Can a single dose of zoledronic acid safely treat bone loss in dialysis patients?
NCT ID NCT07741136
First seen Aug 03, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This trial investigates how the drug zoledronic acid is processed in the body of people with chronic kidney disease who are on dialysis and also have osteoporosis. It aims to find the best dose—either 2.5 mg or 5 mg—given as a single intravenous injection during a dialysis session. Researchers will measure drug levels in blood and dialysis fluid to understand how much is removed by dialysis and how the drug affects bone health over 12 months. The study includes 24 adults: 16 on dialysis and 8 with milder kidney disease as a comparison group.
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 (an intravenous bisphosphonate drug given as a single dose)
- What this could lead to
- If successful, this could establish a safe and effective dosing strategy for zoledronic acid in dialysis patients, potentially reducing fractures and improving quality of life in this high-risk group.
- What could go wrong
- This is a small, early-phase study focused on drug levels, not long-term outcomes. The drug may behave differently in dialysis patients, and there are risks like low calcium or phosphate levels, which the trial carefully monitors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 24 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2028
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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18 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: * Individuals aged 18 years or older, with CKD-associated osteoporosis * eGFR ≥ 35 mL/min/1.73 m2 and advanced CKD on dialysis * Agree to participate in the research by signing the informed consent form Exclusion Criteria: * Individuals under 18 years of age, pregnant or breastfeeding women * Patients with CKD with hypocalcemia/hypophsphatemia * Patients with CKD on dialysis with residual diuresis \> 100 mL/24h\* * Patients with CKD on low-flux membrane dialysis\* * Patients with neoplasia * Hypersensitivity to bisphosphonates, or previous use of the medication * Inadequate oral condition or anticipated invasive dental procedure within the next 12 months * Alkaline phosphatase \< 98 IU/L or \> 180 IU/L\* * PTH \< 130 pg/mL and \> 585 pg/mL\* * CTX \< Lower Limit of Normal (LLN) or * CTX \< Upper Reference Limit (URL)\* * Severe liver disease * Severe heart disease * Clinical suspiction of osteomalacia or adynamic bone disease * Cytopenias, defined as: platelets \< 120,000/mm³, neutrophils \< 3,000/mm³, lymphocytes \< 1,000/mm³ and hematocrit \< 26% \* Applicable only to the group of patients undergoing dialysis.
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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
1 site. 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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School of Medical Sciences, University of Campinas
Campinas, São Paulo, 13083-887, Brazil
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