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CompletedNCT00049452Updated Jan 6, 2014

Zoledronate in Preventing Bone Loss in Premenopausal Women Receiving Chemotherapy After Surgery For Early Stage Breast Cancer

A Phase 3 interventional study of zoledronic acid in Breast Cancer and Osteoporosis, sponsored by Herbert Irving Comprehensive Cancer Center. Completed at 3 sites in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2014-01-06.

Sponsored by Herbert Irving Comprehensive Cancer Center · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
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Study summary

RATIONALE: It is not yet known whether zoledronate is effective in preventing bone loss in premenopausal women who are receiving adjuvant chemotherapy after undergoing surgery for early stage breast cancer.

PURPOSE: Randomized phase III trial to determine the effectiveness of zoledronate in preventing bone loss in premenopausal women who are receiving chemotherapy after surgery for early stage breast cancer.

Read the detailed description

OBJECTIVES:

  • Compare the changes in bone mineral density (BMD) and bone turnover that occur in premenopausal women with resected early stage breast cancer during and after 6 months of adjuvant chemotherapy.
  • Determine the factors that predict bone loss during chemotherapy, particularly induction of amenorrhea, type of chemotherapeutic regimen, glucocorticoid exposure, and baseline BMD, in these patients.
  • Determine whether zoledronate prevents bone loss in these patients when given during and after adjuvant chemotherapy.
  • Determine the effect of zoledronate on markers of bone turnover in these patients during and after adjuvant chemotherapy.
  • Determine whether the effect on markers of bone turnover predicts response to zoledronate in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to estrogen receptor status (positive vs negative), progesterone receptor status (positive vs negative), and adjuvant chemotherapy regimen. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive zoledronate IV over 15 minutes on day 1.
  • Arm II: Patients receive placebo IV over 15 minutes on day 1. In both arms, treatment repeats every 3 months for up to 4 courses in the absence of disease progression. Patients also receive calcium and cholecalciferol (vitamin D) supplements daily.

Quality of life is assessed at baseline and at 6 and 12 months.

Patients are followed at 1 year.

PROJECTED ACCRUAL: A total of 120 patients (60 per treatment arm) will be accrued for this study.

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Conditions studied

  • Breast Cancer
  • Osteoporosis

Keywords

  • osteoporosis
  • stage I breast cancer
  • stage II breast cancer
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 120 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Herbert Irving Comprehensive Cancer Center is the lead sponsor of 32 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of localized breast cancer

    • Stage I or II (T1-3, N0-2, M0)
  • Planned adjuvant chemotherapy (after surgery) of at least 6 months in duration
  • Hormone receptor status:

    • Estrogen receptor and progesterone receptor status known

PATIENT CHARACTERISTICS:

Age

  • 18 to 50

Sex

  • Female

Menopausal status

  • Premenopausal or perimenopausal

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Creatinine less than 2 mg/dL

Other

  • No T score of less than 2.0 on bone mineral density (BMD)
  • No fragility fracture
  • No lumbar spine anatomy that would preclude accurate BMD measurement of a minimum of 3 lumbar vertebrae
  • Not pregnant

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • See Disease Characteristics

Endocrine therapy

  • Not specified

Radiotherapy

  • No concurrent radiotherapy

Surgery

  • See Disease Characteristics

Other

  • At least 1 month since prior calcitonin
  • At least 12 months since prior bisphosphonates given for more than 1 month duration
  • No concurrent fluoride therapy (10 mg/day or more)
  • No concurrent enrollment in another experimental drug study
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Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Masking
Double
Enrollment
120 participants (estimated)

Interventions

  • Drugzoledronic acid
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What researchers measure

Primary outcomes

  1. Changes in lumbar spine bone mineral density (BMD) at 6 months

Secondary outcomes

  1. Changes in lumbar spine BMD at 12 and 24 months

  2. Total hip and femoral neck BMD at 6, 12, and 24 months

  3. Serum markers of bone turnover (osteocalcin, bone-specific alkaline phosphatase, and cross-linked C-telopeptide of type 1 collagen levels) measured every 6 weeks for 6 months, and at 9 and 12 months

  4. Quality of life as measured by the Short Form-36 instrument at baseline, and at 6 and 12 months

  5. Treatment costs

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Study locations

3 sites
  • Carl and Dorothy Bennett Cancer Center at Stamford Hospital
    Stamford, Connecticut 06904, United States
  • Valley Hospital - Paramus
    Paramus, New Jersey 07652-2509, United States
  • Herbert Irving Comprehensive Cancer Center at Columbia University
    New York, New York 10032, United States
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References and documents

Publications

  • Hershman DL, McMahon DJ, Crew KD, Shao T, Cremers S, Brafman L, Awad D, Shane E. Prevention of bone loss by zoledronic acid in premenopausal women undergoing adjuvant chemotherapy persist up to one year following discontinuing treatment. J Clin Endocrinol Metab. 2010 Feb;95(2):559-66. doi: 10.1210/jc.2009-1366. Epub 2009 Dec 18. PubMed 20022990 ↗
  • Hershman DL, McMahon DJ, Crew KD, Cremers S, Irani D, Cucchiara G, Brafman L, Shane E. Zoledronic acid prevents bone loss in premenopausal women undergoing adjuvant chemotherapy for early-stage breast cancer. J Clin Oncol. 2008 Oct 10;26(29):4739-45. doi: 10.1200/JCO.2008.16.4707. Epub 2008 Aug 18. PubMed 18711172 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00049452
Lead sponsor
Herbert Irving Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
First posted
Jan 27, 2003
Start date
Dec 2001
Completion
Aug 2008
Last update
Jan 6, 2014

Study contacts

Dawn Hershman, MD
study chair · Herbert Irving Comprehensive Cancer Center
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2007. You cannot join it, but the record below documents what was studied.

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