Skeletal Effects of Type 1 Diabetes on Low-Trauma Fracture Risk
Part of paid clinical trials in Omaha, Nebraska.
- Sponsor
- Creighton University
- Study ID
- NCT05701254
- Status
- Recruiting
Conditions
- Bone Loss
- Fractures, Bone
- Osteopenia
- Type 1 Diabetes
Eligibility Criteria
- Sex
- FEMALE
- Age
- 50 Years - N/A
- Healthy Volunteers
- Accepted
Interventions
- Transilial bone biopsy — PROCEDUREThe transiliac bone biopsy will be performed on each subject under local anesthesia, and conscious sedation. From one skin incision located \~2cm posterior and inferior to the anterior-superior pelvic spine on one side of the pelvis, the investigators will obtain two iliac bone specimens, each 7.5 mm in diameter, cylindrical in shape, and including both inner and outer cortices and the intervening trabecular bone.
Study Details
Patients with Type 1 Diabetes Mellitus (T1DM) have a higher risk of low-trauma (osteoporotic) fracture that is 7-12 times higher than non-diabetics. The bone density of people with Type 1 Diabetes is higher at the time of fracture than in non-diabetics. This suggests the presence of underlying bone tissue mechanical defects. The potential benefits to participants would be knowledge gained about their bone density and the results of laboratory tests. On a wider scale, there may be general benefits to society because the knowledge gained from this study may help better understand the effects of diabetes on bone health
Key Dates
- Start date
- Jun 18, 2019
- Status verified
- Sep 2024
- Primary completion
- Dec 31, 2024
- Completion
- Jan 31, 2025
Study Design
- Enrollment
- 80 participants (estimated)
Arms
- Arm: Type 1 DiabeticsAll participants will complete 4 visits over 6-8 weeks. Visit 1 is a screening visit which includes a physical exam, a bone mineral density scan, a blood draw and an EKG. Visit 2 consists of dispensing the Tetracycline antibiotic required for the bone biopsy. Visit 3 is the bone biopsy and includes a blood draw. Visit 4 is to remove the stitches.
- Arm: Non-Type 1 DiabeticsAll participants will complete 4 visits over 6-8 weeks. Visit 1 is a screening visit which includes a physical exam, a bone mineral density scan, a blood draw and an EKG. Visit 2 consists of dispensing the Tetracycline antibiotic required for the bone biopsy. Visit 3 is the bone biopsy and includes a blood draw. Visit 4 is to remove the stitches.
Primary Outcome Measure
Compare cortical bone tissue levels of pentosidine (AGE), pyridinoline (normal enzymatic collagen crosslinks), and matrix-bound water between T1DM and controls. [ Time Frame: 6-8 weeks ]
Central Contacts
- Adam Hornig402-559-9116
- Laura Armas, M.D.402-559-8700
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Creighton University Osteoporosis Research Center | Omaha | Nebraska | 68122 | Laura Armas, MD (SUB_INVESTIGATOR) Mohammed Akhter, PhD (PRINCIPAL_INVESTIGATOR) |
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