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Trial · NCT01585402

Etidronate for Arterial Calcifications Due to Deficiency in CD73 (ACDC)

NCT01585402, Phase 2, Completed, National Heart, Lung, and Blood Institute (NHLBI); results first posted 2022-10-04

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ConductScience Library. Etidronate for Arterial Calcifications Due to Deficiency in CD73 (ACDC). Trials, record NCT01585402. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01585402

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Etidronate for Arterial Calcifications Due to Deficiency in CD73 (ACDC)
NCT number
NCT01585402
Status
Completed
Phases
Phase 2
Enrollment
7 participants, actual
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Conditions
Arterial Calcification, CD73 Deficiency
Interventions
Etidronate, MRI Scan
First posted
2012-04-25
Last updated
2022-10-04
Results first posted
2022-10-04

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnkle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
Ankle-brachial Index (ABI) at rest at pre-treatment, on-treatment and post-treatment of etidronate in participants diagnosed with ACDC. ABI is the ratio of the blood pressure in the lower and upper extremities obtained by dividing the blood pressure in an artery of the ankle by the blood pressure in an artery of the arm. Interpreting ABI values indicate the amount of arterial disease. Interpretation is as follows: \> or equal to 1.3 is noncompressible vessel, \> or equal to 1.0 is normal, 0.9 to 0.99 is borderline or equivocal, 0.7 to 0.89 is mild arterial disease, 0.5 to 0.69 is moderate arterial disease, and \<0.5 is severe arterial disease.
PrimaryAnkle-brachial Index After Exercise at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
Ankle-brachial Index (ABI) after exercise at pre-treatment, on-treatment and post-treatment of etidronate in participants diagnosed with ACDC. ABI is the ratio of the blood pressure in the lower and upper extremities obtained by dividing the blood pressure in an artery of the ankle by the blood pressure in an artery of the arm. Interpreting ABI values indicate the amount of arterial disease. Interpretation is as follows: \> or equal to 1.3 is noncompressible vessel, \> or equal to 1.0 is normal, 0.9 to 0.99 is borderline or equivocal, 0.7 to 0.89 is mild arterial disease, 0.5 to 0.69 is moderate arterial disease, and \<0.5 is severe arterial disease.
PrimaryComputed Tomography Calcium Score of Lower Extremities at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
Computed tomography (CT) Calcium Score of lower extremities at pre-treatment, on-treatment and post-treatment of etidronate in participants diagnosed with ACDC. According to Cleveland Clinic, a calcium score uses CT to detect calcium deposits in the coronary arteries of the heart. A higher coronary calcium score indicates a higher chance of significant narrowing in the coronary arteries and a higher risk of future heart attack. The Calcium Score range is as follows: zero is no evidence of Coronary Artery Disease (CAD), 1-10 is minimal evidence of CAD, 11-100 is mild evidence of CAD, 101-400 is moderate evidence of CAD and over 400 is extensive evidence of CAD. We applied the same concept to the arteries of the lower extremities. ACDC participants have an overwhelming amount of calcification in the lower extremity vasculature therefore their Calcium Scores are all out of range at baseline and during the study period.
SecondaryChanges in Hand Joint Calcification Based on Hand X-ray Before and During Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment)
Changes in hand joint calcification are based on bilateral hand x-ray before and during Etidronate in participants diagnosed with ACDC as a composite score provided by a radiologist measuring calcium deposit volume (mm\^3), calcium deposit density and number of calcifications observed in each finger joint. This is a new scoring system created by our team for the research study, so it has never been used before and healthy volunteer data is not available. However, healthy volunteers would be expected to have no joint calcifications in their hands, in sharp contrast with what we observe in ACDC patients. Density is subjectively defined as 0 equals no calcification, 1 equals barely visible, 2 equals visible with faint margins, 3 equals moderately dense and 4 equals fully dense. The range for the hand X-ray calcification score in this cohort was 288 (minimum) to 863 (maximum).
SecondarySimple Disease Activity Index Score at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
Simple Disease Activity Index (SDAI) score at pre-treatment, on-treatment and post-treatment of Etidronate in Participants Diagnosed With ACDC. The SDAI is a standard rheumatoid arthritis scores that provide treatment outcome measures on patient joint swelling and pain as well as participants ability to perform daily activity tasks. The SDAI is the sum of five parameters: tender and swollen joint count (based on a 28-joint assessment), patient and physician global assessment of disease activity and level of C-Reactive Protein (mg/dl, normal \<1 mg/dl). Total score is defined as: remission as less than 3, low disease activity is between 3 to 11, moderate disease activity is between 11 to 26 and high disease activity is greater than 26. Maximum score possible score is 86 with high disease activity.
SecondaryDuke Activity Status Index Score at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
Duke Activity Status Index (DASI) score at pre-treatment, on-treatment and post-treatment of Etidronate in Participants Diagnosed With ACDC. The DASI is an assessment tool used to evaluate the functional capacity of patients with cardiovascular disease (CVD), such as coronary artery disease, myocardial infarction, and heart failure. Positive responses are summed up to get a total score, which ranges from 0 to 58.2. Higher scores would indicate a higher functional capacity.
SecondaryPeak Metabolic Equivalents (METS) During Treadmill Test at Pre-treatment, On-treatment and Post- Treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
Peak Metabolic Equivalents (METS) During Treadmill Test at Pre-treatment, On-treatment and Post- treatment of Etidronate in Participants Diagnosed With ACDC A symptom-limited treadmill progressive test (Gardner Protocol) with gradual increase in grade will be performed in accordance with standard practice to evaluation exercise capacity and pain on exertion in subjects with decreased peripheral arterial perfusion. This test will use a constant speed of 2 mph and gradual increase in grade of 2% every 2 minutes beginning at 0% grade. METS is a measure of how able a person is to tolerate exercise. No scales exists. METS is calculated by = METs x 3.5 x (your body weight in kilograms) / 200 = calories burned per minute.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnkle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
One participant received 11 drug cycles (not 12 cycles) due to discontinuation of the drug by the manufacturer. Participants that underwent lower limb revascularization procedures, measurements obtained after the procedure dates were excluded from analysis.
score on a scaleMEAN
PRIMARYAnkle-brachial Index After Exercise at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
One participant received 11 drug cycles (not 12 cycles) due to discontinuation of the drug by the manufacturer. Participants that underwent lower limb revascularization procedures, measurements obtained after the procedure dates were excluded from analysis.
score on a scaleMEAN
PRIMARYComputed Tomography Calcium Score of Lower Extremities at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)
One participant received 11 drug cycles (not 12 cycles) due to discontinuation of the drug by the manufacturer. Participants that underwent lower limb revascularization procedures, measurements obtained after the procedure dates were excluded from analysis. ACDC participants have an overwhelming amount of calcification in the lower extremity vasculature therefore their Calcium Scores are all out of range at baseline and during the study period.
score on a scaleMEAN
SECONDARYChanges in Hand Joint Calcification Based on Hand X-ray Before and During Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment)One participant received 11 drug cycles (not 12 cycles) due to discontinuation of the drug by the manufacturer.score on a scaleMEAN
SECONDARYSimple Disease Activity Index Score at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)One participant received 11 drug cycles due to discontinuation of the drug by the manufacturer.score on a scaleMEAN
SECONDARYDuke Activity Status Index Score at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)One participant received 11 drug cycles (not 12 cycles) due to discontinuation of the drug by the manufacturer.score on a scaleMEAN
SECONDARYPeak Metabolic Equivalents (METS) During Treadmill Test at Pre-treatment, On-treatment and Post- Treatment of Etidronate in Participants Diagnosed With ACDCUp to 2 years (pre-treatment), 3 years (on-treatment) and up to 1 year (post-treatment)One participant received 11 drug cycles (not 12 cycles) due to discontinuation of the drug by the manufacturer.Metabolic EquivalentsMEAN

Results by group34

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Ankle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Left Side Pre-Treatment at Rest0.574195% Confidence Interval 0.4801 to 0.6681score on a scale
Ankle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Left Side On-Treatment at Rest0.541195% Confidence Interval 0.4479 to 0.6342score on a scale
Ankle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Left Side Post-Treatment at Rest0.522295% Confidence Interval 0.4254 to 0.6190score on a scale
Ankle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Right Side Pre-Treatment at Rest0.526695% Confidence Interval 0.3746 to 0.6785score on a scale
Ankle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Right Side On-Treatment at Rest0.532295% Confidence Interval 0.3827 to 0.6817score on a scale
Ankle-brachial Index at Rest at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Right Side Post-Treatment at Rest0.577195% Confidence Interval 0.4122 to 0.7420score on a scale
Ankle-brachial Index After Exercise at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Left Side Pre-Treatment after Exercise0.565895% Confidence Interval 0.4651 to 0.6664score on a scale
Ankle-brachial Index After Exercise at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Left Side On-Treatment after Exercise0.531095% Confidence Interval 0.4320 to 0.6300score on a scale
Ankle-brachial Index After Exercise at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Left Side Post-Treatment after Exercise0.503195% Confidence Interval 0.3989 to 0.6073score on a scale
Ankle-brachial Index After Exercise at Pre-treatment, On-treatment and Post-treatment of Etidronate in Participants Diagnosed With ACDCEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)Right Side Pre-Treatment after Exercise0.605695% Confidence Interval 0.3927 to 0.8184score on a scale

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)7
Overall StudyCOMPLETEDEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)7
Overall StudyNOT COMPLETEDEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)0

Adverse events110

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)279
otherBloatingGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)272
otherConstipationGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)272
otherDental cariesGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)273
otherDiarrheaGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)7734
otherDry mouthGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)171
otherDyspepsiaGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)274
otherDysphagiaGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)172
otherEsophagitisGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)171
otherGastritisGastrointestinal disordersEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)171

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)07
Total, other adverse eventsEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)77
Total, serious adverse eventsEtidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)47

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
9494781BACKGROUNDPubMed
17332236BACKGROUNDPubMed
21288095BACKGROUNDPubMed
38326858DERIVEDPubMed
38568107DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01585402

GET https://conductscience.org/api/trials/v1/NCT01585402/results?page=2