Status:

COMPLETED

Efficacy of Zoledronic Acid in Preventing Collapse of the Osteonecrotic Femoral Head

Lead Sponsor:

Seoul National University Bundang Hospital

Collaborating Sponsors:

Novartis Korea Ltd.

Conditions:

Avascular Necrosis of Femoral Head

Eligibility:

All Genders

19-65 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to test the effect of zoledronic acid over 2 years in preventing early collapse and progression of joint dome depression (≥ 2 mm by X-ray) of the femoral head in patients ...

Detailed Description

Until now, the best treatment option in early (precollapse) large osteonecrosis femoral head is vascularizing fibular graft. However, it requires high microsurgical technique. Also it needs very long ...

Eligibility Criteria

Inclusion

  • Patient who agree to clinical trial
  • Patient who are more than 18 years of age
  • Osteonecrosis of the femoral head
  • Steinberg stage I, II non traumatic osteonecrosis of femoral head
  • Necrotic area of \> 30% (HJ Kim et al )
  • JIC (Japanese Investigation Committee): C1 or C2 lateral lesion (by X-ray or MRI)

Exclusion

  • Patients who are pregnant (patients who are of child bearing potential who are not practicing a reliable contraceptive method (oral, subcutaneous, mechanical, or surgical contraception)
  • Patients who have contraindicated condition to zoledronic acid such as chronic renal failure (calculated creatinine clearance less than 35.0 ml/min), severe heart disease such as atrial fibrillation, sensitive to bisphosphonates and hypocalcemia (serum calcium less than 8 mg/dl or 2.0 mmol/L)
  • Patients who have collapsed lesion including subchonral fracture
  • Patients who have multiple lesion of osteonecrosis of femoral head
  • Patients who received other kinds of bisphophonates or anabolic agents before zoledronic acid use
  • Patients with any medical or psychiatric condition which, in the Investigator's opinion would preclude the participant from adhering to the Protocol or completing the trial per protocol
  • Patients who are considered potentially unreliable and patients who may not reliably attend study visits

Key Trial Info

Start Date :

July 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2012

Estimated Enrollment :

110 Patients enrolled

Trial Details

Trial ID

NCT00939900

Start Date

July 1 2009

End Date

June 1 2012

Last Update

July 2 2015

Active Locations (1)

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1

Seoul national University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea, 463-707