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RecruitingNCT07876882Updated Oct 15, 2026

REMS vs DXA for Osteoporosis Diagnosis and Fracture Risk Prediction

An observational study in Osteoporosis Diagnosis, Bone Health and Fracture, sponsored by BoneVue Diagnostics. Recruiting at 2 sites in United States. Open to participants aged 30 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by BoneVue Diagnostics · Observational

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Updated Oct 15, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
30 Years to 90 Years
Sex
All
01

Study summary

This prospective, observational, comparative diagnostic study will evaluate the performance of Radiofrequency Echographic Multi Spectrometry (REMS) for the diagnosis of osteoporosis and prediction of fragility fracture risk in a U.S. population, using dual-energy X-ray absorptiometry (DXA) as the reference standard. Approximately 250 male and female participants aged 30-90 years who are undergoing evaluation for bone health will be enrolled at Rheumatology Associates of Delmarva. Participants will have clinically obtained DXA results and undergo REMS assessment of the lumbar spine and proximal femur. Diagnostic performance, including sensitivity, specificity, predictive values, and concordance between REMS and DXA, will be evaluated. Participants will also be followed by telephone at 6 and 12 months to identify incident non-traumatic fragility fractures and assess the ability of REMS and DXA to predict fracture risk.

02

Conditions studied

  • Osteoporosis Diagnosis
  • Bone Health
  • Fracture

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Keywords

  • REMS
  • Osteoporosis diagnosis
  • DXA
  • Bone health
  • Fracture
03

In context

Fractures, Bone

2,272 studies on the registry are indexed under Fractures, Bone; 321 are open to participants now.

This study's planned enrollment of 250 is above the median of 100 across 677 observational studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

This is the only study on the registry with BoneVue Diagnostics as lead sponsor.

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

04

Who can participate

Ages eligible
30 Years to 90 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population will consist of male and female U.S. subjects aged 30 to 90 years who are at risk for osteoporosis and present to Rheumatology Associates of Delmarva for evaluation of bone health or osteoporosis risk. Eligible participants must have undergone a clinically ordered DXA scan of the lumbar spine and proximal femur within the 7 days preceding the REMS examination, be able to provide written informed consent, and be able to comply with study procedures, including telephone follow-up at 6 and 12 months. The study plans to enroll approximately 250 participants with evaluable paired REMS and DXA data.

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

  • Age 30-90 years at time of enrollment
  • Presenting for evaluation of bone health or osteoporosis risk assessment
  • Has undergone a clinically ordered DXA scan (lumbar spine, proximal femur) as part of routine medical care through the subject's healthcare provider within the seven days immediately preceding the REMS examination
  • Willing and able to provide written informed consent
  • Able to comply with study procedures, including telephone follow-up interviews at 6- and 12-months post-enrollment

Exclusion criteria

Exclusion Criteria:

  • Inability to provide written informed consent
  • Inability to complete an adequate REMS examination
  • Declared pregnancy as collected per standard of care prior to DXA
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
250 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Diagnostic concordance between REMS and DXA

    Agreement between REMS and DXA in classifying participants as normal, osteopenic, or osteoporotic. Concordance will be evaluated using contingency tables and Cohen's kappa coefficient.

    Time frame: Baseline

  2. Diagnostic sensitivity and specificity of REMS for osteoporosis compared with DXA

    Sensitivity and specificity of Radiofrequency Echographic Multi Spectrometry (REMS) for identifying subjects with osteoporosis, using dual-energy X-ray absorptiometry (DXA) as the reference standard. Results will be reported with 95% confidence intervals.

    Time frame: Baseline

Secondary outcomes

  1. Positive predictive value of REMS and DXA for fragility fractures

    Positive predictive value (PPV) of REMS and DXA for the presence of prevalent or incident non-traumatic fragility fractures.

    Time frame: Baseline through 12 months

  2. Negative predictive value of REMS and DXA for fragility fractures

    Negative predictive value (NPV) of REMS and DXA with respect to the occurrence of prevalent or incident fragility fractures during follow-up.

    Time frame: Baseline through 12 months

  3. Area under the ROC curve for REMS and DXA as predictors of fragility fractures

    Discriminative performance of REMS and DXA for predicting fragility fractures, assessed using the area under the receiver operating characteristic curve (AUC-ROC) with 95% confidence intervals.

    Time frame: Baseline through 12 months

  4. Likelihood ratios for REMS versus DXA

    Positive and negative likelihood ratios for REMS compared with DXA in the diagnostic assessment of osteoporosis. BoneVue\_CIP\_v1.0\_Final

    Time frame: Baseline

07

Study locations

2 of 2 sites recruiting
  • Rheumatology Associates of Delmarva
    Easton, Maryland 21601, United States
    Recruiting
  • Rheumatology Associates of Delmarva
    Salisbury, Maryland 21804, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Jun 2026 (actual). Primary completion is estimated for Dec 2027, 18 months after the start.

Of 207 non-industry observational studies under Fractures, Bone, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 56. This study's planned 18 months is below that.

Counting every sponsor, half of 231 studies reached it within 31 months; a quarter within 15 and three quarters within 62.

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

Registered
Oct 9, 2026
First posted
Oct 15, 2026
StartActual
Jun 24, 2026
Primary completionEst.
Dec 24, 2027
CompletionEst.
Dec 24, 2027
Last update
Oct 15, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    First appeared on the registry

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
NCT07876882
Lead sponsor
BoneVue Diagnostics
Responsible party
Sponsor
First posted
Oct 15, 2026
Start date
Jun 24, 2026
Primary completion
Dec 24, 2027 (estimated)
Completion
Dec 24, 2027 (estimated)
Last update
Oct 15, 2026

Oversight

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

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