Evaluate the Relationship of Bone Remodeling Markers for Skeletal Complications in Metastatic Breast Cancer Patients
A Phase IV, Multi-center, Open Label, Single Arm Clinical Trial to Evaluate the Relationship of Bone Remodeling Markers for Skeletal Complications in Metastatic Breast Cancer Patients
1 other identifier
interventional
237
1 country
1
Brief Summary
to evaluate whether bone marker can provide the valuable predictor of skeletal complications and whether regular assessing of NTX(N-telopeptide of type I collagen) and osteocalcin can be useful in advanced breast cancer patients with bone metastasis receiving zoledronic acid.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Dec 2007
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2007
CompletedFirst Submitted
Initial submission to the registry
June 2, 2009
CompletedFirst Posted
Study publicly available on registry
June 3, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2010
CompletedFebruary 17, 2010
February 1, 2010
3 years
June 2, 2009
February 14, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Urinary NTX and serum osteocalcin will be assessed at baseline, 3, 6, 9, and 12 months and when unexpected skeletal related events is detected.
one year
Study Arms (1)
Zoledronic acid
EXPERIMENTALPatients with advanced breast cancer with radiographic confirmation of bone metastases. This arm will be receiving zoledronic acid administration. The primary endpoint is to find the correlation between bone turnover markers and the frequency of skeletal-related-events for one year. Skeletal related events are defined as pathologic fractures, the need for radiation therapy, orthopaedic surgery, hypercalcemia of malignancy and spinal cord compression. A total of 237 patients will be included.
Interventions
Intravenous zoledronic acid 4mg over a minimum of 15 minutes in at least 100mls of calcium free infusion solution (0.9% sodium chloride or 5% glucose solution) every 4 weeks.
Eligibility Criteria
You may qualify if:
- Patients with advanced breast cancer with radiographic confirmation of bone metastases (minimum of one bone scan lesion must be confirmed as metastatic on plain radiographs or CT/MR imaging)
- Men or women aged ≥ 18 years
- WHO (ECOG) performance status 0-2
- Women of child-bearing potential must be using a reliable and appropriate method of contraception
- Urine sample taken and sent to the central laboratory for baseline Ntx analysis
- Written informed consent.
You may not qualify if:
- Bisphosphonate treatment within the 4 weeks prior to planned first study treatment
- Abnormal renal function as evidenced by a calculated creatinine clearance \< 30 ml/minute
- Poor venous access
- Metabolic bone disease
- Unable to comply with study procedures, especially the reliable collection of urine samples for bone resorption marker measurements
- Estimated life expectancy of \< 6 months
- Treatment with systemic bone seeking radioisotopes within the 3 months prior to study entry
- Wide field (hemi-body) radiotherapy within the 3 months prior to study entry
- Concomitant medication with drugs known to affect bone metabolism
- Pregnancy or breast-feeding
- Current active dental problems including infection of the teeth or jawbone (maxilla or mandibular), or a current or prior diagnosis of osteonecrosis of the jaw (ONJ)
- Recent (within 4 weeks of study entry\*) or planned dental or jaw surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Surgery, Korea University Guro Hospital
Seoul, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jae Bok Lee, MD.PhD
Department of Surgery, Korea University Guro Hospital, South Korea
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
June 2, 2009
First Posted
June 3, 2009
Study Start
December 1, 2007
Primary Completion
December 1, 2010
Study Completion
December 1, 2010
Last Updated
February 17, 2010
Record last verified: 2010-02