UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030916
Receipt number R000035303
Scientific Title The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: cross sectional study by KSGCT
Date of disclosure of the study information 2018/04/01
Last modified on 2020/03/25 10:37:11

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Basic information

Public title

The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: cross sectional study by KSGCT

Acronym

The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: KSGCT1701(Bone-Dx)

Scientific Title

The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: cross sectional study by KSGCT

Scientific Title:Acronym

The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: KSGCT1701(Bone-Dx)

Region

Japan


Condition

Condition

Hematological malignancies

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aims of this study are to measure the bone mineral density of patients who have been disease-free surviving for more than 2 years after allogeneic hematopoietic stem cell transplantation, to analyze the effect of patient characteristics, underlying diseases, immunosuppressive drugs, and post-transplant complications on bone mineral density, and to evaluate the necessity of therapeutic intervention for loss of bone mineral density.

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The prevalence of osteoporosis( score =< -2.5)after allogeneic hematopoietic stem cell transplantation

Key secondary outcomes

1) The prevalence of osteopenia(-2.5 < T score =< -1.0)after allogeneic hematopoietic stem cell transplantation
2) The effect of patient characteristics on osteopenia or osteoporosis
3) The effect of menses discontinuation on osteopenia or osteoporosis
4) The effect of post-transplant complication such as GVHD (graft versus host disease) on osteopenia or osteoporosis
5) The effect of therapeutic intervention on osteopenia or osteoporosis
6) The effect of SRE (skeletal related events) on osteopenia or osteoporosis


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

99 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients'age >= 20 years at the time of investigation
2) Patients with disease-free surviving for 2 to 5 years after transplant
3) Not exclude patients with their history of skeletal related events
4) Patients who were informed and concented

Key exclusion criteria

1) Patients who are otherwise classified as unfit by the attending physicians for this research.
2) Patients who underwent allogeneic and/or autologous transplantation more than once
3) Patients with multiple myeloma

Target sample size

350


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinichiro Okamoto

Organization

Kanto Study Group for Cell Therapy

Division name

Chairman

Zip code


Address

Tokyo

TEL

03-6225-2040

Email

ksgctdc@ksgct.net


Public contact

Name of contact person

1st name
Middle name
Last name HIROTO ISHII

Organization

The Jikei university school of medicine

Division name

Department of Clinical Oncology and Hematology

Zip code


Address

3-25-8, Nishi-Shinbashi, Minato-Ku, Tokyo

TEL

03-3433-1111

Homepage URL


Email

h-ishii@jikei.ac.jp


Sponsor or person

Institute

Kanto Study Group for Cell Therapy

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2017 Year 12 Month 29 Day

Date of IRB

2017 Year 12 Month 13 Day

Anticipated trial start date

2018 Year 02 Month 01 Day

Last follow-up date

2020 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

With ongoing clinical studies on the pharmacological intervention for decrease of bone mineral density following allogeneic hematopoietic stem cell transplantation, the efficacy of bisphosphonate has been reported. As bisphosphonates can be injected, they can be administered even in the presence of gastrointestinal disturbance caused by graft-versus-host disease (GVHD). Kananen et al. conducted a comparative trial of a group of patients who received a vitamin D and calcium preparation with pamidronate following allogeneic transplantation and a group of patients who received it without pamidronate to assess the preventive effects of pamidronate on bone mineral loss. The result revealed that the bone mineral density of the lumbar spine was maintained, thereby demonstrating the preventive effects of pamidronate; however, its effects on the femoral neck were insufficient. Nevertheless, the clinical trial of zoledronic acid indicated that it effectively enhanced the bone mineral density of not only the lumbar spine but also the femoral neck.
Studies from the foreign countries have reported that renal dysfunction, administration of calcineurin inhibitors and steroids, hypogonadism, GVHD, and high risk of fracture represented by the World Health Organization Fracture Risk Assessment scores are some of the causes of bone mineral loss following allogeneic transplantation. However, till date, no study in Japan has reported osteopenia and/or osteoporosis following transplantation. Thus, it is essential to investigate whether these risk factors also apply to Japanese patients. Hence, a group of researchers assessed the bone mineral density of patients who underwent allogeneic transplantations to plan an observational study to evaluate the post-transplant bone mineral density. Elucidating risk factors should facilitate the assessment of whether therapeutic interventions are required to counter declines in post-transplant bone mineral density.


Management information

Registered date

2018 Year 01 Month 21 Day

Last modified on

2020 Year 03 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035303