The Effects of Potassium Citrate on Bone Metabolism
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Purpose
Skeletal buffering of chronic acid loads may contribute to a significant amount of bone loss over time. Evidence from a few small short-term studies suggests that basic compounds, namely potassium citrate and potassium bicarbonate may reduce bone loss and improve bone density.
The purpose of this study is to evaluate the effects of potassium citrate on bone metabolism. We hypothesize that administration of potassium citrate to postmenopausal women with osteopenia will reduce bone resorption and improve bone mineral density.
Postmenopausal women with osteopenia (T score between -1.0 and -2.5) and no history of fracture will be randomized to either daily potassium citrate or placebo for one year. Primary outcomes will be markers of bone turnover, which will be measured over 12 months. Secondary outcomes will be bone mineral density, compliance, and adverse events.
| Condition | Intervention | Phase |
|---|---|---|
|
Bone Diseases, Metabolic Osteoporosis, Postmenopausal |
Drug: potassium citrate |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized Placebo Controlled Double Blind Investigation of the Effects of Potassium Citrate on Bone Metabolism in Postmenopausal Osteopenia |
- Bone turnover markers [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Bone Density by DEXA [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 75 |
| Study Start Date: | July 2006 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
-
Drug: potassium citrate
Eligibility| Ages Eligible for Study: | 45 Years to 75 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Postmenopausal women, more than 2 years post menopause
- Osteopenia, defined as a T score at the lumbar spine or total hip between -1.0 and -2.5
- No history of prior fragility fracture
Exclusion criteria:
- Renal insufficiency
- Use of potassium sparing diuretics
- Use of potassium supplements
- Hyperkalemia
- Secondary causes of osteoporosis or metabolic bone disease
- Delayed gastric emptying
- esophageal compression, intestinal obstruction or stricture
- use of anticholinergic medication
- active urinary tract infection.
Contacts and Locations| Contact: Kara Rysman, M.D. | rysmank@mskcc.org |
| United States, New York | |
| Weill Cornell Medical College | Recruiting |
| New York, New York, United States, 10021 | |
| Contact: Kara Rysman, M.D. rysmank@mskcc.org | |
| Principal Investigator: Naina Sinha, M.D. | |
| Principal Investigator: | Naina Sinha, M.D. | Weill Medical College of Cornell University |
More Information
No publications provided
| Responsible Party: | Naina Sinha, M.D., Weill Medical College of Cornell University |
| ClinicalTrials.gov Identifier: | NCT00357331 History of Changes |
| Other Study ID Numbers: | 0604008486 |
| Study First Received: | July 25, 2006 |
| Last Updated: | November 4, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Weill Medical College of Cornell University:
|
postmenopausal osteopenia treatment bone loss |
Additional relevant MeSH terms:
|
Bone Diseases Bone Diseases, Metabolic Metabolic Diseases Osteoporosis Osteoporosis, Postmenopausal Musculoskeletal Diseases Citric Acid Potassium Citrate Anticoagulants Hematologic Agents |
Therapeutic Uses Pharmacologic Actions Chelating Agents Molecular Mechanisms of Pharmacological Action Diuretics Natriuretic Agents Physiological Effects of Drugs Expectorants Respiratory System Agents Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 19, 2013