Open-label Trial on the Effect of I.V. Zoledronic Acid 4 mg on Bone Density in Hormone Sensitive Prostate Cancer Patients With Bone Metastasis
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Purpose
The purpose of this trial with Zometa is to investigate the effect ZOMETA 4 mg (zoledronic acid for injection in 100mg solution ) has in preventing associated bone loss in prostate cancer patients with bone metastasis when administered in conjunction with hormonal cancer therapy. This trial will seek to determine the effect of ZOMETA in stabilizing and increasing bone mineral density in these patients.
This prospective, open-label, single arm, multicenter study will enroll approximately 200 prostate cancer patients with a history of at least one documented bone lesion documented by bone scan or radiograph. Patients must already be receiving hormone therapy and meet the following additional criteria:
- 18 years of age or older
- Histologically confirmed diagnoses of prostate cancer
- Confirmed objective evidence of metastatic bone disease as evidenced by bone scan or radiograph
- Received or will receive hormonal treatment also know as androgen deprivation therapy with an LHRH agonist or other hormonal treatments
Throughout the course of this 12-month trial, patients will be identified based on the duration of established hormonal treatment at the time of enrollment. Each patients duration of participation will be up to 56 weeks including a 4 week screening, 48 week treatment and a 4 week follow up.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostate Cancer |
Drug: Zometa |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-label Trial on the Effect of I.V. Zoledronic Acid 4 mg on Bone Mineral Density in Hormone Sensitive Prostate Cancer Patients With Bone Metastasis |
- Changes in bone mineral density of the lumbar spine (L2-L4) at 12 months
- Changes in biochemical markers of bone turnover over 12 months
- Changes in bone mineral density of the total hip at 12 months
- Time to first skeletal-related event
- Overall safety measured by adverse events (AEs)
| Enrollment: | 261 |
| Study Start Date: | April 2002 |
| Study Completion Date: | January 2004 |
| Primary Completion Date: | January 2004 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Signed informed consent
- Age > 18 years
- Histologically confirmed diagnosis of carcinoma of the prostate
- Objective evidence of metastatic disease to the bone as evidenced by bone scan or radiograph at any point since their diagnosis of prostate cancer
- Currently receiving, or will begin receiving, hormonal therapy with an LHRH agonist or other hormonal treatments for either < 6 months or > 6 months
- ECOG performance status of 0, 1, or 2
Exclusion criteria:
- Patients who are hormone sensitive without metastatic disease to the bone
- Patients who are hormone refractory typically defined as two or three consecutive increases in PSA measured at least one month apart while on hormone therapy
- Patients who are not treated with LHRH agonist or other hormonal treatments
- Patients who are currently receiving diethylstilbestrol (DES) or PC-SPES
- Patients with another nonmalignant disease which would confound the evaluation of primary endpoints or prevent the patient complying with the protocol.
- Patients with abnormal renal function as evidenced by either a serum creatinine greater than 2 mg/dL or by a calculated creatinine clearance of 60 ml/minute or less
- Corrected (adjusted for serum albumin) serum calcium concentration < 8.0 mg/dl (2.00 mmol/L)
Contacts and Locations
Show 56 Study Locations| Study Director: | Scott L. Pescatore, PharmD. | Novartis |
More Information
No publications provided
| Responsible Party: | External Affairs, Novartis Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00035997 History of Changes |
| Other Study ID Numbers: | CZOL446EUS24, US24 |
| Study First Received: | May 7, 2002 |
| Last Updated: | November 20, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Novartis:
|
Hormone-sensitive Prostate Cancer Prostate Cancer Bone Metastasis |
Additional relevant MeSH terms:
|
Neoplasm Metastasis Prostatic Neoplasms Bone Neoplasms Bone Marrow Diseases Neoplastic Processes Neoplasms Pathologic Processes Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Genital Diseases, Male |
Prostatic Diseases Bone Diseases Musculoskeletal Diseases Hematologic Diseases Hormones Zoledronic acid Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Bone Density Conservation Agents |
ClinicalTrials.gov processed this record on May 19, 2013