New drug combo aims to rebuild bone in spinal cord injury patients
NCT ID NCT04232657
First seen Jun 27, 2026 · Last updated Sep 21, 2026 · Updated 1 time
Summary
This study tests whether a two-step drug treatment can improve bone density in people with long-term spinal cord injury who have bone loss. Participants receive either romosozumab (a bone-building drug) or a placebo for 12 months, followed by denosumab (a bone-strengthening drug) for another 12 months. The goal is to see if this approach can safely increase bone mass and reduce fracture risk.
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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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36 people
The number who actually took part.
- Started
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Mar 2021
- Finished
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Aug 2026
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
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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18 to 65 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Motor-complete or incomplete spinal cord injury (SCI) \[all levels of lesion\] classified using International Standards for Neurological Classification for Spinal Cord Injury (ISNCSCI) impairment scale\] as ISNCSCI score A-C * Duration of injury \>3 years * Males (18-65 years old) and females (premenopausal, between the ages of 18 and 55 years old). * Areal bone mineral density (aBMD) at the distal femur \<1.0 g/cm2 (determined at screening) Exclusion Criteria: * Long-bone fracture of the leg within the past year * History of prior bone disease (Paget's hyperparathyroidism, etc.) * Active and/or history of coronary heart disease or stroke within the past year * Postmenopausal women * Men with known hypogonadism prior to spinal cord injury (SCI) * Anabolic therapy longer than six months duration after spinal cord injury (SCI) * Glucocorticoid administration longer than three months duration within the last year, and/or prescribed moderate or high dose corticosteroids (\>40 mg/d prednisone or an equivalent dose of other corticosteroid medication) for longer than one week, not including drug administered to preserve neurological function at the time of acute spinal cord injury (SCI) * Endocrinopathies (hyperthyroidism, Cushing's disease or syndrome, etc.) * Severe underlying chronic disease (e.g., COPD, end-stage heart disease, chronic renal failure) * Heterotopic ossification (HO) of the knee region (the distal femoral epiphysis is the primary endpoint); HO to any other boney region will not prevent study participation as long as contraindicated medications have not been prescribed) * Chronic alcohol abuse * Hypocalcemia * Pregnancy * Prescribed a bisphosphonate for HO, or prescribed any other agent to treat osteoporosis other than calcium and vitamin D * Electrical stimulation of the lower extremities * Current diagnosis of cancer or history of cancer * Osteosarcoma * Life expectancy less than 5 years
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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
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James J. Peters VA Medical Center, Bronx, NY
The Bronx, New York, 10468-3904, United States
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Kessler Institute for Rehabilitation
West Orange, New Jersey, 07052, United States
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Other studies related to the condition(s) this trial covers.
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