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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00242567
Registration number
NCT00242567
Ethics application status
Date submitted
19/10/2005
Date registered
20/10/2005
Date last updated
7/05/2014
Titles & IDs
Public title
Study of Zoledronic Acid for Patients With Hormone-sensitive Bone Metastases From Prostate Cancer
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Scientific title
A Phase III, Parallel Group, Randomized, Open-label, Multi-centre Clinical Trial of Zoledronic Acid in Males Receiving Androgen Deprivation Therapy for Advanced Prostate Cancer.
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Secondary ID [1]
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CZOL446E2432
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer
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Condition category
Condition code
Cancer
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Zoledronic Acid
Treatment: Drugs - Androgen Deprivation Therapy (ADT)
Experimental: Early Group - Zoledronic acid 4 mg i.v. infusion every 4 weeks, commencing at Baseline.
Experimental: Delayed group - Zoledronic acid 4 mg i.v. infusion every 4 weeks, commencing no sooner than 12 months after their baseline visit, and not until they have had three rises in PSA level from Baseline, one of which must be a least 10 ng/mL greater than the baseline Serum Prostate-specific Antigen (PSA) level.
Treatment: Drugs: Zoledronic Acid
Zoledronic acid was provided by Novartis in vials containing 4 mg/5 mL liquid concentrate. Prior to administration, the liquid concentrate from one vial was to be further diluted with 100 mL of calcium-free infusion solution (0.9 % weight by volume sodium chloride solution or 5 % weight by volume glucose solution). If refrigerated, the solution had to be allowed to reach room temperature before administration.
After addition of the liquid concentrate to the infusion media, the infusion solution was to be used as soon as practicable to reduce the risk of microbiological hazard. If storage of the solution was necessary, it had to be refrigerated at temperatures between 2-8 degrees C and was to be used within 24 hours.
The infusion solution containing 4 mg zoledronic acid was to be administered every 4 weeks as an i.v. infusion over no less than 15 minutes.
Treatment: Drugs: Androgen Deprivation Therapy (ADT)
Androgen deprivation therapy (ADT) was to be administered according to institutional protocols, in accordance with relevant prescribing information. The type and duration of androgen deprivation was at the discretion of the treating specialist, and could include orchiectomy where this would normally have been performed. Androgen deprivation therapy was provided by the investigational center, or obtained by the patient from usual sources. Anti-androgen monotherapy and intermittent ADT were excluded in the first 12 months of the study.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Skeletal-related Event-free Survival in Men With Bone Metastases From Prostate Cancer
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Assessment method [1]
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Skeletal-related event free survival is the time from randomization until the first detected Skeletal Related Event (SRE). Patients who were still SRE-free at 18 months were censored.
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Timepoint [1]
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18 months
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Secondary outcome [1]
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Overall Survival at 18 Months and 3 Years
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Assessment method [1]
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Overall survival (OS) time was measured from the start of study drug to the date of death due to any cause.
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Timepoint [1]
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month 18, year 3
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Secondary outcome [2]
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Time to Occurrence of Skeletal Related Event or Death
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Assessment method [2]
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Time from randomization to the first detected skeletal related event or death. This endpoint is the same as the primary endpoint with the modification that deaths are considered events.
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Timepoint [2]
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18 Months
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Secondary outcome [3]
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Skeletal-related Event(SRE)-Free Survival
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Assessment method [3]
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Time from randomization until the first detected SRE. Patients who were still SRE-free at 3 years were censored.
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Timepoint [3]
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36 months
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Secondary outcome [4]
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Time to Occurrence of Skeletal Related Event or Death
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Assessment method [4]
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Time from randomization to the first detected skeletal related event or death. This endpoint is the same as the primary endpoint with the modification that deaths are considered events.
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Timepoint [4]
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36 Months
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Eligibility
Key inclusion criteria
* prostate cancer
* at least one bone metastasis
* receiving or about to receive androgen deprivation therapy (ADT)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* previous ADT failure
* previous or current treatment with another bone-protecting agent, chemotherapy or targeted therapy
* abnormal renal function
Other protocol-defined inclusion/exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/01/2012
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Sample size
Target
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Accrual to date
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Final
522
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Novartis Investigative Site - Adelaide
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Recruitment hospital [2]
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Novartis Investigative Site - Brisbane
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Recruitment hospital [3]
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Novartis Investigative Site - Melbourne
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Recruitment hospital [4]
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Novartis Investigative Site - Port Macquarie
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Recruitment hospital [5]
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Novartis Investigative Site - Sydney
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Brisbane
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Recruitment postcode(s) [3]
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- Melbourne
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Recruitment postcode(s) [4]
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- Port Macquarie
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Recruitment postcode(s) [5]
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- Sydney
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Recruitment outside Australia
Country [1]
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Brazil
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State/province [1]
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Porto Alegre
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Brazil
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State/province [2]
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Santo Andre
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Brazil
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Sao Paulo
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China
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Beijing
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China
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Chongqing
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China
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Shanghai
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Korea, Republic of
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Busan
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Korea, Republic of
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Kyunggi-do
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Korea, Republic of
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Seoul
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Kuwait
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Kuwait
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Lebanon
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Beirut
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New Zealand
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Auckland
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New Zealand
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Christchurch
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New Zealand
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Hamilton
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New Zealand
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State/province [15]
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Tauranga
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New Zealand
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State/province [16]
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Wellington
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Saudi Arabia
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Riyadh
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Taiwan
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Taichung
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Taiwan
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Taipei
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Taiwan
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Taoyuan
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Thailand
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State/province [21]
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Bangkok
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Country [22]
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Thailand
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State/province [22]
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Songkhla
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study aims to determine whether early treatment with zoledronic acid, that is given during the early phase of advanced prostate cancer, will be more efficacious than delayed treatment
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Trial website
https://clinicaltrials.gov/study/NCT00242567
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Phone
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Email
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Contact person for public queries
Name
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Address
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Phone
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00242567
Download to PDF