alendronate and HIV
alendronate has been researched along with HIV in 2 studies
alendronic acid : A 1,1-bis(phosphonic acid) that is methanebis(phosphonic acid) in which the two methylene hydrogens are replaced by hydroxy and 3-aminopropyl groups.
HIV: Human immunodeficiency virus. A non-taxonomic and historical term referring to any of two species, specifically HIV-1 and/or HIV-2. Prior to 1986, this was called human T-lymphotropic virus type III/lymphadenopathy-associated virus (HTLV-III/LAV). From 1986-1990, it was an official species called HIV. Since 1991, HIV was no longer considered an official species name; the two species were designated HIV-1 and HIV-2.
Research Excerpts
Excerpt | Relevance | Reference |
---|---|---|
"In this small study in children and adolescents perinatally infected with HIV with low LS BMD, 48 weeks of alendronate was well-tolerated, showed no safety concerns, and significantly improved LS and whole body BMD compared to participants on vitamin D/calcium supplementation and exercise alone." | 5.34 | Alendronate Improves Bone Mineral Density in Children and Adolescents Perinatally Infected With Human Immunodeficiency Virus With Low Bone Mineral Density for Age. ( Amaral, FR; Benson, J; Ferreira, F; Gaur, A; George, K; Gordon, C; Hazra, R; Jacobson, DL; Lindsey, JC; Pagano-Therrien, J; Siberry, GK; Spiegel, H, 2020) |
Research
Studies (2)
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 0 (0.00) | 24.3611 |
2020's | 2 (100.00) | 2.80 |
Authors
Authors | Studies |
---|---|
Kalayjian, RC | 1 |
McComsey, GA | 1 |
Jacobson, DL | 1 |
Lindsey, JC | 1 |
Gordon, C | 1 |
Hazra, R | 1 |
Spiegel, H | 1 |
Ferreira, F | 1 |
Amaral, FR | 1 |
Pagano-Therrien, J | 1 |
Gaur, A | 1 |
George, K | 1 |
Benson, J | 1 |
Siberry, GK | 1 |
Clinical Trials (1)
Trial Overview
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Impact of Oral Alendronate Therapy on Bone Mineral Density in HIV-infected Children and Adolescents With Low Bone Mineral Density[NCT00921557] | Phase 2 | 52 participants (Actual) | Interventional | 2009-11-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial Outcomes
Percent Change From Baseline to Week 96 in Lumbar Spine BMD
Percent change was calculated as (measurement at week 96 - measurement at baseline)/measurement at baseline * 100%. Includes Groups 1A and 1B only. (NCT00921557)
Timeframe: Weeks 0 and 96
Intervention | Percent change from baseline (Median) |
---|---|
1A: Alendronate/Alendronate | 24.9 |
1B: Alendronate/Placebo | 14.8 |
Percent Change From Baseline to Week 96 in Whole Body (With Head) BMD
Percent change was calculated as (measurement at week 96 - measurement at baseline)/measurement at baseline * 100%. Includes Groups 1A and 1B only. (NCT00921557)
Timeframe: Weeks 0 and 96
Intervention | Percent change from baseline (Median) |
---|---|
1A: Alendronate/Alendronate | 19.6 |
1B: Alendronate/Placebo | 10.3 |
Percent Change From Week 48 to Week 96 (Group 1B), Week 48 to Week 144 (Group 1B), and Week 96 to 144 (Group 2) in Lumbar Spine BMD
Percent change was calculated as (measurement at time T2 - measurement at time T1)/measurement at Time T1 * 100%. (NCT00921557)
Timeframe: Weeks 48, 96 and 144
Intervention | Percent change (Median) |
---|---|
1B: Alendronate/Placebo (48 Week Change) | 0.9 |
2: Placebo/Alendronate (48 Week Change) | 2.0 |
1B: Alendronate/Placebo (96 Week Change) | 1.7 |
Percent Change From Week 48 to Week 96 (Group 1B), Week 48 to Week 144 (Group 1B), and Week 96 to 144 (Group 2) in Whole Body (With Head) BMD
Percent change was calculated as (measurement at time T2 - measurement at time T2)/measurement at time T1 * 100%. (NCT00921557)
Timeframe: Weeks 48, 96 and 144
Intervention | Percent change (Median) |
---|---|
1B: Alendronate/Placebo (48 Week Change) | 0.8 |
2: Placebo/Alendronate (48 Week Change) | 0.5 |
1B: Alendronate/Placebo (96 Week Change) | 0.9 |
Percentage of Participants Developing New Signs, Symptoms, Hematology or Chemistry Laboratory Values Greater Than or Equal to Grade 3 or New Cases of Jaw Osteonecrosis, Atrial Fibrillation, or Non-healing Fractures
Signs, symptoms, and laboratory values were graded using the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 1.0 (December 2004). Results for Groups 1A and 1B were combined as both were on alendronate for the first 48 weeks. (NCT00921557)
Timeframe: Week 0 to 48
Intervention | Participants (Count of Participants) |
---|---|
1: Alendronate | 5 |
2: Placebo | 2 |
Change in CD4 Percent From Baseline
Change in percentage of lymphocytes that are CD4 cells calculated as measurement at each time point minus baseline measurement (NCT00921557)
Timeframe: Weeks 0, 48, 96 and 144
Intervention | percent of lymphocytes that are CD4 cell (Median) | ||
---|---|---|---|
Week 48 - Week 0 | Week 96 - Week 0 | Week 144 - Week 0 | |
1A: Alendronate/Alendronate | 0 | 0 | 1 |
1B: Alendronate/Placebo | 1 | -1 | -1 |
2: Placebo/Alendronate | 1 | 2 | -4 |
Change in Centers for Disease Control (CDC) HIV Disease Category
Percentage of participants advancing in CDC HIV disease category from baseline throughout study follow-up (NCT00921557)
Timeframe: Weeks 144
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Week 0 to 48 | Week 48 to 96 | Week 96 to 144 | |
1A: Alendronate/Alendronate | 1 | 0 | 0 |
1B: Alendronate/Placebo | 0 | 1 | 0 |
2: Placebo/Alendronate | 0 | 0 | 0 |
Effect of Other Known Bone Mineral Determinants (Age, Gender, Race/Ethnicity, Steroid Use, Depo-Provera, Tenofovir, Pubertal Stage, Bone Age, Vitamin D Status) and Inflammatory Cytokine Levels on Changes in Lumbar Spine BMD
A slope was fit for each participant to their percent change [(measurement at time T - measurement at baseline)/measurement at baseline)*100%] in lumbar spine BMD from baseline. Results represent average changes in lumbar spine BMD over one year. Results are summarized for age, gender, ethnicity, tenofovir use, Tanner stage, bone age and vitamin D level. Only one participant was on steroids and none were using Dep-Provera. Inflammatory cytokine levels were not assayed. Results were combined for Groups 1A and 1B as both were on alendronate for the first 48 weeks. (NCT00921557)
Timeframe: Weeks 0, 24 and 48
Intervention | percentage of baseline (Mean) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Male | Female | Non-hispanic | Hispanic | 11 - < 15 years | 15 - < 19 years | >= 19 years | On Tenofovir | Not on Tenofovir | 25-OH Vit D<30 ng/ml | 25-0H Vit D>=30 ng/ml | Bone age < 15 years | Bone age>=15 years | Tanner stage <= 3 | Tanner stage >= 4 | |
1: Alendronate | 20.3 | 25.4 | 19.4 | 23.6 | 37.1 | 16.5 | 8.1 | 24.8 | 19.9 | 22.0 | 22.1 | 36.0 | 11.3 | 33.0 | 15.4 |
2: Placebo | 6.8 | 9.4 | 4.8 | 7.8 | 10.6 | 8.0 | 1.9 | 6.8 | 8.2 | 6.8 | 7.8 | 10.0 | 5.0 | 10.6 | 5.9 |
Effect of Other Known Bone Mineral Determinants (Age, Gender, Race/Ethnicity, Steroid Use, Depo-Provera, Tenofovir, Pubertal Stage, Bone Age, Vitamin D Status) and Inflammatory Cytokine Levels on Changes in Whole Body (With Head) BMD.
A slope was fit for each participant to their percent change [(measurement at time T - measurement at baseline)/measurement at baseline)*100%] in whole body (with head) BMD from baseline. Results represent average changes in whole body (with head) BMD over one year. Results are summarized for age, gender, ethnicity, tenofovir use, Tanner stage, bone age and vitamin D level. Only one participant was on steroids and none were using Dep-Provera. Inflammatory cytokine levels were not assayed. Results were combined for Groups 1A and 1B as both were on alendronate for the first 48 weeks. (NCT00921557)
Timeframe: Weeks 0, 24 and 48
Intervention | percentage of baseline (Mean) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Male | Female | Non-Hispanic | Hispanic | 11 - < 15 years | 15 - < 19 years | >= 19 years | On tenofovir | Not on tenofovir | 25-0H Vit D<30 ng/ml | 25-0H Vit D>=30 ng/ml | Bone age < 15 years | Bone age >=15 years | Tanner stage <= 3 | Tanner stage >= 4 | |
1: Alendronate | 11.4 | 14.0 | 9.8 | 13.9 | 19.2 | 10.5 | 4.7 | 13.2 | 11.6 | 10.6 | 15.1 | 19.0 | 7.7 | 18.0 | 9.4 |
2: Placebo | 4.1 | 8.2 | 0.3 | 6.1 | 8.0 | 6.5 | -0.3 | 5.0 | 5.8 | 5.8 | 5.2 | 8.4 | 2.3 | 8.0 | 3.8 |
Percent Change From Baseline to Weeks 24 and 48 in Lumbar Spine BMD
Percent change was calculated as (measurement at time T - measurement at baseline)/measurement at baseline * 100%. Results for Groups 1A and 1B combined as both were on alendronate for the first 48 weeks. (NCT00921557)
Timeframe: Weeks 0, 24 and 48
Intervention | Percent change from baseline (Median) | |
---|---|---|
Week 24 | Week 48 | |
1: Alendronate | 14.4 | 15.9 |
2: Placebo | 5.5 | 7.1 |
Percent Change From Baseline to Weeks 24 and 48 in Whole Body (With Head) BMD
Percent change was calculated as (measurement at time T - measurement at baseline)/measurement at baseline * 100%. Results for Groups 1A and 1B were combined as both were on alendronate for the first 48 weeks. (NCT00921557)
Timeframe: Weeks 0, 24 and 48
Intervention | Percent change from baseline (Median) | |
---|---|---|
Week 24 | Week 48 | |
1: Alendronate | 5.5 | 10.7 |
2: Placebo | 0.3 | 5.2 |
Percent of Participants With HIV-1 RNA <= 400 Copies/ml
Percent calculated as number of participants with HIV-1 RNA <= 400 copies/ml relative to the number of participants with HIV-1 RNA measured at that time point. (NCT00921557)
Timeframe: Weeks 0, 48, 96 and 144
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
Week 0 | Week 48 | Week 96 | Week 144 | |
1A: Alendronate/Alendronate | 10 | 10 | 12 | 10 |
1B: Alendronate/Placebo | 16 | 16 | 12 | 10 |
2: Placebo/Alendronate | 15 | 14 | 13 | 10 |
Safety as Measured by the Incidence of New Signs, Symptoms, Hematology or Chemistry Laboratory Values Greater Than or Equal to Grade 3 or New Cases of Jaw Osteonecrosis, Atrial Fibrillation, or Non-healing Fractures
Signs, symptoms, and laboratory values were graded using the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 1.0 (December 2004). (NCT00921557)
Timeframe: Weeks 0 to 144
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Week 0 to 48 | Week 48 to 96 | Week 96 to 144 | |
1A: Alendronate/Alendronate | 2 | 1 | 3 |
1B: Alendronate/Placebo | 3 | 3 | 4 |
2: Placebo/Alendronate | 2 | 2 | 3 |
Trials
1 trial available for alendronate and HIV
Article | Year |
---|---|
Alendronate Improves Bone Mineral Density in Children and Adolescents Perinatally Infected With Human Immunodeficiency Virus With Low Bone Mineral Density for Age.
Topics: Adolescent; Adult; Alendronate; Bone Density; Bone Density Conservation Agents; Bone Diseases, Metab | 2020 |
Other Studies
1 other study available for alendronate and HIV
Article | Year |
---|---|
Bisphosphonates in Perinatally Infected Children and Adolescents With Human Immunodeficiency Virus: Targeting Puberty.
Topics: Adolescent; Alendronate; Bone Density; Bone Diseases, Metabolic; Child; Diphosphonates; HIV; HIV Inf | 2020 |