About this trial
The investigators project is based on:
* Assessment of bone architecture by high resolution peripheral scanner (HRpQCT) and bone densitometry (DEXA); * The non-invasive detection of vascular calcifications (by abdominal CT scanner) and bone abnormalities associated with kidney transplantation, as well as the analysis of evolution over time; * Longitudinal evaluation of nephrological clinical parameters (glomerular filtration rate, number and type of rejections, immunosuppressive medications) as well as biological and urinary parameters of mineral metabolism (parathormone, sclerostin, bone alkaline phosphatase) depending on the type and severity of bone abnormalities; * The evaluation of these nephrological clinical parameters and of the biological parameters of mineral metabolism depending on the extent and evolution of vascular calcifications but also on bone morphology; * The study of possible relationships between bone mass and muscle mass (and functioning)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 18 years old
Recent kidney transplant patients (<3 months)
Medical history available
Biological parameters of the past year available
Disqualifiers
Treatment with bisphosphonate, RANKL inhibitor or SERM with bone action in the last 3 months before the transplant
Multiple organ transplant patients
Trial population
Kidney recipients aged over 18 and of all sexes recruited from the Centre Hospitalier Universitaire de Liege
Trial design
Cohort
Prospective
Treatments tested in this trial
High-resolution peripheral quantitative CT scanner (HRpQCT)
DeviceHR-pQCT images of the distal radius and distal tibia (non-dominant, non-fractured limb) will be obtained using the XtremeCT device with standard protocols. HR-pQCT images wil be analysed with standard software and extended cortical measures software. This software identifies the periosteal and endosteal boundaries, enabling assessment of cortical micro- structural bone properties, including apparent cortical thickness (Ct.Th, mm), cortical tissue mineral density (TMD, mgHA/cm3) and cortical porosity (Ct.Po, %).
Treatment groups
Trial outcomes
Primary outcomes
Bone density evolution
Evolution of bone density after kidney transplantation
Bone density evolution
Evolution of bone density after kidney transplantation
Bone micro-architecture evolution
Bone micro-architecture evolution evaluate by HRpQCT after kidney transplantation
Bone micro-architecture evolution
Bone micro-architecture evolution evaluate by HRpQCT after kidney transplantation
Secondary outcomes
Vascular calcification evolution
Evolution of vascular calcification evaluated by abdominal calcification score on CT-SCan after kidney transplantation
Vascular calcification evolution
Evolution of vascular calcification evaluated by abdominal calcification score on CT-SCan after kidney transplantation
Sponsors and contacts
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