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Trial registered on ANZCTR
Registration number
ACTRN12611000876998
Ethics application status
Approved
Date submitted
10/08/2011
Date registered
17/08/2011
Date last updated
18/07/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
To study the efficacy of strontium ranelate on the healing of surgically fixed diaphyseal tibial fractures and compare it to placebo
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Scientific title
Efficacy of Strontium Ranelate versus placebo on time to fracture healing of tibial fractures in adults
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Secondary ID [1]
262815
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Nil
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Universal Trial Number (UTN)
U1111-1123-2867
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fracture healing
270533
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Condition category
Condition code
Injuries and Accidents
270694
270694
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0
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Fractures
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The purpose of this study is to study the efficacy of strontium ranelate in the dose of 2gm daily on the healing of surgically fixed diaphyseal tibial fractures and compare it to placebo. The subjects will receive strontium ranelate for a period of 3months commencing from the 1st day after fracture fixation. Strontium ranelate will be administered in an oral suspension form with yellow granules in a sachet to be mixed in 30ml water.
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Intervention code [1]
269162
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Treatment: Drugs
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Comparator / control treatment
Placebo, packed in identical sachets containing yellow placebo granules to be mixed in 30ml of water and to be administer in an oral suspension form.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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X rays will be done after fixation of fracture and then monthly for signs of fracture healing
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Assessment method [1]
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Timepoint [1]
269406
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immedate post operative and then monthly for total 3months
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Primary outcome [2]
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All patients will be assessed at end of 3 months by independent observers (Orthopedic Surgeon and a radiologist) for fracture healing
Standard criteria, clinical as well as radiological will be used to assess the patients.
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Assessment method [2]
269407
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Timepoint [2]
269407
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End of 3months from date of surgery
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Secondary outcome [1]
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Levels of P1NP will be measured at time of enrollment and at 3 months and correlated with efficacy of fracture healing. This is a serum essay.
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Assessment method [1]
287575
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Timepoint [1]
287575
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at time of enrollment and end of 3months from date of surgery
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Eligibility
Key inclusion criteria
All adult patients between 18 and 60 years of age presenting with closed diaphysial tibial fractures, amenable to fixation with a Dynamic Compression Plate / Locking Compression Plate
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
All open fractures
Patients under 18 yrs or over 60 yrs
Metaphyseal /periarticular fractures
Patients with previous procedures in that limb
Fractures requiring bone grafting
Pregnant patients
Patients with renal impairment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients meeting eligibility criteria will be randomized in a double blind fashion to receive either the study drug (strontium ranelate in a dose of 2gm daily in sachet form) or a placebo for 3 months.
Patients have been divided into Groups A and B to receive identical appearing pre-labeled and pre-packed medication boxes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
consecutive alternate sampling
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2011
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Actual
15/08/2011
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Date of last participant enrolment
Anticipated
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Actual
24/04/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3778
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Pakistan
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State/province [1]
3778
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Sindh
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Pharmevo (Pvt.) Ltd.
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Address [1]
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402-Business Avenue
Block 6, P.E.C.H.S.
Shahrah-e-Faisal
Karachi. 75400
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Country [1]
269639
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Pakistan
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Primary sponsor type
Commercial sector/Industry
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Name
Pharmevo (Pvt.) Ltd.
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Address
402-Business Avenue
Block 6, P.E.C.H.S.
Shahrah-e-Faisal
Karachi. 75400
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Country
Pakistan
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Secondary sponsor category [1]
266671
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Hospital
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Name [1]
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The Indus Hospital
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Address [1]
266671
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The Indus Hospital
Korangi Crossing
Korangi
Karachi. 75190
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Country [1]
266671
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Pakistan
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269584
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IRD IRB
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Ethics committee address [1]
269584
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Head Office Suite 508, Ibrahim Trade Tower Main Sharah-e-Faisal Karachi, 75350
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Ethics committee country [1]
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Pakistan
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Date submitted for ethics approval [1]
269584
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Approval date [1]
269584
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05/08/2011
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Ethics approval number [1]
269584
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IRD_IRB_2011_7_005
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Summary
Brief summary
Strontium Ranelate is approved for treatment of osteoporosis. Its mode of action is thought to be a combination of anti resorptive and anabolic on bone. The bone forming ability has been documented in animal studies as well as in the increase in level of P1NP (A bone formation marker). There are anecdotal reports that it enhances fracture healing in humans but very little prospective data is present. The purpose of this study is to study the efficacy of strontium ranelate in the dose of 2gm daily on the healing of surgically fixed diaphyseal tibial fractures and compare it to placebo.
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Trial website
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Trial related presentations / publications
Presented Prospective Study in 27th International Pak-Orthocon (Findings Answers-Improving Lives) 21st Nov 2013 till 24th Nov 2013: Significance of P1NP Values In Assessment Of healing of surgically fixed Tibial Diaphyseal fractures treated with Strontium Ranelate V/S Placebo: A Randomised Double Blind Placebo control clinical Trial. Poster Presentation in ICON (Indus Hospital Conference) 25 Jan 2014: Significance of P1NP Values In Assessment Of healing of surgically fixed Tibial Diaphyseal fractures treated with Strontium Ranelate V/S Placebo: A Randomised Double Blind Placebo control clinical Trial. Free paper “Significance Of P1NP Values In Assessment Of Fracture Healing Of Surgically Fixed Tibial Diapyseal Fractures Treated With Strontium Ranelate Vs Placebo; A Randomized Double Blind Controlled Trial”----15th EFORT Congress in London from 4 - 6 June 2014.
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Public notes
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Contacts
Principal investigator
Name
33001
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Dr Muhammad Zeeshan Aslam
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Address
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Department Of Orthopaedics The Indus Hospital Korangi Crossing Korangi Karachi. 75190
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Country
33001
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Pakistan
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Phone
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+92-300-2322811
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Fax
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+92-21-35112718
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Email
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[email protected]
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Contact person for public queries
Name
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Dr. M. Zeeshan Aslam
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Address
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Department Of Orthopaedics
The Indus Hospital
Korangi Crossing
Korangi
Karachi. 75190
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Country
16248
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Pakistan
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Phone
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+92-300-2322811
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Fax
16248
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+92-21-35112718
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Email
16248
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[email protected]
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Contact person for scientific queries
Name
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Dr. Mansoor Ali Khan
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Address
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Department Of Orthopaedics
The Indus Hospital
Korangi Crossing
Korangi
Karachi. 75190
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Country
7176
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Pakistan
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Phone
7176
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+92-300-8202537
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Fax
7176
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+92-21-35112718
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Email
7176
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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