CompletedPhase 4ACTRN12621000415808

A randomized study investigating whether taking a steroid medication (dexamethasone) for three days reduces the risk of an acute phase response reaction

A randomized controlled trial to assess the effect of a three day course of dexamethasone on the incidence of the acute phase response following treatment with zoledronic acid


Sponsor

Bone & Joint Research Group, University of Auckland

Enrollment

60 participants

Start Date

May 24, 2021

Study Type

Interventional

Conditions

Summary

This study will aim to determine whether giving a steroid tablet (dexamethasone) for three days after a zoledronic acid infusion will reduce the risk of a side effect known as the acute phase response, which can cause fever, nausea, muscle pains and headache, compared to giving an inactive (placebo) tablet. It is possible that a three-day course of a commonly used steroid, dexamethasone, could reduce the number of patients experiencing this reaction..


Eligibility

Sex: Both males and femalesMin Age: 20 Yearss

Inclusion Criteria2

  • Females or males aged greater than or equal to 20 years
  • Prescribed zoledronic acid for the first time

Exclusion Criteria7

  • Prior treatment with zoledronic acid
  • History of fever, infection, or influenza-like illness within the past week
  • Diabetes mellitus
  • Uncontrolled hypertension (blood pressure over 160/90)
  • Treatment with glucocorticoids within the past week
  • History of adverse reaction to glucocorticoids in the past
  • Major systemic illness, including malignancy

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Interventions

Participants will be randomized to receive either 3 days of dexamethasone tablets or 3 days of placebo tablets. The group randomized to receive the intervention will receive dexamethasone 4 mg orally

Participants will be randomized to receive either 3 days of dexamethasone tablets or 3 days of placebo tablets. The group randomized to receive the intervention will receive dexamethasone 4 mg orally administered 1-4 hours prior to the zoledronate infusion and then once daily in the morning for two further days. The method of administration will be an oral tablet.


Locations(1)

Auckland, New Zealand

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ACTRN12621000415808