Brittle bone breakthrough? new drug combo aims to cut fractures

NCT ID NCT03735537

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested whether a two-year course of teriparatide (a bone-building drug) followed by a single infusion of zoledronic acid (a bone-strengthening drug) could reduce fractures in adults with osteogenesis imperfecta, also known as brittle bone disease. 350 participants were randomly assigned to receive either this drug combination or standard care. The main goal was to see if fewer people in the drug group experienced a broken bone.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
teriparatide (a bone-building drug) and zoledronic acid (a bone-strengthening drug)
What this could lead to
If it works, this could provide a new treatment option to reduce fractures in adults with brittle bone disease.
What could go wrong
This is a completed phase 4 trial, but results may not apply to all types of osteogenesis imperfecta. The treatment involves two drugs with potential side effects like bone pain or kidney issues.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Aberdeen Royal Infirmary

    Aberdeen, AB25 2ZR, United Kingdom

  • Addenbrooke's Hospital

    Cambridge, CB2 0QQ, United Kingdom

  • Bristol Royal Infirmary

    Bristol, NS2 8HW, United Kingdom

  • Freeman Hospital

    Newcastle upon Tyne, NE7 7DN, United Kingdom

  • Guy's and St Thomas' Hospital

    London, SE1 9RT, United Kingdom

  • Haywood Community Hospital

    Stoke-on-Trent, ST6 7AG, United Kingdom

  • James Cook University Hospital

    Middlesbrough, PS4 3BW, United Kingdom

  • Leicester Royal Infirmary

    Leicester, LE1 5WW, United Kingdom

  • Llandough University Hospital

    Llandough, CF64 2XX, United Kingdom

  • Manchester Royal Infirmary

    Manchester, M13 9WL, United Kingdom

  • Ninewells Hospital

    Dundee, DD1 9SY, United Kingdom

  • Northern General Hospital

    Sheffield, S5 7AU, United Kingdom

  • Nottingham City Hospital

    Nottingham, NG5 1PD, United Kingdom

  • Nuffield Orthopaedic Centre

    Oxford, OX3 7HE, United Kingdom

  • Queen Elizabeth Hospital

    Birmingham, B15 2TH, United Kingdom

  • Queen Elizabeth University Hospital

    Glasgow, G51 4TF, United Kingdom

  • Royal Liverpool Hospital and Aintree Hospital

    Liverpool, L7 8XP, United Kingdom

  • Royal National Orthopaedic Hospital

    Stanmore, HA7 4LP, United Kingdom

  • Royal Victoria Hospital

    Belfast, BT12 6BA, United Kingdom

  • St Vincent's Hospital

    Dublin, 4, Ireland

  • University Hospital Southampton

    Southampton, S016 6YD, United Kingdom

  • Western General Hospital

    Edinburgh, EH4 2XU, United Kingdom

  • Wishaw General Hospital

    Wishaw, ML2 0DP, United Kingdom

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