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The Clinical Research Center
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The Clinical Research Center
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Principal Investigators Robert Lindsay/Felicia Cosman: Sponsor: Roche Laboratories Study: An open label, multi-center study to determine level of adherence to monthly oral or every three month intravenous ibandronate treatment in postmenopausal women with osteoporosis or osteopenia, who are GI intolerant of daily and/or weekly alendronate or risedronate (ML 18058)

Principal Investigator: Felicia Cosman: Sponsor: Eli Lilly
Study: Effects of Subcutaneous Teriparatide on Serum Calcium in Postmenopausal Women with Osteoporosis Previously Treated with Raloxifene or Alendronate (B3D-MC-GHCM)

Principal Investigator: Felicia Cosman: Sponsor: Novartis
Study: Randomized, multicenter, double-blind, double-dummy, parallel group study to determine the efficacy and safety of intravenous zoledronic acid 5 mg annually compared to oral alendronate 70 mg weekly for the treatment of osteoporosis in men (CZOL446M2308)

Principal Investigators Robert Lindsay/Felicia Cosman: Sponsor: Roche Laboratories
Study: An open label, multi-center study to determine level of adherence to monthly oral or every three month intravenous ibandronate treatment in postmenopausal women with osteoporosis or osteopenia, who are GI intolerant of daily and/or weekly alendronate or risedronate (ML 18058).

Principal Investigator Robert Lindsay Sponsor: Novartis
Study: A multicenter, randomized, double blind, double-dummy study to determine the rapidity of onset of zoledronic acid compared to alendronate in post-menopausal women with moderate/severe osteopenia or osteoporosis. Novartis Study No. CZOL446H 2315

Principal Investigator: Felicia Cosman: Sponsor: Novartis
Study: Randomized, multicenter, double-blind, double-dummy, parallel group study to determine the efficacy and safety of intravenous zoledronic acid 5 mg annually compared to oral alendronate 70 mg weekly for the treatment of osteoporosis in men (CZOL446M2308)

Ongoing Clinical Research Studies:

Felicia Cosman, M.D continues as the Principal Investigator on a multicenter three-year study sponsored by Novartis to evaluate whether an intravenous administration of a bisphosphonate given once a year will reduce the rate of fractures compared to patients given a placebo.

Jeri Nieves, Ph.D. completed as Principal Investigator the study of the Evaluation of Continuous Summary Physical Performance Scores in the elderly. Helen Hayes Hospital recruited 30 patients for this study and served as the data management center for this multicenter clinical trial sponsored by Bristol-Myers Squibb. The first manuscript was recently published and a follow-up manuscript is being prepared.

Dr. Cosman is continuing the second year of a study to determine the efficacy of Fosamax vs. Actonel on bone mass and body composition, sponsored by Merck, Inc.

The Clinical Research Center, in conjunction with the Regional Bone Center, continues their efforts to accomplish the research goals of the Specialized Center of Osteoporosis Research grant. The clinical project examining parathyroid hormone in addition to ongoing alendronate therapy was completed during 2004 and the results will be published shortly.

Felicia Cosman, M.D. continues to serve as the Principal Investigator on a trial of patients who are currently on raloxifene, who will be randomized to raloxifene alone or parathyroid hormone and raloxifene to see whether bone turnover and bone density are further improved within the combined treatment. An observational extension to this study includes a one-year challenge or re-challenge with PTH for patients taking raloxifene who still have osteoporosis. The purpose of this study is to determine whether forteo leads to similar increases in markers of bone formation and resorption in patients who have recently taken raloxifene.

Dr. Nieves completed recruitment for the grant Oral Contraceptives and Bone Health in Female Runners. Dr. Kelsey at Stanford University is the Principal Investigator of this Dept. of Army funded study. Women long distance runners have been recruited into a randomized trial of oral contraceptives to see whether bone mass can be stabilized in this population. This study will be completed in 2005.

Dr. Nieves is analyzing the results of her study of nutritional supplementation in black postmenopausal women, a study funded by the National Institutes of Aging. Several papers are currently being completed and submitted for publication.

An evaluation of Quantitative Computed Tomography (QCT) to Measure Bone Mineral Density: after Parathyroid Hormone Therapy. PI: Dr. Cosman This study will determine the amount of bone in the spine and hip using an x-ray procedure called Quantitative Computed Tomography (QCT) following parathyroid hormone treatment. This is done using the QCT of Dr. Noah Weg.

Primary hyperthyroidism PIs: Dr. Nieves, Cosman and Dempster, in conjunction with Dr. Belizikien at Columbia University, HHH investigators will assist in the design and data analysis of fracture occurrence in patients with primary hyperparathyroidism and Dr. Dempster will continue to analyze and interpret bone biopsy data from this study.

Dr. Lindsay continues his work on the study “Open label study to determine how prior therapy with alendronate or risedronate in postmenopausal women with osteoporosis influences the clinical effectiveness of teriparatide”. The purpose of this study is to determine whether teriparatide work as well in patients who have recently taken alendronate as compared to patients who recently took risedronate.

Dr. Lindsay continues as PI for the Wyeth research protocol # 3115A 303 US: A double blind, randomized, placebo and active controlled safety and efficacy study of Bazedoxifene/conjugated estrogens combinations in postmenopausal women. The Bone Quality Control Center which has been contracted to do the bone density quality control for a multicenter clinical trial of over 3000 women to evaluate a tissue selective estrogen and estrogen combination in the prevention of osteoporosis.

Apomine as a potential new treatment for osteoporosis: PI: Dr. Lindsay and a center in Omaha, Nebraska will continue the investigation of a potential new treatment for osteoporosis (apomine) with Ilex Pharmaceuticals.

Dr. Nieves serves as the Principal Investigator of The New York State Osteoporosis Prevention and Education Program (NYSOPEP), an educational program that has been refunded from 2003-2008. Helen Hayes Hospital serves as both a regional center and as the coordinating center for this statewide effort. The goal of this program is to educate health professionals and the public about osteoporosis and how to prevent this disease. NYSOPEP has its own web site, www.nysopep.org. NYSOPEP staff travel throughout the state, giving numerous talks, and oversee three support groups (Helen Hayes Hospital, Fountainview, and Orange County). In addition, The Bone Health Seminar, a comprehensive education program is ongoing for Helen Hayes Hospital patients and is also open to the public.