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Spinal Cord InjuriesPhase 2RoBaCONCT03113994

Statin Monotherapy for Treatment of Endocrine Metabolic Disease Risk

A Phase 2 study testing Rosuvastatin Calcium, Coenzyme Q10 and Calcium Carbonate in people with Spinal Cord Injuries and Osteoporosis, run by Dr. B. Catharine. Craven at 2 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Rationale: After having a spinal cord injury (SCI), people develop changes in their body composition that influences their long-term health. Individuals with paralysis after SCI will have large declines in their bone density ant increases in fat mass which increases their risk of fracture and heart disease. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
Rosuvastatin Calcium, Coenzyme Q10 and Calcium Carbonate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
8 participants
Where
2 sitesin 2 countries
Study dates
26 Feb 2018to 31 Dec 2022
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Adult (age 18-60 years)
  • Motor complete SCI (C1-T10 AIS A/B)
  • 2 years post-injury
  • Have a telephone, and ability to attend the study visits
  • Able to take oral medications and swallow independently
  • Can provide free and informed consent
  • Ability to understand instructions in English
  • May report current use of oral alendronate 10mg daily or 70mg weekly or risedronate 5mg daily, 30mg weekly or 150mg monthly

Who cannot join

  • These criteria are intended to exclude those in whom; Rosuvastatin would be unsafe, DXA/pQCT measurement or biomarker assessment would be invalid, or in whom other co-morbid health conditions may confound the study results. Exclusion criteria include:
  • Current and/or one year prior to enrolment treatment with any statin such as atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, simvastatin and rosuvastatin.
  • Current treatment with IV bisphosphonate, denosumab, recombinant PTH, ovarian hormone therapy, an oral contraceptive, Immunosuppressants (Including Cyclosporine) and fusidic acid.
  • Known allergy to Rosuvastatin, lactose powder, CoQ10, calcium carbonate, vitamin D2 and vitamin D3, or any other ingredient found in rosuvastatin, placebo or study supplements.
  • History of Paget's disease, osteomalacia, steroid induced osteoporosis, or untreated parathyroid or untreated thyroid disease.
  • Subjects with history of stage 4 chronic kidney disease. (124)
Show all 20Show fewer
  • Current Weight ≥136 kg.
  • Bilateral knee region metal implants (hardware), history of bilateral knee region contracture >30 degrees, fracture or any other bilateral knee region pathology which would preclude accurate DXA assessment of one limb.
  • Post-menopausal women (absence of menses for a minimum of 1 year).
  • Women with amenorrhea due to bilateral surgical removal of the ovaries and/or uterus (women with amenorrhea due to spinal cord injury are able to participate).
  • Pregnancy or lactation.
  • Female of child-bearing potential who is engaged in active heterosexual relations and is not using appropriate birth control methods. Appropriate methods of birth control will include: surgical sterilization at least 6 months prior to using study drug or sexual activity restricted to a vasectomized partner, barrier contraception with a condom or diaphragm in conjunction with spermicidal gel in use at least 30 days prior to using study drug OR sexual abstinence as a lifestyle.
  • History of liver disease or abnormal Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT), ≥1.5 times the upper limit of the normal reference range at enrolment.
  • History of symptomatic hypocalcemia or hypophosphatemia.
  • Concurrent treatment with prednisone (>7.5mg/day for 90 days).
  • Vitamin D deficiency (Serum Vitamin D level <75nmol/L) after completing 8 to 12 weeks of treatment for Vitamin D deficiency as per the Vitamin D correction protocol (Appendix Page 1).
  • History of heart attack or stroke.
  • Untreated hypertension defined as: elevated BP above (135/85mmHg) assessed with an automated blood pressure cuff at 3 distinct time points in a 7-10 day period.(125, 126)
  • Current alcohol or street drug abuse.
  • Any illness or condition interfering with the trial conduct or subject safety.

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

United States1 site
  • University Of Miami Miller School of Medicine

    Miami, Florida, 33136

Other trials in United States

Canada1 site
  • University Health Network - Toronto Rehab Lyndhurst Centre

    Toronto, Ontario, M4G 3V9

Other trials in Canada

About this study

Official title: The Efficacy and Safety of Rosuvastatin for Modifying Bone Mass and Cardiometabolic Disease Outcomes

Rationale: After having a spinal cord injury (SCI), people develop changes in their body composition that influences their long-term health. Individuals with paralysis after SCI will have large declines in their bone density ant increases in fat mass which increases their risk of fracture and heart disease. Therapies to prevent SCI-related changes in body composition and their health effects are needed. Drugs known as "statins" used often to reduce high cholesterol, may help to reduce bone loss and inflammation.

Hypothesis: Among adults with SCI for a long time, treatment with a drug named Rosuvastatin or a sugar pill, with supplements (coenzyme Q10, calcium and vitamin D), for twelve months can decrease their endocrine metabolic disease risk by increasing bone density and reducing inflammation.

Read more

Study Design: A clinical trial will be conducted in Toronto, Ontario and Miami, Florida. Subjects will get statin therapy or placebo (sugar pill) by chance. Study subjects and research staff will not know whether they are taking the study drug or a sugar pill until after the study

Subjects: Fifty-four adults (age 18-60 years) with a long-term SCI and no movement below their level of injury.

Treatment: Subjects will be prescribed Rosuvastatin 10 mg daily or a sugar pill. In addition, all subjects will receive 100 mg of Co-Q10 daily, calcium carbonate 1250 mg and, vitamin D 2,000 IU once a day.

Data Collected: Subjects' bone density will be collected at the start and end of the study. Change in bone density between the two groups will be compared to see if one is better. Blood samples will be collected quarterly to make sure subjects are safe and do not develop problems with their liver or muscles and to measure the effects of the study drugs on inflammation throughout the body.

Clinical Implications: Statins may be safe and effective therapy for adults living with SCI who are at increased risk of endocrine metabolic disease as they age.

Read the detailed description

Rationale: Individuals with motor-complete spinal cord injury (SCI) undergo dramatic changes in body composition in the first 18 months post-injury, including declines in bone mineral density (BMD) that increase lower-extremity fragility fracture risk, and increases in fat mass that increase cardio-metabolic disease (CMD) risk. While statins are an effective treatment for dyslipidemia, research evidence suggests additional pleiotropic effects on bone through promotion of osteogenesis, suppression of osteoblast apoptosis, and inhibition of osteoclastogenesis. There are currently no effective therapies to treat sublesional osteoporosis (SLOP) and reduce the risk of fragility fractures in individuals with SCI.

Hypothesis: Twelve months of statin therapy with concurrent coenzyme Q10 (CoQ10), to reduce risk of statin neuromyotoxicity, and standard care (calcium 1250mg OD and vitamin D3 2000IU OD) will be superior to placebo with CoQ10 and standard care, for augmenting knee region BMD and reducing inflammatory stress (hs-CRP), thereby reducing endocrine metabolic disease risk.

Objective: To determine the safety and efficacy of statin therapy for augmenting distal femoral BMD among adults with chronic motor-complete SCI in Toronto, Ontario and Miami, Florida.

Study Design: Multi-centre, double-blind, randomized controlled Phase II safety and efficacy trial.

Subjects: Consenting men and premenopausal women (N=54, age 18-60 yrs) with chronic (≥2 years) spinal cord injury with a neurological level between C1-T10 and an AIS category of A/B.

Intervention: Rosuvastatin 10 mg po daily at night versus placebo for 12 months. All subjects will receive osteoporosis standard care (calcium carbonate 1250mg po daily and vitamin D3 2000 IU po daily) to maintain bone mass and CoQ10 100mg po daily to prevent statin-induced myopathy.

Outcomes: Primary safety outcomes: i) establish the safety of rosuvastatin in chronic SCI by reporting the frequency of myotoxicity and type II diabetes onset; ii) frequency and mean duration of liver transaminase elevations in the rosuvastatin and placebo groups. Primary efficacy outcome: measure the mean between group absolute changes in distal femur areal BMD (aBMD, g/cm2) from baseline to one year. Secondary efficacy outcomes: will examine the mean absolute changes from baseline in: i) volumetric BMD (vBMD, g/cm3); ii) markers of bone turnover - Bone Specific Alkaline Phosphatase (BALP), telopeptide (CTX), Sclerostin and RANK Ligand (RANK-L); iii) serum inflammatory markers including high sensitivity C-reactive Protein (hs-CRP), Interleukin-1ß (IL-1ß). interleukin-6 (IL-6), tumor necrosis factor - alpha (TNF-alpha), erythrocyte sedimentation rate (ESR); and, iv) lipid profile; low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), triglycerides, and total cholesterol Clinical Implications: Should rosuvastatin prove to be safe and efficacious for reducing endocrine metabolic disease risk for adults with chronic SCI, the results will advance the health of people with SCI by reducing the frequency and severity of heart disease and fracture as they age, with a single intervention.

Being tested
Rosuvastatin Calcium, Placebo Oral Tablet, Coenzyme Q10, Calcium Carbonate, Vitamin D
Keywords
Spinal Cord Injury, Osteoporosis, Cardiometabolic Syndrome
Medical subject headings
Spinal Cord Injuries, Osteoporosis, Metabolic Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Rosuvastatin CalciumDrug

    10mg Rosuvastatin, daily for 12 months

  • Placebo Oral TabletDrug

    Placebo, daily for 12 months

  • Coenzyme Q10Dietary supplement

    100mg CoQ10, daily for 12 months

  • Calcium CarbonateDietary supplement

    1250mg Calcium Carbonate, daily for 12 months

  • Vitamin DDietary supplement

    2000IU Vitamin D, daily for 12 months

Study groups in NCT03113994
Study groupRoleWhat they receive
RosuvastatinActive comparatorNot described
Receives: Drug: Rosuvastatin Calcium; Dietary Supplement: Coenzyme Q10; Dietary Supplement: Calcium Carbonate; Dietary Supplement: Vitamin D
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo Oral Tablet; Dietary Supplement: Coenzyme Q10; Dietary Supplement: Calcium Carbonate; Dietary Supplement: Vitamin D

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in areal BMD of the knee region

    Dual Xray Absorptiometry (DXA) Assessment of areal bone mineral density (aBMD) of the knee region

    Measured: Baseline and 12 months (or study completion)

Secondary outcomes (15)
  1. Change from Baseline in Low density lipoprotein cholesterol (LDL)

    Serum assessment of LDL

    Measured: Baseline and 12 months (or study completion)

  2. Change from Baseline in high density lipoprotein cholesterol (HDL)

    Serum assessment of HDL

    Measured: Baseline and 12 months (or study completion)

  3. Change from Baseline in triglycerides (TG)

    Serum assessment of TG

    Measured: Baseline and 12 months (or study completion)

  4. Change from Baseline in total cholesterol

    Serum assessment of cholesterol

    Measured: Baseline and 12 months (or study completion)

  5. Change from Baseline in High sensitivity C-reactive Protein (hsCRP)

    Serum assessment of hsCRP

    Measured: Baseline and 12 months (or study completion)

  6. Change from Baseline in Interleukin-1ß (IL-1ß)

    Serum assessment of IL-1ß

    Measured: Baseline and 12 months (or study completion)

  7. Change from Baseline in interleukin-6 (IL-6)

    Serum assessment of IL-6

    Measured: Baseline and 12 months (or study completion)

  8. Change from Baseline in tumor necrosis factor - alpha (TNF-alpha)

    Serum assessment of TNF-alpha

    Measured: Baseline and 12 months (or study completion)

  9. Change from Baseline in erythrocyte sedimentation rate (ESR)

    Serum assessment of ESR

    Measured: Baseline and 12 months (or study completion)

  10. Change from Baseline in Bone Specific Alkaline Phosphatase (BALP)

    Serum assessment of BALP

    Measured: Baseline, 6 months and 12 months (or study completion)

  11. Change from Baseline in C-telopeptide (CTX)

    Serum assessment of CTX

    Measured: Baseline, 6 months and 12 months (or study completion)

  12. Change from Baseline in Sclerostin

    Serum assessment of Sclerostin

    Measured: Baseline, 6 months and 12 months (or study completion)

  13. Change from Baseline in RANK Ligand (RANK-L)

    Serum assessment of RANK-L

    Measured: Baseline, 6 months and 12 months (or study completion)

  14. Change from Baseline in volumetric BMD of the tibia (pQCT)

    Peripheral Quantitative Computed Tomography (pQCT) assessment - Toronto Site Only

    Measured: Baseline and 12 months (or study completion)

  15. Change from Baseline in volumetric BMD of the tibia (HR-pQCT)

    High Resolution Peripheral Quantitative Computed Tomography (HR-pQCT) assessment - Toronto Site Only

    Measured: Baseline and 12 months (or study completion)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Apr 2017
  2. Study start26 Feb 2018
  3. Primary completion31 Dec 2022
  4. Study completion31 Dec 2022

Why it stopped: COVID-19 Pandemic

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03113994
Sponsor's protocol ID
2016-350642
Other IDs
2016
Acronym
RoBaCO
Status last verified
Apr 2026
First submitted
3 Apr 2017
Last updated
13 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Rosuvastatin Calcium, Coenzyme Q10 and Calcium Carbonate in people with Spinal Cord Injuries and Osteoporosis, run by Dr. B. Catharine. Craven at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: COVID-19 Pandemic). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in areal BMD of the knee region (time frame: Baseline and 12 months (or study completion)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2026.

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