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Monoclonal Antibodies
Osteoporosis Medications for Muscle Health in Osteoporosis (MITO Trial)
Phase 4
Waitlist Available
Led By Nami Safai Haeri, MD
Research Sponsored by Nami Safai Haeri
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
A previous adult fragility fracture of the spine or hip or
Would be treated based on FRAX National Osteoporosis Foundation treatment thresholds of a 10-year risk of ≥ 20% for a major osteoporotic fracture or ≥ 3% for hip fracture using femoral neck BMD.
Must not have
Who have a contraindication for bisphosphonates or denosumab or
Subjects with severe liver disease or
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline vs month 12
Awards & highlights
Drug Has Already Been Approved
Pivotal Trial
Summary
This trial is studying how medications for weak bones might also help improve muscle health in older adults with both weak bones and muscles. Researchers believe these medications could benefit muscle strength and function by affecting the way bones and muscles work together.
Who is the study for?
This trial is for adults aged 65 or older with osteoporosis, diagnosed either by a previous spine or hip fracture, or low bone density scores. It's open to those who need treatment based on their risk of fractures. Men and people with severe kidney issues, contraindications for the drugs being tested, recent bisphosphonate use, planned tooth extractions, or severe liver disease cannot participate.
What is being tested?
The study tests how osteoporosis medications affect muscle health in older adults. Participants will receive either Denosumab or Zoledronic Acid versus placebos to see if these treatments have an impact on muscle strength and function as well as bone health.
What are the potential side effects?
Denosumab and Zoledronic Acid can cause side effects like infection risks due to lowered immunity, potential jawbone problems (osteonecrosis), discomfort at the injection site for Denosumab, flu-like symptoms after taking Zoledronic Acid infusion.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have had a fracture in my spine or hip from a minor injury as an adult.
Select...
I am at high risk for major bone fractures according to FRAX scores.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I cannot take bisphosphonates or denosumab due to health reasons.
Select...
I do not have severe liver disease.
Select...
I am a man.
Select...
My kidney function, measured by creatinine clearance, is below 35 ml/min.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline vs month 12
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline vs month 12
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Percentage change from baseline in appendicular lean mass (ALM/body mass index)
Percentage change from baseline in bone mineral density (BMD) (g/cm²)
Percentage change from baseline in gait speed (m/s)
+5 moreAwards & Highlights
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Trial Design
2Treatment groups
Active Control
Group I: Zoledronic AcidActive Control2 Interventions
Group II: DenosumabActive Control2 Interventions
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Common treatments for osteoporosis include bisphosphonates, denosumab, and anabolic agents like teriparatide and romosozumab. Bisphosphonates, such as alendronate and zoledronic acid, work by inhibiting osteoclast-mediated bone resorption, thereby increasing bone mineral density (BMD).
Denosumab is a monoclonal antibody that inhibits RANKL, a protein essential for the formation and function of osteoclasts, leading to reduced bone resorption and increased BMD. Anabolic agents like teriparatide and romosozumab stimulate bone formation; teriparatide is a parathyroid hormone analog that activates osteoblasts, while romosozumab inhibits sclerostin, a protein that negatively regulates bone formation.
These mechanisms are crucial for osteoporosis patients as they help to strengthen bones, reduce fracture risk, and improve overall bone health.
Preventing muscle wasting by osteoporosis drug alendronate in vitro and in myopathy models via sirtuin-3 down-regulation.Additive effects of nutritional supplementation, together with bisphosphonates, on bone mineral density after hip fracture: a 12-month randomized controlled study.
Preventing muscle wasting by osteoporosis drug alendronate in vitro and in myopathy models via sirtuin-3 down-regulation.Additive effects of nutritional supplementation, together with bisphosphonates, on bone mineral density after hip fracture: a 12-month randomized controlled study.
Find a Location
Who is running the clinical trial?
National Institute on Aging (NIA)NIH
1,793 Previous Clinical Trials
28,192,097 Total Patients Enrolled
23 Trials studying Osteoporosis
12,235 Patients Enrolled for Osteoporosis
Nami Safai HaeriLead Sponsor
The Claude D. Pepper Older Americans Independence CentersOTHER
10 Previous Clinical Trials
348 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I cannot take bisphosphonates or denosumab due to health reasons.I have had a fracture in my spine or hip from a minor injury as an adult.I am at high risk for major bone fractures according to FRAX scores.I have been taking oral bisphosphonates for 1 year or intravenous bisphosphonates for 2 years.Your bone density in your spine, hip, or forearm is very low, indicating osteoporosis.I am scheduled for a tooth extraction to prevent jaw bone damage.I do not have severe liver disease.I am 65 or older and meet the criteria for treating osteoporosis.I am a man.My kidney function, measured by creatinine clearance, is below 35 ml/min.
Research Study Groups:
This trial has the following groups:- Group 1: Zoledronic Acid
- Group 2: Denosumab
Awards:
This trial has 2 awards, including:- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.