PRevEnting FracturEs in REnal Disease - 1
NCT05096195 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-05-31
Summary
PREFERRED-1 is a pilot study designed to determine the feasibility of a large randomized, pragmatic, open-label, comparative-effectiveness trial of denosumab for the prevention of fragility fractures in people receiving hemodialysis. The pilot study will enroll at least 60 patients from across at least 6 different hemodialysis centres in Ontario, Canada. Patients on outpatient maintenance hemodialysis at high risk of fragility fracture, will be randomized 1:1 to a denosumab care pathway vs. usual care.
Primary outcomes include recruitment feasibility and treatment adherence. Secondary outcomes include safety and participant satisfaction with our protocol and processes.
Conditions
- Kidney Diseases
- Dialysis; Complications
- Fragility Fracture
- Chronic Kidney Disease-Mineral and Bone Disorder
Interventions
- DRUG
-
Denosumab 60 mg/ml
Details described in intervention arm/group description section.
- OTHER
-
Calcium and vitamin D prophylaxis
Details described in intervention arm/group description section.
- DIAGNOSTIC_TEST
-
Monitoring of post-injection calcium and phosphate
Details described in intervention arm/group description section.
Sponsors & Collaborators
-
ICES
collaborator INDUSTRY -
Academic Medical Organization of Southwestern Ontario
collaborator OTHER -
Western University
collaborator OTHER -
The Kidney Foundation of Canada
collaborator OTHER -
Western University, Canada
lead OTHER
Principal Investigators
-
Kristin K Clemens, MD, MSc · St. Joseph's Health Care London
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-06-11
- Primary Completion
- 2025-12-31
- Completion
- 2025-12-31
Countries
- Canada
Study Locations
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