2 started with 81 patients with osteoporosis defined according BMD criteria: T score -2, 5 on the femoral neck, and, or T -2, 5 on L1-L5, who have not been treated before, or in whom privies treatment did not been successful, despite a gender or age. Subjects were monitored at the start of the study and at the end of each study year. The surrogate markers of bone status are measured as follows: BMD, changes in levels of osteocalcin and beta-crosslaps CTx assay.

Eligibility

Sex/Gender
ALL
Age
40 Years to 100 Years
Healthy volunteers
No

Inclusion criteria

* 100 subjects with osteoporosis Among those, as a subgroup, 20 subjects with diabetes type 2 and osteoporosis; The osteoporosis- was diagnosed by standard DXA measurement (BMD T-score: - 2.5 or below )

Exclusion criteria

* chronic renal failure, secondary osteoporosis

Design outcomes

Primary

MeasureTime frameDescription
Change of BMD (Bone mineral density)0-6-12 months for a total period of 4 yearsBMD measurements are used to see how well osteoporosis treatments are working
Fractures and fallingsfor a total period of 4 yearsFracture: evaluation if yes) or no) Falling: Fracture as a consequence OR no fracture OR no fallings reported

Secondary

MeasureTime frameDescription
Change of Bone remodelling marker Osteocalcin0-12 months for a total period of 4 yearsOsteocalcin- parameter of the bone formation rate
Change of Bone remodelling marker Betacross laps0-12 months for a total period of 4 yearsBetacross laps - parameter of the bone degradation rate

Other

MeasureTime frameDescription
Intensity of the musculoskeletal pain measured by VAS0-12 months for a total period of 4 yearsthe scale based on patient's subjective evaluation at the beginning and at the end of the study
Subjective evaluation of the overall health status0-12 months for a total period of 4 yearsupon the end of the study in comparison to the beginning

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026