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NCT02797314Completed

Comparison of Bone Quality in Type 2 Diabetic Patients With a Non-diabetic Control Population

Source: ClinicalTrials.gov · Last updated 8 May 2024

Brief summary (registry, in English)

Patients with type 2 diabetes have many complications in different organs. These complications are extremely frequent and severe: cardiovascular and renal disease, visual impairment, and, more recently, complications affecting bone such as fractures. Conventional methods for the evaluation of fracture risk are based on the Bone Mineral Density (BMD) or FRAX (algorithm for the prediction of osteoporotic fracture risk) are not sufficient in the context of diabetes. Several metaanalyses have shown that, paradoxically, a higher BMD in patients with type 2 diabetes compared to patients not suffering from this disease, independently of body mass index (BMI). The paradoxal increase in fracture risk, despite a high BMD has led to the hypothesis that diabetes induces a modification of the quality and not the quantity of bone. However, there is a lack of data as to bone quality in patients with type 2 diabetes as studies of bone biopsies from patients with type 2 diabetes are extremely rare. The objective of the study is to compare bone quality in patients with type 2 diabetes to that in patients who do not suffer from type 2 diabetes: evaluation of vertebral fractures by osteodensitometry, measurement of Trabecular Bone Score (TBS), and analysis of bone quality in biopsies (advanced glycation end products (AGE), contents of bone matrix and analysis of mineralization). The results will then be correlated with blood/urinary markers with the objective to determine one/several non-invasive biomarkers for bone status in diabetic patients.

Status (registry)
Completed
Study type
Interventional
Enrollment
60 (actual)
First submitted
8 Jun 2016
Start date
28 Mar 2017
Primary completion date
8 Mar 2024
Lead sponsor
Hospices Civils de Lyon
NCT number
NCT02797314

What you commit to

  • Study type: Interventional
  • Participants enrolled: 60
  • From 28 Mar 2017 to the primary completion date, 8 Mar 2024
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Subjects treated with drugs known to interfere with bone metabolism, including steroids, anticonvulsants, diuretics, and bisphosphonates
  • Patients with severe renal disease (\< 30 ml/mn); previous history of caner except skin cancer; myocardial infarction; uncontrolled hypertension; untreated hyperthyroidism; hyperthyroidism; malabsorption; bone metabolism diseases; rheumatoid arthritis or collagen diseases
  • Contraindication to taking tetracycline hydrochloride:
    • Known hypersensitivity to antibiotics of the tetracycline family or any of the excipients in the medicine
    • Severe chronic renal failure
    • Chronic liver failure
    • Systemic lupus erythematosus
    • Concomitant prescription of retinoid or vitamin A (risk intracranial hypertension)

Other illness

  • Psychiatric pathology seriously hampering understanding

Other

  • Pregnant or lactating woman
  • Difficulty understanding oral French
  • Not a beneficiary of a social security scheme

Who the study is looking for

  • Men and women aged greater than 40 years
  • Patients requiring surgery of the lower limb
  • With a bone mineral density considered normal (T-score ≥ -2)
  • Stage 1, 2, or 3 glomerular filtration rate (\> 30 mL/min)
  • For diabetic patients the diagnosis will have previously established by an endocrinologist

Age in the registry: 40 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hôpital Edouard Herriot, Hospices Civisl de Lyon
Coordinator of this site? Confirm its status
LyonFranceUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.