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Phase 2 N=61 Randomized Quadruple-blind Prevention

Bone Mass and Strength After Kidney Transplantation

End Stage Renal Disease · Kidney Transplantation · Bone Loss · Fractures · Vascular Calcifications

Enrolled (actual)
61
Serious AEs
0.0%
Results posted
Mar 2025
Primary outcome: Primary: Percent Change in Bone Density From Pre to Post-calcitriol Treatment Compared to Placebo as Assessed by Both Standard Methodologies — -0.81; -0.70 percent change

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Vitamin D3 (Drug); Calcitriol (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Columbia University
Primary completion
Oct 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change in Bone Density From Pre to Post-calcitriol Treatment Compared to Placebo as Assessed by Both Standard Methodologies
-0.81; -0.70
SECONDARY
Percent Change in Areal Bone Mass Density From Baseline to 12 Months After Transplantation
1.91; 0.85; 0.88; -0.09; 0.64; -0.45
SECONDARY
Percent Change in Failure Load Pre- and Post-transplantation Measured by High Resolution Imaging Methods
-5; -3.4; -1.9; -2.5
SECONDARY
Percent Change of Cortical Porosity Pre- and Post-intervention
11.6; 12.5; 21; 13.3
SECONDARY
Percent Change in Vascular Calcifications Loads of the Lower Extremity
1.5; -8.4; 112; 68
SECONDARY
Number of Patients With Vascular Calcifications of the Lower Extremity
13; 9; 13; 8
SECONDARY
Percent Change in Pre- and Post- Intervention Parathyroid Hormone (PTH) Levels
-63; -59
SECONDARY
Percent Change in Pre- and Post- Intervention Levels of Bone Remodeling Markers for Bone Remodeling Assessment
9.6; 60; -80; -72; -14; 2.9

Summary

The purpose of this study is to test whether active vitamin D (calcitriol) protects bones from weakening and protects blood vessels from calcium deposits over the first year of kidney transplantation.

Eligibility Criteria

Inclusion Criteria

  • Age older than 18
  • Self-describes as White race

Exclusion Criteria

  • Lower extremity amputations
  • Non-ambulatory
  • Paget´s disease of bone
  • Current hyperthyroidism, untreated hypothyroidism
  • Medical diseases (end stage liver, intestinal malabsorption)
  • Use within the prior year pod anti-seizure medications that induce the cytochrome P450 system, testosterone, estrogen, selective estrogen receptor modulators
  • Weight >300 pounds
  • Dual organ transplant
  • Myocardial infarction or stroke
  • Tobacco use within the past year
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02224144). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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