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Active, not recruitingNCT06421597RIGIDUpdated Apr 6, 2026

Identifying Individuals at Risk of Glucocorticoid-Induced Impairment of Bone Disease

A Phase 2 interventional study of Prednisolone and Placebo in Osteoporosis Secondary, sponsored by Odense University Hospital. Active, not recruiting at 2 sites in Denmark. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-06.

Sponsored by Odense University Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Previous studies have shown that there is a large inter-individual variability in the degree of bone loss during glucocorticoid treatment, and while some patients experience extensive bone loss other patients\' bone mass remains stable. The aim of the study is to find a biomarker that can be used to identify individuals at risk of glucocorticoid-induced bone loss. The study will include 36 healthy volunteers, that will be randomized to receive either glucocorticoid treatment or placebo. During the study blood samples, bone marrow samples, bone tissue samples, and adipose tissue samples are taken and an oral glucose tolerance test is performed.

02

Conditions studied

  • Osteoporosis Secondary
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In context

Lead sponsor

Odense University Hospital is the lead sponsor of 468 studies on the registry; 109 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Men and women aged 18-50 years.

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled thyrotoxicosis
  • Chronic kidney disease (eGFR \<30)
  • Known Cushing's syndrome
  • Previous gastric bypass and/or known ongoing malabsorption
  • Severe covid-19 in the last 3 month (defined as needing dexamethasone treatment)
  • Use of oral or inhaled glucocorticoids within the past year
  • Menopause (defined as 1 year without menstrual bleeding)
  • Pregnancy (defined as elevated HCG)
  • Ongoing infection
  • Allergy to prednisolone or one of the excipients
  • Systematic fungal infections
  • Vaccination with living or weaken viral or bacterial vaccines in patient who or immunocompromised. In these cases, prednisolone treatment should not be administered two weeks before and after vaccination
  • Not able to provide informed consent (e.g., dementia, not able to understand Danish).
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Prednisolone group

    Drug: Prednisolone

  • Placebo comparator
    Placebo group

    Drug: Placebo

Interventions

  • DrugPrednisolone

    prednisoline 25 mg/day for seven days

  • DrugPlacebo

    Placebo treatment for seven days

06

What researchers measure

Primary outcomes

  1. Procollagen type 1 N-terminal propeptide (P1NP)

    Changes in the level of the bone turnover marker P1NP in peripheral blood from baseline to day 8

    Time frame: Baseline to day 8

Secondary outcomes

  1. Collagen 1 cross link C-terminal telopeptide (CTX)

    Changes in the level of the bone turnover marker CTX in peripheral blood from baseline to day 8 and 15

    Time frame: Baseline to day 8 and 15

  2. P1NP (baseline to day 15)

    Changes in the level of the bone turnover marker P1NP in peripheral blood from baseline to day 15

    Time frame: Baseline to day 15

  3. Concentration of Glucocorticoid metabolites

    Changes in the levels of glucocorticoid metabolites in blood from baseline to day 8

    Time frame: Baseline to day 8

  4. Adipose tissue

    Changes in gene expression in abdominal and gluteal subcutaneous adipose tissue from baseline to day 8

    Time frame: Baseline to day 8

  5. Bone tissue

    Changes in gene expression in bone tissue from baseline to day 8

    Time frame: Baseline to day 8

  6. Glucose

    Changes in glucose levels during a mixed meal test from baseline to day 8

    Time frame: Baseline to day 8

  7. C-peptid

    Changes in c-peptid levels during a mixed meal test from baseline to day 8

    Time frame: Baseline to day 8

Other outcomes

  1. Biomarker

    Untargeted proteomics will be used to try to identify a biomarker for individuals at risk of glucocorticoid induced bone loss

    Time frame: Baseline

07

Study locations

2 sites
  • Hospital of South West Jutland
    Esbjerg, 6700, Denmark
  • Odense University Hospital
    Odense C, 5000, Denmark
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References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers other than collaborators. Since the data contains personal information from the study participants

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 Apr 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06421597
Lead sponsor
Odense University Hospital
Collaborators
Esbjerg Hospital - University Hospital of Southern Denmark, University of Ulm, University of Birmingham
Responsible party
Sponsor
First posted
May 20, 2024
Start date
Nov 4, 2024
Primary completion
Mar 30, 2026
Completion
Apr 2026 (estimated)
Last update
Apr 6, 2026

Study contacts

Anja Lisbeth Frederiksen, MD
principal investigator · Odense University Hospital
Claus Bogh Juhl, MD
principal investigator · Esbjerg Hospital - University Hospital of Southern Denmark

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 active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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