Diagnosis of Renal Osteodystrophy in Patients With Reduced Renal Function

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorDitte Hansen

About this trial

The aim of the study is to

1. To describe the bone morphology in patients with reduced renal function and high or low parathyroid hormone (PTH) respectively. 2. To investigate if the non-invasive method 18-Fluoride Positron Emission Tomography (18F-PET) can describe the bone turnover and reflect the bone histomorphologic changes 3. To investigate if non-oxidized PTH reflects bone turnover

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

estimated Glomerular Filtration Rate (eGFR) ≤ 20 ml/min/1,73m2

PTH < 150 pg/ml or PTH > 300 pg/ml

Disqualifiers

ongoing malignancy

Allergy towards tetracyclin

Pregnancy

eGFR >= 60 ml/min

Trial population

Patients under investigation for prostate cancer are recruited as bone healthy controls Patients with reduced renal function and suspected high or low bone turnover are recruited for bone biopsy, blood and urin samples and 18F-PET scan

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

  • 18F-PET

    Diagnostic test

    Bone biopsy and 18F-PET

Treatment groups

40 Participants
are divided into 3 treatment groups
Group A: Low turnover bone disease1 intervention
Group B: High turnover bone disease1 intervention
Group C: Normal renal function1 intervention

Trial outcomes

Primary outcomes

1

Can 18F-PET-CT describe bone formation rate?

The ROC curve for 18F uptake by bone measured as bone plasma clearance (ki) to descriminate between high and low bone turnover measured as bone formation rate

Time frame
The bone biopsy and 18F-PET will be performed during two month for each participant
2

Can non-oxidized PTH describe bone formation rate?

The relation between non-oxidized PTH in ng/L and bone turnover in bone biopsy described as bone formation rate

Time frame
Blood sample and bone biopsy will be performed during two month for each participant

Secondary outcomes

1

Can 18F-PET-CT describe mineral apposition rate?

The ROC curve for 18F uptake by bone measured as bone plasma clearance (ki) to descriminate between high and low bone turnover measured as mineral apposition rate

Time frame
The bone biopsy and 18F-PET will be performed during two month for each participant
2

Can non-oxidized PTH describe mineral apposition rate?

The relation between non-oxidized PTH in ng/L and bone turnover in bone biopsy described as mineral apposition rate

Time frame
Blood sample and bone biopsy will be performed during two month for each participant

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ditte Hansen

Lead sponsor

Herlev Hospital

Sponsor institution

University of Copenhagen

Collaborator

Universiteit Antwerpen

Collaborator