Ibandronate or Zoledronate in Treating Patients With Newly Diagnosed Bone Metastases From Breast Cancer
Breast Cancer, Hypercalcemia of Malignancy, Metastatic Cancer
About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring hypercalcemia of malignancy, stage IV breast cancer, bone metastases, recurrent breast cancer, male breast cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically proven breast cancer Metastatic disease Previous relapsed disease in sites other than bone allowed Newly diagnosed multiple bone metastases within the past 3 months, meeting all of the following criteria: Painful or asymptomatic Lytic, mixed, or purely sclerotic type Radiological diagnosis IV bisphosphonate therapy indicated No CNS metastases Hormone receptor status not specified PATIENT CHARACTERISTICS: ECOG performance status 0-2 Male or female Menopausal status not specified No known active peptic ulcer Not pregnant or nursing Fertile patients must use effective contraception No active dental problems, including infection of the teeth or jawbone (maxilla or mandible) or dental or fixture trauma No prior or current diagnosis of osteonecrosis of the jaw, exposed bone in the mouth, or slow healing after dental procedures Creatinine clearance ≥ 30 mL/min Bilirubin ≤ 1.5 x upper limit of normal (ULN) AST and ALT ≤ 1.5 times ULN No history of bisphosphonate hypersensitivity Able to comply with instructions relating to oral study medications Able to take oral study medications No psychiatric illness or other condition that would preclude giving informed consent PRIOR CONCURRENT THERAPY: At least 6 months since prior bisphosphonate therapy At least 6 weeks since prior and no concurrent dental or jaw surgery (e.g., extractions or implants) Concurrent unplanned dental extractions allowed provided study medication is discontinued for 8 weeks before and after the surgery Concurrent chemotherapy and/or hormone therapy for metastatic disease allowed No concurrent medications that affect bone metabolism (e.g., calcitonin or other nontrial bisphosphonates)
Sites / Locations
- William Harvey Hospital
- North Devon District Hospital
- Royal Bournemouth Hospital
- Burnley General Hospital
- Queen's Hospital
- Kent and Canterbury Hospital
- Broomfield Hospital
- Gloucestershire Oncology Centre at Cheltenham General Hospital
- Countess of Chester Hospital
- Essex County Hospital
- Walsgrave Hospital
- Darent Valley Hospital
- Derbyshire Royal Infirmary
- Dorset County Hospital
- University Hospital of North Durham
- Royal Devon and Exeter Hospital
- Queen Elizabeth Hospital
- Diana Princess of Wales Hospital
- Calderdale Royal Hospital
- University Hospital of Hartlepool
- Wycombe General Hospital
- Huddersfield Royal Infirmary
- Princess Royal Hospital at Hull and East Yorkshire NHS Trust
- Ipswich Hospital
- Royal Liverpool University Hospital
- Whipps Cross Hospital
- Saint Bartholomew's Hospital
- St. George's Hospital
- Royal Marsden - London
- Charing Cross Hospital
- Macclesfield District General Hospital
- Maidstone Hospital
- Queen Elizabeth The Queen Mother Hospital
- St. Mary's Hospital
- King's Mills Hospital
- Nottingham City Hospital
- George Eliot Hospital
- Peterborough Hospitals Trust
- Dorset Cancer Centre
- Portsmouth Oncology Centre at Saint Mary's Hospital
- Rosemere Cancer Centre at Royal Preston Hospital
- Alexandra Healthcare NHS
- Conquest Hospital
- Scarborough General Hospital
- Scunthorpe General Hospital
- Wexham Park Hospital
- Solihull Hospital
- Southampton General Hospital
- University Hospital of North Tees
- Royal Marsden - Surrey
- Torbay Hospital
- Royal Cornwall Hospital
- South Tyneside District Hospital
- Warrington Hospital NHS Trust
- South Warwickshire Hospital
- Southend University Hospital NHS Foundation Trust
- Royal Albert Edward Infirmary
- Royal Hampshire County Hospital
- Clatterbridge Centre for Oncology
- Worcester Royal Hospital
- Yeovil District Hospital
- Hairmyres Hospital
- Falkirk and District Royal Infirmary
- Western Infirmary
- Crosshouse Hospital
- Wishaw General Hospital
- Nevill Hall Hospital
- Bronglais District General Hospital
- Ysbyty Gwynedd
- Princess of Wales Hospital
- Velindre Cancer Center at Velindre Hospital
- West Wales General Hospital
- Withybush General Hospital
- Prince Charles Hospital
- Royal Gwent Hospital
- Glan Clwyd Hospital
- South West Wales Cancer Institute
- Wrexham Maelor Hospital
- Royal Glamorgan Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Ibandronic Acid
Zoledronic Acid
50mg tablet once daily over 96 weeks
4 mg via intravenous infusion (iv) over a minimum of 15 minutes in at least 100mls of saline every 4 weeks over 96 weeks