Status:

COMPLETED

Single-Dose Local Radiation Therapy Compared With Ibandronate in Treating Patients With Localized Metastatic Bone Pain

Lead Sponsor:

Cancer Research UK

Conditions:

Metastatic Cancer

Pain

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

RATIONALE: Ibandronate may be effective in reducing bone pain caused by metastatic cancer. Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known whether ibandronate is m...

Detailed Description

OBJECTIVES: Primary * Compare pain response at 4 and 12 weeks post-treatment in patients with localized metastatic bone pain treated with single-dose ibandronate vs single-dose local radiotherapy . ...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically or cytologically confirmed primary prostate cancer OR sclerotic bone metastases (for patients with serum prostate-specific antigen \> 100 ng/mL)
  • Radiologically confirmed bone metastases by plain x-ray, isotope scan, CT scan, or MRI
  • Clinical diagnosis of metastatic bone pain for which radiotherapy is indicated
  • Single localized metastatic bone pain AND receiving optimal analgesics and adjuvant drugs, including non-steroidal anti-inflammatory drugs, unless contraindicated
  • Hormone receptor status:
  • Not specified
  • PATIENT CHARACTERISTICS:
  • Age
  • Over 18
  • Sex
  • Male
  • Menopausal status
  • Not specified
  • Performance status
  • Not specified
  • Life expectancy
  • At least 3 months
  • Hematopoietic
  • Not specified
  • Hepatic
  • Not specified
  • Renal
  • Creatinine ≤ 3.0 mg/dL
  • No hypercalcemia (corrected calcium \> 10.8 mg/dL)
  • No hypocalcemia (corrected calcium \< 8.2 mg/dL)
  • Other
  • No known hypersensitivity to ibandronate or other bisphosphonates
  • No history of aspirin-sensitive asthma
  • Able to comply with pain chart and quality of life assessments
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Not specified
  • Chemotherapy
  • More than 4 weeks since prior change in systemic chemotherapy
  • No prior high-dose chemotherapy (dose intensity \> 3 times standard dose)
  • Endocrine therapy
  • More than 4 weeks since prior change in hormonal therapy
  • Radiotherapy
  • See Disease Characteristics
  • No prior external beam radiotherapy to index site
  • No prior systemic radioisotope therapy (e.g., strontium chloride Sr 89 or samarium Sm 153 lexidronam pentasodium)
  • Surgery
  • Not specified
  • Other
  • More than 6 months since prior bisphosphonate treatment
  • More than 4 weeks since prior aminoglycoside antibiotics
  • More than 30 days since prior investigational drugs

Exclusion

    Key Trial Info

    Start Date :

    April 1 2003

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    July 1 2011

    Estimated Enrollment :

    580 Patients enrolled

    Trial Details

    Trial ID

    NCT00082927

    Start Date

    April 1 2003

    End Date

    July 1 2011

    Last Update

    June 26 2013

    Active Locations (52)

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    Page 1 of 13 (52 locations)

    1

    William Harvey Hospital

    Ashford-Kent, England, United Kingdom, TN24 0LZ

    2

    North Devon District Hospital

    Barnstaple, England, United Kingdom, EX31 4JB

    3

    Basingstoke and North Hampshire NHS Foundation Trust

    Basingstoke, England, United Kingdom, RG24 9NA

    4

    Royal United Hospital

    Bath, England, United Kingdom, BA1 3NG