ClinicalTrials.gg
TerminatedNCT00294437Updated May 1, 2012

ZOMETA® (Zoledronic Acid) for Prevention of Bone Metastases

A Phase 3 interventional study of Zometa in Prostate Cancer, sponsored by Central European Cooperative Oncology Group. Terminated at 57 sites in 16 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-05-01.

Sponsored by Central European Cooperative Oncology Group · Phase 3, Interventional, and Treatment

Why this study was terminated
underfunding
Phase
Phase 3
Study type
Interventional
Enrollment
376
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

To determine if therapy with Zometa® (zoledronic acid) 4mg will be effective in preventing the occurrence of bone metastases in prostate cancer patients at high risk of developing them. In addition, pain and analgesic scores and overall safety are to be evaluated throughout the study.

Read the detailed description

This is a prospective, randomized, stratified open-label (Zometa + hormonal ablation versus hormonal ablation alone) multicenter clinical study evaluating the efficacy of Zometa 4mg given every 3 month as an adjunct to hormonal or surgical castration for prevention of bone metastases in locally advanced, high risk prostate cancer patients, who are hormone-naiv at time of randomization. the primary efficacy variable is the time to occurrence of first bone metastases.

Zometa® (zoledronic acid) provided as 4mg lyophilised powder Supplementation 500mg Calcium +400-500IU Vitamin D p.o. qd

Arm A:

Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months

Arm B:

no reference therapy

02

Conditions studied

  • Prostate Cancer

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Keywords

  • Prostate Cancer
  • Zometa
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's enrollment of 376 is above the median of 60 across 5,348 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Central European Cooperative Oncology Group is the lead sponsor of 12 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Signed
  • Age > 18 years
  • confirmed diagnosis of carcinoma of the prostate
  • performance status of 0, 1, or 2
  • No radiological evident bone (negative bone scan or verification of suspected foci as benign lesions by additional radiological examination)
  • T3-4 AND highest pre-study PSA >20 ng/ml AND Gleason score = 8 (or Gleason grade = 4)
  • Patients with prior prostatectomy or prior local radiotherapy are eligible for this study
  • Patients are destined to receive medical (LHRH analogue) or surgical (orchiectomy) castration and Zometa® treatment will start not later than 6 weeks after surgery
  • Patients should be fully recovered from prior interventions where applicable

Exclusion criteria

Exclusion Criteria:

  • Patients with a serum creatinine determination >265 µmol/L (3.0 mg/dL)
  • Patients that received prior medical (LHRH analogue) castration
  • Current (or previous) evidence of disease to the bone
  • History of any other neoplasm within the past five years except for nonmelanomatous skin cancer.
  • Previous hormonal therapy with LHRH agonists or other forms of hormonal ablation
  • WBC\<3.0x109, ANC \< 1500/mm3, \<8.0 g/dL, \< 75 x 109/L
  • Liver function tests >2.5
  • Prior treatment with Zometa® (zoledronic acid) or other bisphosphonates
  • Treatment with calcitonin, mithramycin, or gallium nitrate within 2 weeks prior to the date of randomization (Visit 2)
  • Use of other drugs (drugs not marketed for any indication) within 30 days prior to the date of randomization (Visit 2)
  • Patients with evidence in the six months prior to randomization of severe cardiovascular disease (defined as uncontrolled congestive heart failure), hypertension to treatment, or symptomatic coronary artery disease uncontrolled by treatment
  • History of noncompliance to medical regimens and patients who are considered potentially unreliable or incapable of giving as judged by the investigator.
Terms in these criteria, in plain language(9)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Metastases

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

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
376 participants (actual)

Study arms

  • Experimental
    zoledronic acid

    Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months

    Drug: Zometa

  • No intervention
    no intervention

    no reference therapy

Interventions

  • DrugZometa

    Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months

06

What researchers measure

Primary outcomes

  1. Time to occurrence of first bone metastasis, as assessed by bone scan and confirmed by additional radiological examination

Secondary outcomes

  1. To assess the effects of i.v. Zometa® (zoledronic acid) 4 mg, with respect to the following efficacy parameters as well as safety and tolerability:

  2. Effects on pain and analgesic drug consumption, assessed by the composite pain score from BPI (Brief Pain Inventory) for pain and by analgesic score

  3. Time to first event of bone pain

  4. Time to first occurrence of Skeletal Related Events (SREs), defined as pathologic bone fractures, spinal cord compression, surgery to bone, radiation therapy to bone (including the use of radioisotopes)

  5. Proportion of patients in each arm having SRE

  6. Serum PSA

  7. Overall safety

07

Study locations

57 sites
  • LKH Leoben, Abt. für Innere Medizin
    Leoben, Steiermark 8700, Austria
  • Thermenkh Baden, Urologie
    Baden bei Wien, Austria
  • LKH Graz Univ. Klinik f Urologie
    Graz, Austria
  • LKH Innsbruck, Dept f. Urologie
    Innsbruck, Austria
  • KH d Elisabethinen Linz, Dep of Urology
    Linz, Austria
  • KH der Barmherzigen Schwestern, Dept Urologie
    Linz, Austria
  • LKH Salzburg, Clinic f Radiotherapy a Radiooncology
    Salzburg, Austria
  • Institute for Oncology
    Sarajevo, Bosnia and Herzegovina
  • Plovdiv Cancer Center
    Plovdiv, 4000, Bulgaria
  • SBALO National Oncology Center
    Sofia, 1527, Bulgaria
  • SBALO National Oncology Center
    Sofia, Bulgaria
  • Sofia Cancer Center compl. Mladost ,
    Sofia, Bulgaria
  • MODOSZ Oncology Dispensary
    Stara Zagora, Bulgaria
  • Modozs-Veliko
    Tarnovo, Bulgaria
  • Oncological Hospital
    Varna, Bulgaria
  • Univ. Hospital, Dep of Pathophysiology
    Split, Croatia
  • GH, Dep Oncology and Reumatology
    Varazdin, Croatia
  • Clinical Hospital
    Zagreb, Croatia
  • FH, Urological Clinic
    Brno, Czech Republic
  • Hospital Kromeriz, Dep of Urology
    Kromeriz, Czech Republic
  • FN Motol, Dep of Urology
    Prague, Czech Republic
  • Centre of Oncology
    Usti Nad Labem, Czech Republic
  • Mustamae Korpus
    Tallinn, Estonia
  • Clinic of surgery
    Tartu, Estonia
  • Dept. Of Urology , Jahn Ferenc Delpesti Hospital
    Budapest, Hungary
  • karolyi sandor Hospital, Dept of Urology
    Budapest, Hungary
  • Semmelweiss Univ of Medicine, Clinic of Urology
    Budapest, Hungary
  • Univ. of Pecs,Urologic Clinic
    Pecs, Hungary
  • Dept. Of Urology and Surgery
    Szombathely, Hungary
  • Lithuanian Oncology Center
    Vilnius, Lithuania
  • Clinical Center of Montenegro
    Podgorica, Montenegro
  • Centrum Onkologii Instytut
    Krakow, Poland
  • Medical Academy
    Szczecin, Poland
  • Central Rail Hospital,
    Warsaw, Poland
  • Medical Academy
    Warsaw, Poland
  • P.D.R. Clinic
    Brasov, Romania
  • Fundeni Hospital, Dep of Urology
    Bucharest, Romania
  • Saint John Emergency Clinical Hospital
    Bucharest, Romania
  • Institutul Oncologic Cluj
    Cluj-Napoca, 400015, Romania
  • Emergency Clinical County Hospital , Clin Oncol. Dep
    Craiova, Romania
  • University Hospital
    Iasi, Romania
  • Hertzen Research Oncological Institute
    Moscow, Russian Federation
  • Medical Radiological Research Center
    Obninsk, Russian Federation
  • Clinical Center of Serbia
    Belgrade, Serbia
  • Oncology Institute Belgrade
    Belgrade, Serbia
  • Oncology Institute
    Belgrade, Serbia
  • Clinical Center
    Nis, Serbia
  • Institute for Oncology
    Sremska Kamenica, Serbia
  • FNsP - akad L. Derea Urology
    Bratislava, Slovakia
  • FNsP Dep of Urology
    Kosice, Slovakia
  • FN sP Dep of Urology
    Martin, Slovakia
  • University Clinical Center
    Ljubljana, Slovenia
  • Gh, Dep of Urology
    Maribor, Slovenia
  • Turret House
    Claremont, South Africa
  • Johannesburg Hospital Dep of Urology
    Johannesburg, South Africa
  • St. Annes Hospital
    Pietermaritzburg, South Africa
  • Urological Hospital
    Pretoria, South Africa
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00294437
Lead sponsor
Central European Cooperative Oncology Group
First posted
Feb 22, 2006
Start date
Dec 2003
Primary completion
Dec 2003
Completion
Nov 2007
Last update
May 1, 2012

Study contacts

Bobak Djavan, Prof
principal investigator · Univ. Klinik für Urologie

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Zoledronic Acid

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