About this trial
The goal of this clinical trial is to learn if veverimer will reduce urinary net acid excretion leading to reduced bone resorption in healthy adults with osteopenia. The main questions it aims to answer are:
* How much does each dose of veverimer (vs. placebo) reduce 24-hr urinary net acid excretion. * Describe the safety of veverimer based on changes in serum bicarbonate and potassium. * Assess the changes in bone resorption. * Assess the changes in bone formation. * Explore the effect of veverimer on physical performance.
Participants will:
* Take veverimer or placebo every day or every other day for 8 weeks * Visit the clinic a total of 8 times (including screening) for checkups and testing * Keep a medication diary tracking each day they take the study drug
Eligibility criteria
Qualifiers
Community dwelling adults age 50 years and older (approximately equal numbers of men and women).
Men should be sterile or agree to use contraception throughout the study.
Women must be postmenopausal, defined as no menses in the last 5 years (to reduce variability in change in bone resorption since menopause prompts a rapid increase in bone resorption).
Osteopenia will be defined as a bone mineral density (BMD) T-score at the lumbar spine, femoral neck, or total hip lower than -1 or higher than -2.5.
Disqualifiers
Normal BMD T-scores at all spine and hip sites, osteoporosis based on BMD T-score of -2.5 or less
Respiratory illness in last month
Chronic obstructive pulmonary disease (COPD)
Asthma
Trial design
Treatments tested in this trial
- veverimer daily
- veverimer every other day
- Placebo
Treatment groups
Sponsors and collaborators
Tufts Medical Center
Lead sponsor
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Collaborator