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RecruitingNCT05571514NUTRANACREUpdated Oct 2, 2026

Study of the Impact of Mother-of-pearl Nutritional Supplementation on the Prevention of Post-menopausal Osteoporosis

An interventional study of Mother-of-pearl and Calcium Carbonate in Post Menopausal Osteoporosis, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Recruiting at 7 sites in France. Open to female participants aged 50 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started May 2023; still recruiting 3 years 4 months later.
Updated Oct 2, 20261 site added1 site removedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
50 Years to 65 Years
Sex
Female
01

Study summary

Post-menopausal osteoporosis and the resulting fractures are an important cause of disability and loss of independence. They also increase the risk of morbidity and mortality.

Given potential side effects, hormone replacement therapy is no longer recommended for menopausal women with risk of becoming osteoporotic. The very significant decrease in the use of these treatments is suspected of contributing to a resurgence in the incidence of osteoporotic fractures, particularly in women before the age of 70. There is a need for prevention of osteoporosis.

Read the detailed description

Mother-of-pearl is a candidate for long-term use due to the combination of its effects: calcium supplementation, anti-resorptive activity and osteoanabolic activity.

Our hypothesis is that powdered mother-of-pearl supplementation limits bone loss in postmenopausal women with risk of becoming osteoporotic.

02

Conditions studied

  • Post Menopausal Osteoporosis

Keywords

  • Mother-of-pearl
  • Osteoporosis
  • Ageing
  • Nutrition Health
  • Prevention
03

In context

Osteoporosis, Postmenopausal

325 studies on the registry are indexed under Osteoporosis, Postmenopausal; 28 are open to participants now.

This study's planned enrollment of 200 is above the median of 110 across 255 interventional studies indexed under Osteoporosis, Postmenopausal.

Browse Osteoporosis, Postmenopausal studies →

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne is the lead sponsor of 578 studies on the registry; 128 are open to participants now.

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

04

Who can participate

Ages eligible
50 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Post-menopausal women (50-65y) with risk of becoming osteoporotic
  • T-score between -1 and -3
  • Absence of fragility fractures history

Exclusion criteria

Exclusion Criteria:

  • absence of parathyroid glands (phospho-calcic regulation)
  • presence of kidney stones
  • patients who follow a treatment that could interfere with bone metabolism (corticotherapy, menopausal hormonal therapy, anti-oestrogen treatment, non-controlled hyperthyroiditis, hyper- and hypothyroiditis)
  • bone diseases (Paget'disease, osteomalacia)
  • chronic alcoholism
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Mother-of-pearl

    Patient randomized in the "Mother-of-pearl" group : Mother of pearl supplementation: 2 capsules of 400mg = 800mg mother of pearl/day, equivalent to 320mg Ca/day \- Vitamin D: 50,000 IU/month (standard practice)

    Dietary Supplement: Mother-of-pearl

  • Active comparator
    Calcium carbonate

    Patient randomized in the "Calcium carbonate" control group : Calcium carbonate supplementation: 2 capsules of 400mg= 800mg CaCO3/day, equivalent to 320mg Ca/day \- Vitamin D: 50,000 IU/month (standard practice)

    Dietary Supplement: Calcium Carbonate

Interventions

  • Dietary supplementMother-of-pearl

    The mother-of-pearl, derived from the inner shell of marine molluscs, is composed of calcium carbonate and organic compounds, some of which peptides are active on the bone. The mineralization inducing activity of the molecules extracted from the mother-of-pearl has been shown in vitro. Mother-of-pearl extract also contains molecules that inhibit the resorption activity of osteoclasts. Mother-of-pearl compounds can thus slow bone remodelling as showed in an ovariectomy-induced osteoporosis model in rat, where mother-of-pearl supplementation showed a better effect on limitation of bone loss than calcium carbonate supplementation.

  • Dietary supplementCalcium Carbonate

    Calcium carbonate is a source of calcium.

06

What researchers measure

Primary outcomes

  1. Change in bone loss at lumbar site

    Demonstrate that oral mother-of-pearl powder supplementation, for 1 year, reduces bone loss at lumbar site in postmenopausal women with risk of becoming osteoporotic, in a better way than oral supplementation with pure CaCO3. Measurement of the change in BMD will be performed by DXA (dual X-ray absorptiometry bone densitometry)

    Time frame: Baseline from 12 months

Secondary outcomes

  1. Tolerance to oral mother-of-pearl powder supplementation

    Tolerance will be assessed by collecting digestive disorders

    Time frame: Baseline from 12 months

  2. Change in bone loss at the upper end of the femur

    Evaluate the impact of oral mother-of-pearl powder supplementation, compared to oral supplementation with pure CaCO3, for 1 year, in postmenopausal women on the bone loss at the upper end of the femur Measurement of the change in BMD will be performed by DXA (dual X-ray absorptiometry bone densitometry)

    Time frame: Baseline from 12 months

  3. Change in bone remodeling of the femur

    Evaluate the impact of oral mother-of-pearl powder supplementation, compared to oral supplementation with pure CaCO3, for 1 year, in postmenopausal women on the bone remodeling Measurement of the change in BMD will be performed by measurement CTX (serum Collagen-telopeptide)

    Time frame: Baseline from 12 months

07

Study locations

1 of 7 sites recruiting
  • Hôpital Gabriel Montpied
    Clermont-Ferrand, France
    • Sandrine MALOCHET GUINAMAND, MD · Principal investigator
    Not yet recruiting
  • Clinique Universitaire de Rhumatologie
    Grenoble, France
    • Philippe GAUDIN, PhD · Principal investigator
    Not yet recruiting
  • CH Emile Roux
    Le Puy-en-Velay, France
    • Benjamin CASTAGNE, MD · Principal investigator
    • Adamah AMOUZOUGAN, MD · Sub investigator
    Not yet recruiting
  • Hôpital Edouard Herriot
    Lyon, France
    • Roland CHAPURLAT, PhD · Principal investigator
    • Mathilde PRORIOL, MD · Sub investigator
    Not yet recruiting
  • APHP - Hôpital Cochin
    Paris, 75014, France
    • Karine BRIOT, PhD · Principal investigator
    Not yet recruiting
  • CH Roanne
    Roanne, France
    • Mervyn MUNGROO, MD · Principal investigator
    Not yet recruiting
  • CHU Saint-Etienne
    Saint-Etienne, France
    • Adamah AMOUZOUGAN, MD · Principal investigator
    • Thierry THOMAS, MD PhD · Sub investigator
    • Hubert MAROTTE, MD PhD · Sub investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added, 1 site removed
Show site
  • CHU Saint-Etienne · Saint-Etienne, France
Show 1 removed
  • CHU Saint-Etienne · Saint-Étienne, France
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    1 site added, 1 site removed
    Show site
    • CHU Saint-Etienne · Saint-Etienne, France
    Show 1 removed
    • CHU Saint-Etienne · Saint-Étienne, France
    + 5 other changes: verification date, responsible party, arm descriptions, contact details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05571514
Lead sponsor
Centre Hospitalier Universitaire de Saint Etienne
Responsible party
Sponsor
First posted
Oct 7, 2022
Start date
May 12, 2023
Primary completion
Nov 2027 (estimated)
Completion
Nov 2028 (estimated)
Last update
Oct 2, 2026

Study contacts

Adamah AMOUZOUGAN, MD
Contact
amadah.amouzougan@chu-st-etienne.fr
(0)477120595 ext. +33
Florence RANCON, CRA
Contact
florence.rancon@chu-st-etienne.fr
(0)477829458 ext. +33
Adamah AMOUZOUGAN, MD
principal investigator · Centre Hospitalier Universitaire de Saint Etienne

Oversight

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

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