A randomised phase III study of intravenous (i.v.) zoledronate (administered for 12 versus 36 months) as an adjunct to standard therapies in the treatment of multiple myeloma

ISRCTN ISRCTN23172547
DOI https://doi.org/10.1186/ISRCTN23172547
Secondary identifying numbers HO57; NTR233
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
17/11/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Prof P Sonneveld
Scientific

Erasmus University Medical Centre
Department of Haematology
P.O. Box 2040
Rotterdam
3000 CA
Netherlands

Phone +31 (0)10 463 3589
Email p.sonneveld@erasmusmc.nl

Study information

Study designMulticentre, randomised, active controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymHOVON 50 MM
Study objectivesEvaluation of the effect of zoledronate i.v. treatment duration in addition to chemotherapy.
Ethics approval(s)Received from the local medical ethics committee
Health condition(s) or problem(s) studiedMultiple myeloma
InterventionAll patients will receive zoledronate 4 mg as a 15-minute i.v. infusion every 4 weeks for 12 months. After 12 months these patients will be randomised between:
1. Arm A: off treatment
2. Arm B: zoledronate 4 mg as a 15-minute i.v. infusion every 4 weeks for 24 months
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Zoledronate
Primary outcome measureTime to the occurrence of the first skeletal related event, from randomisation.
Secondary outcome measures1. The incidence of SREs per patient in the first 36 months from randomisation
2. Time to first SRE from registration
3. Time to progression of bone metastasis
4. Time to overall progression of disease
5. Performance status (WHO)
6. Quality of life (QLQ-C30)
7. Bone resorption markers
8. Objective bone lesion response from radiological studies
Overall study start date19/04/2004
Completion date19/04/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants407
Key inclusion criteria1. Patients with a confirmed diagnosis of multiple myeloma stage II or III according to the Salmon and Durie criteria
2. Patients with at least one osteolytic bone lesion on conventional radiographs (plain film)
3. Inclusion in HOVON 49 or HOVON 50 trial
4. Inclusion in HOVON 57 at the same time as inclusion in HOVON 49 or HOVON 50
5. Date of inclusion in HOVON 57 trial before date start chemotherapy HOVON 49 or HOVON 50
6. Aged greater than or equal to 18 years
7. World Health Organization (WHO) performance status 0 - 3
8. Negative pregnancy test at inclusion if applicable
9. Written informed consent
Key exclusion criteria1. Treatment with bisphosphonates at any time during the 12 months prior to registration. Exception: patients may have received up to three doses of a bisphosphonate for hypercalcaemia provided this has been administered greater than 14 days prior to registration
2. Corrected (adjusted for serum albumin) serum calcium less than 200 mmol/l or greater than 280 mmol/l
3. Serum creatinine greater than 265 micromol/l
4. Total bilirubin greater than 30 micromol/l
5. Patients unwilling or unable to comply with protocol
6. Severe cardiac dysfunction (New York Heart Association [NYHA] classification III - IV)
7. Patients with clinically significant hypersensitivity to zoledronic acid or other bisphosphonates
8. Patients who are not willing or capable to use adequate contraception during the therapy (all men, all pre-menopausal women)
9. Lactating patients if applicable
Date of first enrolment19/04/2004
Date of final enrolment19/04/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus University Medical Centre
Rotterdam
3000 CA
Netherlands

Sponsor information

Dutch Haemato-Oncology Association (Stichting Hemato-Oncologie Volwassenen Nederland) (HOVON) (Netherlands)
Research organisation

Vrije University Medical Centre (VUMC)
PO Box 7057
Amsterdam
1007 MB
Netherlands

Phone +31 (0)20 444 2693
Email hdc@hovon.nl
Website http://www.hovon.nl/
ROR logo "ROR" https://ror.org/056kpdx27

Funders

Funder type

Research organisation

Dutch Haemato-Oncology Association (Stichting Hemato-Oncologie Volwassenen Nederland) (HOVON) (The Netherlands)

No information available

The National Cancer Fund (Koningin Wilhelmina Fonds [KWF]) (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan