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Evaluation of Zoledronic Acid as a Single Agent or as an Adjuvant to Chemotherapy in High Grade Osteosarcoma (ZOL)
This study is currently recruiting participants.
Verified by Tata Memorial Hospital, June 2008
Sponsored by: Tata Memorial Hospital
Information provided by: Tata Memorial Hospital
ClinicalTrials.gov Identifier: NCT00691236
  Purpose

This trial will be a pilot study to find out if zoledronic acid improves the response to chemotherapy in high grade osteosarcoma. In arm A of the study, 40 adult patients will be randomised into two groups. One group will get standard chemotherapy and the other group will get Zoledronic acid in addition to chemotherapy. we will assess the histological necrosis as well as disease status for upto 2 years.

In Arm B, adult patients with relapsed disease or advanced disease who are unable to take any other therapy and are given only symptomatic care will be given 6 doses of zoledronic acid and followed up for disease status. This will be to determine the role of zoledronic acid as a single agent.


Condition Intervention Phase
Osteosarcoma
Drug: Zoledronic acid
Drug: Zoledronic acid + standard chemotherapy
Drug: Standard chemotherapy
Phase II
Phase III

Drug Information available for: Doxorubicin Doxorubicin hydrochloride Ifosfamide Cisplatin Zoledronic acid
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Evaluation of Zoledronic Acid as a Single Agent and as an Adjuvant to Chemotherapy in the Management of High Grade Osteosarcoma

Further study details as provided by Tata Memorial Hospital:

Primary Outcome Measures:
  • histological response disease free interval [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 60
Study Start Date: May 2008
Estimated Study Completion Date: August 2012
Estimated Primary Completion Date: May 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Active Comparator
standard chemotherapy which is Adriamycin, Cisplatinum and Ifosfamide
Drug: Standard chemotherapy
Adriamycin + Cisplatinum and Ifosfamide
B: Experimental
zoledronic acid + standard chemotherapy
Drug: Zoledronic acid + standard chemotherapy
Zoledronic acid 4mg IV prior to chemotherapy Standard Chemotherapy (Adriamycin + Cisplatinum and Ifosfamide)
C: Experimental
zoledronic acid alone
Drug: Zoledronic acid
4mg IV 3 weekly for 6 doses

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Adult patients (between the ages of 18 to 65 years) with a recently diagnosed high grade osteosarcoma of the extremity
  2. Non Metastatic at presentation. The metastases are ruled out by a CT scan of the chest and a PET scan.
  3. Patients are willing and able to afford the standard chemotherapy.

Exclusion Criteria:

  1. Non-extremity sarcomas. (pelvis and spine)
  2. Age less than 18 years or greater than 65 years
  3. Metastatic at presentation
  4. Pregnant or lactating women
  5. Renal dysfunction in the form of elevated serum creatinine
  6. Dental treatment anticipated after evaluation.
  7. Patients who have received or are likely to receive steroids.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00691236

Contacts
Contact: Manish G Agarwal, M.S(Orth) 91-22-2417-7184 mgagarwal@gmail.com
Contact: Ajay Puri, M.S(Orth) 91-22-2417-7183 docpuri@vsnl.com

Locations
India, Maharashtra
Tata Memorial Hospital Recruiting
Mumbai, Maharashtra, India, 400012
Principal Investigator: Manish G Agarwal, M.S(Orth)            
Sponsors and Collaborators
Tata Memorial Hospital
Investigators
Principal Investigator: Manish Agarwal, M.S(Orth) Tata Memorial Hospital
  More Information

Responsible Party: Tata Memorial Hospital ( Dr Manish Agarwal )
Study ID Numbers: 382
Study First Received: May 27, 2008
Last Updated: June 3, 2008
ClinicalTrials.gov Identifier: NCT00691236  
Health Authority: India: Ministry of Health

Keywords provided by Tata Memorial Hospital:
osteosarcoma
zoledronic acid
bisphosphonates
adjuvant to chemotherapy

Study placed in the following topic categories:
Neoplasms, Connective and Soft Tissue
Ifosfamide
Diphosphonates
Zoledronic acid
Cisplatin
Malignant mesenchymal tumor
Sarcoma
Osteosarcoma
Osteogenic sarcoma
Doxorubicin
Soft tissue sarcomas
Isophosphamide mustard

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Neoplasms, Bone Tissue
Antineoplastic Agents
Therapeutic Uses
Physiological Effects of Drugs
Bone Density Conservation Agents
Neoplasms, Connective Tissue
Antibiotics, Antineoplastic
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009