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CTRI Number  CTRI/2010/091/000637 [Registered on: 16/06/2010]
Last Modified On: 13/03/2013
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study
Modification(s)  
Drug 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
An open label study to evaluate the safety and efficacy of Aclasta (Zoledronic acid) in treatment of patients with Glucocorticoid induced Osteoporosis 
Scientific Title of Study
Modification(s)  
An open label study to evaluate the safety and efficacy of Aclasta (Zoledronic acid) in treatment of patients with Glucocorticoid induced Osteoporosis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CZOL446OIN01  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Atul Kakar 
Designation   
Affiliation   
Address  31,South Patel Nagar

New Delhi
DELHI
110008
India 
Phone  09811110802  
Fax    
Email  atulkakar@hotmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Ankur Malhotra 
Designation  Medical Advisor 
Affiliation  Novartis 
Address  Sandoz House, 5th floor,Shivsagar Estate
Dr. Annie Besant Road,Worli
Mumbai
MAHARASHTRA
400018
India 
Phone  022-24958582  
Fax  24954112  
Email  ankur.malhotra@novartis.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Ankur Malhotra 
Designation   
Affiliation  Novartis 
Address  Sandoz House, 5th floor,Shivsagar Estate
Dr. Annie Besant Road,Worli
Mumbai
MAHARASHTRA
400018
India 
Phone  022-24958589  
Fax  24954112  
Email  ankur.malhotra@novartis.com  
 
Source of Monetary or Material Support
Modification(s)  
Novartis Healthcare Private Limited Sandoz House, 5th floor Shivsagar Estate, Dr. Annie Besant Road Worli, Mumbai -400018. India  
 
Primary Sponsor
Modification(s)  
Name  Novartis Healthcare Pvt Limited 
Address  Sandoz House, 5th floor, Shivsagar Estate, Dr. Annie Besant Rd, Worli, Mumbai-18. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
NIL   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Atul Kakar  Dr. Atul kakar's Clinic  31,South Patel Nagar,New Delhi-08-110008
New Delhi
DELHI 
09811110802

atulkakar@hotmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
CLINICOM , Bangalore   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Glucocorticoid induced Osteoporosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Aclasta (Zoledronic acid )  5mg IV Infusion , once a year  
Comparator Agent  Nil   
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details   Male & female patients aged 18?85 years taking atleast 5 mg/d oral prednisone (or equivalent systemic steroid) for at least 3 months prior to screening.

 T score for bone mineral density at the lumbar spine or total hip of either?1.5 or less with or without fragility fractures
 New patients or patients who were on other bisphosphonates earlier
 Aclasta is medically recommended.
 Willing to participate for 12 months.
 Patient willing to provide written informed consent to participate in the study, as per local / institutional practice.
 
 
ExclusionCriteria 
Details   Hypersensitivity to zoledronic acid, to any of the excipients or to any bisphosphonate  Females taking more than 30 micrograms/day of estradiol or equivalent in past 3 months  Pregnant women or nursing mothers or women of childbearing potential not using adequate contraception  Hypocalcemia  Renal impairment (calculated creatinine clearance of less than 35 mL/min)  
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Not Applicable 
Blinding/Masking
Modification(s)  
Not Applicable 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
 To assess safety & tolerability of Aclasta in treatment of patients with Glucocorticoid induced osteoporosis   12 months 
 
Secondary Outcome  
Outcome  TimePoints 
 To assess the change in bone mineral density at month 12 after infusion of Zoledronic acid in treatment of patients with Glucocorticoid induced osteoporosis  To assess the change in levels of bone turnover markers (C-telopeptide) at 6 and 12 months.   6 months and 12 months  
 
Target Sample Size
Modification(s)  
Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Post Marketing Surveillance 
Date of First Enrollment (India)
Modification(s)  
22/05/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Study Completed. Publication not done. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This is a 1-year, multicenter, open-label, prospective, observational, non-comparative post-marketing trial to collect the safety and efficacy data in Indian patients with glucocorticoid induced osteoporosis. Study will include patients on long term steroid treatment who have developed glucocorticoid induced osteoporosis. This study will not interfere with any therapeutic or diagnostic measures taken by the treating physicians. The patients will be recruited regardless of past or present therapeutic regimens (excluding current investigational agent). No patient randomization will be conducted as there is no comparator drug in this study. All eligible patients will receive a single 15-minute intravenous infusion of Aclasta (Zoledronic Acid) 5 mg, at baseline. In addition, those patients who have inadequate dietary intake of calcium or vitamin D will receive daily calcium and vitamin D supplementation, as per the discretion of physician. All Patients will be followed until 12 months. Primary end points in this study include safety outcome (AEs and SAEs) and incidence of graded laboratory abnormality. Secondary endpoints in this study include bone mineral density and bone turnover markers (C-telopeptide ) 
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