Trial Outcomes & Findings for Zoledronic Acid in the Prevention of Bone Loss in Postmenopausal Women With Osteopenia, 45 Years of Age and Older (NCT NCT00132808)

NCT ID: NCT00132808

Last Updated: 2016-09-12

Results Overview

The percentage change in lumbar spine BMD at Month 24 relative to baseline was derived as 100 x (lumbar spine BMD at 24 Month - lumbar spine BMD at baseline) / (lumbar spine BMD at baseline).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

581 participants

Primary outcome timeframe

Baseline, Month 24

Results posted on

2016-09-12

Participant Flow

Eligible patients were stratified according to their duration of menopause (those less than 5 years from menopause were included in Stratum I, while those 5 or more years from menopause were included in Stratum II), and randomized equally to one of the three treatment groups.

Participant milestones

Participant milestones
Measure
Zoledronic Acid 2x5 mg
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
Placebo given at randomization and Month 12
Stratum I
STARTED
77
70
77
Stratum I
COMPLETED
68
58
72
Stratum I
NOT COMPLETED
9
12
5
Stratum II
STARTED
121
111
125
Stratum II
COMPLETED
113
96
116
Stratum II
NOT COMPLETED
8
15
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Zoledronic Acid 2x5 mg
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
Placebo given at randomization and Month 12
Stratum I
Adverse Event
2
1
0
Stratum I
Lost to Follow-up
3
4
1
Stratum I
Withdrawal by Subject
4
7
3
Stratum I
Abnormal test procedure result (s)
0
0
1
Stratum II
Adverse Event
1
2
1
Stratum II
Death
1
0
0
Stratum II
Lost to Follow-up
2
2
1
Stratum II
Protocol Violation
0
2
1
Stratum II
Withdrawal by Subject
4
9
6

Baseline Characteristics

Zoledronic Acid in the Prevention of Bone Loss in Postmenopausal Women With Osteopenia, 45 Years of Age and Older

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Total
n=581 Participants
Total of all reporting groups
Age, Continuous
Stratum I (Women < 5 Years From Menopause)
53.6 years
STANDARD_DEVIATION 3.62 • n=5 Participants
53.7 years
STANDARD_DEVIATION 3.59 • n=7 Participants
54.4 years
STANDARD_DEVIATION 3.83 • n=5 Participants
53.9 years
STANDARD_DEVIATION 3.68 • n=4 Participants
Age, Continuous
Stratum II (Women >= 5 Years From Menopause)
63.9 years
STANDARD_DEVIATION 6.62 • n=5 Participants
63.4 years
STANDARD_DEVIATION 7.74 • n=7 Participants
64.2 years
STANDARD_DEVIATION 7.65 • n=5 Participants
63.8 years
STANDARD_DEVIATION 7.34 • n=4 Participants
Sex: Female, Male
Female
198 Participants
n=5 Participants
181 Participants
n=7 Participants
202 Participants
n=5 Participants
581 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, Month 24

Population: Intent to treat population. Last observation carried forward (LOCF) was utilized to impute missing data.

The percentage change in lumbar spine BMD at Month 24 relative to baseline was derived as 100 x (lumbar spine BMD at 24 Month - lumbar spine BMD at baseline) / (lumbar spine BMD at baseline).

Outcome measures

Outcome measures
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Percentage Change in Lumbar Spine Bone Mineral Density (BMD) at Month 24 Relative to Baseline, by Stratum
Stratum I (Women < 5 Years From Menopause)
4.62 Percentage change in BMD
Standard Error 0.444 • Interval 5.77 to 7.96
4.03 Percentage change in BMD
Standard Error 0.444 • Interval 5.15 to 7.39
-2.24 Percentage change in BMD
Standard Error 0.428
Percentage Change in Lumbar Spine Bone Mineral Density (BMD) at Month 24 Relative to Baseline, by Stratum
Stratum II (Women >= 5 Years From Menopause)
5.60 Percentage change in BMD
Standard Error 0.343 • Interval 5.32 to 7.17
4.76 Percentage change in BMD
Standard Error 0.356 • Interval 4.46 to 6.36
-0.65 Percentage change in BMD
Standard Error 0.339

SECONDARY outcome

Timeframe: Baseline, Month 24

Population: Intent to treat population with available data.

The percentage change in total hip BMD at Month 24 relative to baseline was derived as 100 x (total hip BMD at 24 Month - total hip BMD at baseline) / (total hip BMD at baseline).

Outcome measures

Outcome measures
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Percentage Change in Total Hip BMD at Month 24 Relative to Baseline, by Stratum.
Stratum I (Women < 5 Years From Menopause)
2.66 Percentage change in BMD
Standard Error 0.318 • Interval 4.0 to 5.52
2.55 Percentage change in BMD
Standard Error 0.317 • Interval 3.86 to 5.43
-2.10 Percentage change in BMD
Standard Error 0.293
Percentage Change in Total Hip BMD at Month 24 Relative to Baseline, by Stratum.
Stratum II (Women >= 5 Years From Menopause)
3.04 Percentage change in BMD
Standard Error 0.265 • Interval 3.36 to 4.8
2.11 Percentage change in BMD
Standard Error 0.282 • Interval 2.4 to 3.91
-1.04 Percentage change in BMD
Standard Error 0.265

SECONDARY outcome

Timeframe: Baseline, Month 24

Population: Intent to treat population with available data.

The percentage change in femoral neck BMD at Month 24 relative to baseline was derived as 100 x (femoral neck BMD at 24 Month - femoral neck BMD at baseline) / (femoral neck BMD at baseline).

Outcome measures

Outcome measures
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Percentage Change in Femoral Neck BMD at Month 24 Relative to Baseline, by Stratum.
Stratum I (Women < 5 Years From Menopause)
2.04 Percentage change in BMD
Standard Error 0.550 • Interval 2.27 to 4.9
2.01 Percentage change in BMD
Standard Error 0.549 • Interval 2.2 to 4.92
-1.55 Percentage change in BMD
Standard Error 0.508
Percentage Change in Femoral Neck BMD at Month 24 Relative to Baseline, by Stratum.
Stratum II (Women >= 5 Years From Menopause)
2.35 Percentage change in BMD
Standard Error 0.344 • Interval 2.6 to 4.47
1.46 Percentage change in BMD
Standard Error 0.366 • Interval 1.67 to 3.62
-1.18 Percentage change in BMD
Standard Error 0.343

SECONDARY outcome

Timeframe: Months 6, 12, 18 and 24

Population: Intent to treat population with available data.

Biomarker: Serum b-CTx levels at Months 6, 12, 18 and 24 by stratum.

Outcome measures

Outcome measures
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum I - Month 6
0.2217 ng/mL
Standard Deviation 0.11791
0.2286 ng/mL
Standard Deviation 0.09630
0.6439 ng/mL
Standard Deviation 0.27902
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum I - Month 12
0.2861 ng/mL
Standard Deviation 0.13776
0.3111 ng/mL
Standard Deviation 0.13195
0.6634 ng/mL
Standard Deviation 0.25433
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum I - Month 18
0.2187 ng/mL
Standard Deviation 0.16812
0.3605 ng/mL
Standard Deviation 0.14847
0.6444 ng/mL
Standard Deviation 0.28254
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum I - Month 24
0.2864 ng/mL
Standard Deviation 0.12242
0.3777 ng/mL
Standard Deviation 0.14943
0.6640 ng/mL
Standard Deviation 0.27538
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum II - Month 6
0.1918 ng/mL
Standard Deviation 0.12648
0.1888 ng/mL
Standard Deviation 0.10625
0.5802 ng/mL
Standard Deviation 0.25034
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum II - Month 12
0.2696 ng/mL
Standard Deviation 0.18247
0.2484 ng/mL
Standard Deviation 0.11435
0.5634 ng/mL
Standard Deviation 0.23442
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum II - Month 18
0.1986 ng/mL
Standard Deviation 0.14900
0.2854 ng/mL
Standard Deviation 0.14391
0.5742 ng/mL
Standard Deviation 0.24399
Biochemical Marker of Bone Resorption: Serum Beta C-telopeptides (b-CTx), by Stratum
Stratum II - Month 24
0.2554 ng/mL
Standard Deviation 0.17049
0.3254 ng/mL
Standard Deviation 0.15260
0.6012 ng/mL
Standard Deviation 0.26942

SECONDARY outcome

Timeframe: Months 6, 12, 18 and 24

Population: Intent to treat population with available data.

Biomarker: Serum P1NP levels at Months 6, 12, 18 and 24 by stratum.

Outcome measures

Outcome measures
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum I - Month 24
28.288 ng/mL
Standard Deviation 12.2706
38.743 ng/mL
Standard Deviation 14.7626
56.315 ng/mL
Standard Deviation 20.3715
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum I - Month 6
20.851 ng/mL
Standard Deviation 9.7724
20.752 ng/mL
Standard Deviation 9.7560
59.449 ng/mL
Standard Deviation 20.3291
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum I - Month 12
28.231 ng/mL
Standard Deviation 12.3748
30.500 ng/mL
Standard Deviation 14.8217
55.166 ng/mL
Standard Deviation 20.5274
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum I - Month 18
20.102 ng/mL
Standard Deviation 12.6635
35.561 ng/mL
Standard Deviation 14.1588
55.775 ng/mL
Standard Deviation 19.8842
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum II - Month 6
19.369 ng/mL
Standard Deviation 14.1819
19.423 ng/mL
Standard Deviation 16.6028
50.271 ng/mL
Standard Deviation 22.6624
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum II - Month 12
28.333 ng/mL
Standard Deviation 15.8193
26.363 ng/mL
Standard Deviation 13.1112
49.581 ng/mL
Standard Deviation 20.6559
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum II - Month 18
19.031 ng/mL
Standard Deviation 14.8270
29.569 ng/mL
Standard Deviation 14.7631
46.943 ng/mL
Standard Deviation 18.8147
Biochemical Marker of Bone Formation: Serum N-terminal Propeptide of Type 1 Collagen (P1NP), by Stratum
Stratum II - Month 24
26.211 ng/mL
Standard Deviation 11.8566
34.418 ng/mL
Standard Deviation 15.4474
51.621 ng/mL
Standard Deviation 20.9281

SECONDARY outcome

Timeframe: Months 6, 12, 18 and 24

Population: Intent to treat population with available data.

Biomarker: BSAP levels at Months 6, 12, 18 and 24 by stratum.

Outcome measures

Outcome measures
Measure
Zoledronic Acid 2x5 mg
n=198 Participants
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 Participants
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 Participants
Placebo given at randomization and Month 12
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum II - Month 12
9.678 ng/mL
Standard Deviation 3.0216
9.139 ng/mL
Standard Deviation 2.4558
13.650 ng/mL
Standard Deviation 4.8295
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum I - Month 6
8.718 ng/mL
Standard Deviation 2.5827
8.841 ng/mL
Standard Deviation 2.2434
13.982 ng/mL
Standard Deviation 4.7106
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum I - Month 12
9.945 ng/mL
Standard Deviation 2.9027
10.539 ng/mL
Standard Deviation 2.9800
14.127 ng/mL
Standard Deviation 4.8981
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum I - Month 18
8.365 ng/mL
Standard Deviation 2.5574
11.233 ng/mL
Standard Deviation 3.1563
14.149 ng/mL
Standard Deviation 4.8878
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum I - Month 24
9.799 ng/mL
Standard Deviation 2.5836
11.764 ng/mL
Standard Deviation 3.8401
14.353 ng/mL
Standard Deviation 4.9089
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum II - Month 6
8.219 ng/mL
Standard Deviation 2.8126
7.925 ng/mL
Standard Deviation 2.2847
13.394 ng/mL
Standard Deviation 5.2169
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum II - Month 18
8.357 ng/mL
Standard Deviation 2.2152
10.023 ng/mL
Standard Deviation 2.8237
13.222 ng/mL
Standard Deviation 4.9167
Biochemical Marker of Bone Formation: Bone Serum Alkaline Phosphatase (BSAP), by Stratum
Stratum II - Month 24
9.730 ng/mL
Standard Deviation 2.7591
10.916 ng/mL
Standard Deviation 3.5878
13.902 ng/mL
Standard Deviation 4.6302

Adverse Events

Zoledronic Acid 2x5 mg

Serious events: 21 serious events
Other events: 177 other events
Deaths: 0 deaths

Zoledronic Acid 1x5 mg

Serious events: 17 serious events
Other events: 158 other events
Deaths: 0 deaths

Placebo

Serious events: 23 serious events
Other events: 160 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Zoledronic Acid 2x5 mg
n=198 participants at risk
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 participants at risk
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 participants at risk
Placebo given at randomization and Month 12
Cardiac disorders
Angina pectoris
1.0%
2/198
0.55%
1/181
0.50%
1/202
Endocrine disorders
Thyroid mass
0.51%
1/198
0.00%
0/181
0.00%
0/202
Eye disorders
Cataract
0.00%
0/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Abdominal pain
1.0%
2/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Crohn's disease
0.00%
0/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Diverticulum intestinal
0.00%
0/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.00%
0/198
0.55%
1/181
0.00%
0/202
Gastrointestinal disorders
Dyspepsia
0.51%
1/198
0.00%
0/181
0.00%
0/202
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.51%
1/198
0.00%
0/181
0.00%
0/202
Gastrointestinal disorders
Hiatus hernia
0.00%
0/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Ileus
0.00%
0/198
0.55%
1/181
0.00%
0/202
Gastrointestinal disorders
Ileus paralytic
0.00%
0/198
0.55%
1/181
0.00%
0/202
Gastrointestinal disorders
Intestinal polyp
0.00%
0/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Intestinal prolapse
0.00%
0/198
0.55%
1/181
0.00%
0/202
Gastrointestinal disorders
Large intestine perforation
0.00%
0/198
0.00%
0/181
0.50%
1/202
Gastrointestinal disorders
Nausea
0.51%
1/198
0.00%
0/181
0.00%
0/202
Gastrointestinal disorders
Pancreatitis
0.51%
1/198
0.00%
0/181
0.00%
0/202
Gastrointestinal disorders
Rectal haemorrhage
0.51%
1/198
0.00%
0/181
0.00%
0/202
Gastrointestinal disorders
Rectal prolapse
0.51%
1/198
0.00%
0/181
0.00%
0/202
Gastrointestinal disorders
Vomiting
0.51%
1/198
0.00%
0/181
0.00%
0/202
General disorders
Non-cardiac chest pain
1.0%
2/198
1.7%
3/181
0.50%
1/202
Hepatobiliary disorders
Cholecystitis
0.51%
1/198
0.00%
0/181
0.00%
0/202
Immune system disorders
Hypersensitivity
0.51%
1/198
0.00%
0/181
0.00%
0/202
Infections and infestations
Bronchitis
0.00%
0/198
0.00%
0/181
0.50%
1/202
Infections and infestations
Cystitis
0.00%
0/198
0.00%
0/181
0.50%
1/202
Infections and infestations
Osteomyelitis
0.00%
0/198
0.55%
1/181
0.00%
0/202
Infections and infestations
Parotitis
0.00%
0/198
0.55%
1/181
0.00%
0/202
Infections and infestations
Pelvic abscess
0.51%
1/198
0.00%
0/181
0.00%
0/202
Infections and infestations
Sepsis
0.51%
1/198
0.00%
0/181
0.00%
0/202
Infections and infestations
Sinusitis
0.00%
0/198
0.00%
0/181
0.50%
1/202
Injury, poisoning and procedural complications
Collapse of lung
0.00%
0/198
0.00%
0/181
0.50%
1/202
Injury, poisoning and procedural complications
Femur fracture
0.51%
1/198
0.00%
0/181
0.00%
0/202
Injury, poisoning and procedural complications
Subdural haematoma
0.00%
0/198
0.00%
0/181
0.50%
1/202
Injury, poisoning and procedural complications
Wrist fracture
0.00%
0/198
0.00%
0/181
0.50%
1/202
Metabolism and nutrition disorders
Dehydration
0.51%
1/198
0.00%
0/181
0.00%
0/202
Metabolism and nutrition disorders
Hypocalcaemia
0.51%
1/198
0.00%
0/181
0.00%
0/202
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/198
0.00%
0/181
0.50%
1/202
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/198
1.1%
2/181
0.00%
0/202
Musculoskeletal and connective tissue disorders
Arthritis
0.51%
1/198
0.55%
1/181
0.00%
0/202
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/198
0.00%
0/181
0.50%
1/202
Musculoskeletal and connective tissue disorders
Loose body in joint
0.00%
0/198
0.00%
0/181
0.50%
1/202
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.00%
0/198
0.00%
0/181
0.50%
1/202
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.51%
1/198
0.00%
0/181
0.00%
0/202
Musculoskeletal and connective tissue disorders
Osteonecrosis
0.00%
0/198
0.55%
1/181
0.00%
0/202
Musculoskeletal and connective tissue disorders
Pain in extremity
0.51%
1/198
0.00%
0/181
0.00%
0/202
Musculoskeletal and connective tissue disorders
Tendon disorder
0.00%
0/198
0.55%
1/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.51%
1/198
0.00%
0/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.51%
1/198
0.55%
1/181
0.50%
1/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cardiac neoplasm unspecified
0.00%
0/198
0.00%
0/181
0.50%
1/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.00%
0/198
0.55%
1/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Laryngeal cancer
0.00%
0/198
0.55%
1/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.00%
0/198
0.00%
0/181
0.50%
1/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant peritoneal neoplasm
0.51%
1/198
0.00%
0/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to spine
0.00%
0/198
0.00%
0/181
0.50%
1/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic neoplasm
0.00%
0/198
0.00%
0/181
0.50%
1/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Nasopharyngeal cancer
0.00%
0/198
0.00%
0/181
0.50%
1/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neurilemmoma
0.00%
0/198
0.55%
1/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.51%
1/198
0.00%
0/181
0.00%
0/202
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pleural mesothelioma malignant
0.00%
0/198
0.00%
0/181
0.50%
1/202
Nervous system disorders
Cerebral haemorrhage
0.00%
0/198
0.55%
1/181
0.00%
0/202
Nervous system disorders
Convulsion
0.00%
0/198
0.00%
0/181
0.50%
1/202
Nervous system disorders
Encephalopathy
0.00%
0/198
0.00%
0/181
0.50%
1/202
Nervous system disorders
Global amnesia
0.51%
1/198
0.00%
0/181
0.00%
0/202
Nervous system disorders
Hypoaesthesia
0.00%
0/198
0.00%
0/181
0.50%
1/202
Nervous system disorders
Lumbar radiculopathy
0.00%
0/198
0.55%
1/181
0.00%
0/202
Nervous system disorders
Syncope
0.00%
0/198
0.55%
1/181
0.99%
2/202
Psychiatric disorders
Bipolar disorder
0.00%
0/198
0.55%
1/181
0.00%
0/202
Psychiatric disorders
Depression
0.00%
0/198
0.00%
0/181
0.50%
1/202
Psychiatric disorders
Psychotic disorder
0.51%
1/198
0.00%
0/181
0.00%
0/202
Renal and urinary disorders
Bladder prolapse
0.51%
1/198
0.00%
0/181
0.00%
0/202
Renal and urinary disorders
Pollakiuria
0.51%
1/198
0.00%
0/181
0.00%
0/202
Renal and urinary disorders
Renal failure acute
0.51%
1/198
0.00%
0/181
0.00%
0/202
Reproductive system and breast disorders
Endometrial metaplasia
0.51%
1/198
0.00%
0/181
0.00%
0/202
Reproductive system and breast disorders
Uterine prolapse
0.00%
0/198
0.00%
0/181
0.50%
1/202
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/198
0.00%
0/181
0.50%
1/202
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/198
0.00%
0/181
0.50%
1/202
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/198
0.00%
0/181
0.50%
1/202
Vascular disorders
Arterial occlusive disease
0.51%
1/198
0.00%
0/181
0.00%
0/202
Vascular disorders
Hypertension
0.51%
1/198
0.00%
0/181
0.00%
0/202
Vascular disorders
Leriche syndrome
0.51%
1/198
0.00%
0/181
0.00%
0/202
Vascular disorders
Varicose vein
0.51%
1/198
0.00%
0/181
0.00%
0/202

Other adverse events

Other adverse events
Measure
Zoledronic Acid 2x5 mg
n=198 participants at risk
Zoledronic acid 5 mg intravenous (i.v.) given at randomization and Month 12
Zoledronic Acid 1x5 mg
n=181 participants at risk
Zoledronic acid 5 mg i.v. given at randomization and placebo at Month 12
Placebo
n=202 participants at risk
Placebo given at randomization and Month 12
Gastrointestinal disorders
Abdominal pain
5.6%
11/198
3.3%
6/181
3.0%
6/202
Gastrointestinal disorders
Constipation
6.6%
13/198
7.2%
13/181
6.9%
14/202
Gastrointestinal disorders
Diarrhoea
8.1%
16/198
6.6%
12/181
7.9%
16/202
Gastrointestinal disorders
Dyspepsia
6.6%
13/198
6.6%
12/181
5.0%
10/202
Gastrointestinal disorders
Gastrooesophageal reflux disease
4.5%
9/198
2.8%
5/181
5.9%
12/202
Gastrointestinal disorders
Nausea
17.2%
34/198
11.6%
21/181
7.9%
16/202
Gastrointestinal disorders
Vomiting
7.1%
14/198
5.0%
9/181
4.5%
9/202
General disorders
Asthenia
6.1%
12/198
2.8%
5/181
0.99%
2/202
General disorders
Chills
18.2%
36/198
18.2%
33/181
3.0%
6/202
General disorders
Fatigue
14.6%
29/198
9.9%
18/181
4.0%
8/202
General disorders
Non-cardiac chest pain
3.0%
6/198
6.6%
12/181
3.0%
6/202
General disorders
Oedema peripheral
5.6%
11/198
3.9%
7/181
3.5%
7/202
General disorders
Pain
24.2%
48/198
14.9%
27/181
3.5%
7/202
General disorders
Pyrexia
21.7%
43/198
21.0%
38/181
4.5%
9/202
Infections and infestations
Bronchitis
6.1%
12/198
7.7%
14/181
10.9%
22/202
Infections and infestations
Influenza
6.1%
12/198
8.3%
15/181
5.9%
12/202
Infections and infestations
Nasopharyngitis
13.6%
27/198
9.4%
17/181
11.4%
23/202
Infections and infestations
Sinusitis
8.1%
16/198
6.6%
12/181
11.9%
24/202
Infections and infestations
Upper respiratory tract infection
13.6%
27/198
10.5%
19/181
11.4%
23/202
Infections and infestations
Urinary tract infection
11.1%
22/198
8.8%
16/181
12.4%
25/202
Metabolism and nutrition disorders
Hypercholesterolaemia
3.5%
7/198
5.5%
10/181
2.0%
4/202
Musculoskeletal and connective tissue disorders
Arthralgia
27.3%
54/198
18.8%
34/181
19.3%
39/202
Musculoskeletal and connective tissue disorders
Back pain
18.2%
36/198
16.6%
30/181
11.9%
24/202
Musculoskeletal and connective tissue disorders
Bone pain
5.1%
10/198
3.3%
6/181
0.99%
2/202
Musculoskeletal and connective tissue disorders
Muscle spasms
5.6%
11/198
2.8%
5/181
5.0%
10/202
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
5.6%
11/198
5.5%
10/181
5.4%
11/202
Musculoskeletal and connective tissue disorders
Myalgia
19.2%
38/198
22.7%
41/181
6.9%
14/202
Musculoskeletal and connective tissue disorders
Neck pain
5.1%
10/198
6.6%
12/181
5.0%
10/202
Musculoskeletal and connective tissue disorders
Osteoarthritis
2.5%
5/198
1.7%
3/181
7.9%
16/202
Musculoskeletal and connective tissue disorders
Pain in extremity
11.1%
22/198
16.0%
29/181
9.9%
20/202
Nervous system disorders
Dizziness
7.6%
15/198
6.1%
11/181
3.5%
7/202
Nervous system disorders
Headache
14.6%
29/198
20.4%
37/181
11.4%
23/202
Nervous system disorders
Hypoaesthesia
5.6%
11/198
2.2%
4/181
1.5%
3/202
Psychiatric disorders
Insomnia
3.0%
6/198
2.8%
5/181
5.9%
12/202
Respiratory, thoracic and mediastinal disorders
Cough
8.6%
17/198
6.1%
11/181
5.0%
10/202
Vascular disorders
Hypertension
4.5%
9/198
8.3%
15/181
6.9%
14/202

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER