ICU survivors at risk of brittle bones: new trial tests One-Time fix
NCT ID NCT04608630
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a single dose of either zoledronic acid or denosumab can prevent bone loss in older adults who have been in the intensive care unit (ICU). The trial will include 450 women aged 50+ and men aged 70+ who spent at least 2 days in the ICU. Participants will receive one of the two bone-strengthening drugs or a placebo, and their bone density will be measured over one year.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 450 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2021
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female age ≥ 50 years or male age ≥ 70 years * Has been in the Intensive Care Unit for 2 or more calendar days and is not expected to be discharged from the Intensive Care Unit on the second day * Has required Intensive Care Unit level support (i.e. intravenous vasoactive drugs, or invasive mechanical ventilation, or non-invasive ventilation or high flow nasal oxygen at Fraction inspired Oxygen ≥0.4 and/or gas flows ≥40L/m) for a minimum cumulative duration of 6 hours * Expected to survive the current hospital admission Exclusion Criteria: * Cancer related metastatic bone disease or multiple myeloma * Paget's disease * Pregnancy * Current estimated Glomerular Filtration Rate \<30ml/min or receiving renal replacement therapy * Known contraindication to denosumab or zoledronic acid * Obvious holes in teeth or broken teeth or dental or gum infection * Known untreated hypoparathyroidism * Current treatment with anti-fracture agent (bisphosphonate, strontium or teriparatide within previous 2 years, or menopausal hormone therapy or romosozumab within previous 12-months or denosumab within previous 6 months) * Current fragility fracture of hip, spine, femur or forearm * Exceeds weight limit for BMD scan at site or unable to undertake Bone Mineral Density for any reason * International Normalised Ratio \> 3.0 or Platelet count \< 30 10\^9/L
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
20 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Alfred Health
COMPLETEDMelbourne, Victoria, 3004, Australia
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Auckland City Hospital
RECRUITINGAuckland, 1023, New Zealand
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Austin Health
COMPLETEDMelbourne, Victoria, 3084, Australia
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Barwon Health, University Hospital Geelong
RECRUITINGGeelong, Victoria, 3220, Australia
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Blacktown Hospital
RECRUITINGSydney, New South Wales, 2148, Australia
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Eastern Health - Box Hill Hospital
RECRUITINGMelbourne, Victoria, 3128, Australia
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Fiona Stanley Hospital
RECRUITINGPerth, Western Australia, 6150, Australia
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Gold Coast University Hospital
RECRUITINGSouthport, Queensland, 4215, Australia
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Prince of Wales Hospital
RECRUITINGSydney, New South Wales, 2031, Australia
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Royal Adelaide Hospital
RECRUITINGAdelaide, South Australia, 5000, Australia
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Royal Melbourne Hospital
RECRUITINGMelbourne, Victoria, 3052, Australia
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Royal Prince Alfred Hospital
RECRUITINGSydney, New South Wales, Australia
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St John of God Hospital Murdoch
RECRUITINGPerth, Western Australia, 6150, Australia
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St John of God Hospital Subiaco
RECRUITINGPerth, Western Australia, 6008, Australia
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St Vincent's Health Sydney
RECRUITINGSydney, New South Wales, 2010, Australia
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St Vincents Hospital Melbourne
RECRUITINGMelbourne, Victoria, 3065, Australia
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Sunshine Coast University Hospital
RECRUITINGBirtinya, Queensland, 4575, Australia
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The Wesley Hospital
RECRUITINGBrisbane, Queensland, 4066, Australia
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Wellington Regional Hospital
RECRUITINGWellington, 6021, New Zealand
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Western Health - Footscray Hospital
RECRUITINGMelbourne, Victoria, 3011, Australia
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Western Health - Sunshine Hospital
RECRUITINGMelbourne, Victoria, 3021, Australia
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Wollongong Hospital, Illawarra Shoalhaven Health
RECRUITINGWollongong, New South Wales, 2525, Australia
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Other studies related to the condition(s) this trial covers.
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- Can a simple bedside panel make intensive care feel more human?
- Pregnancy hormone hCG may hold clues to bone and gland health
- Why do some ICU patients bleed in the gut? researchers map the risk
- Hidden pressure: how continuous kidney dialysis may affect the abdomen in ICU patients