Safety and Efficacy Trial With Zoledronic Acid for the Treatment of Paget's Disease of Bone, Including an Extended Observation Period

NCT ID: NCT00051636

Last Updated: 2012-05-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-01-31

Study Completion Date

2011-04-30

Brief Summary

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The core study looked at the effect of Zoledronic Acid given once as an intravenous (i.v.) infusion compared to 60 days of oral Risedronate in patients with Paget's disease of bone. The effect was demonstrated in the reduction of serum alkaline phosphatase (SAP). The extended observation period included participants of the core study who responded to treatment.

Detailed Description

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Conditions

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Paget's Disease of Bone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Zoledronic Acid and Placebo to Risedronate

Participants received zoledronic acid 5 mg intravenous infusion one dose, 60 days of oral placebo to risedronate, calcium 500 mg twice a day and vitamin D 400 to 1000 international units daily during the core period, and received only calcium and vitamin D supplements during the extended observation period.

Group Type EXPERIMENTAL

Zoledronic Acid

Intervention Type DRUG

Zoledronic acid 5 mg in 5 mL of sterile water intravenous infusion.

Placebo to Risedronate

Intervention Type DRUG

Oral placebo of risedronate capsules.

Calcium and Vitamin D

Intervention Type DIETARY_SUPPLEMENT

Calcium and vitamin D supplements were supplied.

Risedronate and Placebo to Zoledronic Acid

Participants received 60 days of oral risedronate 30 mg, one intravenous infusion of placebo to zoledronic acid, calcium 500 mg twice a day and vitamin D 400 to 1000 international units daily during the core period, and received only calcium and vitamin D supplements during the extended observation period.

Group Type ACTIVE_COMPARATOR

Risedronate

Intervention Type DRUG

Oral risedronate 30 mg capsules.

Placebo to Zoledronic Acid

Intervention Type DRUG

5 mL of sterile water one dose intravenous infusion.

Calcium and Vitamin D

Intervention Type DIETARY_SUPPLEMENT

Calcium and vitamin D supplements were supplied.

Interventions

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Zoledronic Acid

Zoledronic acid 5 mg in 5 mL of sterile water intravenous infusion.

Intervention Type DRUG

Risedronate

Oral risedronate 30 mg capsules.

Intervention Type DRUG

Placebo to Risedronate

Oral placebo of risedronate capsules.

Intervention Type DRUG

Placebo to Zoledronic Acid

5 mL of sterile water one dose intravenous infusion.

Intervention Type DRUG

Calcium and Vitamin D

Calcium and vitamin D supplements were supplied.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Reclast, Aclasta Actonel

Eligibility Criteria

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Inclusion Criteria

* 30 years or older
* Serum alkaline phosphatase (SAP) 2 times upper limit normal (ULN)
* Confirmed diagnosis of Paget's disease of the bone (by x-ray, magnetic resonance imaging, computerized tomography, radioisotope imaging, etc.).
* 90 days washout calcitonin
* 180 day washout bisphosphonate

Exclusion Criteria

* Allergic reaction to bisphosphonates
* History of upper gastrointestinal disorders
* History of iritis, uveitis
* Calculated creatinine clearance \< 30 ml/min at baseline
* Evidence of vitamin D deficiency
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Novartis Investigative Site

Santa Monica, California, United States

Site Status

Novartis Investigative Site

Lakewood, Colorado, United States

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Novartis Investigative Site

Boca Raton, Florida, United States

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Novartis Investigative Site

Miami, Florida, United States

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Novartis Investigative site

Maywood, Illinois, United States

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Novartis investigative site

Worcester, Massachusetts, United States

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Novartis investigative site

Detroit, Michigan, United States

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Novartis Investigative Site

New York, New York, United States

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Novartis investigative site

Syracuse, New York, United States

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Novartis investigative site

Durham, North Carolina, United States

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Novartis investigative site

Medford, Oregon, United States

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Novartis investigative site

Providence, Rhode Island, United States

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Novartis Investigative Site

Concord, , Australia

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Novartis Investigative Site

Fitzroy, , Australia

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Novartis Investigative site

Geelong, , Australia

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Novartis Investigative Site

Kogarah, , Australia

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Maroochydore, , Australia

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Nedlands, , Australia

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Novartis Investigative Site

Calgary, , Canada

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Novartis Investigative Site

London, , Canada

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Montreal, , Canada

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Ste-Foy, , Canada

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Toronto, , Canada

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Auckland, , New Zealand

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Christchurch, , New Zealand

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Salamanca, , Spain

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Novartis Investigative site

Liverpool, , United Kingdom

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Novartis Investigative Site

Manchester, , United Kingdom

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Nottingham, , United Kingdom

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Novartis Investigative Site

Oxford, , United Kingdom

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Novartis Investigative site

Penarth, , United Kingdom

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Novartis investigative site

Pernarth, , United Kingdom

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Novartis Investigative Site

Stanmore, , United Kingdom

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Novartis Investigative Site

Vale of Glamorgan, , United Kingdom

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Countries

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United States Australia Canada New Zealand Spain United Kingdom

Other Identifiers

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ZOL446K2304

Identifier Type: OTHER

Identifier Source: secondary_id

CZOL446H2304

Identifier Type: -

Identifier Source: org_study_id

NCT00050258

Identifier Type: -

Identifier Source: nct_alias

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