Can a tailored infusion schedule prevent fractures after stopping denosumab?

NCT ID NCT06767150

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study looks at women with postmenopausal osteoporosis who have been on denosumab for at least two years and are now stopping it. Stopping denosumab can cause a rapid bone loss and increase fracture risk. The trial compares two strategies using zoledronic acid infusions: one where the second infusion is given based on a blood test (crosslaps levels), and another where it is given at a fixed time. The goal is to see which approach better maintains bone density after one year.

What this could mean

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

Active substance
zoledronic acid (ZOL)
What this could lead to
If successful, this could provide a safer way to stop denosumab without losing bone density or increasing fracture risk.
What could go wrong
This is a small, early-phase trial with only 200 participants, so results may not apply to everyone. The personalized approach may not outperform standard care.

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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

  • Amiens Hospital

    RECRUITING

    Amiens, France

  • Bordeaux Hospital

    RECRUITING

    Bordeaux, France

  • Cahors Hospital

    RECRUITING

    Cahors, France

  • Cochin Hospital

    RECRUITING

    Paris, France

  • Dax Hospital

    RECRUITING

    Dax, France

  • Lariboisiere Hospital

    RECRUITING

    Paris, France

  • Le Mans Hospital

    RECRUITING

    Le Mans, France

  • Lille Hospital

    NOT_YET_RECRUITING

    Lille, France

  • Limoges Hospital

    RECRUITING

    Limoges, France

  • Marseille Hsopital

    RECRUITING

    Marseille, France

  • Montpellier Hospital

    RECRUITING

    Montpellier, France

  • Nice Hospital

    RECRUITING

    Nice, France

  • Orléans Hospital

    RECRUITING

    Orléans, France

  • Poitiers Hospital

    RECRUITING

    Poitiers, France

  • Rennes Hospital

    RECRUITING

    Rennes, France

  • Saint Etienne Hospital

    RECRUITING

    Saint-Etienne, France

  • Toulouse Hospital

    RECRUITING

    Toulouse, France

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