Trial Outcomes & Findings for Re-treatment of Participants With Paget's Disease Using Zoledronic Acid (NCT NCT00740129)
NCT ID: NCT00740129
Last Updated: 2021-05-26
Results Overview
Normalization of serum alkaline phosphatase (SAP) occurred if the SAP measurement fell within the normal ranges. The lower and upper limits of normal ranges were 31 and 110 Units/Liter (U/L) for participants with age ≤ 58 years old and 35 and 115 U/L for participants with age \> 58 years old, respectively. Last observation carried forward (LOCF) was defined as the last post-baseline SAP value prior to month 6 for a participant who did not have an SAP value at month 6.
COMPLETED
PHASE4
6 participants
Month 6
2021-05-26
Participant Flow
A total of 6 participants from core studies CZOL44K2304 and CZOL44K2305 who met the definition of responders at the end of study visit but later relapsed during the extension of observation period took part in the study at 5 investigative sites in Canada, Spain, New Zealand and, South Africa from 21 October 2008 to 14 March 2011.
Participant milestones
| Measure |
Zoledronic Acid 5 mg
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Overall Study
STARTED
|
6
|
|
Overall Study
COMPLETED
|
6
|
|
Overall Study
NOT COMPLETED
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Re-treatment of Participants With Paget's Disease Using Zoledronic Acid
Baseline characteristics by cohort
| Measure |
Zoledronic Acid 5 mg
n=6 Participants
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Age, Continuous
|
75.2 years
STANDARD_DEVIATION 6.08 • n=39 Participants
|
|
Sex: Female, Male
Female
|
2 Participants
n=39 Participants
|
|
Sex: Female, Male
Male
|
4 Participants
n=39 Participants
|
|
Baseline Serum Alkaline Phosphatase
|
200.3 Units/Liter (U/L)
STANDARD_DEVIATION 59.62 • n=39 Participants
|
PRIMARY outcome
Timeframe: Month 6Population: Modified Intent-to-Treat (MITT) Population included all enrolled participants who were previously randomized to zoledronic acid in the core studies (CZOL44K2304 and CZOL44K2305) and received the intravenous study drug and had baseline and at least one post-baseline assessment of the serum SAP in this retreatment study.
Normalization of serum alkaline phosphatase (SAP) occurred if the SAP measurement fell within the normal ranges. The lower and upper limits of normal ranges were 31 and 110 Units/Liter (U/L) for participants with age ≤ 58 years old and 35 and 115 U/L for participants with age \> 58 years old, respectively. Last observation carried forward (LOCF) was defined as the last post-baseline SAP value prior to month 6 for a participant who did not have an SAP value at month 6.
Outcome measures
| Measure |
Zoledronic Acid 5 mg
n=6 Participants
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Percentage of Participants With Serum Alkaline Phosphatase Within the Normal Range at Month 6 Last Observation Carried Forward (LOCF)
|
83.3 Percentage of Participants
Interval 35.9 to 99.6
|
SECONDARY outcome
Timeframe: Baseline, Months 3 and 6Population: MITT Population included all enrolled participants who were previously randomized to zoledronic acid in the core studies (CZOL44K2304 and CZOL44K2305) and received the intravenous study drug and had baseline and at least one post-baseline assessment of the serum SAP in this retreatment study.
The percentage change in SAP at Months 3 and 6 relative to baseline were measured.
Outcome measures
| Measure |
Zoledronic Acid 5 mg
n=6 Participants
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Percentage Change From Baseline in Serum Alkaline Phosphatase (SAP) Levels
Percentage Change From Baseline in SAP Level at Month 3
|
-53.12 percentage change
Standard Error 7.607
|
|
Percentage Change From Baseline in Serum Alkaline Phosphatase (SAP) Levels
Percentage Change From Baseline in SAP Level at Month 6
|
-49.51 percentage change
Standard Error 10.090
|
SECONDARY outcome
Timeframe: Months 3 and 6Population: MITT Population included all enrolled participants who were previously randomized to zoledronic acid in the core studies (CZOL44K2304and CZOL44K2305) and received the intravenous study drug and had baseline and at least one post-baseline assessment of the serum SAP in this retreatment study.
Normalization of SAP occurred if the SAP measurement fell within the normal ranges. The lower and upper limits of normal ranges were 31 and 110 Units/Liter (U/L) for participants with age ≤ 58 years old and 35 and 115 U/L for participants with age \> 58 years old, respectively.
Outcome measures
| Measure |
Zoledronic Acid 5 mg
n=6 Participants
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Percentage of Participants With SAP Within the Normal Range
Month 6
|
83.3 percentage of participants
Interval 35.9 to 99.6
|
|
Percentage of Participants With SAP Within the Normal Range
Month 3
|
100.0 percentage of participants
Interval 54.1 to 100.0
|
SECONDARY outcome
Timeframe: 6 monthsPopulation: Safety Population included all enrolled participants previously randomized to zoledronic acid in the core studies (CZOL44K2304 and CZOL44K2305) who received intravenous study drug in this retreatment study.
Adverse event was the appearance or worsening of any undesirable sign, symptom, or medical condition that occurred after starting the study drug even if the event was not considered to be related to study drug. TEAEs were defined as AEs that were absent prior to, but occurred after the i.v. infusion of study drug. TEAEs also included those that were present prior to the i.v. study drug infusion (i.e., as part of the extended observation period) but occurred at an increased severity after the i.v. infusion of study drug.
Outcome measures
| Measure |
Zoledronic Acid 5 mg
n=6 Participants
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Number of Participants With At Least One or More Treatment-Emergent Adverse Events (TEAEs)
|
1 Participants
|
OTHER_PRE_SPECIFIED outcome
Timeframe: 6 monthsOutcome measures
Outcome data not reported
Adverse Events
Zoledronic Acid 5 mg
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Zoledronic Acid 5 mg
n=6 participants at risk
Participants received single re-treatment dose of zoledronic acid 5 mg IV infusion.
|
|---|---|
|
Infections and infestations
Influenza
|
16.7%
1/6 • 6 months
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
- Publication restrictions are in place
Restriction type: OTHER