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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00287261
Registration number
NCT00287261
Ethics application status
Date submitted
2/02/2006
Date registered
6/02/2006
Date last updated
9/12/2014
Titles & IDs
Public title
A Trial of Zoledronic Acid in Patients With Myelofibrosis With Myeloid Metaplasia (MMM)
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Scientific title
A Prospective Multicentre Phase II Trial of Zoledronic Acid in Patients With Myelofibrosis With Myeloid Metaplasia (MMM)
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Secondary ID [1]
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CZOL446G2422
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Myelofibrosis
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Myeloid Metaplasia
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Cancer
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Leukaemia - Chronic leukaemia
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - zoledronic acid
Experimental: zometa - 3-weekly infusion of zometa (zoledronic acid) 4 mg
Treatment: Drugs: zoledronic acid
4 mg IV every 3 weeks for 36 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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effect of monthly zoledronic acid infusion on hemoglobin level and spleen size
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Assessment method [1]
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Timepoint [1]
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36 weeks
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Secondary outcome [1]
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red blood cell transfusion need
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Assessment method [1]
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Timepoint [1]
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36 weeks
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Secondary outcome [2]
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performance status
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Assessment method [2]
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Timepoint [2]
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36 weeks
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Secondary outcome [3]
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constitutional symptoms
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Assessment method [3]
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Timepoint [3]
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36 weeks
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Secondary outcome [4]
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leukocyte count
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Assessment method [4]
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Timepoint [4]
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36 weeks
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Secondary outcome [5]
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thrombocyte count
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Assessment method [5]
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Timepoint [5]
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36 weeks
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Secondary outcome [6]
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serum LDH
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Assessment method [6]
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Timepoint [6]
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36 weeks
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Secondary outcome [7]
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bone marrow histology
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Assessment method [7]
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Timepoint [7]
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36 weeks
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Secondary outcome [8]
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safety of zometa infusions
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Assessment method [8]
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Timepoint [8]
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until progression or death
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Eligibility
Key inclusion criteria
male or female and at least 18 years-of-age histologically confirmed diagnosis of
myelofibrosis with myeloid metaplasia (MMM). This includes patients with agnogenic myeloid
metaplasia (also known as idiopathic myelofibrosis) and patients with a preceding history
of polycythemia vera or essential thrombocytemia (also known as post-polycytemic
myelofibrosis). (see Appendix A) patients with low, intermediate and high risk disease
categories (following the Dupriez score) may be included presence of measurable, clinically
relevant disease manifestations (especially for low risk patients) ECOG performance status
of 0, 1 or 2 life expectancy of at least 3 months Women of childbearing potential must use
a medically acceptable form of contraception during the study and must have a negative
urine or serum pregnancy test within 7 days of randomization written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
diseases associated with secondary myelofibrosis, such as metastatic carcinoma, lymphoma,
myelodysplasia, hairy cell leukemia, mast cell disease, acute leukemia (including M7
disease or acute panmyelosis with myelofibrosis) presence of the chromosomal translocation
t(9:22) or molecular BCR/ABL rearrangement as detected by RT-PCR in bone marrow or
peripheral blood any anti-myelofibrosis drug therapy during the last 4 weeks. This includes
chemotherapy, androgens, steroids, thalidomide, hematopoietic growth factors or any other
investigational drug patients that have received bisphosphonates in the previous 3 months
known allergy or intolerance to bisphosphonates abnormal renal function as evidenced by: a
calculated creatinine clearance < 30 ml/min (creatinine clearance (CrCl) is calculated
using the Cockcroft and Gault formula) (see Appendix F) corrected serum calcium < 8.0 mg/dL
. Corrected serum calcium (mg/dl) = measured calcium (mg/dl) + 0.8*[4 - patient serum
albumin (g/dl)] patients with nonmalignant conditions which would confound the evaluation
of the primary endpoint, impair tolerance of therapy, or prevent compliance to the
protocol, including: uncontrolled infections uncontrolled type 2 Diabetes Mellitus diseases
with influence on bone metabolism such as Paget's disease or uncontrolled thyroid or
parathyroid dysfunction cardiovascular, renal, hepatic, pulmonary and
neurologic/psychiatric diseases which would prevent prolonged follow-up current active
dental problems including infection of the teeth or jawbone (maxilla or mandibula); dental
or fixture trauma, or a current or prior diagnosis of osteonecrosis of the jaw, of exposed
bone in the mouth, or of slow healing after dental procedures recent (within 6 weeks) or
planned dental or jaw surgery (e.g. extraction, implants) patients with a history of
non-compliance to medical regimens and patients who are considered potentially unreliable
and/or not cooperative patients treated with any systemic investigational drug within the
past 4 weeks or topical investigational drug within the past 7 days pregnant or breast
feeding females
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/03/2008
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Sample size
Target
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Accrual to date
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Final
17
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Cancer Care Services - Brisbane
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Recruitment postcode(s) [1]
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4029 - Brisbane
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Recruitment outside Australia
Country [1]
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Belgium
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State/province [1]
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Leuven
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Country [2]
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France
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State/province [2]
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Bobigny
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Country [3]
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Germany
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State/province [3]
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Kiel
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Country [4]
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Israel
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State/province [4]
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Haifa
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Country [5]
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Spain
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State/province [5]
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Lorca
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Funding & Sponsors
Primary sponsor type
Other
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Name
Universitaire Ziekenhuizen KU Leuven
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
In this trial, the question is addressed if zoledronic acid (Zometa, Novartis Pharma)could be
of clinical benefit for patients with myelofibrosis and myeloid metaplasia (MMM).
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00287261
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Michel Delforge, MD, PhD
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Address
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University Hospital Leuven, Belgium
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00287261
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