Effect of Zoledronic Acid on Bone Metabolism in Patients With Bone Metastasis and Prostate or Breast Cancer

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT00334139
First received: June 2, 2006
Last updated: August 6, 2012
Last verified: August 2012
  Purpose

Bisphosphonates have been used extensively in the treatment and the prevention of skeletal complications associated with bone metastases in patients with breast cancer and prostate cancer.

The purpose of this study is to assess the effect of zoledronic acid patients with prostate cancer or breast cancer and bone metastasis.


Condition Intervention Phase
Prostate Cancer
Breast Cancer
Bone Metastasis
Drug: Zoledronic Acid
Phase 4

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Prospective, Single-arm Multicenter Study to Evaluate Effect of Intravenous Zoledronic Acid on Bone Metabolism Given Over 4 Months in Patients With Prostate Cancer or Breast Cancer and Bone Metastasis

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Bone turnover assessed by bone turnover parameters [ Time Frame: every 30 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Pain [ Time Frame: every 30 days ] [ Designated as safety issue: No ]
  • Change in prostate specific antigen [ Time Frame: every 30 days ] [ Designated as safety issue: No ]
  • Quality of Life [ Time Frame: every 30 days ] [ Designated as safety issue: No ]
  • Correlation between pain and bone turnover [ Time Frame: at end of study ] [ Designated as safety issue: No ]
  • Correlation between bone complications and bone turnover [ Time Frame: end of study ] [ Designated as safety issue: No ]

Enrollment: 411
Study Start Date: June 2006
Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: zoledronic acid Drug: Zoledronic Acid
every 4 weeks for 4 months
Other Name: ZOL446

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Prostate cancer with at least one cancer-related bone lesion with or without hormonal treatment.
  • Breast cancer with at least one cancer-related bone lesion
  • Negative pregnancy test at screening in case of child-bearing potential and Performance status ECOG 0-2
  • Normal liver and kidney function
  • Prior surgery, chemotherapy and radiotherapy is allowed. At least 4 weeks must have elapsed since the completion of surgery, chemotherapy and radiotherapy to breast or bone.

Exclusion criteria:

  • Prior treatment with bisphosphonates within 6 months before study start, and during treatment with zoledronic acid. Known hypersensitivity to zoledronic acid or other bisphosphonates. Corrected (adjusted for serum albumin) serum calcium concentration < 8.0 mg/dl (2.00 mmol/L) or ≥12.0mg/dl (3.00 mmol/L)
  • Current/active dental problems including
  • infection of the teeth or jawbone
  • dental or fixture trauma
  • current or previous osteonecrosis of the jaw
  • exposed bone in the mouth
  • slow healing after dental procedures
  • recent (within 6 weeks) or planned dental or jaw surgery (extraction, implants)
  • Patients with clinically symptomatic brain metastases. Severe physical or psychological concomitant diseases expected to impair compliance with the provisions of the study protocol or impair the assessment of drug of patient safety
  • Clinically significant ascites, NYHA III or IV, cardiac failure, clinically relevant pathologic findings in ECG
  • History of diseases with influence on bone metabolism such as Paget´s disease and primary hyperparathyroidism and with need of treatment for osteoporosis (defined according to DVO, T-Score ≤2.5).
  • Previous radiation therapy to bone (including therapeutic radioisotopes such as strontium 89) within 1 month

Additional protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00334139

Locations
Germany
Novartis Investigative Site
Ulm, Germany
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmeceuticals
  More Information

No publications provided

Responsible Party: Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier: NCT00334139     History of Changes
Other Study ID Numbers: CZOL446EDE28
Study First Received: June 2, 2006
Last Updated: August 6, 2012
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by Novartis:
serum bone markers
bone metastasis
prostate cancer
breast cancer
quality of life
bisphosphonates

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasm Metastasis
Neoplasms, Second Primary
Prostatic Neoplasms
Bone Neoplasms
Bone Marrow Diseases
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Neoplastic Processes
Pathologic Processes
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Prostatic Diseases
Bone Diseases
Musculoskeletal Diseases
Hematologic Diseases
Zoledronic acid
Diphosphonates
Bone Density Conservation Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 16, 2012