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 |
The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: cross sectional study by KSGCT
The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: KSGCT1701(Bone-Dx)
The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: cross sectional study by KSGCT
The evaluation of bone mineral density in long-term survival patients after allogeneic hematopoietic stem cell transplantation: KSGCT1701(Bone-Dx)
Japan |
Hematological malignancies
Hematology and clinical oncology |
Malignancy
NO
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.
Bio-availability
The prevalence of osteoporosis( score =< -2.5)after allogeneic hematopoietic stem cell transplantation
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
Observational
20 | years-old | <= |
99 | years-old | >= |
Male and Female
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
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
350
1st name | |
Middle name | |
Last name | Shinichiro Okamoto |
Kanto Study Group for Cell Therapy
Chairman
Tokyo
03-6225-2040
ksgctdc@ksgct.net
1st name | |
Middle name | |
Last name | HIROTO ISHII |
The Jikei university school of medicine
Department of Clinical Oncology and Hematology
3-25-8, Nishi-Shinbashi, Minato-Ku, Tokyo
03-3433-1111
h-ishii@jikei.ac.jp
Kanto Study Group for Cell Therapy
None
Self funding
NO
2018 | Year | 04 | Month | 01 | Day |
Unpublished
No longer recruiting
2017 | Year | 12 | Month | 29 | Day |
2017 | Year | 12 | Month | 13 | Day |
2018 | Year | 02 | Month | 01 | Day |
2020 | Year | 01 | Month | 31 | Day |
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.
2018 | Year | 01 | Month | 21 | Day |
2020 | Year | 03 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035303