New procedure aims to stop repeat hip fractures in osteoporosis patients
NCT ID NCT04796350
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a procedure called LOEP that strengthens the hip bone to prevent a second fracture in women over 65 with osteoporosis who have already broken one hip. About 2400 women will either receive the procedure or standard care and be followed for at least 5 years. The goal is to see if LOEP reduces the risk of another hip fracture on the treated side.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2021
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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65 to 91 years
- Sex
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Female participants only
- 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: 1. Subject is a postmenopausal female at least 1-year post menses and at least 65 years of age and less than 92 years of age. 2. Subject presents with a low-energy index fragility hip fracture in one hip and will undergo surgical repair of the fractured hip. 3. Subject has at least one of the following additional risk factors for a secondary hip fracture (as determined by subject or legally authorized representative (LAR) interview or medical record review): * Documented falls assessment indicating subject is at moderate or high risk of falls * Falls history (2 or more falls in the previous 12 months) * History of vertigo, dizziness, or postural hypotension * Documented T-score \< -2.5 at the hip * Taking more than 3 daily prescription medications * Visual impairment as confirmed by one of the following: * Subject reports difficulty seeing * Lack of depth perception or vision loss in one eye * Macular degeneration * Cataracts * Prior non-hip fragility fracture * Cognitive frailty as assessed by SPMSQ (mild cognitive impairment determined by SPMSQ ≤ to 4) or delirium * Parkinson's disease stage 3 or 4 * 10-year hip fracture probability \>15% using the FRAX® Fracture Risk Assessment Tool of the clinical site country 4. Subject is expected to be ambulatory after the hip fracture repair procedure. "Ambulatory" is defined as a patient's ability to ambulate beyond simple transfers with or without assistive devices. 5. Informed consent is provided by the subject or the subject's LAR. Use of an LAR to obtain patient consent requires that the patient must understand and be able to participate in post operative restrictions and requirements. 6. The subject's willingness, ability, and commitment to participate in screening, treatment, and all follow-up evaluations for the full duration of the study has been documented. Exclusion Criteria: 1. Criterion omitted 2. Criterion omitted 3. Subject is currently enrolled in another interventional clinical study affecting the target hip. 4. Subject has a history of hip surgery or previous hip fracture on the target unfractured hip contralateral to the index hip fracture. 5. Subject has new fractures in addition to the index hip fracture at admission that, in the opinion of the investigator, would further compromise patient mobility, rehabilitation, or recovery. 6. Subject has an infection at the LOEP intended treatment site or has non-intact skin or acute traumatic injuries with open wounds close to the area of intended LOEP treatment. 7. Subject has a progressive increase in undiagnosed pain in the target hip contralateral to the index fractured hip over the previous 3 months that in the opinion of the Investigator may suggest underlying bone or joint pathology on the unfractured side. 8. Subject has radiological evidence of gross bony or joint pathology of the hip, including signs predictive of atypical femoral fractures (e.g. cortical beaking), or has been diagnosed and/or treated for atypical femoral fractures. 9. Criterion omitted 10. Subject has a history of metabolic bone disease other than osteoporosis (e.g., Paget's disease, renal osteodystrophy, or osteomalacia). 11. Criterion omitted 12. Subject has active cancer 13. Criterion omitted 14. Criterion omitted 15. Criterion omitted 16. Criterion omitted 17. Criterion omitted 18. Subject has end stage renal insufficiency defined as an estimated glomerular filtration rate (eGFR) \< 15 mL/min. 19. Criterion omitted 20. Criterion omitted 21. Subject has moderate or severe cognitive impairment as assessed by an SPMSQ of 5 or higher. 22. Subject has known allergies to calcium-based bone void fillers. 23. In the judgement of the Investigator, the subject is not a good study candidate (e.g., poor mental health, or active drug or alcohol abuse issues), and or subject would not be a good candidate to undergo an ELECTIVE orthopedic surgical procedure such as a total hip arthroplasty in her current medical, physiological condition. 24. Subject fails pre-operative or intraoperative eligibility criteria as specified in section 7.4.2. of the clinical investigation plan.
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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
48 sites in 11 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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ASST Gaetano Pini CTO
RECRUITINGMilan, Italy
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Aarhus University Hospital
RECRUITINGAarhus, Denmark
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Akita City Hospital
RECRUITINGAkita, Akita, Japan
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Azienda Ospedaliero Universitaria Careggi
RECRUITINGFlorence, Italy
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BG Klinik Tuebingen
ACTIVE_NOT_RECRUITINGTübingen, Germany
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Birmingham Heartlands Hospital
WITHDRAWNBirmingham, England, United Kingdom
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CHU Amiens
RECRUITINGAmiens, France
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CHU Grenoble-Alpes
RECRUITINGGrenoble, France
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CHU Lyon
WITHDRAWNLyon, France
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CHU Toulouse
WITHDRAWNToulouse, France
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CHU de Nice
RECRUITINGNice, Provence-Alpes-Côte d'Azur Region, France
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CTO Torino
RECRUITINGTorino, Italy
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Charite University Hosptial
RECRUITINGBerlin, Germany
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Chikamori Hospital
ACTIVE_NOT_RECRUITINGKochi, Kochi, Japan
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Clinic de Barcelona
RECRUITINGBarcelona, Spain
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Deventer Hospital
RECRUITINGDeventer, Netherlands
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Galdakao-Usansolo Hospital
RECRUITINGGaldakao, Spain
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Ghent University Hospital
RECRUITINGGhent, Belgium
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Health Sciences Centre - Eastern Health
WITHDRAWNSt. John's, Newfoundland and Labrador, Canada
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Helios Wuppertal
ACTIVE_NOT_RECRUITINGWuppertal, Germany
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Hospital Clínico San Carlos
RECRUITINGMadrid, Spain
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Hospital Neuro-Traumatológico de Jaén
RECRUITINGJaén, Spain
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Hospital St Joan de Deu
RECRUITINGManresa, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, Spain
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Hospital Universitario Infanta Leonor
RECRUITINGMadrid, Spain
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Hospital Universitario de Basurto
RECRUITINGBilbao, Spain
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Hyogo Prefectural Nishinomiya Hospital
RECRUITINGNishinomiya, Hyōgo, Japan
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Innsbruck Hospital
RECRUITINGInnsbruck, Austria
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Isala Hospital
ACTIVE_NOT_RECRUITINGZwolle, Netherlands
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Iwata City Hospital
RECRUITINGIwata, Japan
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Japanese Red Cross Shizuoka Hospital
RECRUITINGShizuoka, Japan
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Justus Liebig Universitat Gießen
WITHDRAWNGiessen, Germany
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Jutendo University Shizuoka Hospital
WITHDRAWNIzunokuni, Shizuoka, Japan
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Kagawa Rosai Hospital
RECRUITINGMarugame, Kagawa-ken, Japan
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Kanto Rosai Hospital
RECRUITINGKawasaki, Kanagawa, Japan
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Klinikum der Universität München
RECRUITINGMünchen, Germany
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Leicester Royal Infirmary
RECRUITINGLeicester, England, United Kingdom
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Maastricht UMC
RECRUITINGMaastricht, Netherlands
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Medizinische Hochschule Hannover
ACTIVE_NOT_RECRUITINGHanover, Germany
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Mutua de Terrassa University Hospital
RECRUITINGTerrassa, Spain
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National Hospital Organization Kumamoto Medical Center
RECRUITINGKumamoto, Japan
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Nottingham University Hospitals, Queen's Medical Center
RECRUITINGNottingham, United Kingdom
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Okayama Medical Center
RECRUITINGOkayama, Okayama-ken, Japan
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PARC Tauli
ACTIVE_NOT_RECRUITINGSabadell, Spain
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Policlinico Tor Vergata
RECRUITINGRome, Italy
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QEII Health Sciences Centre
RECRUITINGHalifax, Nova Scotia, Canada
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Queen Elizabeth Glasgow
RECRUITINGGlasgow, United Kingdom
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Royal Infirmary of Edinburgh
RECRUITINGEdinburgh, Scotland, United Kingdom
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Saga-Ken Medical Centre Koseikan
RECRUITINGSaga, Japan
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Saint Anna Ziekenhuis
WITHDRAWNGeldrop, Netherlands
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Shin-Yurigaoka General Hospital
RECRUITINGKawasaki-shi, Japan
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Southern Tohoku General Hospital
RECRUITINGKōriyama, Fukushima, Japan
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St. Mary's Hospital
RECRUITINGFukuoka, Japan
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Sunnybrook Health Sciences Centre
RECRUITINGNorth York, Ontario, Canada
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The University of Tokyo Hospital
WITHDRAWNBunkyō-Ku, Tokyo, Japan
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UZ Leuven
RECRUITINGLeuven, Belgium
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Universitatsklinikum Schleswig-Holstein
RECRUITINGKiel, Germany
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University Hospital San Raffaele Milano
WITHDRAWNMilan, Italy
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University Hospital of Duesseldorf
ACTIVE_NOT_RECRUITINGDüsseldorf, Germany
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University Hospital of Münster
WITHDRAWNMünster, Germany
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Universitätsklinikum Regensburg
WITHDRAWNRegensburg, Germany
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Vall d'Hebron University Hospital
RECRUITINGBarcelona, Barcelona, 08035, Spain
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Valladolid University Clinic Hospital
RECRUITINGValladolid, Valladolid, 47003, Spain
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Vitaz Sint-Niklaas
RECRUITINGSint-Niklaas, Belgium
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Wythenshawe Hospital Manchester
RECRUITINGManchester, United Kingdom
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Ziekenhuis Oost-Limburg
RECRUITINGGenk, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pregnancy hormone hCG may hold clues to bone and gland health
- Could a small electrical device cut painkiller use after hip surgery?
- Simple scan mistakes may skew osteoporosis diagnoses
- Can a common sedative added to spinal anesthesia keep older minds clear after hip surgery?
- Can better posture strengthen the pelvic floor in osteoporosis?
- Could exercise be the key to stronger bones in women?