E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Metastatic bone disease related metastatic bone pain with breast as the primary site. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the efficacy of loading doses of ibandronic acid in patients with breast cancer and metastatic bone disease and moderate to severe bone pain. The main efficacy endpoint is bone pain response. |
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E.2.2 | Secondary objectives of the trial |
- Safety assessment will be based on the monitoring of clinical laboratory results and on adverse event recording - Mean Worst pain scale of the Brief Pain Inventory over the first 7 days - Analgesic consumption expressed as opioid equivalents - Karnofsky index |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Patients with breast cancer and metastatic disease to bone - Mean Worst pain score on BPI ≥ 4 over a baseline period of 3 consecutive days - Stable dose of analgesics over the 3-day baseline period, variation in daily dose remains below 25% - Creatinine Clearance ≥ 50 ml/min - Karnofsky index > 50%
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E.4 | Principal exclusion criteria |
- Patients with impending pathological fracture defined as a greater than 50% involvement of a weight bearing bone by malignancy with a lytic or mixed lytic/blastic appearance - Patient with change in the type of systemic anti-neoplastic therapy for at least 6 weeks prior to baseline period - Patients who have received a bisphosphonate within 3 weeks from the signing of informed consent however, use of bisphosphonates prior to this period is permitted - Patients with known hypersensitivity to any of the components of ibandronic acid |
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E.5 End points |
E.5.1 | Primary end point(s) |
The main efficacy endpoint is bone pain response: 20% decrease in mean pain score over a 3-day period (day 5, 6, 7) compared to mean pain score over a 3-day period prior to baseline as determined by the Worst pain scale of the Brief Pain Inventory (BPI), with no more than 50% increase in mean analgesic consumption over the same 3-day period compared to mean analgesic consumption over the 3-day period prior to baseline. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 9 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | |