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Trial registered on ANZCTR
Registration number
ACTRN12612000329864
Ethics application status
Approved
Date submitted
21/03/2012
Date registered
22/03/2012
Date last updated
22/03/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of high calcium vitamin D fortified milk drink on biochemical markers of bone turnover, vitamin D levels and parathyroid hormone levels in post-menopausal Chinese women.
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Scientific title
The effect of high calcium vitamin D fortified milk drink on biochemical markers of bone turnover, vitamin D levels and parathyroid hormone levels in post-menopausal Chinese women.
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Secondary ID [1]
280177
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Nil
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Universal Trial Number (UTN)
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Trial acronym
Pakn
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bone loss
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Condition category
Condition code
Musculoskeletal
286304
286304
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0
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Osteoporosis
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Diet and Nutrition
286305
286305
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0
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Other diet and nutrition disorders
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Public Health
286306
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0
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Epidemiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Two glasses of milk (2x200ml) providing in total 900 mg calcium, 96 mg magnesium, 2.4 mg zinc and 6.4 microgram vit D to be consumed per day for 12 weeks.
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Intervention code [1]
284506
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Prevention
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Comparator / control treatment
Rice-based placebo drink
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Control group
Placebo
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Outcomes
Primary outcome [1]
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serum C telopeptide of Type I collagen levels; analysed using electrochemiluminescence immunoassay using the Roche COBAS e411 system (Roche Diagnostics, Indianapolis, IN, USA).
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Assessment method [1]
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Timepoint [1]
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0,2,8,12 weeks
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Primary outcome [2]
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Serum 25 (OH) D3 levels; analysed by electrochemiluminescence immunoassay using the Roche COBAS e411 system (Roche Diagnostics, Indianapolis, IN, USA).
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Assessment method [2]
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Timepoint [2]
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0,2,8,12 weeks
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Primary outcome [3]
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Plasma Parathyroid Hormone levels analysed by electrochemiluminescence immunoassay using the Roche COBAS e411 system (Roche Diagnostics, Indianapolis, IN, USA).
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Assessment method [3]
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Timepoint [3]
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0,2,8,12 weeks
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Secondary outcome [1]
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Serum Interleukin 6 levels; R&D systems duoassay ELISA kits.
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Assessment method [1]
296638
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Timepoint [1]
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0,2,8,12 weeks
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Secondary outcome [2]
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Plasma lipid levels; routine clinical laboratory analysis.
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Assessment method [2]
296639
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Timepoint [2]
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0, 12 weeks
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Eligibility
Key inclusion criteria
Chinese women are to be recruited.
1. Subject is willing and able to provide written informed consent.
2. Ambulatory women who are at least 5 years postmenopausal defined as a cessation of menstruation, either due to spontaneous amenorrhea or surgical bi-lateral oorphorectomy.
3. Bone mineral density (BMD) higher than a T-score of -2.5 at both the total hip and spine (ie higher than 0.94 g/cm2 at the lumbar spine and 0.756 g/cm2 at the total hip) according to the GE lunar dual-X-Ray densitometry machine.
4. A Body Mass Index (BMI) of between 17 and 30.
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Minimum age
45
Years
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Maximum age
65
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. History of metabolic bone disease such as hyper- or hypoparathyroidism, Paget’s disease, osteomalacia or osteogenesis imperfecta, osteoporosis. (as defined by DEXA measurement or a history of osteoporotic fracture)
2. Any ongoing systemic disease that may affect bone mineral density.
3. Administration of any of the following drugs within 6 months before screening:-
SERM, tibolone, anabolic steroids, glucocorticoids, systemic hormonal replacement therapy, calcitonin, calcitriol or vitamin D derivatives, other bone active agents including anti-convulsives, strontium ranelate, systemic ketoconazole. Androgens, ACTH, cinacalcet, aluminium, lithium, protease inhibitors, methotrexate, gonadotropin-releasing hormone agonists.
4. Regular use of medication that may affect bone mineral density.
5. A history of fracture in the last 6 months.
6. A history of chronic liver or renal function disease.
7. Abnormal liver function test or renal function tests at screening.
8. Diabetes Mellitus (based on either medical history or fasting glucose level at screening)
9. A history of milk allergy or intolerance to milk, or unable to confirm that they can take two glasses of milk per day.
10. Use of calcium, calcium fortified foods such as biscuits or juice, vitamin D, vitamin C and multivitamin supplements on a regular basis; use of anti-acids containing calcium on a regular basis and unwilling to stop these supplements or drug four weeks before going into the trial.
11. Baseline calcium intake of more than 500mg per day.
12. Currently consuming more than two units of alcohol per day or currently smoking cigarettes.
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Study design
Purpose of the study
Prevention
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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)
Screening: Excisting data base was screened for eligible women. 130 women were identified and subjected to bone density measurements as well as blood tests. Of these 100 were eligible. 63 were randomised using central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number generation in Minitab version 15.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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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
9/01/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4209
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China
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State/province [1]
4209
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Beijing
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Fonterra Brands AME Ltd
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Address [1]
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Fonterra Co-operative Group Limited
Private Bag 92032, 9 Princes Street, Auckland, 1010
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Country [1]
284931
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New Zealand
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Primary sponsor type
Individual
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Name
Marlena Kruger
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Address
IFNHH, Massey University, Private Bag 11222, Palmerston North, 4442
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Country
New Zealand
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Center for Clinical and Basic Research
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Address [1]
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1st Floor Tower C, No. 29 Life Science Park
Road Changping District, Beijing 102206 P.R
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Country [1]
283810
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China
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Edith Lau
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Address [1]
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Center for Health and Medical Research, Hong Kong 6 floor,
Tower ll, New World Tower, 18 Queen's Road central Hong Kong
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Country [1]
260643
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Hong Kong
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286935
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Beijing Friendship Hospital
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Ethics committee address [1]
286935
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Ethics committee country [1]
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China
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Date submitted for ethics approval [1]
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06/12/2010
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Approval date [1]
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29/12/2010
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Ethics approval number [1]
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Approval number: (2010)-040.
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Summary
Brief summary
In Asia, osteoporosis is rapidly increasing amongst postmenopausal women with the subsequent increasing risk of hip fracture. Low calcium intake has been reported as one of the risk factors for osteoporosis amongst Asian women. In short-term studies, the measurement of biochemical markers to assess bone turnover offers an accepted means of determining the effect of a treatment or dietary supplement on bone metabolism prior to any significant change in actual bone density. In general, changes in levels of biochemical markers are well correlated with changes in bone density in post-menopausal women. The impact of a high calcium vitamin D fortified milk drink on biochemical markers of bone turnover has been recently assessed in two clinical trials. These were conducted in Indonesia and the Philippines, and clearly showed an immediate impact of the milk on reducing bone resorption and bone turnover in post-menopausal women. The purpose of the current study is to compare the effect of the high calcium milk drink with added vitamin D versus a placebo drink supplementation, on serum parathyroid hormone and blood mineral levels as well as markers of bone formation/ resorption in postmenopausal Chinese women over three months.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
33948
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Address
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Country
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Phone
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Fax
33948
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Email
33948
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Contact person for public queries
Name
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Marlena Kruger
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Address
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IFNHH, Massey University, Private Bag 11222, Palmerston North 4442
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Country
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New Zealand
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Phone
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+6463505905
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Fax
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+6463505446
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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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Marlena Kruger
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Address
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IFNHH, Massey University, Private Bag 11222, Palmerston North 4442
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Country
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New Zealand
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Phone
8123
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+6463505905
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Fax
8123
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+6463505446
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Email
8123
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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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