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Status unknownNCT02955056Updated Nov 4, 2016

Ankle Fractures Treated With Teriparatide

A Phase 4 interventional study of Forsteo in Fracture, Ankle, sponsored by Nottingham University Hospitals NHS Trust. Status unknown at 1 site in United Kingdom. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2016-11-04.

Sponsored by Nottingham University Hospitals NHS Trust · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Nov 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

This is a single site feasibility trial to test whether daily administration of Teriparatide, in participants with Weber type B ankle fractures that are being conservatively managed, is superior to the standard care treatment with regard to the rate of healing.

Read the detailed description

Ankle fractures are common in older people, they are very disabling and require either a cast or a boot for treatment and the patients need to use crutches for balance. These fractures can lead to complications including non union or delayed union in addition to risks of clotting of the leg vessels (deep vein thrombosis) where these clots can dislodge and migrate to the lungs (pulmonary embolus) resulting in breathing difficulties and/or death. Also these fractures commonly result in patients needing a temporary period of residential care. Therefore, if the healing time can be reduced, there is a potential for large benefits for the patient and reduced care costs for health and social care services.

Teriparatide hormone is one of the new medications used for treating osteoporosis(weak bones), and studies in the USA have reported that Teriparatide hormone treatment can accelerate bone fracture healing time in pelvic fractures.

Other reports also support faster healing time when Teriparatide hormone is used.

The investigators are carrying out this feasibility study with 10 participants, in order to provide the information that will prepare us for carrying out a definitive study in the future.

02

Conditions studied

  • Fracture, Ankle

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Keywords

  • Weber B
03

In context

Ankle Fractures

196 studies on the registry are indexed under Ankle Fractures; 44 are open to participants now.

This study's planned enrollment of 10 is below the median of 92 across 149 interventional studies indexed under Ankle Fractures.

Browse Ankle Fractures studies →

Lead sponsor

Nottingham University Hospitals NHS Trust is the lead sponsor of 107 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant is willing and able to give informed consent for participation in the study.
  • Male or Female (women of non-child bearing potential only*), aged 50 years or above
  • Ankle fracture Weber type B suitable for conservative treatment in a synthetic cast
  • The fracture should be less than 10 days old
  • Blood test results within the normal range as defined by Nottingham University Hospitals NHS Trust (FBC, ESR, LFT, RFT, PTH, Bone profile (Calcium, albumin, total protein and alkaline phosphatase) and thyroid function)
  • Able and willing to comply with all study requirements

Exclusion criteria

Exclusion Criteria:

  • Current smokers (both tobacco and electronic cigarettes)
  • Chronic renal disease
  • Insulin dependent diabetes mellitus
  • History of hypercalcemia
  • End stage liver disease (liver cirrhosis)
  • Patient with any current or past history of cancer
  • Use of bisphosphonates, Zolendronic acid or fluorides within the last 6 months
  • Any bone conditions other than osteoporosis
  • Unable to get out of a chair or bed and walk without the help of another person pre ankle fracture (walking aids are acceptable)
  • Contraindication to Teriparatide hormone:
  • Hypersensitivity
  • High risk of Osteosarcoma, (Paget's disease, chondromas, exposure to radiation, unexplained alkaline phosphatase, etc.)
  • Female participants of child-bearing potential, who are pregnant, lactating or planning pregnancy during course of study
  • Scheduled elective surgery or other procedures requiring general anaesthesia during the study
  • Terminally ill
  • Planned blood donor donation during the study
  • Participated in another research study involving an investigational product in the past 12 weeks
  • Prior external beam of radiation or implant of radiation therapy to the skeleton.
  • Any blood diseases leading to a bleeding tendency
  • On Heparin, Warfarin or any Anticoagulants
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Teriparatide Intervention

    Will be asked to self-administer Teriparatide treatment (self-injection) once a day for 12 weeks

    Drug: Forsteo

  • No intervention
    Usual care

    No intervention, patients will be treated as per local practice but will be followed up identically to the intervention group.

Interventions

  • 20 micrograms/80 microlitres solution for injection in pre-filled pen

    Also known as: Teriparatide hormone

06

What researchers measure

Primary outcomes

  1. Assessment of healing parameters of the fracture

    Assessment of healing parameters of the fracture as identified on the CT scan at Trial Visits

    Time frame: Week 1 - Week 13

Secondary outcomes

  1. Identify the participant's pain during the treatment period

    Pain scores on weight bearing, as assessed by 10-point visual analogue pain score scale

    Time frame: Week 1 - Week 13

  2. Functional assessment of the ankle using Olerud and Molander questionnaire

    measure ankle function at the end of brace/cast treatment

    Time frame: Week 7 - Week 13

07

Study locations

1 of 1 sites recruiting
  • Nottingham University Hospitals NHS Trust
    Nottingham, NG7 2UH, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — No plan to share IPD

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2016, a primary completion of Oct 2017 and a completion of Oct 2017. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2016
First posted
Nov 4, 2016
Start
Oct 2016
Primary completionEst.
Oct 2017
CompletionEst.
Oct 2017
Last update
Nov 4, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02955056
Responsible party
Sponsor
First posted
Nov 4, 2016
Start date
Oct 2016
Primary completion
Oct 2017 (estimated)
Completion
Oct 2017 (estimated)
Last update
Nov 4, 2016

Study contacts

Adel Alshaikh
Contact
msxla@nottingham.ac.uk
Maria Koufali
Contact
researchsponsor@nuh.nhs.uk
Angus Wallace
study chair · Nottingham University Hospitals NHS Trust

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Teriparatide

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