RecruitingNCT04518722

CT-Based Changes in Bone and Marrow Among Patients on Oral Steroids


Sponsor

University of Iowa

Enrollment

12 participants

Start Date

Dec 1, 2020

Study Type

OBSERVATIONAL

Conditions

Summary

The goal of this study is to assess the feasibility of emerging CT-based tools to measure changes in central and peripheral bone density, micro-structure, and marrow adipose tissue (MAT) among patients treated with oral steroids.


Eligibility

Min Age: 25 YearsMax Age: 45 Years

Inclusion Criteria5

  • Inclusion (all subjects):
  • Diagnosis of severe, persistent asthma (defined as using both a long-acting beta-agonist AND a high-dose inhaled steroid)
  • Age 25-45
  • Inclusion (oral steroid group):
  • Chronic treatment with oral steroids for at least 45 days but less than 1 year

Exclusion Criteria12

  • Exclusion (all subjects):
  • Pregnant or breastfeeding
  • History of any cancer, excluding non-melanoma skin cancer
  • Currently receiving dialysis
  • History of any lower extremity fracture
  • Hip or knee replacement
  • Non-ambulatory
  • Greater than 10 pack-year smoking history
  • BMI \> 50
  • Age \< 25 or \> 45
  • Current or past use of FDA-approved medication for osteoporosis:
  • Bisphosphonates (Alendronate/Fosamax, Ibandronate/Boniva, Risedronate/Actonel/Atelvia, Zoledronic Acid/Reclast) Calcitonin (Fortical, Miacalcin) Selective Estrogen Receptor Modulator (Raloxifene/Evista) Parathyroid Hormone Analogue (Teriparatide/Forteo) Monoclonal Antibody (Denosumab/Prolia)

Interventions

RADIATIONCT Scan

Dual-energy mid-tibia CT, high-resolution single energy MDCT imaging of the distal tibia (ankle), and low radiation hip CT scans

RADIATIONDXA Scan

Basic DXA scans will be performed to measure areal BMD and body composition measures at the whole body, spine, and hip

OTHERSteroid Intake Questionnaire

Questionnaire designed to quantify lifetime oral glucocorticoid intake


Locations(1)

University of Iowa

Iowa City, Iowa, United States

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NCT04518722


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