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. 2007 Oct 17;2007(4):CD005324. doi: 10.1002/14651858.CD005324.pub2

Henderson 2002.

Methods Randomized placebo controlled trial
Stated as double‐blinded
Loss to follow‐up: 1 pair (2 subjects)
Trial Duration: 1 year
Participants Inclusion criteria: non‐ambulatory children and adolescents with quadriplegic cerebral palsy
Pairs matched for age, gender, sex
Sample Size 12 subjects (6‐matched pairs), 1 pair lost to follow‐up
Mean age: pamidronate 9.25 years, placebo 9.31 years
Female/Male: pamidronate 3/3, placebo 2/4
Interventions Intravenous pamidronate or saline placebo administered daily for 3 consecutive days, repeated at 3‐month intervals for 1 year (5 dosing sessions, 15 total doses).
Dose: 1 mg pamidronate/kg body weight but not <15 mg or >30mg.
All subjects received daily calcium (1000mg), pediatric multivitamin, and vitamin D (400 IU) supplementation
Outcomes BMD of distal femur ‐ 3 sites (raw/% change, Z‐score change)
areal BMD of lumbar spine (raw/%change, Z‐score change)
Bone Metabolism Parameters (change) (osteocalcin, serum NTx, Alkaline Phosphatase, bone specifc alkaline phosphatase)
Withdrawals due to adverse events
Notes Quality Assessment: Jadad Scale = 4/5 (R 1, B 2, W 1)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear