RANK-ligand Inhibition to Combat Sarcopenia with Underlying Osteoporosis

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age65+
SponsorPrince of Wales Hospital, Shatin, Hong Kong

About this trial

The objective of this study was to conduct a randomized, double-blind, double-dummy active controlled trial to determine the efficacy of denosumab in treating sarcopenia with underlying osteoporosis.

Eligibility criteria

Qualifiers

Elderly males or females aged 65 years or older

diagnosed with osteosarcopenia (sarcopenia diagnosis based on AWGS 2019 guidelines - low appendicular skeletal muscle mass (ASM) by Dual-energy X-ray absorptiometry (DXA) (M:<7.0kg/m2, F:<5.4kg/m2) AND low handgrip strength (M:<28kg, F:<18kg) OR low physical performance (6-metre walk: <1.0m/s or 5-time chair stand test ≥ 12 s); osteoporosis diagnosed based on World Health Organization (WHO) criteria with DXA scan T-score ≤ -2.5)

Willing and able to comply with study protocol including follow-up evaluations.

Disqualifiers

history of recent fracture i.e., within 3 months

history of prior anti-osteoporotic drug

disease or medication affecting bone or muscle metabolism

Chairbound or bedbound

Trial design

Treatments tested in this trial

  • Denosumab
  • Zolendronic Acid

Treatment groups

120 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Prince of Wales Hospital, Shatin, Hong Kong

Lead sponsor

Chinese University of Hong Kong

Collaborator