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RecruitingNCT04152551Updated Apr 28, 2026

Effects of Bisphosphonates on OI-Related Hearing Loss

A Phase 4 interventional study of Risedronate Oral Tablet in Osteogenesis Imperfecta, sponsored by Hospital for Special Surgery, New York. Recruiting at 1 site in United States. Open to participants aged 6 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-28.

Sponsored by Hospital for Special Surgery, New York · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Started Nov 2019; still recruiting 7 years later.
Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
6 Years to 100 Years
Sex
All
01

Study summary

Osteogenesis Imperfecta-related hearing loss usually occurs in individuals with mild (type I) OI and is much earlier in onset than age-related hearing loss, with the majority of individuals experiencing some minor hearing loss in their 20s. Bisphosphonates have been successfully used to treat otosclerosis, a common cause of hearing loss similar to OI-related hearing loss. As many individuals with OI-related hearing loss also present with otosclerosis and because of their mechanistic similarities, the investigators propose studying the effects of bisphosphonate treatment on individuals diagnosed with both OI type I and hearing loss, thereby determining its effectiveness as a potential treatment for hearing loss.

The investigators will enroll 50 individuals diagnosed with type I OI and age 18-100. 25 adults will be enrolled into the treatment arm and receive bisphosphonate treatment (must have at least mild hearing loss), while 25 adults will be enrolled into the control arm. The investigators will enroll 25 children (6-17 years of age) diagnosed with OI who are currently receiving bisphosphonate treatment as part of their care for orthopedic symptoms. The investigators will also observe 25 children (6-17 years of age) diagnosed with OI who are NOT currently receiving bisphosphonate treatment. The study duration is 63 months (approximately 5 years). Enrollment is anticipated to begin in November 2019.

02

Conditions studied

  • Osteogenesis Imperfecta

Keywords

  • hearing loss
  • bisphosphonate
  • skeletal dysplasia
  • brittle bone disorder
  • osteogenesis imperfecta
  • OI
03

In context

Osteogenesis Imperfecta

84 studies on the registry are indexed under Osteogenesis Imperfecta; 20 are open to participants now.

This study's planned enrollment of 100 is above the median of 28 across 60 interventional studies indexed under Osteogenesis Imperfecta.

Browse Osteogenesis Imperfecta studies →

Lead sponsor

Hospital for Special Surgery, New York is the lead sponsor of 226 studies on the registry; 40 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 22 (73%) have results posted.

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

04

Who can participate

Ages eligible
6 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria (Adult Treatment Arm):

  • Diagnosis of OI type I
  • Diagnosis of at least mild hearing loss (>20dB pure tone average) by audiogram testing
  • 18+
  • Vitamin D level > 30

Inclusion Criteria (Adult Control Arm):

  • Diagnosis of OI type I

Inclusion Criteria (Child Observational Bisphosphonate Arm)

  • Diagnosis of OI
  • Age 6-17 years
  • Currently receiving bisphosphonate treatment as standard of care

Inclusion Criteria (Child Observational No Treatment Arm)

  • Diagnosis of OI
  • Age 6-17 years
  • NOT receiving bisphosphonate treatment and will not receive bisphosphonate treatment for the duration of the study

Exclusion Criteria (ALL ARMS):

  • Family history of hearing-loss (not related to OI or occupational hearing loss)
  • Pregnancy
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Adult Treatment Arm

    Intervention treatment arm. Adults (18+ years) with type 1 OI. Must have at least mild hearing loss. Will receive Risedronate (35mg, 0-2x/week as clinically indicated) for duration of study. Changes in hearing, quality of life, and bone density will be monitored.

    Drug: Risedronate Oral Tablet

  • No intervention
    Child (Bisphosphonate Arm)

    Observational (no investigational intervention) arm. Children (6-17 years) with any type of OI who are already receiving bisphosphonate treatment as standard of care treatment for orthopedic symptoms. Changes in hearing, quality of life, and bone density will be observed for the duration of the study.

  • No intervention
    Child (Control Arm)

    Observational arm. Children (6-17 years) with any type of OI who are not receiving bisphosphonate treatment. Changes in hearing, quality of life, and bone density will be observed for the duration of the study.

  • No intervention
    Adult Control Arm

    Observational arm. Adults (18+ years) with type 1 OI. Changes in hearing, quality of life, and bone density will be monitored.

Interventions

06

What researchers measure

Primary outcomes

  1. Pure Tone Averages

    Average hearing thresholds at 250, 500, 1000, 2000, 3000, 4000, 8000 Hertz

    Time frame: Baseline, 3, 6, 12, 18, 24, 30, 36, 42, 48, 54, 60 months

Secondary outcomes

  1. Speech Recognition Scores

    Lowest volume participant can hear and understand speech (decibels)

    Time frame: Baseline, 3, 6, 12, 18, 24, 30, 36, 42, 48, 54, 60 months

  2. Word Recognition Scores

    Percent of words participants correctly repeat in word recognition test (%)

    Time frame: Baseline, 3, 6, 12, 18, 24, 30, 36, 42, 48, 54, 60 months

  3. Hearing Handicap Inventory Raw Score

    Score 0-40. Lower score is better. Adults (self-reported)

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  4. Tinnitus Handicap Inventory Score

    Score 0-100. Lower score is better. Adults (self-reported).

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  5. Dizziness Handicap Inventory Score

    Score 0-100. Lower score is better. Adults (self-reported). Incidence and impact of vertigo in study population.

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  6. SF-36 Scale and Summary Scores

    Score 0-100. Higher score is better. Adults (self-reported) quality-of-life survey.

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  7. Pediatric Outcomes Data Collection Instrument (PODCI) Score

    Score 0-100. Lower score is better. Children (ages 6-10 years), parent-reported. Assessment of overall health and functioning.

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  8. Adolescent Outcomes Questionnaire Score

    Score 0-100. Lower score is better. Children (ages 11-17 years), parent- or self-reported. Assessment of overall health and functioning.

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  9. DEXA Z-score

    Higher score is better. Relative Bone Density

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

  10. DEXA Bone Mineral Density

    Higher score is better. Bone Mineral Density (grams/centimeter\^2)

    Time frame: Yearly (Baseline, 12, 24, 36, 48, 60 months)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Van Dijk FS, Sillence DO. Osteogenesis imperfecta: clinical diagnosis, nomenclature and severity assessment. Am J Med Genet A. 2014 Jun;164A(6):1470-81. doi: 10.1002/ajmg.a.36545. Epub 2014 Apr 8. PubMed 24715559 ↗
  • Pillion JP, Vernick D, Shapiro J. Hearing loss in osteogenesis imperfecta: characteristics and treatment considerations. Genet Res Int. 2011;2011:983942. doi: 10.4061/2011/983942. Epub 2011 Dec 14. PubMed 22567374 ↗
  • Sillence D. Osteogenesis imperfecta: an expanding panorama of variants. Clin Orthop Relat Res. 1981 Sep;(159):11-25. PubMed 7285446 ↗
  • Swinnen FK, De Leenheer EM, Coucke PJ, Cremers CW, Dhooge IJ. Audiometric, surgical, and genetic findings in 15 ears of patients with osteogenesis imperfecta. Laryngoscope. 2009 Jun;119(6):1171-9. doi: 10.1002/lary.20155. PubMed 19358256 ↗
  • Berger G, Hawke M, Johnson A, Proops D. Histopathology of the temporal bone in osteogenesis imperfecta congenita: a report of 5 cases. Laryngoscope. 1985 Feb;95(2):193-9. doi: 10.1288/00005537-198502000-00014. PubMed 3918222 ↗
  • Vincent R, Wegner I, Stegeman I, Grolman W. Stapedotomy in osteogenesis imperfecta: a prospective study of 32 consecutive cases. Otol Neurotol. 2014 Dec;35(10):1785-9. doi: 10.1097/MAO.0000000000000372. PubMed 24751750 ↗
  • Plotkin LI, Weinstein RS, Parfitt AM, Roberson PK, Manolagas SC, Bellido T. Prevention of osteocyte and osteoblast apoptosis by bisphosphonates and calcitonin. J Clin Invest. 1999 Nov;104(10):1363-74. doi: 10.1172/JCI6800. PubMed 10562298 ↗
  • Rogers MJ, Frith JC, Luckman SP, Coxon FP, Benford HL, Monkkonen J, Auriola S, Chilton KM, Russell RG. Molecular mechanisms of action of bisphosphonates. Bone. 1999 May;24(5 Suppl):73S-79S. doi: 10.1016/s8756-3282(99)00070-8. No abstract available. PubMed 10321934 ↗
  • Drake MT, Clarke BL, Khosla S. Bisphosphonates: mechanism of action and role in clinical practice. Mayo Clin Proc. 2008 Sep;83(9):1032-45. doi: 10.4065/83.9.1032. PubMed 18775204 ↗
  • Kanzaki S, Ito M, Takada Y, Ogawa K, Matsuo K. Resorption of auditory ossicles and hearing loss in mice lacking osteoprotegerin. Bone. 2006 Aug;39(2):414-9. doi: 10.1016/j.bone.2006.01.155. Epub 2006 Mar 24. PubMed 16564235 ↗
  • Quesnel AM, Seton M, Merchant SN, Halpin C, McKenna MJ. Third-generation bisphosphonates for treatment of sensorineural hearing loss in otosclerosis. Otol Neurotol. 2012 Oct;33(8):1308-14. doi: 10.1097/MAO.0b013e318268d1b3. PubMed 22935809 ↗
  • Kang WS, Nguyen K, McKenna CE, Sewell WF, McKenna MJ, Jung DH. Measurement of Ototoxicity Following Intracochlear Bisphosphonate Delivery. Otol Neurotol. 2016 Jul;37(6):621-6. doi: 10.1097/MAO.0000000000001042. PubMed 27153329 ↗
  • Ting TH, Zacharin MR. Hearing in bisphosphonate-treated children with osteogenesis imperfecta: our experience in thirty six young patients. Clin Otolaryngol. 2012 Jun;37(3):229-33. doi: 10.1111/j.1749-4486.2012.02476.x. No abstract available. PubMed 22708940 ↗
  • Patel RM, Nagamani SC, Cuthbertson D, Campeau PM, Krischer JP, Shapiro JR, Steiner RD, Smith PA, Bober MB, Byers PH, Pepin M, Durigova M, Glorieux FH, Rauch F, Lee BH, Hart T, Sutton VR. A cross-sectional multicenter study of osteogenesis imperfecta in North America - results from the linked clinical research centers. Clin Genet. 2015 Feb;87(2):133-40. doi: 10.1111/cge.12409. Epub 2014 May 30. PubMed 24754836 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04152551
Collaborators
The New York Community Trust, East River Medical Imaging, Northwell Health
Responsible party
Sponsor
First posted
Nov 5, 2019
Start date
Nov 2, 2019
Primary completion
Jan 2027 (estimated)
Completion
Jan 2027 (estimated)
Last update
Apr 28, 2026

Study contacts

Su Htwe
Contact
htwes@hss.edu
(212)774-2355
Erin Carter, MS, CGC
Contact
(212) 774-7332
Cathleen Raggio, MD
principal investigator · Hospital for Special Surgery, New York

Oversight

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

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Studies of the drug tested here: Risedronic Acid

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