Comparison of Zometa Retention and Effect in Multiple Myeloma and Breast Cancer

NCT ID: NCT00760370

Last Updated: 2011-12-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2011-12-31

Brief Summary

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The investigators major aim is to determine whether there is a difference in the retention of zoledronic acid in multiple myeloma patients, compared to patients with breast cancer metastasis to bone. In addition the investigators wish to analyze if the retention of zoledronic acid is correlated to the extent of bone resorption/formation, and if there is a tendency to changes in retention with sequential treatment.

Detailed Description

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The clinical benefit from treatment with bisphosphonates has been documented in a large number of clinical studies, and bisphosphonates are now widely used for treatment of pain and prevention of bone fractures or vertebral collapse for example in patients with cancer metastasis to bone or multiple myeloma.

Repeated intravenous administration of the more potent bisphosphonates (pamidronate and zoledronic acid) are often used for treatment of osteolytic disease caused by disseminated cancer or multiple myeloma, while the less potent oral bisphosphonates are often prescribed for treatment of benign osteoporosis. The recommended dose and time schedule for treatment with the more potent bisphosphonates is based on concerns of avoiding toxicity and at the same time obtaining maximal clinical benefit. Clinical studies in multiple myeloma and bone metastasis show significant activity of pamidronate (90 mg by iv infusion during 2-4 hours) or zoledronic acid (4 mg iv during 15 min) repeated every 4 weeks after a treatment period of 9 months and beyond, but the optimal duration of treatment is not known. This is a particular important issue since the use of potent bisphosphonates have been brought in connection with osteonecrosis.

In the present study we will compare the retention of Zometa with the effect on bone markers in patients with multiple myeloma or breast cancer with metastases to bone.

Conditions

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Multiple Myeloma Breast Cancer

Keywords

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bone marker bisphosphonate Zometa retention breast cancer multiple myeloma CTX bone specific ALP

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Zoledronic Acid

4 mg intravenous (iv), one treatment

Intervention Type DRUG

Other Intervention Names

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Zometa

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with breast cancer and metastases to bone.
* Patients diagnosed with multiple myeloma.
* Patients who are scheduled to receive Zometa.
* Post-menopausal women (at least 10 months since last period).
* Newly diagnosed patients must have clear signs of osteolysis.

Exclusion Criteria

* Anti-estrogen treatment.
* Patients given chemotherapy during or less than 7 days before study begin.
* Patients receiving glucocorticoids less than 5 days prior to study begin or during the study period (14 days)
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Odense University Hospital

OTHER

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

Vejle Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Torben Plesner, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Vejle Hospital

Locations

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Odense University Hospital

Odense, , Denmark

Site Status

Vejle Hospital

Vejle, , Denmark

Site Status

Countries

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Denmark

References

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Cremers SC, Papapoulos SE, Gelderblom H, Seynaeve C, den Hartigh J, Vermeij P, van der Rijt CC, van Zuylen L. Skeletal retention of bisphosphonate (pamidronate) and its relation to the rate of bone resorption in patients with breast cancer and bone metastases. J Bone Miner Res. 2005 Sep;20(9):1543-7. doi: 10.1359/JBMR.050522. Epub 2005 May 31.

Reference Type BACKGROUND
PMID: 16059626 (View on PubMed)

Other Identifiers

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2007-003777-13

Identifier Type: -

Identifier Source: secondary_id

2007-003777-13

Identifier Type: -

Identifier Source: org_study_id