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A Study to Examine the Effects of an Experimental Drug on Women With Breast Cancer and Metastatic Bone Disease (MBD)(0822-016)(COMPLETED)

Primary Purpose

Breast Cancer, Metastatic Bone Disease

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ZA
Odanacatib
Odanacatib matching placebo
ZA matching placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient has histologically or cytologically-confirmed breast cancer
  • Patient has documented skeletal metastases

Exclusion Criteria:

  • Patient is undergoing current oral bisphosphonate therapy, or has a history of oral bisphosphonate use within 6 months of entry into study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Single IV infusion of ZA 4 mg

    Odanacatib 5 mg

    Arm Description

    Participants will receive a single IV infusion of ZA 4 mg at the start of treatment and a once-daily odanacatib matching placebo tablet for 4 weeks.

    Participants will receive a once-daily odanacatib 5 mg tablet for 4 weeks and a single IV infusion of ZA matching placebo at the start of treatment.

    Outcomes

    Primary Outcome Measures

    Percentage Change From Baseline in Urinary N-telopeptide of Type I Collagen (u-NTx) at Week 4
    u-NTx is a biochemical index of bone resorption. Participants provided urine specimens on Day 1 (baseline) and at Week 4 for measurement of u-NTx.
    Number of Participants Who Experienced an Adverse Event (AE)
    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.
    Number of Participants Who Discontinued Treatment Due to an AE
    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.

    Secondary Outcome Measures

    Percentage Change From Baseline in Urinary Deoxypyridinoline (u-DPD) at Week 4
    u-DPD is a biochemical marker of bone resorption. Participants provided urine specimens on Day 1 (baseline) and Week 4 for measurement of u-DPD.

    Full Information

    First Posted
    November 14, 2006
    Last Updated
    July 18, 2018
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00399802
    Brief Title
    A Study to Examine the Effects of an Experimental Drug on Women With Breast Cancer and Metastatic Bone Disease (MBD)(0822-016)(COMPLETED)
    Official Title
    A Phase II Study to Assess the Safety, Tolerability, and Efficacy of MK-0822 (Cathepsin-K Inhibitor) in the Treatment of Women With Breast Cancer and Established Bone Metastases (MBD)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    November 16, 2006 (Actual)
    Primary Completion Date
    December 5, 2007 (Actual)
    Study Completion Date
    December 5, 2007 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a 4-week study to examine the effects of a new experimental medication on women with breast cancer and established bone metastases. This study will enroll approximately 45 women. The primary hypotheses are: (1) odanacatib will result in a substantial suppression of urinary N-telopeptide of type I collagen (u-NTx) similar to that achieved with an intravenous (IV) infusion of zoledronic acid (ZA) over 4 weeks of treatment; and (2) odanacatib (MK-0822) will be safe and well tolerated during 4 weeks of treatment.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Breast Cancer, Metastatic Bone Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    43 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Single IV infusion of ZA 4 mg
    Arm Type
    Active Comparator
    Arm Description
    Participants will receive a single IV infusion of ZA 4 mg at the start of treatment and a once-daily odanacatib matching placebo tablet for 4 weeks.
    Arm Title
    Odanacatib 5 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a once-daily odanacatib 5 mg tablet for 4 weeks and a single IV infusion of ZA matching placebo at the start of treatment.
    Intervention Type
    Drug
    Intervention Name(s)
    ZA
    Other Intervention Name(s)
    Zometa®
    Intervention Description
    Single ZA 4 mg IV infusion at the start of treatment
    Intervention Type
    Drug
    Intervention Name(s)
    Odanacatib
    Other Intervention Name(s)
    MK-0822
    Intervention Description
    Once-daily odanacatib 5 mg tablet for 4 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Odanacatib matching placebo
    Intervention Description
    Once-daily odanacatib matching placebo for 4 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    ZA matching placebo
    Intervention Description
    Single IV infusion of ZA matching placebo given at the start of treatment
    Primary Outcome Measure Information:
    Title
    Percentage Change From Baseline in Urinary N-telopeptide of Type I Collagen (u-NTx) at Week 4
    Description
    u-NTx is a biochemical index of bone resorption. Participants provided urine specimens on Day 1 (baseline) and at Week 4 for measurement of u-NTx.
    Time Frame
    Baseline and Week 4
    Title
    Number of Participants Who Experienced an Adverse Event (AE)
    Description
    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.
    Time Frame
    Up to 6 weeks
    Title
    Number of Participants Who Discontinued Treatment Due to an AE
    Description
    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.
    Time Frame
    Up to 4 weeks
    Secondary Outcome Measure Information:
    Title
    Percentage Change From Baseline in Urinary Deoxypyridinoline (u-DPD) at Week 4
    Description
    u-DPD is a biochemical marker of bone resorption. Participants provided urine specimens on Day 1 (baseline) and Week 4 for measurement of u-DPD.
    Time Frame
    Baseline and Week 4

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient has histologically or cytologically-confirmed breast cancer Patient has documented skeletal metastases Exclusion Criteria: Patient is undergoing current oral bisphosphonate therapy, or has a history of oral bisphosphonate use within 6 months of entry into study
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
    IPD Sharing URL
    http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    21147688
    Citation
    Jensen AB, Wynne C, Ramirez G, He W, Song Y, Berd Y, Wang H, Mehta A, Lombardi A. The cathepsin K inhibitor odanacatib suppresses bone resorption in women with breast cancer and established bone metastases: results of a 4-week, double-blind, randomized, controlled trial. Clin Breast Cancer. 2010 Dec 1;10(6):452-8. doi: 10.3816/CBC.2010.n.059.
    Results Reference
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    Learn more about this trial

    A Study to Examine the Effects of an Experimental Drug on Women With Breast Cancer and Metastatic Bone Disease (MBD)(0822-016)(COMPLETED)

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