Early Warning and Risk Prediction of Medication-Related Osteonecrosis of the Jaw
NCT07691892 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 310
Last updated 2026-07-09
Summary
This prospective observational cohort study aims to develop and evaluate an early warning and risk prediction model for medication-related osteonecrosis of the jaw (MRONJ) based on multimodal data fusion.
Eligible participants will include adults who have received bone-modifying agents, including bisphosphonates or denosumab, for at least 24 months for osteoporosis or bone metastases and who are scheduled to undergo clinically indicated invasive oral procedures. The study will not assign any treatment or intervention. All oral procedures will be performed as part of routine clinical care.
Clinical characteristics, medication exposure, oral examination findings, cone-beam computed tomography imaging data, and biological samples including saliva, blood, urine, and gingival crevicular fluid will be collected. Proteomic and metabolomic analyses will be performed to identify candidate biomarkers associated with MRONJ risk.
Participants will be followed prospectively after the oral procedure to assess wound healing, clinical symptoms, imaging changes, and the occurrence of MRONJ. The study will evaluate whether a multimodal model combining clinical, imaging, and biological data can predict the risk of MRONJ after invasive oral procedures.
Conditions
- Medication-related Osteonecrosis of the Jaw (MRONJ)
Sponsors & Collaborators
-
Hospital of Stomatology, Wuhan University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-01
- Primary Completion
- 2029-09-01
- Completion
- 2030-09-01
More Related Trials
-
Denosumab in Subjects With Giant Cell Rich Tumors of Bone
NCT03605199 ·Status: UNKNOWN ·Phase: PHASE2
-
Extension Study to Evaluate the Long Term Safety and Efficacy of Denosumab in the Treatment of Osteoporosis
NCT00523341 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Denosumab (AMG 162) in Japanese Postmenopausal Women
NCT03822078 ·Status: COMPLETED ·Phase: PHASE1
-
Periodontal Disease and Post-menopausal Osteoporosis
NCT02184962 ·Status: COMPLETED
-
The PENTO Protocol in Medication-related Osteonecrosis of the Jaw
NCT05795647 ·Status: RECRUITING ·Phase: PHASE2
-
A Study to Evaluate Efficacy and Safety of Denosumab for Prevention and Treatment of Osteoporosis in 1st Time Liver Transplant Recipients.
NCT04231682 ·Status: WITHDRAWN ·Phase: PHASE2
-
Study to Evaluate AMG 162 in the Prevention of Postmenopausal Osteoporosis
NCT00091793 ·Status: COMPLETED ·Phase: PHASE3
-
Pentoxifylline and Tocopherol (PENTO) in the Treatment of Medication-related Osteonecrosis of the Jaw (MRONJ)
NCT03040778 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Denosumab and Screw Fixation for Osteoporotic Compression Fracture
NCT05065164 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
Performance Evaluation of the Micromedic BRONJ Risk Assessment in Vitro Diagnostic Assay
NCT02218554 ·Status: UNKNOWN ·Phase: NA
-
Changes of Bone Metabolic Markers and Bone Mineral Density After Denosumab and/or Teriparatide Treatment in Japanese Osteoporotic Patients
NCT02156960 ·Status: UNKNOWN ·Phase: PHASE4
-
Reduced Dose-density of Denosumab for Unresectable GCTB
NCT03620149 ·Status: TERMINATED ·Phase: PHASE2
-
A Randomized, Double-blind, Placebo-controlled, Dose Response Study of AMG 162 (Denosumab) in Japanese Postmenopausal Osteoporotic Subjects
NCT00306189 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate the Effect of Romosozumab (AMG 785) on Bone Quality of the Forearm in Postmenopausal Women With Low Bone Mass
NCT00950950 ·Status: COMPLETED ·Phase: PHASE1
-
The Effect of Long-term Use of Bisphosphonates on Femur Morphology
NCT06621069 ·Status: COMPLETED
-
Identifying Individuals at Risk of Glucocorticoid-Induced Impairment of Bone Disease
NCT06421597 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Determine the Efficacy, Safety and Tolerability of Denosumab (AMG 162) in the Treatment of Postmenopausal Women With Low Bone Mineral Density
NCT00043186 ·Status: COMPLETED ·Phase: PHASE2
-
Denosumab and Osteoporotic Vertebral Compression Fracture
NCT05058443 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A High-resolution Peripheral Quantitative Computed Tomography Study in Postmenopausal Women Previously Treated With Denosumab
NCT00890981 ·Status: COMPLETED ·Phase: PHASE3
-
Romosozumab Versus Denosumab in Glucocorticoid-induced Osteoporosis: an Extended Observation of a Randomized Controlled Trial at 48 Months
NCT06472050 ·Status: COMPLETED ·Phase: PHASE4
-
Study Evaluating Denosumab on Bone and Vascular Metabolism in Osteoporotic Chronic Kidney Disease
NCT02792413 ·Status: TERMINATED ·Phase: PHASE4
-
A Study to Evaluate Denosumab in the Treatment of Postmenopausal Osteoporosis
NCT00089791 ·Status: COMPLETED ·Phase: PHASE3
-
A Multicenter, Randomized Placebo Controlled Pilot MicroCT Study to Estimate the Effect of Treatment With Denosumab (AMG 162) and Alendronate Sodium in Postmenopausal Women With Low Bone Mineral Density
NCT00293813 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Denosumab in Subjects With Giant Cell Tumor of Bone
NCT00680992 ·Status: COMPLETED ·Phase: PHASE2
-
Denosumab in Current Users of Bisphosphonates for Glucocorticoid-induced Osteoporosis
NCT01465568 ·Status: COMPLETED ·Phase: PHASE4