Zoledronate in Preventing Skeletal (Bone)-Related Events in Men Who Are Receiving Androgen Deprivation Therapy For Prostate Cancer and Bone Metastases
Metastatic Cancer, Prostate Cancer

About this trial
This is an interventional treatment trial for Metastatic Cancer focused on measuring adenocarcinoma of the prostate, recurrent prostate cancer, stage IV prostate cancer, bone metastases
Eligibility Criteria
Histologic Documentation: Histologic documentation of prostate adenocarcinoma. Patients with small cell, neuroendocrine, or transitional cell carcinomas are not eligible. Staging: At least one bone metastasis by radiographic imaging (bone scan, magnetic resonance imaging, computed tomography, or plain radiographs). Indeterminate lesions should be confirmed by a second imaging method. Imaging to document bone metastases is to be completed either within 12 weeks before registration or within 12 weeks before initiating androgen deprivation therapy for bone metastases. Hormone Therapy While on this study, patients must receive androgen deprivation therapy (ADT) for treatment of prostate cancer. Androgen deprivation therapy may have begun prior to enrollment on this study; however patients must have initiated ADT ≤ 6 months prior to enrollment. Androgen deprivation therapy is defined as bilateral orchiectomy or gonadotropin- releasing hormone (GnRH) agonist with or without an antiandrogen. Patients treated with intermittent androgen deprivation therapy are not eligible except for patients concurrently enrolled in SWOG-9346/INT-0162/CALGB 9594, Phase III Study of Intermittent Androgen Deprivation in Patients with Stage D2 Prostate Cancer. Prior Treatment: Hormone therapy at any point prior to 6 months before enrollment is prohibited. This includes any of the following treatments: orchiectomy, GnRH agonist (e. g., leuprolide, goserelin, triptorelin), estrogen therapy, antiandrogen (e. g., bicalutamide, flutamide, nilutamide), or any other therapy known to lower testosterone level or inhibit testosterone effect. Prior neoadjuvant and/or adjuvant hormone therapy is allowed provided that the duration of hormone therapy was six months or less and the hormone therapy was discontinued more than 6 months prior to study entry. No prior treatment with a bisphosphonate No prior treatment with denosumab No prior treatment with radiopharmaceuticals ≥ 4 weeks since completion of prior radiation therapy with at least one bone metastasis present that has NOT been radiated. ECOG (CTC) performance status 0-2 Age: ≥ 18 years Required Initial Laboratory Data: Calculated Creatinine Clearance ≥ 30 mL/min Corrected serum calcium ≥ 8.0 mg/dL (2.00 mmol/L) and <11.6 mg/dL (2.90 mmol/L)
Sites / Locations
- Providence Cancer Center at Providence Hospital
- Hembree Mercy Cancer Center at St. Edward Mercy Medical Center
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Veterans Affairs Medical Center - Loma Linda (Pettis)
- Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
- Saint Helena Hospital
- Salinas Valley Memorial Hospital
- UCSF Helen Diller Family Comprehensive Cancer Center
- Ruby L. Golleher Cancer Program at Presbyterian Intercommunity Hospital
- Yale Cancer Center
- Veterans Affairs Medical Center - West Haven
- Kaiser Permanente at Capitol Hill Medical Center
- Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
- Leesburg Regional Medical Center
- Nancy N. and J. C. Lewis Cancer and Research Pavilion at St. Joseph's/Candler
- Kapiolani Medical Center at Pali Momi
- Cancer Research Center of Hawaii
- OnCare Hawaii, Incorporated - Lusitana
- Queen's Cancer Institute at Queen's Medical Center
- Straub Clinic and Hospital, Incorporated
- Hawaii Medical Center - East
- OnCare Hawaii, Incorporated - Kuakini
- Kapiolani Medical Center for Women and Children
- Pacific Cancer Institute - Maui
- Rush-Copley Cancer Care Center
- University of Illinois Cancer Center
- Veterans Affairs Medical Center - Chicago Westside Hospital
- University of Chicago Cancer Research Center
- Louis A. Weiss Memorial Hospital
- Elmhurst Memorial Hospital
- Veterans Affairs Medical Center - Hines
- Provena St. Mary's Regional Cancer Center - Kankakee
- La Grange Memorial Hospital
- Cardinal Bernardin Cancer Center at Loyola University Medical Center
- Carle Cancer Center at Carle Foundation Hospital
- CCOP - Carle Cancer Center
- Elkhart Clinic, LLC
- Michiana Hematology-Oncology, PC - Elkhart
- Elkhart General Hospital
- Indiana University Melvin and Bren Simon Cancer Center
- William N. Wishard Memorial Hospital
- Howard Community Hospital
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Saint Anthony Memorial Health Centers
- Michiana Hematology-Oncology, PC - South Bend
- Saint Joseph Regional Medical Center
- Michiana Hematology Oncology PC - Plymouth
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Michiana Hematology Oncology PC - La Porte
- Heartland Oncology and Hematology
- Holden Comprehensive Cancer Center at University of Iowa
- Veterans Affairs Medical Center - Iowa City
- Covenant Cancer Treatment Center
- Cotton-O'Neil Cancer Center
- Mary Bird Perkins Cancer Center - Baton Rouge
- Louisiana State University Health Sciences Center - Monroe
- MBCCOP - LSU Health Sciences Center
- Medical Center of Louisiana - New Orleans
- Highland Clinic
- Feist-Weiller Cancer Center at Louisiana State University Health Sciences
- Greenebaum Cancer Center at University of Maryland Medical Center
- Veterans Affairs Medical Center - Baltimore
- Union Memorial Hospital
- Good Samaritan Hospital of Maryland
- Kaiser Permanente at Woodlawn Medical Center
- Shore Regional Cancer Center at Memorial Hospital - Easton
- John R. Marsh Cancer Center at Washington County Hospital
- Kaiser Permanente Mid-Atlantic Medical Group-Largo Medical Facility
- Kaiser Permanente Capital Area Medical Group - Shady Grove Facility
- Massachusetts General Hospital
- Dana-Farber/Brigham and Women's Cancer Center
- Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute
- Lowell General Hospital
- Dana-Farber/Brigham and Women's Cancer Center at Milford Regional Medical Center
- Hickman Cancer Center at Bixby Medical Center
- Josephine Ford Cancer Center at Henry Ford Hospital
- Green Bay Oncology, Limited - Escanaba
- Dickinson County Healthcare System
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Community Cancer Center of Monroe
- Mercy Memorial Hospital - Monroe
- Michiana Hematology Oncology PC - Niles
- Lakeland Regional Cancer Care Center - St. Joseph
- Lakeside Cancer Specialists, PLLC
- Fairview Ridges Hospital
- Mercy and Unity Cancer Center at Mercy Hospital
- Duluth Clinic Cancer Center - Duluth
- CCOP - Duluth
- Miller - Dwan Medical Center
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Unity Hospital
- Hutchinson Area Health Care
- HealthEast Cancer Care at St. John's Hospital
- Minnesota Oncology Hematology, PA - Maplewood
- Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
- Hennepin County Medical Center - Minneapolis
- Humphrey Cancer Center at North Memorial Outpatient Center
- CCOP - Metro-Minnesota
- Park Nicollet Cancer Center
- Regions Hospital Cancer Care Center
- United Hospital
- Lakeview Hospital
- Ridgeview Medical Center
- Willmar Cancer Center at Rice Memorial Hospital
- Minnesota Oncology Hematology, PA - Woodbury
- Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
- CCOP - Montana Cancer Consortium
- St. Vincent Healthcare Cancer Care Services
- Hematology-Oncology Centers of the Northern Rockies - Billings
- Billings Clinic - Downtown
- Bozeman Deaconess Cancer Center
- St. James Healthcare Cancer Care
- Big Sky Oncology
- Great Falls Clinic - Main Facility
- Sletten Cancer Institute at Benefis Healthcare
- St. Peter's Hospital
- Glacier Oncology, PLLC
- Kalispell Medical Oncology at KRMC
- Kalispell Regional Medical Center
- Montana Cancer Specialists at Montana Cancer Center
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
- Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center
- Good Samaritan Cancer Center at Good Samaritan Hospital
- Cancer Resource Center - Lincoln
- Callahan Cancer Center at Great Plains Regional Medical Center
- CCOP - Missouri Valley Cancer Consortium
- Methodist Estabrook Cancer Center
- Immanuel Medical Center
- Alegant Health Cancer Center at Bergan Mercy Medical Center
- Lakeside Hospital
- Creighton University Medical Center
- UNMC Eppley Cancer Center at the University of Nebraska Medical Center
- University Medical Center of Southern Nevada
- CCOP - Nevada Cancer Research Foundation
- Nevada Cancer Institute
- New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care
- Center for Cancer Care at Exeter Hospital
- New Hampshire Oncology - Hematology, PA - Hooksett
- Dana-Farber Cancer Institute at Londonderry
- Elliot Regional Cancer Center at Elliot Hospital
- Veterans Affairs Medical Center - East Orange
- Franklin & Edith Scarpa Regional Cancer Center at South Jersey Healthcare
- Lovelace Medical Center - Downtown
- University of New Mexico Cancer Center
- Kings County Hospital Center
- SUNY Downstate Medical Center
- Veterans Affairs Medical Center - Buffalo
- Roswell Park Cancer Institute
- CCOP - Hematology-Oncology Associates of Central New York
- New York Weill Cornell Cancer Center at Cornell University
- SUNY Upstate Medical University Hospital
- Veterans Affairs Medical Center - Syracuse
- Duke Cancer Institute
- Kinston Medical Specialists
- Southeastern Regional Medical Center
- Granville Medical Center
- Duke Health Raleigh Hospital
- Person Memorial Hospital
- Wood County Oncology Center
- MetroHealth Cancer Care Center at MetroHealth Medical Center
- Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center
- St. Rita's Medical Center
- Lima Memorial Hospital
- Northwest Ohio Oncology Center
- Fisher-Titus Medical Center
- St. Charles Mercy Hospital
- Toledo Clinic - Oregon
- North Coast Cancer Care, Incorporated
- Flower Hospital Cancer Center
- Mercy Hospital of Tiffin
- Toledo Hospital
- St. Vincent Mercy Medical Center
- Medical University of Ohio Cancer Center
- CCOP - Toledo Community Hospital
- St. Anne Mercy Hospital
- Toledo Clinic, Incorporated - Main Clinic
- Fulton County Health Center
- Oklahoma University Cancer Institute
- Bay Area Hospital
- Kaiser Permanente Health Care - Portland
- Mercy Hospital Cancer Center - Scranton
- Susquehanna Cancer Center at Divine Providence Hospital
- Greenville Hospital Cancer Center
- CCOP - Greenville
- Self Regional Cancer Center at Self Regional Medical Center
- MBCCOP - Meharry Medical College - Nashville
- Baylor University Medical Center - Houston
- Ben Taub General Hospital
- St. Luke's Texas Cancer Institute at St. Luke's Episcopal Hospital
- Veterans Affairs Medical Center - Houston
- American Fork Hospital
- Sandra L. Maxwell Cancer Center
- Logan Regional Hospital
- Jon and Karen Huntsman Cancer Center at Intermountain Medical Center
- Val and Ann Browning Cancer Center at McKay-Dee Hospital Center
- Utah Valley Regional Medical Center - Provo
- Dixie Regional Medical Center - East Campus
- Utah Cancer Specialists at UCS Cancer Center
- Huntsman Cancer Institute at University of Utah
- LDS Hospital
- Mountainview Medical
- Fletcher Allen Health Care - University Health Center Campus
- Kaiser Permanente Medical Center - Fair Oaks
- Fredericksburg Oncology, Incorporated
- Lynchburg Hematology-Oncology Clinic
- Island Hospital Cancer Care Center at Island Hospital
- St. Joseph Cancer Center
- Olympic Hematology and Oncology
- Highline Medical Center Cancer Center
- Columbia Basin Hematology
- Skagit Valley Hospital Cancer Care Center
- Minor and James Medical, PLLC
- Group Health Central Hospital
- Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
- University Cancer Center at University of Washington Medical Center
- North Puget Oncology at United General Hospital
- Cancer Care Northwest - Spokane South
- Rockwood Clinic Cancer Treatment Center
- Evergreen Hematology and Oncology, PS
- Wenatchee Valley Medical Center
- Langlade Memorial Hospital
- Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
- Green Bay Oncology, Limited at St. Mary's Hospital
- St. Mary's Hospital Medical Center - Green Bay
- St. Vincent Hospital Regional Cancer Center
- Holy Family Memorial Medical Center Cancer Care Center
- Bay Area Cancer Care Center at Bay Area Medical Center
- Wheaton Franciscan Cancer Care - St. Joseph
- Green Bay Oncology, Limited - Oconto Falls
- St. Nicholas Hospital
- Green Bay Oncology, Limited - Sturgeon Bay
- University of Wisconcin Cancer Center at Aspirus Wausau Hospital
- Riverview UW Cancer Center at Riverview Hospital
- Welch Cancer Center at Sheridan Memorial Hospital
- Cross Cancer Institute at University of Alberta
- University of British Columbia
- London Regional Cancer Program at London Health Sciences Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Zoledronic acid + androgen deprivation therapy
Placebo + androgen deprivation therapy
4mg by IV over 15 minutes every 4 weeks in the absence of disease progression or the first skeletal-related event. Participants who progression on blinded treatment before having a skeletal event may continue on open label Zoledronic acid (4 mg by IV over 15 minutes every 3 weeks).
Placebo bu IV over 15 minutes for 4 weeks in the absence of disease progression or the first skeletal-related event. Participants who progress on blinded treatment before having a skeletal event may continue on open label Zoledronic acid.