UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058939
Receipt number R000067332
Scientific Title Prospective and Retrospective Research for the Diagnosis of Osteoporosis: Validation and Establishment of Vertebral Hounsfield Unit
Date of disclosure of the study information 2025/08/30
Last modified on 2025/08/30 16:19:51

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Basic information

Public title

Prospective and Retrospective Research for the Diagnosis of Osteoporosis: Validation and Establishment of Vertebral Hounsfield Unit

Acronym

HU-PROVE study

Scientific Title

Prospective and Retrospective Research for the Diagnosis of Osteoporosis: Validation and Establishment of Vertebral Hounsfield Unit

Scientific Title:Acronym

HU-PROVE study

Region

Japan


Condition

Condition

Ostoporosis

Classification by specialty

Medicine in general Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this study, following the same approach used when establishing the DXA reference values (Looker A et al. Osteoporosis International 1998), bone mineral density in young adults (20 - 44 years) is calculated and used as the reference, with osteoporosis defined as -2.5 SD or below and osteopenia as between -2.5 and -1 SD. Furthermore, by prospectively following patients with lumbar CT data for four years and evaluating their fracture risk, we aim to validate the appropriateness of the cutoff values determined from these reference standards.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Calculate the reference values of bone mineral density.

Compare the incidence of vertebral fractures according to the presence or absence of osteoporosis.

Key secondary outcomes

Non-vertebral fractures (proximal humerus, proximal femur, pelvis)


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

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Selection Criteria 1
Patients aged 20-44 years at the time of lumbar CT imaging.
Patients with CT scans that include the lumbar spine between L1-4.

Selection Criteria 2
Patients aged 50 years or older at the time of lumbar CT imaging for lumbar disease diagnosis.
Patients who underwent CT examinations including the lumbar spine between L1-L4.
Patients with DXA data obtained within 6 months of the lumbar CT imaging date at the time of lumbar disease diagnosis.
Patients with spinal X-rays available at the 2-year point within 6 months and 4-year point within 1 year from the lumbar CT imaging date at the time of lumbar disease diagnosis.

Key exclusion criteria

Patients suspected of having scoliosis 10 or more degrees or secondary osteoporosis such as long-term steroid use, hyperparathyroidism, hyperthyroidism, hypogonadism, Cushing syndrome, diabetes, chronic kidney disease, chronic obstructive pulmonary disease, etc.

Patients who have undergone spinal fusion surgery.
Patients suspected of having infection or tumor.

Target sample size

2800


Research contact person

Name of lead principal investigator

1st name Shinji
Middle name
Last name Takahashi

Organization

Osaka Metropolitan University

Division name

Orthopaedic Surgery

Zip code

5458585

Address

1-4-3 Asahimachi, Abenoku, Osaka city

TEL

06-6645-3851

Email

stakahashi@omu.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Taniwaki

Organization

Osaka Metropolitan University

Division name

Orthopaedic Surgery

Zip code

5458585

Address

1-4-3 Asahimachi, Abenoku, Osaka city

TEL

06-6645-3851

Homepage URL


Email

tanishi517@gmail.com


Sponsor or person

Institute

Osaka Metropolitan University

Institute

Department

Personal name



Funding Source

Organization

Other

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Committee of Osaka Metropolitan University Graduate School of Medicine

Address

1-2-7 Asahimachi, Abeno-ku, Osaka city, Osaka, Japan

Tel

06-6645-3456

Email

gr-a-knky-ethics@omu.ac.jp


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

2025 Year 08 Month 30 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

Preinitiation

Date of protocol fixation

2025 Year 07 Month 10 Day

Date of IRB


Anticipated trial start date

2025 Year 08 Month 31 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1. Establishing Reference Values in Young Adults (20-44 years)

Cross-sectional study
The following items are routinely collected in daily clinical practice.
(In this study, information will be collected from April 2010 until the date of research approval by the head of the institution.)

Patient demographics: age, sex, diagnosis, medical history (rheumatoid arthritis, steroid use, secondary osteoporosis, renal failure, diabetes mellitus)

Physical findings: height, weight

Imaging: lumbar CT

Observation and examination schedule (for young adults):

Time point Patient demographics & physical findings Lumbar CT (L1-L4)
At diagnosis of lumbar disease / CT imaging date
2 years
4 years
2. Verification of the Impact of Osteoporosis (HU-based) in Spinal Patients

Prospective and retrospective longitudinal study
The following items are routinely collected in daily clinical practice.
(In this study, information will be collected from April 2010 to March 2029.)

Patient demographics: age, sex, diagnosis, medical history (rheumatoid arthritis, steroid use, secondary osteoporosis, renal failure, diabetes mellitus), family history (parental history of proximal femoral fracture), lifestyle history (smoking, alcohol consumption 3 or more units/day)

Physical findings: height, weight

Imaging: DXA, spinal radiographs, lumbar CT

Other: fracture information, medication history for osteoporosis treatment


Management information

Registered date

2025 Year 08 Month 30 Day

Last modified on

2025 Year 08 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067332