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A Pilot Study to Evaluate the Effect of Forsteo (Teriparatide, 1-34-rh-PTH) in Anorexia Nervosa Patients With Low Bone Mineral Density and Increased Bone Fagility (FAN-Trial)

Information source: University of Zurich
ClinicalTrials.gov processed this data on August 20, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Low Bone Mass in Anorexia Nervosa Patients

Intervention: osteoanabolic therapy (Drug)

Phase: Phase 3

Status: Recruiting

Sponsored by: University of Zurich

Official(s) and/or principal investigator(s):
Gabriella Milos, MD, Principal Investigator, Affiliation: University Hospital Zurich, Department of Psychiatry

Overall contact:
Frey Diana, MD, Email: diana.frey@usz.ch

Summary

Study Title: A pilot study to evaluate the effect of Forsteo® (Teriparatide, 1-34 rh-PTH) in Anorexia Nervosa patients with low mineral density and increased bone fragility (FAN-Trial) Short Title/Study ID: FAN-Trial / Psy-Rheu_2011/1 Indication:

Low bone mineral density (Z-Score < - 1. 5 or T-Score < -1. 5 if available) and fragility

fractures or very low bone mineral density (Z-Score < - 2. 5 or T-Score <-2. 5 if available)

without fragility fractures in Anorexia Nervosa patients Trial Design: Open-label, single-centre pilot study with study drug treatment duration of 24 months. Study Center: Single-centre (University Hospital of Zürich) Investigator(s)/Authors: PD Dr. med Gabriella F. Milos (Principle Investigator and author), Dept of Psychiatry, Centre for Eating Disorders, University Hospital ZĂĽrich, CH-8091 ZĂĽrich Dr. med. Diana P. Frey (Co-Investigator and author), Dept. of Rheumatology, University Hospital ZĂĽrich, CH-8091 ZĂĽrich PD Dr. med. Daniel Uebelhart (author), SUVA Fribourg, CH-1701 Fribourg Objective(s)/Outcome(s): Primary endpoint: •To assess the efficacy of Teriparatide (Forsteo®) in increasing the bone mineral density in the lumbar spine, total hip and femoral neck in patients with anorexia nervosa and low bone density at months 12 and 24. Secondary endpoints:

- To assess the changes in blood biomarkers

- To assess changes in whole body composition

- To assess the incidence of new fragility fractures

- To assess changes in bone structure

- To assess the changes in EDE-Q

- Longterm safety and tolerability of Teriparatide (Forsteo®) in patients with AN

Assessments for primary endpoint: •BMD at lumbar spine, total hip and femoral neck, measured by DXA Assessments for secondary endpoints:

- bone resorption and bone formation markers measured in urine and serum

- whole body composition measured by DXA

- New clinical peripheral and vertebral fractures

- HRqCT of tibia and forearm

- EDE-Q Score at months 12 and 24

Safety measurements:

- Safety lab (blood and urine)

- Clinical adverse event monitoring at all visits Number of Subjects: 10

Diagnosis and Main Inclusion Criteria:

- Women, aged > 18 to < 35 years

- Having severe anorexia nervosa (AN) (DSM-IV-R) for > 12 months before screening

- Presenting with very low bone mineral density (defined as Z-Score < -2. 5 or T-Score <

- 2. 5 if available) of at least one of the assessed localizations (lumbar spine L1 - L4,

total hip, femoral neck) without any previous fragility fracture

- or low bone mineral density (defined as Z-Score < -1. 5 or T-Score < -1. 5 if available)

of at least one of the assessed localizations (lumbar spine L1 - L4, total hip, femoral

neck) and at least one previous fragility fracture

- In- and out-patients of the Centre for Eating Disorders at the Clinic for Psychiatry

and Psychotherapy of the University Hospital of Zurich. Main Exclusion Criteria:

- Metabolic bone diseases other than primary osteoporosis (including hyperparathyroidism,

osteomalacia, Paget's disease of bone), pre-existing hypercalcemia, severe renal impairment (GFR < 30 ml/min), prior external beam or implant radiation therapy to the skeleton, skeletal malignancies or bone metastases, any unknown elevation of serum alkaline phosphatase, severe psychiatric diseases other than AN, drug addiction, HIV positive patients, pregnancy, open epiphyses

- Incapacity to understand the aims of the study or patients not willing to collaborate.

Study Product, Dose, Route, Regimen: Teriparatide (Forsteo®), 20µg s. c. daily for 24 months. Duration of study: 24 months. Reference therapy, Dose, Route, Regimen: NA

- Trial with medicinal product

Clinical Details

Study design: Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: To assess the efficacy of Teriparatide (Forsteo®) in increasing the bone mineral density in the lumbar spine, total hip and femoral neck in patients with anorexia nervosa and low bone density at months 12 and 24.

Eligibility

Minimum age: 18 Years. Maximum age: 35 Years. Gender(s): Female.

Criteria:

Inclusion criteria: •Women, aged > 18 to < 35 years

- Having severe anorexia nervosa (AN) (DSM-IV-R) for > 12 months before screening

- Presenting with very low bone mineral density (defined as Z-Score < -2. 5 or T-Score <

- 2. 5 if available) of at least one of the assessed localizations (lumbar spine L1 -

L4, total hip, femoral neck) without any previous fragility fracture

- or low bone mineral density (defined as Z-Score < -1. 5 or T-Score < -1. 5 if

available) of at least one of the assessed localizations (lumbar spine L1 - L4, total

hip, femoral neck) and at least one previous fragility fracture

- In- and out-patients of the Centre for Eating Disorders at the Clinic for Psychiatry

and Psychotherapy of the University Hospital of Zurich. Exclusion criteria: Metabolic bone diseases other than primary osteoporosis (including hyperparathyroidism, osteomalacia, Paget's disease of bone), pre-existing hypercalcemia, severe renal impairment (GFR < 30 ml/min), prior external beam or implant radiation therapy to the skeleton, skeletal malignancies or bone metastases, any unknown elevation of serum alkaline phosphatase, severe psychiatric diseases other than AN, drug addiction, HIV positive patients, pregnancy, open epiphyses •Incapacity to understand the aims of the study or patients not willing to collaborate.

Locations and Contacts

Frey Diana, MD, Email: diana.frey@usz.ch

University Hospital Zurich, Department of Psychiatry, Zurich, ZH 8091, Switzerland; Recruiting

University Hospital Zurich, Rheumatology Department, Zurich, ZH 8091, Switzerland; Recruiting
Diana P Frey, MD, Email: diana.frey@usz.ch
Diana P Frey, MD, Sub-Investigator

Additional Information

Starting date: March 2014
Last updated: March 25, 2014

Page last updated: August 20, 2015

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