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CompletedNCT01204203UAB0901Updated May 24, 2017Results posted

Pilot Study of Bisphosphonate Therapy (Zoledronic Acid) in Patients With Malignant Mesothelioma (UAB 0901)

A Phase 2 interventional study of Zometa in Mesothelioma, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2017-05-24.

Sponsored by University of Alabama at Birmingham · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Study summary

The primary objective of this trial is to determine the response rate of single agent zoledronic acid using a composite of criteria including the EORTC modified RECIST criteria and the EORTC tumor response criteria for 18F-FDG PET scans.

Read the detailed description

This pilot study will examine the effect of bisphosphonate (zoledronic acid) in patients with malignant mesothelioma. Evaluation will be limited to patients with standard (CT scans) and functional instruments (FDG PET Scans) of tumor assessment after the administration of standard doses of zoledronic acid (4 mg IV every 3 weeks). We will also explore the biologic effect of zoledronic acid in patients using new serum markers as well as several blood level markers.

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Conditions studied

  • Mesothelioma

Keywords

  • mesothelioma
  • zoledronic acid
  • zometa
  • bisphosphonate therapy
  • CT scan
  • PET scan
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In context

Mesothelioma

470 studies on the registry are indexed under Mesothelioma; 75 are open to participants now.

This study's enrollment of 8 is below the median of 40 across 371 interventional studies indexed under Mesothelioma.

Browse Mesothelioma studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,396 studies on the registry; 284 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 124 (79%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Males and females > 18 years of age
  • Life expectancy of at least 2 months
  • Histologically confirmed unresectable malignant pleural mesothelioma (MPM)
  • Measurable disease by CT Scan criteria and/or positive metabolic activity of 18F-FDG PET Scan criteria at screening
  • ECOG Performance Status of 0-2
  • Laboratory and clinical results within 2 weeks prior to Day 1 must be as follows:

    1. ANC ≥ 1.5 x 109/L
    2. Platelet Count ≥ 100 x 109/L
    3. Hemoglobin ≥ 9g/dL
    4. Serum bilirubin ≤ 1.5 x upper limit of normal (ULN)
    5. AST ≤ 2.5 x ULN
    6. ALT ≤ 2.5 x ULN
    7. ALK-P ≤ 3 x ULN
    8. Serum creatinine ≤ 1.8mg/dL
    9. Calculated Serum Creatinine Clearance 40 - > 60ml/min
  • Female subjects of childbearing potential and all male subjects must be surgically sterile or consent to use a medically acceptable method of contraception throughout the trial.
  • Willing and able to provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Known central nervous system (CNS) tumor involvement
  • Evidence of other active malignancy requiring treatment
  • Clinically significant heart disease (e.g., congestive heart failure of New York Heart Association Class 3 or 4 angina not well controlled by medication, or myocardial infarction within 6 months)
  • Known infection with HIV or hepatitis
  • Clinically significant arrhythmias demonstrated on electrocardiogram (ECG). Note: subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal supraventricular tachycardia (SVT) are eligible.
  • Active, serious systemic disease, including active bacterial or fungal infection.
  • Subjects undergoing invasive dental procedures, significant periodontal disease or history of osteonecrosis of the jaw.
  • Treatment within 4 weeks of the start of the trial with other systemic anticancer therapy.
  • Breastfeeding, pregnant, or likely to become pregnant during the clinical trial.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Zometa

    Zometa (zoledronic acid) will be administered by infusion on Day 1 of a 3-week cycle followed by tumor assessment from CT and/or PET scans every 2 cycles. This will continue until progression of disease and/or intolerable toxicity.

    Drug: Zometa

Interventions

  • DrugZometa

    Zoledronic acid will be administered IV on the first day of a 21 day cycle at a concentration of 4 mg. The treatment will take about 30-60 minutes with the infusion lasting about 15 minutes.

    Also known as: Zoledronic acid

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What researchers measure

Primary outcomes

  1. Tumor Response Rate Following Zoledronic Acid (Zometa)

    The modified Response Evaluation Criteria in Solid Tumors Criteria (RECIST 2004) will be used for target lesions and assessed by CT scans. Complete Response (CR) is the disappearance of target lesions; Partial Response (PR) is greater than or equal to 30% reduction in the total tumor measurement; Stable Disease (SD) is the absence of response or progression; and Progressive Disease (PD) is a 20% increase in the total tumor measurement over nadir value or the appearance of new lesions.

    Time frame: Baseline up to 28 months or until progressive disease or death

Secondary outcomes

  1. Progression Free Survival (PFS)

    Progression Free Survival is defined as the number of days from the day the subject started treatment to the day the subject experienced evidence of disease progression, as determined by radiological or clinical progression.

    Time frame: Baseline up to 28 months

  2. Overall Survival (OS)

    Overall Survival is defined as the number of days from the day the subject started treatment to the day the subject experienced death or lost to follow-up.

    Time frame: Baseline up to 28 months

07

Results

Posted May 24, 2017

Participant flow

Inclusion criteria included: adult patients (age\>18) with unresectable Malignant Pleural Mesothelioma (MPM) who had progressed after one or more prior systemic therapies, had not received prior systemic therapy due to poor performance status (PS), and/or were unwilling to receive systemic chemotherapy.

Participant flow — Overall Study
MilestoneZoledronic Acid (Zometa)
Started8
Completed8
Not completed0

Outcome measures

PrimaryTumor Response Rate Following Zoledronic Acid (Zometa)

The modified Response Evaluation Criteria in Solid Tumors Criteria (RECIST 2004) will be used for target lesions and assessed by CT scans. Complete Response (CR) is the disappearance of target lesions; Partial Response (PR) is greater than or equal to 30% reduction in the total tumor measurement; Stable Disease (SD) is the absence of response or progression; and Progressive Disease (PD) is a 20% increase in the total tumor measurement over nadir value or the appearance of new lesions.

Time frame:
Baseline up to 28 months or until progressive disease or death
Reported as:
Number · percentage of responders
Tumor Response Rate Following Zoledronic Acid (Zometa)
percentage of respondersZometa
Tumor Response Rate Following Zoledronic Acid (Zometa)12.5
SecondaryProgression Free Survival (PFS)

Progression Free Survival is defined as the number of days from the day the subject started treatment to the day the subject experienced evidence of disease progression, as determined by radiological or clinical progression.

Time frame:
Baseline up to 28 months
Reported as:
Median · Months
Progression Free Survival (PFS)
MonthsZometa
Progression Free Survival (PFS)2 (0.5 to 21)
SecondaryOverall Survival (OS)

Overall Survival is defined as the number of days from the day the subject started treatment to the day the subject experienced death or lost to follow-up.

Time frame:
Baseline up to 28 months
Reported as:
Median · months
Overall Survival (OS)
monthsZometa
Overall Survival (OS)7 (0.8 to 28)

Adverse events

Collected over From baseline to 28 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Zoledronic Acid (Zometa)0/8 (0%)0/8 (0%)0/8 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Zoledronic Acid (Zometa)
Median62 (49 to 77)
Sex: Female, Male
Sex: Female, Male(Participants)Zoledronic Acid (Zometa)
Female0
Male8
Region of Enrollment
Region of Enrollment(participants)Zoledronic Acid (Zometa)
United States8
08

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 24, 2017, 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
NCT01204203
Lead sponsor
University of Alabama at Birmingham
Collaborators
Novartis Pharmaceuticals
Responsible party
Francisco Robert,MD (Professor, University of Alabama at Birmingham) — Principal investigator
First posted
Sep 17, 2010
Start date
Jun 2009
Primary completion
Apr 2015
Completion
Apr 2016
Results posted
May 24, 2017
Last update
May 24, 2017

Study contacts

Francisco Robert, M.D.
principal investigator · University of Alabama at Birmingham

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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