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Trial registered on ANZCTR
Registration number
ACTRN12607000128493
Ethics application status
Approved
Date submitted
9/02/2007
Date registered
14/02/2007
Date last updated
5/12/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of low dose fluoride on bone
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Scientific title
A randomized, double-blind, placebo-controlled, dose-finding study of the effects of sodium fluoride on bone turnover, bone density and bone histology in osteopenic post menopausal women.
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Secondary ID [1]
262121
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
FEAST
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoporosis
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Condition category
Condition code
Musculoskeletal
1728
1728
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0
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Osteoporosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects randomized to placebo or 1 of 3 treatment groups: sodium fluoride 2.5mg daily, per oral, 5mg daily per oral, 10mg daily per oral, for 1 year. No dosage increments Active and placebo tablets are identical in appearance
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Intervention code [1]
1592
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Treatment: Drugs
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Comparator / control treatment
Matching placebo, per oral for 1 year
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in lumbar spine bone mineral density (BMD
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Assessment method [1]
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Timepoint [1]
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At 1 year
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Secondary outcome [1]
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Change in hip BMD
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Assessment method [1]
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Timepoint [1]
4170
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At 1 year
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Secondary outcome [2]
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Change in forearm BMD
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Assessment method [2]
4171
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Timepoint [2]
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At 1 year
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Secondary outcome [3]
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Change in biochemical markers of bone turnover
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Assessment method [3]
4172
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Timepoint [3]
4172
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At 1 year
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Secondary outcome [4]
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Bone histology
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Assessment method [4]
4173
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Timepoint [4]
4173
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At 1 year
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Eligibility
Key inclusion criteria
Postmenopausal 5 yrs or more (menopause defined as at least 12 months since last period in woman aged > 45 yrs with intact uterus, or serum follicle stimluating hormone (FSH) > 50 IU/l in younger or hysterectomized woman)- Bone density T score less than -1.0 and greater than -2.5 at L1-L4 or Total Hip.- BMD T-score <-2.5 at lumbar spine or total hip, but participant is not a suitable candidate for, or has decided against taking, osteoporosis therapy
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Minimum age
45
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Medical Conditions- renal impairment (serum creatinine 120 µmol/L).- congestive heart failure- chronic liver disease.- untreated hypothyroidism or hyperthyroidism.- concurrent major systemic illness, including malignancy.- active major gastrointestinal disease.- metabolic bone diseases, or serum alkaline phosphatase (ALP) > 2x normal limit.- primary hyperparathyroidism. - Vitamin D insufficiency (25 hydroxyvitamin D [OHD] < 50nmol/L)Medications- use of oral glucocorticoid drugs equivalent to an average dose of prednisone 2.5 mg/day in the preceding 12 months- use of aminobisphosphonates within the past 2 years, or etidronate within the past 1 year- use of hormone replacement therapy within the last 12 months- use of other medication known to cause osteoporosis or interfere with bone metabolism.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Staff member enrolling subject unaware of treatment allocation, allocation concealment by central randomization
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sequence generation by computer-generated random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
subjects and assessors are blinded
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2009
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Actual
30/06/2009
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Date of last participant enrolment
Anticipated
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Actual
31/03/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
180
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Recruitment outside Australia
Country [1]
482
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New Zealand
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State/province [1]
482
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
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PO Box 5541
Wellesley St.,
Auckland
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Country [1]
1877
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New Zealand
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Funding source category [2]
237233
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Charities/Societies/Foundations
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Name [2]
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Auckland Medical research Foundation
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Address [2]
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PO Box 110 139
Auckland 1148
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Country [2]
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New Zealand
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Primary sponsor type
Individual
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Name
Associate Professor Andrew Grey
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Address
Department of Medicine
University of Auckland
Private Bag 92019
Auckland
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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Private Bag 92019
Auckland
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Country [1]
1692
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Auckland-Northern X Regional Ethics Committee
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Ethics committee address [1]
3502
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Ethics committee country [1]
3502
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New Zealand
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Date submitted for ethics approval [1]
3502
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Approval date [1]
3502
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10/01/2007
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Ethics approval number [1]
3502
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NTX/06/12/152
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Summary
Brief summary
This is a 1 year study designed to investigate the effects of low-dose fluoride therapy on bone. We are testing whether doses of fluoride that are lower than have been studied in previous trials might have positive effects on bone density and metabolism, without affecting bone quality. 180 postmenopausal women with mild bone thinning will be randomly (by chance) allocated to receive placebo (inactive) treatment or one of 3 low doses of fluoride (2.5, 5 or 10 mg/day). Each participant will be seen on 5 occasions during the study, for assessment of bone density and bone-related biochemistry (blood and urine tests). Bone biopsy from the back of the pelvis will be sought from 6-10 participants in each treatment group at the end of the study - this is a voluntary procedure.
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Trial website
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Trial related presentations / publications
Grey A, Garg S, Dray M, Purvis L, Horne A, Callon K, Gamble G, Bolland M, Reid IR, Cundy T. Low dose fluoride in osteopenic postmenopausal women: a randomized controlled trial. J Clin Endocrinol Metab 2013;98:2301-2307
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Andrew Grey
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Address
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Department of Medicine
university of Auckland
Private Bag 92019
Auckland
New Zealand
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Country
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New Zealand
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Phone
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+6493737599
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Associate Professor Andrew Grey
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Address
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Department of Medicine,
University of Auckland,
Auckland
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Country
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New Zealand
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Phone
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+64 9 3737599
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Associate Professor Andrew Grey
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Address
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Department of Medicine,
University of Auckland,
Auckland
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Country
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New Zealand
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Phone
1709
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+64 9 3737599
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Fax
1709
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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