ClinicalTrials.gg
CompletedNCT00003884Updated Feb 21, 2013

Zoledronate in Treating Patients With Solid Tumors That Have Spread to the Bone

A Phase 3 interventional study of zoledronic acid and quality-of-life assessment in Hypercalcemia of Malignancy, Lung Cancer and Metastatic Cancer, sponsored by Novartis. Completed at 55 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-02-21.

Sponsored by Novartis · Phase 3, Interventional, and Supportive care

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Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 40 studies in Lung Neoplasms by Novartis — 2 open to participants now, 5 under way, none of them phase 3. Lung Neoplasms · Novartis.

Planned enrollment
Largest of 36
600 · median 95
Started
1998
with 1 other
Phase 3
5 of 40
none open now
Registered
1st of 40
by date

Among the 40 studies in Lung Neoplasms by Novartis, this one has the largest planned enrollment of the 36 interventional ones that give a count, is one of 2 that started in 1998, is one of 5 in phase 3, and was the 1st registered.

Lung Neoplasms

5,423 studies on the registry are indexed under Lung Neoplasms; 1,345 are open to participants now.

Browse Lung Neoplasms studies →

Open to participants now

2 of the 40 studies in Lung Neoplasms by Novartis are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Who these studies take

Of the 995 Lung Neoplasms studies recruiting now, 682 (69%) set no upper age limit and 142 (14%) stop at 75 or younger; 45 take children under 18; 142 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 40 studies in Lung Neoplasms by Novartis, or all of them as a file.
02

Study summary

RATIONALE: Zoledronate may help to relieve some of the symptoms caused by bone metastases. It is not yet known if zoledronate is more effective than no further therapy in relieving symptoms of bone metastases or preventing disease progression.

PURPOSE: Randomized phase III trial to determine the effectiveness of zoledronate in treating patients who have solid tumors that have spread to the bone.

Read the detailed description

OBJECTIVES: I. Assess the safety and efficacy of zoledronate in patients with any solid tumor cancer with bone metastases other than breast or prostate cancer. II. Assess the efficacy of zoledronate in preventing skeletal-related events including tumor induced hypercalcemia (TIH), time to first occurrence of skeletal-related event or TIH, skeletal morbidity rate, time to progression of bone metastases, overall survival, and time to overall disease progression in these patients. III. Assess the quality of life and pain in these patients on these regimens.

OUTLINE: This is a randomized, double blind, placebo controlled, multicenter study. Patients are stratified into two groups: patients with lung cancer and patients with all other solid tumor cancers. Patients are randomly assigned to receive 1 of the following treatments: Arm I: Patients receive intravenous zoledronate over 5 minutes every 3 weeks for 9 months. Arm II: Patients receive intravenous zoledronate at a higher dose over 5 minutes every 3 weeks for 9 months. Arm III: Patients receive intravenous placebo over 5 minutes every 3 weeks for 9 months. All patients receive oral calcium daily, and an oral multivitamin supplement. Quality of life is assessed prior to therapy, then at months 3, 6, and 9. Patients are followed every 6 months for survival.

PROJECTED ACCRUAL: A total of 600 patients will be accrued for this study within 12 months.

03

Conditions studied

  • Hypercalcemia of Malignancy
  • Lung Cancer
  • Metastatic Cancer
  • Pain
  • Unspecified Adult Solid Tumor, Protocol Specific

Keywords

  • hypercalcemia of malignancy
  • pain
  • recurrent non-small cell lung cancer
  • recurrent small cell lung cancer
  • unspecified adult solid tumor, protocol specific
  • bone metastases
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS: or cytologically confirmed diagnosis of any cancer other than breast cancer, multiple myeloma, or prostate cancer Objective evidence of bone discovered within 6 weeks of study entry (patients who at screening present with an score of 2) No study entry restrictions for bone metastases for patients with an ECOG of 0 and 1 No symptomatic

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 : Not specified Hematopoietic: Not specified Hepatic: no greater than 2.5 mg/dL for liver metastases Renal: Creatinine no greater than 3.0 mg/dL Calcium at least 8.0 mg/dL but less than 12.0 mg/dL Cardiovascular: No history of severe cardiovascular disease within past 6 months (e.g., congestive heart failure) No hypertension to treatment No symptomatic coronary artery disease Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective No history of noncompliance to medical regimen

PRIOR CONCURRENT THERAPY: Biologic therapy: Concurrent biologic response modifier therapies allowed Concurrent marketed cytokine or colony stimulating factor therapies allowed Chemotherapy: Concurrent marketed chemotherapy agents allowed (including open label cooperative trials or for supportive care) Endocrine therapy: Concurrent hormonal agents and therapies allowed Concurrent corticosteroid therapy allowed (for chemotherapy induced nausea/vomiting or spinal compression) Radiotherapy: Concurrent radiotherapy to treat extraskeletal and/or skeletal tumor sites allowed Surgery: Prior surgery to treat or prevent pathological fracture or spinal cord compression allowed Other: At least 30 days since other prior drugs No concurrent bisphosphonate agent At least 30 days since prior bisphosphonate agent (single exposure allowed within prior 12 months)

Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Enrollment
600 participants (estimated)

Interventions

06

Study locations

55 sites
  • SORRA Research Center
    Birmingham, Alabama 35203, United States
  • Brookwood ACCC
    Birmingham, Alabama 35209, United States
  • University of Alabama Comprehensive Cancer Center
    Birmingham, Alabama 35294, United States
  • Highlands Oncology Group
    Springdale, Arkansas 72764, United States
  • Columbia South Valley Hospital
    Gilroy, California 95020, United States
  • Pacific Shores Medical Group
    Long Beach, California 90813, United States
  • Veterans Affairs Medical Center - West Los Angeles
    Los Angeles, California 90073, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1781, United States
  • Southwest Cancer Care
    Poway, California 92064, United States
  • Cancer and Blood Institute of the Desert
    Rancho Mirage, California 92270, United States
  • Oncology Clinic, P.C.
    Colorado Springs, Colorado 80909, United States
  • Veterans Affairs Medical Center - Denver
    Denver, Colorado 80220, United States
  • Vincent T. Lombardi Cancer Research Center, Georgetown University
    Washington, District of Columbia 20007, United States
  • Veterans Affairs Medical Center - Miami
    Miami, Florida 33125, United States
  • Oncology-Hematology Group of South Florida
    Miami, Florida 33176, United States
  • H. Lee Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612, United States
  • American Medical Research Institute, Inc.
    Atlanta, Georgia 30338, United States
  • Oncology Care Center - Belleville
    Belleville, Illinois 62226, United States
  • Fort Wayne Medical Oncology and Hematology, Inc.
    Fort Wayne, Indiana 46885-5099, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • Louisiana State University Medical Center
    Lafayette, Louisiana 70502-4016, United States
  • Ochsner Clinic
    New Orleans, Louisiana 70121, United States
  • Louisiana State University Health Sciences Center - Shreveport
    Shreveport, Louisiana 71130-3932, United States
  • Maine Center for Cancer Medicine and Blood Disorders
    Scarborough, Maine 04074, United States
  • Greater Baltimore Medical Center and Cancer Center
    Baltimore, Maryland 21204, United States
  • New England Medical Center Hospital
    Boston, Massachusetts 02111, United States
  • New England Hematology/Oncology Associates, P.C.
    Wellesley, Massachusetts 02181, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Spectrum Health and DeVos Children's Hospital
    Grand Rapids, Michigan 49503, United States
  • St. Mary's/Duluth Clinic Health System
    Duluth, Minnesota 55805, United States
  • Hubert H. Humphrey Cancer Center
    Robbinsdale, Minnesota 55422, United States
  • Kansas City Internal Medicine
    Kansas City, Missouri 64132, United States
  • Missouri Baptist Cancer Center
    Saint Louis, Missouri 63131, United States
  • Veterans Affairs Medical Center - Reno
    Reno, Nevada 89520, United States
  • Veterans Affairs Medical Center - East Orange
    East Orange, New Jersey 07018-1095, United States
  • Albert Einstein Comprehensive Cancer Center
    Bronx, New York 10461, United States
  • Brookdale University Hospital and Medical Center
    Brooklyn, New York 11212, United States
  • North Shore University Hospital
    Manhasset, New York 11030, United States
  • New York Presbyterian Hospital - Cornell Campus
    New York, New York 10021, United States
  • University of Rochester Cancer Center
    Rochester, New York 14642, United States
  • Raleigh Internal Medicine
    Raleigh, North Carolina 27609, United States
  • Cleveland Clinic Cancer Center
    Cleveland, Ohio 44195, United States
  • Hematology Oncology Consultants Inc
    Columbus, Ohio 43235, United States
  • University of Oklahoma College of Medicine
    Oklahoma City, Oklahoma 73190, United States
  • Regional Cancer Center - Erie
    Erie, Pennsylvania 16505, United States
  • Milton S. Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
  • University of Pittsburgh Cancer Institute
    Pittsburgh, Pennsylvania 15213, United States
  • Palmetto Hematology/Oncology Associates
    Spartanburg, South Carolina 29303, United States
  • Dial Research Associates
    Brentwood, Tennessee 37027, United States
  • Methodist Hospitals of Memphis
    Memphis, Tennessee 38103, United States
  • Cancer Specialist of South Texas. P.A.
    Corpus Christi, Texas 78412, United States
  • University of Texas Health Center at Tyler
    Tyler, Texas 75710, United States
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84132, United States
  • Danville Hematology and Oncology, Inc.
    Danville, Virginia 24541, United States
  • Swedish Cancer Institute
    Seattle, Washington 98104, United States
07

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 1998, a primary completion of Jan 2001 and a completion of Jan 2001. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 1, 1999
First posted
Jul 22, 2004
Start
Aug 1998
Primary completionActual
Jan 2001
CompletionActual
Jan 2001
Last update
Feb 21, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 21, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00003884
Lead sponsor
Novartis
Responsible party
Sponsor
First posted
Jul 22, 2004
Start date
Aug 1998
Primary completion
Jan 2001
Completion
Jan 2001
Last update
Feb 21, 2013

Study contacts

Robert Knight, MD
study chair · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2013. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Zoledronic Acid

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