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Prevention of Post Operative Bone Loss in Children
This study is currently recruiting participants.
Study NCT00655681   Information provided by University of New Mexico
First Received: April 4, 2008   Last Updated: April 28, 2009   History of Changes

April 4, 2008
April 28, 2009
September 2007
December 2009   (final data collection date for primary outcome measure)
Amount of bone density lost (%) from pre-to post-operative DXA scan [ Time Frame: Preoperative to post-operative DXA scan (4-12 weeks) ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00655681 on ClinicalTrials.gov Archive Site
Post operative fractures of lower extremity [ Time Frame: 1 year post operatively ] [ Designated as safety issue: No ]
Same as current
 
Prevention of Post Operative Bone Loss in Children
Prevention of Post Operative Bone Loss in Children

Hypothesis: one-dose pamidronate will prevent post-operative bone loss in children at risk for low bone density

Plan: children with chronic disease such as CP, spina bifida, etc. will be recruited pre operatively and studied with DXA scan. After surgery, children will be randomized to receive either pamidronate or saline. Repeat DXA scan will determine bone lost after end of immobilization or nonweightbearing.

Children at risk for post operative bone loss will be studied with preoperative DXA scan of spine and distal femora

Preoperative screening with standard labs electrolytes, Ca++, PO4, creatinine, Vit D

Following surgery of hip(s) or lower extremities, randomization into treatment with low dose IV pamidronate (one dose) v placebo group

Repeat DXA scan after end of immobilization or non-weightbearing

 
Interventional
Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
  • Osteoporosis
  • Cerebral Palsy
  • Spina Bifida
  • Osteopenia
  • Osteogenesis Imperfecta
  • Drug: pamidronate
  • Other: saline
  • Experimental: Receives pamidronate 1mg/kg
  • Placebo Comparator: receives saline injection
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
28
February 2010
December 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • chronic condition predisposing to low bone density, such as cerebral palsy, osteogenesis imperfecta
  • lower extremity surgery proposed that will require post op nonweightbearing, casted or not, for a minimum of 4 weeks

Exclusion Criteria:

  • creatinine >1.2
  • prior bisphosphonate exposure
  • orthopaedic implants in distal femoral precluding DXA scan
  • inability to cooperate with DXA scan
Both
4 Years to 18 Years
No
Contact: Elizabeth A Szalay, MD 505 272-5214 ESzalay@salud.unm.edu
Contact: Jude McMullan 505 272-5214 JMcMullan@salud.unm.edu
United States
 
NCT00655681
Elizabeth Szalay MD, University of New Mexico
07-213
University of New Mexico
Thrasher Foundation
Principal Investigator: Elizabeth A Szalay, MD University of New Mexico Carrie Tingley Hospital
University of New Mexico
February 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP