Evidence map›Paper›PMID 38326858›Full record

ArticleOrphanet journal of rare diseases2024

The effects of etidronate on brain calcifications in Fahr's disease or syndrome: rationale and design of the randomised, placebo-controlled, double-blind CALCIFADE trial.

Birgitta Mg Snijders, Gini Mathijssen, Mike Jl Peters, Marielle H Emmelot-Vonk, Pim A de Jong, Susan Bakker, Heleen A Crommelin, Ynte M Ruigrok, Eva H Brilstra, Vera Pm Schepers and 3 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Orphanet journal of rare diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01585402 phase2completednot on this map

An Open-label, Non-Randomized, Single-Arm Pilot Study to Evaluate the Effectiveness of Etidronate Treatment for Arterial Calcifications Due to Deficiency in CD73 (ACDC)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2012 to 2021Enrolled7ConditionsArterial Calcification, CD73 DeficiencyArmsEtidronate, MRI Scan
NCT05662111 phase2recruitingnot on this map

A Randomized, Placebo-controlled, Double-blind Trial to Study the Effects of Etidronate on Ectopic CALCIfication in FAhr's Disease or Syndrome

TypeinterventionalSponsorUMC UtrechtRan2023 to 2027Enrolled98ConditionsFahr Disease, Fahr Syndrome, Primary Familial Brain CalcificationArmsEtidronate, Placebo
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Update on Genetic Chorea.Current neurology and neuroscience reports · 2026
    Review
  3. Article
  4. Article
  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Birgitta Mg SnijdersDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. b.m.g.snijders@umcutrecht.nl.ORCID 0000-0002-3605-2289
Gini MathijssenDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Mike Jl PetersDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Marielle H Emmelot-VonkDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Pim A de JongDepartment of Radiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Susan BakkerDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Heleen A CrommelinDepartment of Clinical Pharmacy, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Ynte M RuigrokDepartment of Neurology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Eva H BrilstraDepartment of Genetics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Vera Pm SchepersDepartment of Rehabilitation, Physical Therapy, Science & Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Wilko SpieringDepartment of Internal Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Evelien van ValenDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Huiberdina L KoekDepartment of Geriatrics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Utrecht University · NL

Funding

Hersenstichting DR-2021-00387
6 · The paper itself

Abstract

backgroundFahr's disease and syndrome are rare disorders leading to calcification of the small arteries in the basal ganglia of the brain, resulting in a wide range of symptoms comprising cognitive decline, movement disorders and neuropsychiatric symptoms. No disease-modifying therapies are available. Studies have shown the potential of treatment of ectopic vascular calcifications with bisphosphonates. This paper describes the rationale and design of the CALCIFADE trial which evaluates the effects of etidronate in patients with Fahr's disease or syndrome.

methodsThe CALCIFADE trial is a randomised, placebo-controlled, double-blind trial which evaluates the effects of etidronate 20 mg/kg during 12 months follow-up in patients aged ≥ 18 years with Fahr's disease or syndrome. Etidronate and placebo will be administered in capsules daily for two weeks on followed by ten weeks off. The study will be conducted at the outpatient clinic of the University Medical Center Utrecht, the Netherlands. The primary endpoint is the change in cognitive functioning after 12 months of treatment. Secondary endpoints are the change in mobility, neuropsychiatric symptoms, volume of brain calcifications, dependence in activities of daily living, and quality of life.

resultsPatient recruitment started in April 2023. Results are expected in 2026 and will be disseminated through peer-reviewed journals as well as presentations at national and international conferences.

conclusionsFahr's disease and syndrome are slowly progressive disorders with a negative impact on a variety of health outcomes. Etidronate might be a new promising treatment for patients with Fahr's disease or syndrome.

trial registrationClinicalTrials.gov, NCT05662111. Registered 22 December 2022, https://clinicaltrials.gov/ct2/show/NCT01585402 .

Indexed as

Basal Ganglia DiseasesCalcinosisEtidronic AcidNeurodegenerative DiseasesActivities of Daily LivingBrainHumansQuality of LifeRandomized Controlled Trials as TopicEtidronic AcidBrain calcificationsCognitive functioningEtidronateFahr’s diseaseFahr’s syndromePrimary Familial Brain CalcificationRandomised-controlled trial

Identifiers

PMID38326858
PMCPMC10851566
OpenAlexW4391600070

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.