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Monoclonal Antibodies

Romosozumab + Denosumab for Spinal Cord Injury

Phase 4
Recruiting
Led By Christopher P Cardozo, MD
Research Sponsored by James J. Peters Veterans Affairs Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Motor complete or incomplete SCI (every level of injury); International Standards for Neurological Classification of Spinal Cord Injury (ISNSCI) grade A-C (wheelchair dependent greater than 75% of the time)
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline to 24 months
Awards & highlights

Study Summary

This trial will study whether a combination of two drugs can help maintain bone mass in people with chronic SCI.

Who is the study for?
This trial is for males aged 18-65 and premenopausal females aged 18-55 with chronic spinal cord injury (SCI) of more than 3 years, who are mostly wheelchair-dependent. Participants must have low bone density at the knee and agree to use effective contraception. Exclusions include weakened immune systems, heart disease history, recent heavy anti-inflammatory or bone density medication use, jawbone issues, abnormal calcium levels, cancer within the last five years, certain endocrine disorders, major fractures or surgeries in the past year.Check my eligibility
What is being tested?
The study tests if a year-long treatment with Romosozumab followed by Denosumab can maintain knee bone mass in people with long-term SCI. It compares these drugs against a placebo over a period of two years to see which is better at improving bone health.See study design
What are the potential side effects?
Potential side effects may include joint pain, headaches, injection site reactions like redness or swelling for both medications. Romosozumab might also cause cardiovascular issues such as heart attacks or strokes; Denosumab could lead to skin problems like eczema or rashes.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have a spinal cord injury and use a wheelchair most of the time.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline to 24 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline to 24 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Bone mineral density (BMD)

Side effects data

From 2022 Phase 4 trial • 37 Patients • NCT04026256
44%
joint pain
22%
nausea
22%
propagation of fracture at biopsy site
11%
dizziness
11%
rhinorrhea
100%
80%
60%
40%
20%
0%
Study treatment Arm
Denosumab Only
Teriparatide Only
Denosumab and Teriparatide

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Romosozumab groupExperimental Treatment2 Interventions
Romosozumab (evenity) administered monthly from baseline to month 11 followed by denosumab (prolia) at month 12 and 18
Group II: Control groupPlacebo Group2 Interventions
Placebo administered monthly from baseline to month 11 followed by denosumab (prolia) at month 12 and 18
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Denosumab
FDA approved

Find a Location

Who is running the clinical trial?

Kessler Institute for RehabilitationIndustry Sponsor
22 Previous Clinical Trials
1,126 Total Patients Enrolled
James J. Peters Veterans Affairs Medical CenterLead Sponsor
57 Previous Clinical Trials
2,861 Total Patients Enrolled
Christopher P Cardozo, MDPrincipal InvestigatorJames J Peters VA Medical Center
3 Previous Clinical Trials
25 Total Patients Enrolled

Media Library

Denosumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT05180032 — Phase 4
Spinal Cord Injury Research Study Groups: Control group, Romosozumab group
Spinal Cord Injury Clinical Trial 2023: Denosumab Highlights & Side Effects. Trial Name: NCT05180032 — Phase 4
Denosumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05180032 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is there a body of evidence that has been generated around Romoszumab?

"Romoszumab was first researched in 2016 at Xavier Nogues, with 18426 studies eventually completed. Currently, there are 54 ongoing clinical trials of this medication primarily being conducted out of Bronx, New york."

Answered by AI

Is the age criterion for this clinical trial above or below 35 years?

"This clinical trial requires that participants are between 18 and 50 years of age."

Answered by AI

Are there still available slots for participants in this research endeavor?

"Indeed, the clinical trial is open for recruitment with data available on clinicaltrials.gov verifying this fact. This study was initially made public on March 1st 2021 and its information has been recently refreshed as of April 1st 2022. 39 volunteers are needed to be sourced from 2 distinct healthcare facilities."

Answered by AI

Who are the ideal candidates to take part in this clinical research?

"This clinical trial is open to both male and female individuals of premenopausal age (18-50) who have suffered a spinal cord injury, with motor complete or incomplete SCI C4 and below. These participants must also meet the criteria that their duration of SCI is between 3-15 years; bone density at distal femur equal to 0.6 g/cm2 - 1.0 g/cm2; and agreement for highly effective contraception among women of childbearing potential. The maximum participant count stands at 39 people total."

Answered by AI

What are the inherent risks associated with Romoszumab treatment?

"Our evaluative team at Power considers Romoszumab to be a safe treatment and have assigned it a score of 3. This is due to the fact that this drug has passed Phase 4 trials, indicating its approval for use in clinical settings."

Answered by AI

What is the projected participant enrollment for this experiment?

"Affirmative. Clinicaltrials.gov reflects that this clinical study, which first appeared on March 1st 2021, is still recruiting individuals for participation. 39 participants are being sought after at two separate sites."

Answered by AI

What primary conditions is Romoszumab prescribed to manage?

"Romoszumab is commonly applied to treat skeletally mature individuals and can prove beneficial in addressing issues like malignant neoplasms, osteoporosis, and hormone imbalances."

Answered by AI

Who else is applying?

What state do they live in?
New Jersey
What portion of applicants met pre-screening criteria?
Met criteria
~8 spots leftby Mar 2025