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NCT07329543Not yet recruiting

AGE Burden and Response to Antiresorptive Therapy in Osteoporosis

Association of Advanced Glycation End-Product Burden With Response to Antiresorptive Therapy and Residual Fracture Risk in Osteoporosis: A Prospective Cohort Study

Source: ClinicalTrials.gov · Last updated 9 Jan 2026

Brief summary (registry, in English)

Osteoporosis is a common condition that increases the risk of bone fractures. Although antiresorptive treatments such as bisphosphonates and denosumab are effective in increasing bone mineral density, some patients continue to experience fractures despite treatment. Advanced glycation end-products (AGEs) accumulate in the body over time and can negatively affect bone quality by altering collagen structure and increasing inflammation. The role of AGE burden in predicting response to osteoporosis treatment has not been fully established. This prospective cohort study aims to evaluate whether baseline AGE burden, measured non-invasively using skin autofluorescence, is associated with treatment response in patients receiving antiresorptive therapy for osteoporosis. Changes in bone mineral density, bone turnover markers, and fracture outcomes will be analyzed in relation to baseline AGE levels. The results of this study may help identify patients at risk for reduced treatment response and residual fracture risk.

Status (registry)
Not yet recruiting
Study type
Observational
Enrollment
240 (estimated)
First submitted
28 Dec 2025
Start date
15 Jan 2026
Primary completion date
15 Jan 2027
Lead sponsor
Bursa City Hospital
Diseases
Osteoporosis
NCT number
NCT07329543

What you commit to

  • Study type: Observational
  • Planned participants: 240
  • From 15 Jan 2026 to the primary completion date, 15 Jan 2027
  • No sites listed in no 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

  • Use of medications known to significantly affect bone metabolism other than antiresorptive therapy (e.g., long-term systemic glucocorticoids, anabolic osteoporosis agents)
  • Prior treatment with denosumab or bisphosphonates within the last 12 months

Other illness

  • Diagnosis of diabetes mellitus (type 1 or type 2)
  • Active malignancy or history of malignancy within the past 5 years
  • Secondary causes of osteoporosis (including hyperparathyroidism, hyperthyroidism, Cushing's syndrome, malabsorption syndromes, or chronic liver disease)
  • Inflammatory rheumatic diseases or chronic inflammatory conditions that may affect bone metabolism

Lab values

  • Chronic kidney disease with estimated glomerular filtration rate (eGFR) \< 60 mL/min/1.73 m²

Other

  • Pregnancy or breastfeeding
  • Inability to comply with study procedures or follow-up visits

Who the study is looking for

  • Age ≥ 50 years
  • Diagnosis of osteoporosis based on dual-energy X-ray absorptiometry (DXA) criteria (T-score ≤ -2.5 at the lumbar spine, total hip, or femoral neck) or presence of a prior fragility fracture
  • Planned initiation of antiresorptive therapy (denosumab or bisphosphonate) as part of routine clinical care
  • Ability to undergo DXA measurements at baseline and during follow-up
  • Ability and willingness to provide written informed consent

Age in the registry: 50 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

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