Alendronate for Osteonecrosis in Adults With Sickle Cell Disease

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorUniversity of California, Davis

About this trial

A prospective, single-arm, intervention study of oral alendronate in adults with sickle cell disease and osteonecrosis

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18-80 years with SCD (any genotype, confirmed by hemoglobin electrophoresis or high performance liquid chromatography)

Ability to provide written informed consent

Ability to lay on a dual-energy X-ray absorptiometry (DXA) scanner

Negative urine pregnancy test for anyone of childbearing potential at study entry

Disqualifiers

Pregnant women

Adults unable to consent

Individuals who are not yet adults (infants, children, teenagers)

Prisoners

Trial design

Design model

Single group

Treatments tested in this trial

  • Alendronate Sodium

    Drug

    Administer oral alendronate 70 mg once a week x 24 weeks to all study participants

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Alendronate groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Recruitment and retention rates

Proportion of eligible patients who get recruited to the study; number of enrolled patients who complete 6-month study

Time frame
up to 28 weeks
2

Incidence of Treatment-Emergent Adverse Events as assessed by participant report

Collect all adverse events reported by patients and determine if related to study drug

Time frame
up to 28 weeks
3

Pain assessed by the Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) Pain Impact questionnaire

The Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) Pain Impact questionnaire is a patient-reported outcome measure of pain level in the past 7 days. The ASCQ-Me pain scale ranges from 0-100, with a standardized mean of 50 and a standard deviation of 10, where lower scores signify worse disease impact.

Time frame
up to 28 weeks

Secondary outcomes

1

Bone turnover markers

Measure longitudinal changes in of biomarkers for osteoclast (bone resorption) and osteoblast (bone formation) activity

Time frame
Baseline, then every 2 months until end of study
2

Inflammatory biomarkers

Measure longitudinal changes in inflammatory biomarkers from baseline to the end of the study

Time frame
Baseline, then every 2 months until the end of the study
3

Vascular adhesion biomarkers

Measure longitudinal changes in biomarkers of vascular adhesion from baseline until the end of the study

Time frame
Baseline, then every 2 months until the end of the study

Other outcomes

Sponsors and contacts

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

University of California, Davis

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Doris Duke Charitable Foundation

Collaborator