Preventive Effects of Zoledronic Acid on Bone Metastasis in Patients With Stage IIIB and IV Lung Cancer
1 other identifier
interventional
200
1 country
1
Brief Summary
Bone metastases are common in patients with advanced lung cancer and can have devastating consequences. Preventing or delaying bone metastases may improve outcomes. Bisphosphonates are inhibitors of osteoclast-mediated bone resorption. The current indications for bisphosphonates include the treatment of metabolic disorders of bone metabolism (e.g., osteoporosis and Paget's disease), the treatment of hypercalcaemia of malignancy (HCM), and the prevention of skeletal-related events(SREs)from malignant bone disease. Clinical trials also confirm that bisphosphonates, and zoledronic acid(ZOL) in particular, can prevent bone loss from cancer treatment.There is also emerging evidence that the benefits of bisphosphonate therapy in the oncology setting are more extensive. This study will evaluate whether the addition of ZOL 4 mg every 3 months for up to 1 years in patients with stage IIIB/IV lung cancer could reduce the rate of bone metastases ,improve progression-free survival (PFS) and overall survival(OS), and delay time to bone metastases .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 lung-cancer
Started Jan 2013
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
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
November 30, 2015
CompletedFirst Posted
Study publicly available on registry
December 4, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedJuly 21, 2017
July 1, 2017
5.2 years
November 30, 2015
July 19, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Bone Metastases at 12 Months
Percentage of participants developing at least 1 bone metastasis, whether or not symptomatic. Bone scans were scheduled at screening and at 6-monthly intervals after study entry, or when symptoms suggested the presence of bone metastases. Positive bone scans required confirmation by x-ray, magnetic resonance imaging (MRI), or computed tomography (CT).
Months 12
Secondary Outcomes (2)
Progression-Free Survival
Up to 24 months
Percentage of Participants With Overall Survival
Months 6, 12, 18, and 24 ]
Study Arms (2)
ZOL
EXPERIMENTALZoledronic acid 4 mg intravenous infusion over at least 15 minutes every 3 months for 12 months.
Control
NO INTERVENTIONNo investigational treatment
Interventions
Zoledronic acid 4 mg in 5 mL concentrated solution prepared with 100 mL calcium free infusion solution (0.9 % sodium chloride)
Eligibility Criteria
You may qualify if:
- Age between 18 and 70 years of age, male or female
- histologically or cytologically confirmed stage IIIB or IV lung cancer at diagnosis
- no evidence of bone metastatic lesions was radiographically confirmed by bone scintigraphy
- life expectancy of ≥6 months
- adequate renal, hematologic, and hepatic
- Eastern Cooperative Oncology Group(ECOG) performance status≤2
- All patients provided written informed consent
You may not qualify if:
- Treatment with other bisphosphonates
- Presence of brain metastases
- Be allergic to ZOL
- attending other unlisted drug clinical trials,currently.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tang-Du Hospitallead
Study Sites (1)
Department of Oncology,Tangdu Hospital,Fourth Millitary Medical University
Xi'an, Shaanxi, 710000, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
He-Long Zhang, M.D.
Department of Oncology,Tangdu Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 30, 2015
First Posted
December 4, 2015
Study Start
January 1, 2013
Primary Completion
March 1, 2018
Study Completion
March 1, 2018
Last Updated
July 21, 2017
Record last verified: 2017-07