Zoledronic Acid for the Prevention of TDF-sparing ART-induced Bone Mass Density Loss in Treatment-naive HIV Positive Individuals
A Single Dose Intravenous Administration of Zoledronic Acid for the Prevention of TDF-sparing ART-induced Bone Mass Density Loss in Treatment-naive HIV Positive Individuals - a Prospective, Multicenter, Open-label, Randomized Control Trial
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 1, 2032
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief Summary
The goal of this clinical trial is to learn if zolendric acid can prevent the anticipated deterioration of bone mass after antiviral treatment initiation for people that were recently diagnosed with HIV. The main questions it aims to answer are:
1.Is bone mass deterioration is significant even with the new medication currently used to treat HIV?
2.Can one dose of Zolendric acid protect from deterioration of bone mass.
3.Provide blood samples for bone markers before antiviral treatment initiation and at 6M,12M,24M and 48M after treatment initiation
4.Perform DXA scan soon after antiviral treatment initiation and after 12M ,24 M and 48 months
5.Half of the patients with moderate reduction in bone mass will be treated with one dose of zolendric acid in the clinical trial, the other participants will be followed without intervention.
6.Patients with substantial osteoporosis will be treated according to standard of care by their HMO, but will continue followup in the study.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
recruiting
Estimated enrollment
110 participants
Study completion date
December 1, 2032
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
1 countries · 3 sites
Trial Relationships
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
Loading related publications...
Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
December 9, 2024
Actual (reported)
First Submitted
December 31, 2024
Actual (reported)
First Posted
January 8, 2025
Actual (reported)
Primary Completion
December 1, 2028
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 1, 2032
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Average change (in %) from baseline in spine T score and hip T-score values among participants in the intervention group versus participants in the control group at 12 months after ART initiation
12 months of initiation of ART
Secondary Outcomes (5)
Bone density at 24 months.
24 months
Bone density at 48 months.
48 months of initiation of ART
Bone fractures at 48 months
48 months of initiation of ART
Bone markers differences during folloe up
6,12,24,48 months after treatment intiation
BMD decline in TDF sparing ART
48 months of initiation of ART
Study Arms (4)
Zoledronic acid
EXPERIMENTAL
Patients with T score from -1 to -2.4 will be treated with 1 dose of 5 mg of Zoledronic acid within a month of ART intiation.
Drug: Zoledronic Acid 5 mg/Bag 100 ml Inj
Follow up-comparator
NO INTERVENTION
Patients with T score from -1 to -2.4 that will be followed without intervention
mildly osteopenic patients
NO INTERVENTION
patients with T score more than -1 will be followed only after antiviral treatment initiation- P1NP and CTX levels and DXA up to 4 years
Osteoporotic patients
Interventions
Zoledronic Acid 5 mg/Bag 100 ml InjDrug
Zolendric acid will be provided to HIV naïve patients with documented osteopnia
Zoledronic acid
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Adults over age of 18 years old of any gender, social, religious or racial background.
patients with T score less than -2.5 will be treated according to standard of care with oral biphosphonates, and will be followed after antiviral treatment intiation- P1NP + CTX and DXA up to 4 years
Patients who received previous pharmacological agents for the prevention of HIV infection.
Women who are pregnant, lactating or those who plan to become pregnant within the trial timeframe.
Past history of severe drug-induced reaction (including atypical femur fractures or osteonecrosis of the jaw) or documented hypersensitivity to a bisphosphanate agent.
Patients with untreated hypocalcemia at screening.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
September 18, 2025
Record last verified: 2024-12
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.