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Status unknownNCT04652128Updated Dec 3, 2020

Effect of Zoledronic Acid on Prevention of Bone Loss in Acute Phase First-ever Stroke Patients

An interventional study of Zoledronic acid and Placebo in Stroke, sponsored by Yonsei University. Status unknown at 1 site in Korea, Republic of. Open to participants aged 65 Years to 110 Years. Per ClinicalTrials.gov, last updated 2020-12-03.

Sponsored by Yonsei University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2020), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Jul 2019, registered Nov 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
65 Years to 110 Years
Sex
All
01

Study summary

In order to reduce the incidence of fractures due to osteopenia, osteoporosis, and bone mineral density in first stroke patients, the purpose of this study was to determine whether it is meaningful to administer zoledronic acid prophylactically, and to define the characteristics of the patient group that can benefit.

Subjects suitable for the selection criteria are divided into an experimental group (zoledronic acid group) and a control group (physiological saline group) in random permuted blocks. Random assignment means that a coin is thrown and assigned to the experimental group or the control group with the probability of a head or tail, and is assigned using a random number table.

The comparison-control group was designed to analyze and compare whether there is a significant effect of preventing the decrease in bone density in the group administered zoledronic acid through the double-blind experimental group and the control group.

The reason why physiological saline was selected as a reference drug was to double-blind with zoledronic acid, because it does not affect the subject's bone density and has a very low possibility of side effects, and its transparent properties are similar to that of zoledronic acid.

Subjects undergo a bone density (BMD-Spine and femur, Whole Body Composition Assessment) test using DEXA (dual energy x-ray absorptiometry) through outpatient or hospitalization at the Department of Rehabilitation within one month after the onset of stroke.

Subsequently, the subject will receive a single infusion of zoledronic acid 5mg/100mL or physiological saline 100mL intravenously at the outpatient or inpatient ward depending on the group. Subsequently, the subject will receive a single infusion of zoledronic acid 5mg/100mL or physiological saline 100mL intravenously at the outpatient or inpatient ward depending on the group.

Each subject or guardian fills in the questionnaire form at the time of the first injection, 6 months and 12 months after the injection, and immediately sees the fractures, side effects, and changes in drugs taken from the last survey to the present.

At the first injection, 6 months and 12 months after the injection, the above examination (bone density) is performed through an outpatient department of rehabilitation medicine, and by type known to be related to zoledronic acid administration such as fractures during the period (primary fragile fracture, non-spine fragile fracture, Symptom fracture, spine fracture, etc.)

02

Conditions studied

  • Stroke

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03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's planned enrollment of 56 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Yonsei University is the lead sponsor of 1,387 studies on the registry; 232 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years to 110 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Hemiplegia due to first-ever ischemic and/or hemorrhagic stroke
  2. Stroke confirmed by CT or MRI
  3. Acute/Subacute stage: less than 1months after onset
  4. Men or women 65 years of age or older
  5. T-score between -1.0 and -2.5 (osteopenia patients)
  6. Previously walk independent
  7. Initial stroke severity is mild to moderately severe to very severe with an initial NIHSS score of 5 or more after the onset
  8. Unable to walk 1 week after stroke onset, (Functional Ambulatory Category [FAC]\<2)
  9. Severe motor function involvement (Total of FMA: \< 50)
  10. Written informed consent

Exclusion criteria

Exclusion Criteria:

  1. Progressive or unstable stroke
  2. Pre-existing and active major neurological disease
  3. Previously diagnosed as osteoporosis
  4. Lactating Mother or pregnant woman
  5. Hypocalcemia(\<8.8mg/dL or 2.1mmol/L), hypomagnesemia( \<1.7 mg/dL or 0.7mmol/L) or Hypophosphatemia (\<2.5 mg/dL or 0.81mmol/L)
  6. History of Thyroid Surgery, Hypoparathyroidism or Small Intestine Excision
  7. Fracture history of BMD site (L1-L5 or femur head)
  8. Creatinine clearance rate \<35 mL/min, Severe Renal Disease or under current treatment with an aminoglycoside antibiotic
  9. Dehydration
  10. Malabsorption States
  11. History of Bronchial Asthma
  12. Recent Invasive Dental Procedure
  13. History of Aseptic Necrosis of Jaw Bone
  14. A history of significant alcohol or drug abuse in the prior 3 years
  15. Advanced liver, cardiac, or pulmonary disease
  16. A terminal medical diagnosis consistent with survival \< 1 year
  17. Any Condition that would represent a contraindication to zoledronate, including allergy to zoledronate
  18. Previous bisphosphonate administration history, including zoledronate
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
56 participants (estimated)

Study arms

  • Experimental
    zoledronate

    Subject will receive a single infusion of zoledronic acid 5mg/100mL intravenously.

    Drug: Zoledronic acid

  • Placebo comparator
    saline

    Subject will receive a single infusion of physiological saline 100mL intravenously.

    Drug: Placebo

Interventions

  • DrugZoledronic acid

    Subject will receive a single infusion of zoledronic acid 5mg/100mL intravenously.

  • DrugPlacebo

    Subject will receive a single infusion of physiological saline 100mL intravenously.

06

What researchers measure

Primary outcomes

  1. Bone mineral density

    BMD (Spine and femur, Whole body composition assessment) test using DEXA (dual energy x-ray absorptiometry) is performed.

    Time frame: up to 1 month

  2. Bone mineral density

    BMD (Spine and femur, Whole body composition assessment) test using DEXA (dual energy x-ray absorptiometry) is performed.

    Time frame: 6 months

  3. Bone mineral density

    BMD (Spine and femur, Whole body composition assessment) test using DEXA (dual energy x-ray absorptiometry) is performed.

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
  • Yonsei Severance Hospital
    Seoul, Korea, Republic of
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 3, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04652128
Lead sponsor
Yonsei University
Responsible party
Sponsor
First posted
Dec 3, 2020
Start date
Jul 15, 2019
Primary completion
Jul 2022 (estimated)
Completion
Feb 2023 (estimated)
Last update
Dec 3, 2020

Study contacts

Deog Young Kim
Contact
KIMDY@yuhs.ac
+82-02-2228-3700
Deog Young Kim
principal investigator · Severance Hospital

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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