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    Clinical Trial Results:
    A PHASE 2, SINGLE-CENTRE, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL-GROUP, EFFICACY AND SAFETY STUDY OF ZOLEDRONATE IN SUBJECTS WITH EROSIVE HAND OSTEOARTHRITIS

    Summary
    EudraCT number
    2010-019110-24
    Trial protocol
    DE  
    Global end of trial date
    18 Dec 2013

    Results information
    Results version number
    v1(current)
    This version publication date
    02 Aug 2020
    First version publication date
    02 Aug 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CZOL446HDE43T
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Universitätsklinikum Erlangen
    Sponsor organisation address
    Maximiliansplatz 2, Erlangen, Germany, 91054
    Public contact
    Medizinische Klinik 3, Universitätsklinikum Erlangen, Universitätsklinikum Erlangen, juergen.rech@uk-erlangen.de
    Scientific contact
    Medizinische Klinik 3, Universitätsklinikum Erlangen, Universitätsklinikum Erlangen, juergen.rech@uk-erlangen.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    29 Nov 2013
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    29 Nov 2013
    Global end of trial reached?
    Yes
    Global end of trial date
    18 Dec 2013
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To evaluate the 90-day symptomatic efficacy of a single dose of zoledronate (Aclasta ®) 5 mg IV, compared to placebo, for the treatment of erosive hand osteoarthritis
    Protection of trial subjects
    none
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Oct 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 10
    Worldwide total number of subjects
    10
    EEA total number of subjects
    10
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    7
    From 65 to 84 years
    3
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    single centre (Medizinische Klinik 3, Universitätsklinikum Erlangen)

    Pre-assignment
    Screening details
    11 subjects screened, 1 Screening failure due to positive RF

    Period 1
    Period 1 title
    Treatment period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Zoledronate
    Arm description
    subjects received one single dose of 5mg zoledronate iv
    Arm type
    Experimental

    Investigational medicinal product name
    Zoledronate
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous drip use
    Dosage and administration details
    one single dose of 5mg i.v. as intravenous drip (30min)

    Arm title
    Placebo
    Arm description
    subjects received one single dose of placebo iv
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous drip use
    Dosage and administration details
    one single dose as intravenous drip (30min)

    Number of subjects in period 1
    Zoledronate Placebo
    Started
    5
    5
    Completed
    5
    5
    Period 2
    Period 2 title
    Follow-up
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Zoledronate
    Arm description
    subjects received one single dose of 5mg zoledronate iv
    Arm type
    Experimental

    Investigational medicinal product name
    Zoledronate
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous drip use
    Dosage and administration details
    one single dose of 5mg i.v. as intravenous drip (30min)

    Arm title
    Placebo
    Arm description
    subjects received one single dose of placebo iv
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous drip use
    Dosage and administration details
    one single dose as intravenous drip (30min)

    Number of subjects in period 2
    Zoledronate Placebo
    Started
    5
    5
    Completed
    5
    5

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Zoledronate
    Reporting group description
    subjects received one single dose of 5mg zoledronate iv

    Reporting group title
    Placebo
    Reporting group description
    subjects received one single dose of placebo iv

    Reporting group values
    Zoledronate Placebo Total
    Number of subjects
    5 5 10
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (full range (min-max))
    58.8 (52 to 72) 62.2 (55 to 76) -
    Gender categorical
    Units: Subjects
        Female
    3 3 6
        Male
    2 2 4
    Prior NSAID use
    Units: Subjects
        used
    1 2 3
        not used
    4 3 7
    Duration of disease
    Units: years
        arithmetic mean (full range (min-max))
    7 (4 to 14) 11.2 (4 to 23) -
    SJC
    sum score swollen Joints at baseline
    Units: unit(s)
        arithmetic mean (full range (min-max))
    8.8 (2 to 28) 6.6 (2 to 14) -
    TJC
    sum score tender Joints at baseline
    Units: unit(s)
        arithmetic mean (full range (min-max))
    17.6 (3 to 27) 15.8 (2 to 29) -
    HAQ disability index
    Units: unit(s)
        arithmetic mean (full range (min-max))
    0.325 (0.25 to 0.375) 0.4 (0.25 to 0.625) -
    VAS disease activity
    standardised 100mm Likert scale
    Units: unit(s)
        arithmetic mean (full range (min-max))
    64.6 (44 to 78) 60.8 (44 to 82) -
    AUSCAN
    Units: unit(s)
        arithmetic mean (full range (min-max))
    19.43 (17.45 to 20.67) 18.97 (14.84 to 21.84) -

    End points

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    End points reporting groups
    Reporting group title
    Zoledronate
    Reporting group description
    subjects received one single dose of 5mg zoledronate iv

    Reporting group title
    Placebo
    Reporting group description
    subjects received one single dose of placebo iv
    Reporting group title
    Zoledronate
    Reporting group description
    subjects received one single dose of 5mg zoledronate iv

    Reporting group title
    Placebo
    Reporting group description
    subjects received one single dose of placebo iv

    Primary: AUSCAN

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    End point title
    AUSCAN [1]
    End point description
    End point type
    Primary
    End point timeframe
    End of study visit (day 91)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Due to the small number of subjects only descriptive analysis
    End point values
    Zoledronate Placebo
    Number of subjects analysed
    5
    5
    Units: unit(s)
        arithmetic mean (full range (min-max))
    15.37 (8.20 to 21.45)
    18.76 (14.95 to 24.34)
    No statistical analyses for this end point

    Secondary: SJC

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    End point title
    SJC
    End point description
    sum score swollen Joints at EoS
    End point type
    Secondary
    End point timeframe
    End of study visit (day 91)
    End point values
    Zoledronate Placebo
    Number of subjects analysed
    5
    5
    Units: number
        arithmetic mean (full range (min-max))
    5.2 (4 to 9)
    8.8 (1 to 28)
    No statistical analyses for this end point

    Secondary: TJC

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    End point title
    TJC
    End point description
    sum score tender Joints at EoS
    End point type
    Secondary
    End point timeframe
    End of study vsisit (day 91)
    End point values
    Zoledronate Placebo
    Number of subjects analysed
    5
    5
    Units: number
        arithmetic mean (full range (min-max))
    17 (5 to 36)
    6.7 (2 to 14)
    No statistical analyses for this end point

    Secondary: HAQ disability index

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    End point title
    HAQ disability index
    End point description
    End point type
    Secondary
    End point timeframe
    End of study visit (day 91)
    End point values
    Zoledronate Placebo
    Number of subjects analysed
    5
    5
    Units: unit(s)
        arithmetic mean (full range (min-max))
    0.3 (0.125 to 0.5)
    0.425 (0.25 to 0.625)
    No statistical analyses for this end point

    Secondary: VAS disease activity

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    End point title
    VAS disease activity
    End point description
    100mm Likert scale
    End point type
    Secondary
    End point timeframe
    End of study visit (day 91)
    End point values
    Zoledronate Placebo
    Number of subjects analysed
    5
    5
    Units: unit(s)
        arithmetic mean (full range (min-max))
    28.5 (13 to 48)
    48.8 (21 to 87)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    from enrolment to end of study visit (day 91)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.1
    Reporting groups
    Reporting group title
    All subjects
    Reporting group description
    -

    Serious adverse events
    All subjects
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 10 (10.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    All subjects
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    10 / 10 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Cardiac disorders
    Arrhythmia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Surgical and medical procedures
    Endodontic procedure
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Tooth extraction
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Syncope
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Chest pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Influenza like illness
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Ear and labyrinth disorders
    Middle ear disorder
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Ear discomfort
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Tinnitus
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    vertigo
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Abdominal pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Diarrhoea
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Psychiatric disorders
    Sleep disorder
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Pain in jaw
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Arthralgia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Bursitis
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Musculoskeletal pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Spinal pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Bone pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Helicobacter gastritis
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    29 Apr 2011
    Rescue medication with acetaminophen

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    clinical Trial was prematurely ended due to slow recruitment
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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