Denosumab Compared to Zoledronic Acid in the Treatment of Bone Disease in Patients With Multiple Myeloma
NCT ID: NCT01345019
Last Updated: 2022-11-08
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
1718 participants
INTERVENTIONAL
2012-05-17
2019-03-29
Brief Summary
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Open-label Study, to Evaluate the Safety and Tolerability of Zoledronic Acid in Patients With Bone Lesions Secondary to Multiple Myeloma.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
QUADRUPLE
Study Groups
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Zoledronic acid
Zoledronic acid 4 mg intravenously plus placebo to denosumab subcutaniously (SC) once every 4 weeks (Q4W) in the double-blind treatment period (Since denosumab was determined to have a positive benefit:risk profile in the primary analysis of the study, per protocol, participants who were still undergoing Q4W scheduled assessments were offered open-label denosumab 120 mg SC Q4W for up to 2 years)
Zoledronic acid
Administered by intravenous infusion over 15 minutes once every 4 weeks
Placebo to Denosumab
Administered by subcutaneous injection once every 4 weeks.
Denosumab (for the open-label treatment phase)
Administered by subcutaneous injection once every 4 weeks.
Denosumab
Denosumab 120 mg subcutaniously (SC) plus placebo to zoledronic acid intravenously once every 4 weeks (Q4W) in the double-blind treatment period (Since denosumab was determined to have a positive benefit:risk profile in the primary analysis of the study, per protocol, participants who were still undergoing Q4W scheduled assessments were offered open-label denosumab 120 mg SC Q4W for up to 2 years)
Denosumab
Administered by subcutaneous injection once every 4 weeks.
Placebo to zoledronic acid
Administered by intravenous infusion over 15 minutes once every 4 weeks
Denosumab (for the open-label treatment phase)
Administered by subcutaneous injection once every 4 weeks.
Interventions
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Denosumab
Administered by subcutaneous injection once every 4 weeks.
Zoledronic acid
Administered by intravenous infusion over 15 minutes once every 4 weeks
Placebo to Denosumab
Administered by subcutaneous injection once every 4 weeks.
Placebo to zoledronic acid
Administered by intravenous infusion over 15 minutes once every 4 weeks
Denosumab (for the open-label treatment phase)
Administered by subcutaneous injection once every 4 weeks.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Monoclonal plasma cells in the bone marrow greater than or equal to 10% and/or presence of a biopsy-proven plasmacytoma, and
* Monoclonal protein present in the serum and/or urine
* Radiographic (X-ray, or computer tomography \[CT\]) evidence of at least 1 lytic bone lesion (or at least 1 focal lesion per magnetic resonance imaging \[MRI\])
* Plan to receive or is receiving primary frontline anti-myeloma therapies
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
* Age ≥ 18 years
* Adequate organ function, as defined by the following criteria (per central or local laboratory values):
* Serum aspartate aminotransferase (AST) ≤ 2.0 x upper limit of normal (ULN)
* Serum alanine aminotransferase ≤ (ALT) 2.0 x ULN
* Serum total bilirubin ≤ 2.0 x ULN
* Creatinine clearance ≥ 30 mL/min
* Serum calcium or albumin-adjusted serum calcium 2.0 mmol/L (8.0 mg/dL) and 2.9 mmol/L (11.5 mg/dL)
* Written informed consent before any study-specific procedure is performed
Exclusion Criteria
* POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes)
* Plasma cell leukemia
* More than 30 days of previous treatment (before screening) with anti-myeloma therapy (does not include radiotherapy or a single short course of steroid \[ie, less than or equal to the equivalent of dexamethasone 60 mg/day for 4 days\]).
* Planned radiation therapy or surgery to the bone (does not include procedures performed before randomization)
* Prior administration of denosumab
* Use of oral bisphosphonates with a cumulative exposure of more than 1 year
* More than 1 previous dose of IV bisphosphonate administration
* Prior history or current evidence of osteonecrosis/osteomyelitis of the jaw
* Active dental or jaw condition which requires oral surgery, including tooth extraction
* Non-healed dental/oral surgery, including tooth extraction
* Planned invasive dental procedures
* Evidence of any of the following conditions per subject self-report or medical chart review:
* Any prior invasive malignancy within 5 years before randomization
* Any non-invasive malignancy not treated with curative intent or with knownactive disease within 5 years before randomization
* Major surgery or significant traumatic injury occurring within 4 weeks before randomization
* Active infection with Hepatitis B virus or Hepatitis C virus
* Known infection with human immunodeficiency virus (HIV)
* Active infection requiring IV anti-infective therapy
* Subject is pregnant or breast feeding, or planning to become pregnant within 5 months after end of treatment
* Female subject of child bearing potential is not willing to use highly effective contraception during treatment and for 5 months after the end of treatment (see section 6.3)
* Known sensitivity to any of the products to be administered during the study (eg, mammalian derived products, calcium or vitamin D)
* Subject is receiving or is less than 30 days since ending other experimental device or drug (no marketing authorization for any indication)
* Subject will not be available for follow-up assessment
* Any major medical or psychiatric disorder that in the opinion of the investigator, might prevent the subject from completing the study or interfere with the interpretation of the study results
18 Years
ALL
No
Sponsors
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Daiichi Sankyo
INDUSTRY
Amgen
INDUSTRY
Responsible Party
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Principal Investigators
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MD
Role: STUDY_DIRECTOR
Amgen
Locations
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Research Site
Sioux Falls, South Dakota, United States
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Tucson, Arizona, United States
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Fayetteville, Arkansas, United States
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Anaheim, California, United States
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Campbell, California, United States
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Encinitas, California, United States
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Fresno, California, United States
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Pleasant Hill, California, United States
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Santa Barbara, California, United States
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Santa Maria, California, United States
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Stamford, Connecticut, United States
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Washington D.C., District of Columbia, United States
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Washington D.C., District of Columbia, United States
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Boynton Beach, Florida, United States
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Boynton Beach, Florida, United States
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Jacksonville, Florida, United States
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Columbus, Georgia, United States
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Savannah, Georgia, United States
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Chicago, Illinois, United States
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Joliet, Illinois, United States
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Maywood, Illinois, United States
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Niles, Illinois, United States
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Skokie, Illinois, United States
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Skokie, Illinois, United States
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Anderson, Indiana, United States
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Fort Wayne, Indiana, United States
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Indianapolis, Indiana, United States
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Ames, Iowa, United States
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Iowa City, Iowa, United States
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Paducah, Kentucky, United States
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New Orleans, Louisiana, United States
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Scarborough, Maine, United States
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Baltimore, Maryland, United States
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Baltimore, Maryland, United States
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Baltimore, Maryland, United States
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Bethesda, Maryland, United States
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Westminster, Maryland, United States
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Boston, Massachusetts, United States
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Boston, Massachusetts, United States
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Danvers, Massachusetts, United States
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Fairhaven, Massachusetts, United States
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Detroit, Michigan, United States
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Lansing, Michigan, United States
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Jackson, Mississippi, United States
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Springfield, Missouri, United States
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Billings, Montana, United States
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Lincoln, Nebraska, United States
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Omaha, Nebraska, United States
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North Las Vegas, Nevada, United States
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Hackensack, New Jersey, United States
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Lake Success, New York, United States
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New York, New York, United States
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Rochester, New York, United States
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Fayetteville, North Carolina, United States
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Goldsboro, North Carolina, United States
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High Point, North Carolina, United States
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Bismarck, North Dakota, United States
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Oklahoma City, Oklahoma, United States
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Hershey, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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West Reading, Pennsylvania, United States
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Charleston, South Carolina, United States
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Charleston, South Carolina, United States
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Greenville, South Carolina, United States
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Aberdeen, South Dakota, United States
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Rapid City, South Dakota, United States
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Watertown, South Dakota, United States
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Memphis, Tennessee, United States
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Houston, Texas, United States
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Lubbock, Texas, United States
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Salt Lake City, Utah, United States
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Christiansburg, Virginia, United States
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Spokane, Washington, United States
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Tacoma, Washington, United States
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Morgantown, West Virginia, United States
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Minocqua, Wisconsin, United States
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Wauwatosa, Wisconsin, United States
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Liverpool, New South Wales, Australia
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Tweed Heads, New South Wales, Australia
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Douglas, Queensland, Australia
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South Brisbane, Queensland, Australia
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Hobart, Tasmania, Australia
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Clayton, Victoria, Australia
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Epping, Victoria, Australia
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Malvern, Victoria, Australia
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Parkville, Victoria, Australia
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Prahran, Victoria, Australia
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Graz, , Austria
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Innsbruck, , Austria
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Krems, , Austria
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Salzburg, , Austria
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Vienna, , Austria
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Vienna, , Austria
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Wels, , Austria
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Pleven, , Bulgaria
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Plovdiv, , Bulgaria
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Sofia, , Bulgaria
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Sofia, , Bulgaria
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Sofia, , Bulgaria
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Sofia, , Bulgaria
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Varna, , Bulgaria
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Burnaby, British Columbia, Canada
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Winnipeg, Manitoba, Canada
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Moncton, New Brunswick, Canada
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St. John's, Newfoundland and Labrador, Canada
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Barrie, Ontario, Canada
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Newmarket, Ontario, Canada
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Sault Ste. Marie, Ontario, Canada
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Toronto, Ontario, Canada
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Toronto, Ontario, Canada
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Toronto, Ontario, Canada
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Toronto, Ontario, Canada
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Windsor, Ontario, Canada
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Laval, Quebec, Canada
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Montreal, Quebec, Canada
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Montreal, Quebec, Canada
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Québec, Quebec, Canada
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Trois-Rivières, Quebec, Canada
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Brno, , Czechia
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Ostrava-Poruba, , Czechia
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Pilsen, , Czechia
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Prague, , Czechia
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Prague, , Czechia
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Amiens, , France
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Avignon, , France
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Créteil, , France
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Le Kremlin-Bicêtre, , France
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Le Mans, , France
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Le Mans, , France
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Lille, , France
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Lyon Cédex 3, , France
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Marseille, , France
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Marseille, , France
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Nantes, , France
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Nice, , France
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Paris, , France
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Paris, , France
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Paris, , France
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Paris, , France
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Paris, , France
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Pessac, , France
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Pierre-Bénite, , France
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Pontoise, , France
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Reims, , France
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Rouen, , France
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Saint-Quentin, , France
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Strasbourg, , France
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Villefranche-sur-Saône, , France
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Bonn, , Germany
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Chemnitz, , Germany
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Cologne, , Germany
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Essen, , Germany
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Hamburg, , Germany
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Kassel, , Germany
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Leipzig, , Germany
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Münster, , Germany
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Regensburg, , Germany
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Athens, , Greece
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Athens, , Greece
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Athens, , Greece
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Heraklion, , Greece
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Pátrai, , Greece
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Piraeus, , Greece
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Thessaloniki, , Greece
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Hong Kong, , Hong Kong
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New Territories, , Hong Kong
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Budapest, , Hungary
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Budapest, , Hungary
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Debrecen, , Hungary
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Győr, , Hungary
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Gyula, , Hungary
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Kaposvár, , Hungary
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Szeged, , Hungary
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Dublin, , Ireland
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Dublin, , Ireland
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Dublin, , Ireland
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Limerick, , Ireland
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Tullamore, , Ireland
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Ancona, , Italy
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Bari, , Italy
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Brescia, , Italy
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Busto Arsizio, , Italy
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Catania, , Italy
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Florence, , Italy
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Genova, , Italy
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Messina, , Italy
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Milan, , Italy
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Napoli, , Italy
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Napoli, , Italy
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Novara, , Italy
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Palermo, , Italy
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Pescara, , Italy
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Pisa, , Italy
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Roma, , Italy
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Roma, , Italy
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Rozzano MI, , Italy
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Torino, , Italy
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Udine, , Italy
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Vimercate MB, , Italy
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Nagoya, Aichi-ken, Japan
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Akita, Akita, Japan
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Kamogawa-shi, Chiba, Japan
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Fukuoka, Fukuoka, Japan
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Gifu, Gifu, Japan
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Ogaki-shi, Gifu, Japan
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Maebashi, Gunma, Japan
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Shibukawa-shi, Gunma, Japan
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Fukuyama-shi, Hiroshima, Japan
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Kobe, Hyōgo, Japan
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Kumamoto, Kumamoto, Japan
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Kyoto, Kyoto, Japan
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Okayama, Okayama-ken, Japan
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Kawagoe-shi, Saitama, Japan
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Tokushima, Tokushima, Japan
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Shibuya-ku, Tokyo, Japan
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Shinjuku-ku, Tokyo, Japan
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Toyama, Toyama, Japan
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Kaunas, , Lithuania
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Vilnius, , Lithuania
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Ipoh, Perak, Malaysia
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George Town, Pulau Pinang, Malaysia
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Kuching, Sarawak, Malaysia
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Ampang, , Malaysia
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Christchurch, , New Zealand
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Grafton, Auckland, , New Zealand
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Legnica, , Poland
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Lublin, , Poland
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Słupsk, , Poland
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Torun, , Poland
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Warsaw, , Poland
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Warsaw, , Poland
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Wroclaw, , Poland
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Braga, , Portugal
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Coimbra, , Portugal
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Lisbon, , Portugal
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Matosinhos Municipality, , Portugal
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Porto, , Portugal
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Dzerzhinsk, , Russia
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Moscow, , Russia
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Nizhny Novgorod, , Russia
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Novosibirsk, , Russia
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Penza, , Russia
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Petrozavodsk, , Russia
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Saint Petersburg, , Russia
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Saint Petersburg, , Russia
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Saint Petersburg, , Russia
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Saint Petersburg, , Russia
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Samara, , Russia
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Saratov, , Russia
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Volgograd, , Russia
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Yekaterinburg, , Russia
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Singapore, , Singapore
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Singapore, , Singapore
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Singapore, , Singapore
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Bratislava, , Slovakia
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Nitra, , Slovakia
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Nové Zámky, , Slovakia
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Anyang, , South Korea
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Busan, , South Korea
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Daegu, , South Korea
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Daejeon, , South Korea
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Gwangju, , South Korea
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Incheon, , 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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Seoul, , South Korea
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Seville, Andalusia, Spain
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Palma de Mallorca, Balearic Islands, Spain
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Donostia / San Sebastian, Basque Country, Spain
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Salamanca, Castille and León, Spain
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Badalona, Catalonia, Spain
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Barcelona, Catalonia, Spain
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Ourense, Galicia, Spain
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Valencia, Valencia, Spain
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Valencia, Valencia, Spain
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Madrid, , Spain
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Madrid, , Spain
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Chur, , Switzerland
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Zurich, , Switzerland
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Zurich, , Switzerland
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Changhua, , Taiwan
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Kaohsiung City, , Taiwan
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Taichung, , Taiwan
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Taichung, , Taiwan
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Tainan City, , Taiwan
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Taipei, , Taiwan
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Taoyuan District, , Taiwan
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Adana, , Turkey (Türkiye)
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Ankara, , Turkey (Türkiye)
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Ankara, , Turkey (Türkiye)
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Istanbul, , Turkey (Türkiye)
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Izmir, , Turkey (Türkiye)
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Cherkasy, , Ukraine
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Dnipropetrovsk, , Ukraine
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Ivano-Frankivsk, , Ukraine
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Khmelnitskiy, , Ukraine
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Kyiv, , Ukraine
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Lviv, , Ukraine
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Poltava, , Ukraine
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Harrow, , United Kingdom
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Inverness, , United Kingdom
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Leeds, , United Kingdom
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London, , United Kingdom
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London, , United Kingdom
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Oxford, , United Kingdom
Countries
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References
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Raje N, Roodman GD, Willenbacher W, Shimizu K, Garcia-Sanz R, Terpos E, Kennedy L, Sabatelli L, Intorcia M, Hechmati G. A cost-effectiveness analysis of denosumab for the prevention of skeletal-related events in patients with multiple myeloma in the United States of America. J Med Econ. 2018 May;21(5):525-536. doi: 10.1080/13696998.2018.1445634. Epub 2018 Mar 5.
Raje N, Terpos E, Willenbacher W, Shimizu K, Garcia-Sanz R, Durie B, Legiec W, Krejci M, Laribi K, Zhu L, Cheng P, Warner D, Roodman GD. Denosumab versus zoledronic acid in bone disease treatment of newly diagnosed multiple myeloma: an international, double-blind, double-dummy, randomised, controlled, phase 3 study. Lancet Oncol. 2018 Mar;19(3):370-381. doi: 10.1016/S1470-2045(18)30072-X. Epub 2018 Feb 9.
Huang SY, Yoon SS, Shimizu K, Chng WJ, Chang CS, Wong RS, Gao S, Wang Y, Gordon SW, Glennane A, Min CK. Denosumab Versus Zoledronic Acid in Bone Disease Treatment of Newly Diagnosed Multiple Myeloma: An International, Double-Blind, Randomized Controlled Phase 3 Study-Asian Subgroup Analysis. Adv Ther. 2020 Jul;37(7):3404-3416. doi: 10.1007/s12325-020-01395-x. Epub 2020 Jun 10.
Terpos E, Raje N, Croucher P, Garcia-Sanz R, Leleu X, Pasteiner W, Wang Y, Glennane A, Canon J, Pawlyn C. Denosumab compared with zoledronic acid on PFS in multiple myeloma: exploratory results of an international phase 3 study. Blood Adv. 2021 Feb 9;5(3):725-736. doi: 10.1182/bloodadvances.2020002378.
Related Links
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AmgenTrials clinical trials website
Other Identifiers
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2010-020454-34
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
20090482
Identifier Type: -
Identifier Source: org_study_id
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