ClinicalTrials.gg
CompletedNCT03411902WERISEUpdated Feb 9, 2021Results posted

Weight Loss With Risedronate for Bone Health

A Phase 4 interventional study of Risedronate Sodium 150 MG and Placebo in Bariatric Surgery Candidate, Bone Loss and Weight Loss, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 40 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-09.

Sponsored by Wake Forest University Health Sciences · Phase 4, Interventional, and Supportive care

Phase
Phase 4
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
40 Years to 79 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 17 studies testing Risedronic Acid in Bone Diseases, Metabolic — 1 open to participants now, 1 under way, 1 of them phase 3. Risedronic Acid · Bone Diseases, Metabolic.

Enrollment
13th of 16
24 · median 78
Started
2018
the only one that year
Phase 4
7 of 17
none open now
Registered
15th of 17
by date
Lead sponsor
2 of 17
Wake Forest University Health Sciences

Among the 17 studies testing Risedronic Acid in Bone Diseases, Metabolic, this one is the 13th largest by enrollment of the 16 interventional ones that give a count, is the only one that started in 2018, is one of 7 in phase 4, and was the 15th registered.

Bone Diseases, Metabolic

661 studies on the registry are indexed under Bone Diseases, Metabolic; 93 are open to participants now.

Browse Bone Diseases, Metabolic studies →

Open to participants now

1 of the 17 studies testing Risedronic Acid in Bone Diseases, Metabolic is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About Risedronic Acid

Risedronic Acid: first FDA approval 1998 (ACTONEL). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 63 Bone Diseases, Metabolic studies recruiting now, 27 (43%) set no upper age limit and 28 (44%) stop at 75 or younger; 12 take children under 18; 22 take healthy volunteers.

This study: 40 Years to 79 Years · all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies testing Risedronic Acid in Bone Diseases, Metabolic, or all of them as a file.
02

Study summary

This is a pilot project to determine the feasibility of recruiting, enrolling, treating, and following 24 older sleeve gastrectomy patients into a randomized controlled trial (RCT) examining the efficacy of bisphosphonate use versus placebo in the prevention of surgical weight loss associated loss of bone mass and quality.

Read the detailed description

This pilot study is a RCT, involving 24 participants randomized to Risedronate or placebo capsules for 24 weeks. All subjects planning a sleeve gastrectomy (SG) procedure will be approached during their pre-surgical evaluation for possible participation in the study. Eligible participants will be referred onto the study coordinator to read/sign an IRB-approved informed consent prior to enrollment.

Two in-person baseline assessment visits [baseline visit 1 (BV1), baseline visit 2 (BV2)] occurring 1-6 weeks prior to surgery, and two in-person follow up assessment visits [follow up visit 1 (FV1) and follow up visit 2 (FV2)] occurring ±2 weeks from their 23-week post-surgery date will be conducted, as well as monthly medication compliance reminders and adverse event reporting via phone. Optional additional exploratory assessments include CT-derive bone health and blood-based biomarkers, as well as 12-month DXA, CT, and blood assessments. The Wake Forest WMC, under the direction of Drs. Ard and Fernandez, will serve as a source of recruitment for potential study participants.

03

Conditions studied

  • Bariatric Surgery Candidate
  • Bone Loss
  • Weight Loss

Keywords

  • Bone Health
04

Who can participate

Ages eligible
40 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Subjects planning a sleeve gastrectomy procedure
  • 40-79 yrs of age
  • Willingness to provide
  • Agreement to all study procedures and assessments

Exclusion criteria

Exclusion Criteria

  • Age \<40 years
  • Baseline weight >450 pounds
  • Chronic anti-reflux treatment
  • History of medical disorders known to affect bone metabolism
  • Use of bone-active medications
  • Known allergy to Risedronate
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
24 participants (actual)

Study arms

  • Active comparator
    Risedronate

    Experimental: Risedronate sodium,150 mg capsule once every 4 weeks for 24 weeks.

    Drug: Risedronate Sodium 150 MG

  • Placebo comparator
    Placebo

    Active comparator: Identical 150 mg placebo capsules once every 4 weeks for 24 weeks.

    Other: Placebo

Interventions

  • Subjects randomized to the Risedronate group will take a 150 mg capsule of oral Risedronate once every 4 weeks for 24 weeks (6 doses), beginning 1 week prior to surgery and dispensed in blinded capsules from the WFSM research pharmacy.

    Also known as: Code A

  • OtherPlacebo

    Participants randomized to the placebo group will receive 150 mg placebo capsule once every 4 weeks for 24 weeks (6 doses), beginning 1 week prior to surgery and dispensed in blinded capsules from the WFSM research pharmacy.

    Also known as: Code B

06

What researchers measure

Primary outcomes

  1. Number of Enrolled Participants That Completed All 24 Week Procedures

    Time frame: 24 weeks

Secondary outcomes

  1. Fat Pounds

    Duel-energy x-ray absorptiometry (DXA)-Acquired Measure--Fat pounds portion of Total body composition

    Time frame: 24 weeks

  2. Lean Pounds

    Duel-energy x-ray absorptiometry (DXA)-Acquired Measure--Lean pounds portion of Total body composition

    Time frame: 24 weeks

  3. Total Change in Femoral Neck Hip Density

    Duel-energy x-ray absorptiometry (DXA)-Acquired Measure for Total Hip Density measured in g/cm\^2

    Time frame: Baseline and 24 weeks

  4. Total Change in Lumbar Spine Density

    Duel-energy x-ray absorptiometry (DXA)-Acquired Measure for Lumbar Spine Density measured in g/cm\^2

    Time frame: Baseline and 24 weeks

  5. Duel-energy X-ray Absorptiometry (DXA)-Acquired Measure for Ultradistal Radius (or UD Radius) Density

    Total change in ultradistal radius density measure in g/cm\^2

    Time frame: 24 weeks

  6. Trabecular Bone Score (TBS)

    TBS of the lumbar spine measured by two dimensional (2D) variogram acquired through duel-energy x-ray absorptiometry (DXA). Trabecular bone score is a unitless index of bone microarchitecture. A high TBS value means that bone microarchitecture is dense and well connected, with little space between trabeculae. The following normal range for TBS values in postmenopausal women has been proposed: TBS \>=1.350 is considered to be normal; TBS between 1.200 and 1.350 is considered to be consistent with partially degraded microarchitecture; and TBS \<=1.200 defines degraded microarchitecture

    Time frame: 24 weeks

07

Results

Posted Jan 22, 2021

Participant flow

Participant flow — Overall Study
MilestoneRisedronatePlacebo
Started1113
Completed813
Not completed30
Withdrew: Lost to follow-up30

Outcome measures

PrimaryNumber of Enrolled Participants That Completed All 24 Week Procedures
Time frame:
24 weeks
Reported as:
Count of participants · Participants
Number of Enrolled Participants That Completed All 24 Week Procedures
ParticipantsRisedronatePlacebo
Number of Enrolled Participants That Completed All 24 Week Procedures813
SecondaryFat Pounds

Duel-energy x-ray absorptiometry (DXA)-Acquired Measure--Fat pounds portion of Total body composition

Time frame:
24 weeks
Reported as:
Mean · pounds
Fat Pounds
poundsRisedronatePlacebo
Fat Pounds45.6 (41.8 to 49.4)40.6 (37.9 to 43.4)
Statistical analysis
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.048
SecondaryLean Pounds

Duel-energy x-ray absorptiometry (DXA)-Acquired Measure--Lean pounds portion of Total body composition

Time frame:
24 weeks
Reported as:
Mean · pounds
Lean Pounds
poundsRisedronatePlacebo
Lean Pounds50.4 (49.1 to 51.8)50.7 (49.7 to 51.7)
Statistical analysis
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.745
SecondaryTotal Change in Femoral Neck Hip Density

Duel-energy x-ray absorptiometry (DXA)-Acquired Measure for Total Hip Density measured in g/cm\^2

Time frame:
Baseline and 24 weeks
Reported as:
Mean · g/cm^2
Total Change in Femoral Neck Hip Density
g/cm^2RisedronatePlacebo
Total Change in Femoral Neck Hip Density-0.028 (-0.049 to -0.006)-0.047 (-0.063 to -0.030)
Statistical analysis
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.163
SecondaryTotal Change in Lumbar Spine Density

Duel-energy x-ray absorptiometry (DXA)-Acquired Measure for Lumbar Spine Density measured in g/cm\^2

Time frame:
Baseline and 24 weeks
Reported as:
Mean · g/cm^2
Total Change in Lumbar Spine Density
g/cm^2RisedronatePlacebo
Total Change in Lumbar Spine Density0.028 (-0.006 to 0.063)-0.029 (-0.054 to -0.004)
Statistical analysis
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.013
SecondaryDuel-energy X-ray Absorptiometry (DXA)-Acquired Measure for Ultradistal Radius (or UD Radius) Density

Total change in ultradistal radius density measure in g/cm\^2

Time frame:
24 weeks
Reported as:
Mean · g/cm^2
Duel-energy X-ray Absorptiometry (DXA)-Acquired Measure for Ultradistal Radius (or UD Radius) Density
g/cm^2RisedronatePlacebo
Radius 33 BMD (g/cm^2)-0.002 (-0.027 to 0.023)-0.016 (-0.036 to 0.004)
Radius UD BMD (g/cm^2)0.000 (-0.017 to 0.017)-0.013 (-0.026 to 0.001)
Statistical analysis
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.337
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.238
SecondaryTrabecular Bone Score (TBS)

TBS of the lumbar spine measured by two dimensional (2D) variogram acquired through duel-energy x-ray absorptiometry (DXA). Trabecular bone score is a unitless index of bone microarchitecture. A high TBS value means that bone microarchitecture is dense and well connected, with little space between trabeculae. The following normal range for TBS values in postmenopausal women has been proposed: TBS \>=1.350 is considered to be normal; TBS between 1.200 and 1.350 is considered to be consistent with partially degraded microarchitecture; and TBS \<=1.200 defines degraded microarchitecture

Time frame:
24 weeks
Reported as:
Mean · score on a scale
Trabecular Bone Score (TBS)
score on a scaleRisedronatePlacebo
Trabecular Bone Score (TBS)1.478 (1.413 to 1.543)1.485 (1.436 to 1.533)
Statistical analysis
  • Risedronate vs Placebo · Mixed Models Analysis · p = 0.860

Adverse events

Collected over baseline through 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Risedronate0/11 (0%)1/11 (9.1%)4/11 (36.4%)
Placebo0/13 (0%)0/13 (0%)3/13 (23.1%)
Most frequent serious events
Most frequent serious events
EventRisedronatePlacebo
thyroid cancerEndocrine disorders1/110/13
melanomaSkin and subcutaneous tissue disorders1/110/13
Most frequent other events
Most frequent other events
EventRisedronatePlacebo
psoriasisSkin and subcutaneous tissue disorders1/110/13
nauseaGastrointestinal disorders1/111/13
broken ankleMusculoskeletal and connective tissue disorders1/110/13
Broken humerusMusculoskeletal and connective tissue disorders1/110/13
headacheNervous system disorders0/111/13
gastroesophageal reflux disease exacerbationGastrointestinal disorders0/111/13

Baseline characteristics

Age, Continuous
Age, Continuous(years)RisedronatePlaceboTotal
Mean53.8 ± 7.757.3 ± 5.755.7 ± 6.7
Sex: Female, Male
Sex: Female, Male(Participants)RisedronatePlaceboTotal
Female91120
Male224
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)RisedronatePlaceboTotal
Black325
White81119
Region of Enrollment
Region of Enrollment(participants)RisedronatePlaceboTotal
United States111324
08

Study locations

1 site
  • Wake Forest University
    Winston-Salem, North Carolina 27106, United States
09

References and documents

Publications

  • Swafford AA, Ard JD, Beavers DP, Gearren PC, Fernandez AZ, Ford SA, Greene KA, Kammire DE, Nesbit BA, Reed KK, Weaver AA, Beavers KM. Risedronate to Prevent Bone Loss After Sleeve Gastrectomy: Study Design and Feasibility Report of a Pilot Randomized Controlled Trial. JBMR Plus. 2020 Oct 2;4(10):e10407. doi: 10.1002/jbm4.10407. eCollection 2020 Oct. PubMed 33103032 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2018 to primary completion in Jul 2020, 25 months.

Results were first posted in Jan 2021, 6 months after primary completion.

Of 30 phase 4 interventional studies under Bone Diseases, Metabolic, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 64. This study's 25 months is below that.

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

Registered
Jan 11, 2018
First posted
Jan 26, 2018
StartActual
Jun 15, 2018
Primary completionActual
Jul 22, 2020
CompletionActual
Jul 22, 2020
Results first posted
Jan 22, 2021
Last update
Feb 9, 2021
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 Feb 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03411902
Responsible party
Sponsor
First posted
Jan 26, 2018
Start date
Jun 15, 2018
Primary completion
Jul 22, 2020
Completion
Jul 22, 2020
Results posted
Jan 22, 2021
Last update
Feb 9, 2021

Study contacts

Kristen M Beavers, PhD
principal investigator · Wake Forest University

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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