Trial Outcomes & Findings for Zoledronic Acid for Osteoporosis in the Elderly (NCT NCT00558012)

NCT ID: NCT00558012

Last Updated: 2015-07-31

Results Overview

BMD is the bone mineral density of the lumbar spine and total hip measured using dual-energy xray absorptiometry (DXA) scan

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

181 participants

Primary outcome timeframe

Baseline, 12 months, 24 month

Results posted on

2015-07-31

Participant Flow

Participant milestones

Participant milestones
Measure
Active Medication Group
One-time dose: Intravenous Zoledronic Acid 5.0 mg Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Placebo
Placebo One-time dose: Intravenous saline
Overall Study
STARTED
89
92
Overall Study
COMPLETED
64
74
Overall Study
NOT COMPLETED
25
18

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Zoledronic Acid for Osteoporosis in the Elderly

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Medication Group
n=89 Participants
One-time dose: Intravenous Zoledronic Acid 5.0 mg Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Placebo
n=92 Participants
Placebo Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Total
n=181 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
89 Participants
n=5 Participants
92 Participants
n=7 Participants
181 Participants
n=5 Participants
Sex: Female, Male
Female
89 Participants
n=5 Participants
92 Participants
n=7 Participants
181 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
89 participants
n=5 Participants
92 participants
n=7 Participants
181 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 12 months, 24 month

Population: Number of patients that completed a DXA at 12 months. At 24 months 60 in active treatment group and 72 in placebo group completed a DXA.

BMD is the bone mineral density of the lumbar spine and total hip measured using dual-energy xray absorptiometry (DXA) scan

Outcome measures

Outcome measures
Measure
Active Medication Group
n=75 Participants
One-time dose: Intravenous Zoledronic Acid 5.0 mg Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Placebo
n=83 Participants
Placebo Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Bone Mineral Density (BMD) of the Total Hip and Spine
Total Hip BMD at 24 months
2.6 Percent change
Standard Error 0.6
-1.5 Percent change
Standard Error 0.7
Bone Mineral Density (BMD) of the Total Hip and Spine
Total Hip BMD at 12 months
2.8 Percent change
Standard Error 0.5
-0.5 Percent change
Standard Error 0.4
Bone Mineral Density (BMD) of the Total Hip and Spine
Spine BMD at 24 months
4.5 Percent change
Standard Error 0.8
0.7 Percent change
Standard Error 0.5
Bone Mineral Density (BMD) of the Total Hip and Spine
Spine BMD at 12 months
3.0 Percent change
Standard Error 0.5
1.1 Percent change
Standard Error 0.5

Adverse Events

Active Medication Group

Serious events: 60 serious events
Other events: 87 other events
Deaths: 0 deaths

Placebo

Serious events: 55 serious events
Other events: 88 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Active Medication Group
n=89 participants at risk
One-time dose: Intravenous Zoledronic Acid 5.0 mg Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Placebo
n=92 participants at risk
Placebo Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Cardiac disorders
Atrial fibrillation
3.4%
3/89 • 2 years
3.3%
3/92 • 2 years
Eye disorders
choroid melanoma
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Gastrointestinal disorders
Abdominal hernia
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
General disorders
Death
9.0%
8/89 • 2 years
3.3%
3/92 • 2 years
Hepatobiliary disorders
Hepatic cirrhosis
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Infections and infestations
Bronchitis
3.4%
3/89 • 2 years
1.1%
1/92 • 2 years
Injury, poisoning and procedural complications
Contusion
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Investigations
Blood glucose increased
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Metabolism and nutrition disorders
Dehydration
1.1%
1/89 • 2 years
2.2%
2/92 • 2 years
Musculoskeletal and connective tissue disorders
Back pain
2.2%
2/89 • 2 years
0.00%
0/92 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Nervous system disorders
Cerebellar infarction
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Renal and urinary disorders
Renal failure acute
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Aspiration
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Skin and subcutaneous tissue disorders
Cellulitis
4.5%
4/89 • 2 years
1.1%
1/92 • 2 years
Surgical and medical procedures
Arterial bypass operation
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Vascular disorders
Aortic aneurysm
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Cardiac disorders
Cardiac failure congestive
6.7%
6/89 • 2 years
3.3%
3/92 • 2 years
Cardiac disorders
Chest pain
1.1%
1/89 • 2 years
7.6%
7/92 • 2 years
Cardiac disorders
Myocardial infarction
2.2%
2/89 • 2 years
1.1%
1/92 • 2 years
Cardiac disorders
Oedema perepheral
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Cardiac disorders
Sick sinus syndrome
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Cardiac disorders
Ventricular tachycardia
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Abdominal pain
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Gastrointestinal disorders
Clostridium difficile colitis
1.1%
1/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Colitis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Diarrhea
1.1%
1/89 • 2 years
2.2%
2/92 • 2 years
Gastrointestinal disorders
Diverticulitis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Gastric ulcer
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Gastoenteritis
1.1%
1/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.4%
3/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Gastriesophageal reflux disease
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Haematochezia
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Gastrointestinal disorders
Oesophagitis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Pancreatic mass
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Pancreatitis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Gastrointestinal disorders
Proctitis ulcerative
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/89 • 2 years
2.2%
2/92 • 2 years
Gastrointestinal disorders
Vomiting
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Infections and infestations
Herpes zoster
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Infections and infestations
Pneumonia
9.0%
8/89 • 2 years
5.4%
5/92 • 2 years
Injury, poisoning and procedural complications
Fall
4.5%
4/89 • 2 years
4.3%
4/92 • 2 years
Injury, poisoning and procedural complications
Head injury
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Injury, poisoning and procedural complications
Post traumatic pain
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Investigations
Sepsis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Musculoskeletal and connective tissue disorders
Femur fracture
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Musculoskeletal and connective tissue disorders
Fractured sacrum
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Musculoskeletal and connective tissue disorders
Gouty arthritis
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Musculoskeletal and connective tissue disorders
Hip fracture
1.1%
1/89 • 2 years
1.1%
1/92 • 2 years
Musculoskeletal and connective tissue disorders
Muscular weakness
2.2%
2/89 • 2 years
0.00%
0/92 • 2 years
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Musculoskeletal and connective tissue disorders
Pubic rami fracture
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Musculoskeletal and connective tissue disorders
Tibia fracture
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastatic
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Nervous system disorders
Cerebrovascular accident
2.2%
2/89 • 2 years
1.1%
1/92 • 2 years
Nervous system disorders
Confusional state
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Nervous system disorders
Dementia Alzheimers type
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Nervous system disorders
Lethargy
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Nervous system disorders
Loss of consciousness
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Nervous system disorders
Mental impairment
3.4%
3/89 • 2 years
2.2%
2/92 • 2 years
Nervous system disorders
Relapsing-remitting multiple sclerosis
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Nervous system disorders
Subarachnoid haemorrhage
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Nervous system disorders
Syncope
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Nervous system disorders
Transient ischemic attack
3.4%
3/89 • 2 years
4.3%
4/92 • 2 years
Nervous system disorders
Tremor
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Renal and urinary disorders
Urinary tract infection
4.5%
4/89 • 2 years
4.3%
4/92 • 2 years
Renal and urinary disorders
Urosepsis
1.1%
1/89 • 2 years
1.1%
1/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Asthma
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
4.5%
4/89 • 2 years
3.3%
3/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
2.2%
2/89 • 2 years
3.3%
3/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
1.1%
1/89 • 2 years
1.1%
1/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Surgical and medical procedures
Hip arthroplasty
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Surgical and medical procedures
Knee arthroplast
1.1%
1/89 • 2 years
2.2%
2/92 • 2 years
Surgical and medical procedures
Shoulder arthroplasty
0.00%
0/89 • 2 years
2.2%
2/92 • 2 years
Vascular disorders
Arteriosclerosis
0.00%
0/89 • 2 years
2.2%
2/92 • 2 years
Vascular disorders
Colitis ischaemic
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Vascular disorders
Deep vein thrombosis
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Vascular disorders
Essential hypertension
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Vascular disorders
Hypertension
2.2%
2/89 • 2 years
0.00%
0/92 • 2 years
Vascular disorders
Hypertensive crisis
0.00%
0/89 • 2 years
1.1%
1/92 • 2 years
Vascular disorders
Labile blood pressure
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Vascular disorders
Orthostatic hypotension
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years
Vascular disorders
Pulmonary embolism
1.1%
1/89 • 2 years
0.00%
0/92 • 2 years

Other adverse events

Other adverse events
Measure
Active Medication Group
n=89 participants at risk
One-time dose: Intravenous Zoledronic Acid 5.0 mg Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Placebo
n=92 participants at risk
Placebo Intravenous zoledronic acid: Intravenous zoledronic acid 5.0 mg once
Cardiac disorders
Atrial fibrillation
5.6%
5/89 • 2 years
5.4%
5/92 • 2 years
Gastrointestinal disorders
Diarrhea
7.9%
7/89 • 2 years
13.0%
12/92 • 2 years
General disorders
Death
9.0%
8/89 • 2 years
3.3%
3/92 • 2 years
Infections and infestations
Bronchitis
6.7%
6/89 • 2 years
3.3%
3/92 • 2 years
Injury, poisoning and procedural complications
Contusion
5.6%
5/89 • 2 years
14.1%
13/92 • 2 years
Metabolism and nutrition disorders
Anorexia
5.6%
5/89 • 2 years
3.3%
3/92 • 2 years
Musculoskeletal and connective tissue disorders
Arthralgia
13.5%
12/89 • 2 years
7.6%
7/92 • 2 years
Nervous system disorders
Headache
15.7%
14/89 • 2 years
8.7%
8/92 • 2 years
Renal and urinary disorders
Urinary tract infection
18.0%
16/89 • 2 years
21.7%
20/92 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.6%
5/89 • 2 years
7.6%
7/92 • 2 years
Skin and subcutaneous tissue disorders
Cellulitis
10.1%
9/89 • 2 years
7.6%
7/92 • 2 years
Surgical and medical procedures
Tooth extraction
4.5%
4/89 • 2 years
5.4%
5/92 • 2 years
Vascular disorders
Ecchymosis
1.1%
1/89 • 2 years
5.4%
5/92 • 2 years
Cardiac disorders
Cardiac failure congestive
9.0%
8/89 • 2 years
4.3%
4/92 • 2 years
Cardiac disorders
Chest pain
9.0%
8/89 • 2 years
13.0%
12/92 • 2 years
Cardiac disorders
Oedema peripheral
5.6%
5/89 • 2 years
5.4%
5/92 • 2 years
Gastrointestinal disorders
Nausea
14.6%
13/89 • 2 years
7.6%
7/92 • 2 years
General disorders
Fatigue
27.0%
24/89 • 2 years
15.2%
14/92 • 2 years
General disorders
Influenza-like illness
6.7%
6/89 • 2 years
2.2%
2/92 • 2 years
General disorders
Pyrexia
9.0%
8/89 • 2 years
1.1%
1/92 • 2 years
Infections and infestations
Pneumonia
13.5%
12/89 • 2 years
9.8%
9/92 • 2 years
Injury, poisoning and procedural complications
Fall
77.5%
69/89 • 2 years
58.7%
54/92 • 2 years
Injury, poisoning and procedural complications
Infusion site bruising
12.4%
11/89 • 2 years
13.0%
12/92 • 2 years
Injury, poisoning and procedural complications
Post traumatic pain
5.6%
5/89 • 2 years
5.4%
5/92 • 2 years
Injury, poisoning and procedural complications
Skin laceration
9.0%
8/89 • 2 years
10.9%
10/92 • 2 years
Musculoskeletal and connective tissue disorders
Back pain
4.5%
4/89 • 2 years
5.4%
5/92 • 2 years
Musculoskeletal and connective tissue disorders
Muscular weakness
6.7%
6/89 • 2 years
0.00%
0/92 • 2 years
Musculoskeletal and connective tissue disorders
Myalgia
9.0%
8/89 • 2 years
6.5%
6/92 • 2 years
Musculoskeletal and connective tissue disorders
Pain in extremity
11.2%
10/89 • 2 years
7.6%
7/92 • 2 years
Nervous system disorders
Transient ischemic attack
3.4%
3/89 • 2 years
5.4%
5/92 • 2 years

Additional Information

Dr. Susan Greenspan

University of Pittsburgh

Phone: 412-692-2477

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place