Study to Assess Efficacy of Risedronate in Preventing Bone Loss in Postmenopausal Women Treated for Breast Cancer (RISAROS)
Recruitment status was Recruiting
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Purpose
Aromatase inhibitor therapy is in France the adjuvant reference treatment for postmenopausal women with early-stage breast cancer. This treatment induces bone loss and a higher risk of fractures.
This study aimed to document the effect of bisphosphonate therapy in preventing bone loss and osteoporotic fractures in postmenopausal women with aromatase inhibitor treatment for breast cancer
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer Menopause Osteopenia |
Drug: Risedronate Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Randomized, Double-blinded, Placebo Controlled Study to Assess Efficacy of Oral 35 mg Per Week Risedronate in Preventing Bone Loss in Postmenopausal Women With Aromatase Inhibitor Therapy for Breast Cancer. |
- Evolution of the lumbar spine Bone Mineral Density after one year of treatment [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Evolution of femoral BMD after one year of treatment [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Evolution of lumbar spine and femoral BMD after two years of treatment [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Evolution of bone resorption and formation markers [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Proportion of fractures after two years of treatment [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
- Evolution of estradiol levels [ Time Frame: 2 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 206 |
| Study Start Date: | November 2009 |
| Estimated Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: 2
Patients receive placebo 35 mg once a week plus a calcium and vitamin D supplementation. Measure of bone density, bone markers, clinical examination and questionnaire regarding fractures will be assessed at 12 and 24 months of treatment |
Drug: Placebo
Placebo 35 mg once a week for 24 months
|
|
Active Comparator: 1
Patients receive risedronate 35 mg once a week plus a calcium and vitamin D supplementation. Measure of bone density, bone markers, clinical examination and questionnaire regarding fractures will be assessed at 12 and 24 months of treatment |
Drug: Risedronate
35mg oral risedronate once per week for 24 months
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Postmenopausal women (more than one year since last menstrual period or removal of ovarian function by surgical or radiotherapic means)
- Operated for an invasive breast cancer (histologically proven)
- Surgical treatment completed and cycles of adjuvant chemotherapy (if necessary) completed
- Treated with aromatase inhibitor
- Osteopenic (-2.5<T score<-1) without osteoporotic fracture
- With written informed consent signed
- With social security
Exclusion Criteria:
- Women presenting a history of osteoporotic fracture or a T score less than -2.5 at at least one measure site
- Women presenting clinical signs of metastases
- Having received other hormonal treatment in the last 3 months
- Having received treatment by bisphosphonates, raloxifene, tamoxifen, parathormone, strontium ranelate, tibolone,calcitonin and corticosteroids at more than 5mg/d for 3 months in the last year
- Presenting a known and untreated hyperthyroid
- Presenting a known hyperadrenocorticism
- Patients treated and followed for Paget's disease of bone
- Presenting a untreated primary hyperparathyroid
- Presenting an indication against risedronate (known hypersensibility to risedronate monosodium and/or one of its excipients, non-corrected hypocalcemia, pregnancy or breast feeding, severe renal insufficiency inferior to 30 ml/min)
- Patients presenting malabsorption syndrome for glucose/galactose
- Person participating in another clinical trial concerning a medicine susceptible to influence bone mass
Contacts and Locations| France | |
| Service de Rhumatology et de Pathologie Osseuse, Hôpital Edouard Herriot | Recruiting |
| Lyon, Rhone-Alps, France, 69437 | |
| Contact: Aurélie Fontana 0033 4 72 11 74 61 ext 31 74 61 aurelie.fontana@chu-lyon.fr | |
| Principal Investigator: | Aurélie Fontana, M.D | Hôpital Edouard Herriot |
More Information
No publications provided
| Responsible Party: | Dr.Aurélie Fontana, Hospices Civils de Lyon |
| ClinicalTrials.gov Identifier: | NCT00859703 History of Changes |
| Other Study ID Numbers: | 2006.45346 |
| Study First Received: | March 10, 2009 |
| Last Updated: | November 18, 2009 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by Hospices Civils de Lyon:
|
Aromatase inhibitor treatment osteoporosis breast cancer bisphosphonates |
Additional relevant MeSH terms:
|
Breast Neoplasms Bone Diseases, Metabolic Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Bone Diseases Musculoskeletal Diseases Risedronic acid Etidronic Acid |
Aromatase Inhibitors Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Cardiovascular Agents Therapeutic Uses Enzyme Inhibitors |
ClinicalTrials.gov processed this record on May 22, 2013