Zoledronic Acid in the Prevention of Cancer Treatment Related Bone Loss in Postmenopausal Women Receiving Letrozole for Breast Cancer.

NCT ID: NCT00171340

Last Updated: 2012-04-16

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1065 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-05-31

Study Completion Date

2010-02-28

Brief Summary

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Post-menopausal breast cancer patients will receive letrozole 2.5 mg daily for the treatment of breast cancer and will be randomized to a treatment group to receive either upfront zoledronic acid 4 mg IV 15-minute infusion every 6 months or delayed start zoledronic acid 4 mg IV 15-minute infusion every 6 months. Delayed start zoledronic acid will be initiated when either the Bone Mineral Density T-score is below -2 Standard Deviations at either the lumbar spine or hip or any clinical fracture unrelated to trauma or an asymptomatic fracture discovered at the month 36 scheduled visit. Letrozole 2.5 mg will be given daily for 5 years.

Detailed Description

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Conditions

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Bone Loss Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Upfront Zoledronic Acid

Zolendronic acid 4 mg Intravenous (IV) 15 minute infusion every 6 months for 5 years beginning on Day 1. All participants took Letrozole tablets 2.5 mg/day for 5 years beginning on Day 1.

Group Type EXPERIMENTAL

Zoledronic acid

Intervention Type DRUG

Zolendronic acid 4 mg Intravenous (IV) 15 minute infusion every 6 months.

Letrozole

Intervention Type DRUG

Letrozole tablets 2.5 mg/day taken orally for 5 years.

Delayed Zoledronic Acid

Zolendronic acid 4 mg Intravenous (IV) 15 minute infusion every 6 months beginning when one of the following occurred: BMD T-score \<= -2.0 SD at either the lumbar spine or total hip, any clinical fracture unrelated to trauma or an asymptomatic fracture discovered at the Month 36 visit. All participants took Letrozole tablets 2.5 mg/day for 5 years beginning on Day 1.

Group Type EXPERIMENTAL

Zoledronic acid

Intervention Type DRUG

Zolendronic acid 4 mg Intravenous (IV) 15 minute infusion every 6 months.

Letrozole

Intervention Type DRUG

Letrozole tablets 2.5 mg/day taken orally for 5 years.

Interventions

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Zoledronic acid

Zolendronic acid 4 mg Intravenous (IV) 15 minute infusion every 6 months.

Intervention Type DRUG

Letrozole

Letrozole tablets 2.5 mg/day taken orally for 5 years.

Intervention Type DRUG

Other Intervention Names

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ZOL446 Zometa® Femara®

Eligibility Criteria

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Inclusion Criteria

* Stage I-IIIa breast cancer
* Postmenopausal or recently postmenopausal
* Recent surgery for breast cancer
* Estrogen Receptor positive and/or progesterone receptor positive hormone receptor status
* No prior treatment with letrozole

Exclusion Criteria

* Metastatic disease
* Invasive bilateral disease
* Clinical or radiological evidence of existing fracture in spine or hip
* Prior treatment with IV bisphosphonates in the past 12 months
* Current treatment with oral bisphosphonates ( must be discontinued within 3 weeks of baseline evaluation)
* Use of Tibolone within 6 months
* Prior use of parathyroid hormone for more than 1 week
* Previous or concomitant malignancy
* Abnormal renal function
* History of disease effecting bone metabolism
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Buenos Aires, , Argentina

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Rosario Santa Fe, , Argentina

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New South Wales, , Australia

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Perth, , Australia

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South Australia, , Australia

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Victoria, , Australia

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Bonheiden, , Belgium

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Brasschaat, , Belgium

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Brussels, , Belgium

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Leuven, , Belgium

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Wilrijk, , Belgium

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Porto Alegre, , Brazil

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São Paulo, , Brazil

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Santiago, , Chile

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Beijing, , China

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Shanghai, , China

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Medellín, , Colombia

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Nemocnice, , Czechia

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Cairo, , Egypt

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Pori, , Finland

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Turku, , Finland

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Bordeaux, , France

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Le Havre, , France

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Montpellier, , France

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Poitiers, , France

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Saint-Cloud, , France

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Augsberg, , Germany

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Berlin, , Germany

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Ebersberg, , Germany

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Frankfurt, , Germany

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Halberstadt, , Germany

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Hamburg, , Germany

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Hoyerswerda, , Germany

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Kassel, , Germany

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Kiel, , Germany

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Munich, , Germany

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München, , Germany

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Neunkirchen, , Germany

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Rostock, , Germany

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Stadthagen, , Germany

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Stendal, , Germany

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Trier, , Germany

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Tübingen, , Germany

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Wiesbaden, , Germany

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Guatemala City, , Guatemala

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Hong Kong, , Hong Kong

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Ancona, , Italy

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Catanzaro, , Italy

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Florence, , Italy

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Genova, , Italy

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Meldola, , Italy

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Perugia, , Italy

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Torino, , Italy

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Varese, , Italy

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Distrito Federal, , Mexico

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Almere Stad, , Netherlands

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Arnhem, , Netherlands

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Ede, , Netherlands

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Eindhoven, , Netherlands

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Hoogeveen, , Netherlands

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Leiden, , Netherlands

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Nijmegen, , Netherlands

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The Hague, , Netherlands

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Utrecht, , Netherlands

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Hamilton, , New Zealand

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Wellington, , New Zealand

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Jesus Maria, , Peru

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La Victoria, , Peru

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Surquillo, , Peru

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Cebu City, , Philippines

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Quezon City, , Philippines

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Coimbra, , Portugal

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Gyeonggi-do, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Barcelona, , Spain

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Córdoba, , Spain

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Gea de Albarracín, , Spain

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Ibáñez, , Spain

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la Masó, , Spain

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Villaroel, , Spain

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Bern, , Switzerland

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Locarno, , Switzerland

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Lugano, , Switzerland

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Chang-hua, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Ratchathew

Khonkaen, , Thailand

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Birmingham, , United Kingdom

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Essex, , United Kingdom

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Manchester, , United Kingdom

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New Castle Upon Tyne, , United Kingdom

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Nottingham, , United Kingdom

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Plymouth, , United Kingdom

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Sheffield, , United Kingdom

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Swansea, , United Kingdom

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Caracas, , Venezuela

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Countries

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Argentina Australia Belgium Brazil Chile China Colombia Czechia Egypt Finland France Germany Guatemala Hong Kong Italy Mexico Netherlands New Zealand Peru Philippines Portugal South Korea Spain Switzerland Taiwan Thailand United Kingdom Venezuela

References

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Adams A, Jakob T, Huth A, Monsef I, Ernst M, Kopp M, Caro-Valenzuela J, Wockel A, Skoetz N. Bone-modifying agents for reducing bone loss in women with early and locally advanced breast cancer: a network meta-analysis. Cochrane Database Syst Rev. 2024 Jul 9;7(7):CD013451. doi: 10.1002/14651858.CD013451.pub2.

Reference Type DERIVED
PMID: 38979716 (View on PubMed)

Coleman R, de Boer R, Eidtmann H, Llombart A, Davidson N, Neven P, von Minckwitz G, Sleeboom HP, Forbes J, Barrios C, Frassoldati A, Campbell I, Paija O, Martin N, Modi A, Bundred N. Zoledronic acid (zoledronate) for postmenopausal women with early breast cancer receiving adjuvant letrozole (ZO-FAST study): final 60-month results. Ann Oncol. 2013 Feb;24(2):398-405. doi: 10.1093/annonc/mds277. Epub 2012 Oct 9.

Reference Type DERIVED
PMID: 23047045 (View on PubMed)

Other Identifiers

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CFEM345D2405

Identifier Type: -

Identifier Source: org_study_id

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