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Male OsteoporosisPhase 3NCT00439647

Efficacy in Reducing Fractures and Safety of Zoledronic Acid in Men With Osteoporosis

A Phase 3 study testing Zoledronic acid 5 mg iv in people with Male Osteoporosis, run by Novartis Pharmaceuticals at 128 sites in 23 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will investigate if the drug zoledronic acid given once yearly is safe and has beneficial effects in treating osteoporosis by reducing bone loss and fractures in men with osteoporosis. Read more about this study

Who is it for?
Ages 50 to 85 years, men only
Conditions the study is for
Male Osteoporosis
What is being tested?
Zoledronic acid 5 mg iv
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,199 participants
Where
128 sitesin 23 countries
Study dates
Dec 2006to Oct 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 85 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Osteoporosis as defined by very low bone mineral density in the hip and spine or low bone mineral density in the hip combined with presence of 1-3 mild or moderate fractures of the vertebrae

Who cannot join

  • Low Vitamin D
  • Renal insufficiency
  • Previous treatment with certain anti-osteoporotic therapies (except after certain washout periods): calcitonin, bisphosphonates, parathyroid hormone (PTH), sodium fluoride, strontium ranelate,
  • Previous treatment with testosterone, anabolic steroids or growth hormone
  • Chronic use of systemic corticosteroids (oral or i.v.) within the last year
  • History of any cancer or metastases within the last 5 years
Show all 9Show fewer
  • History of brittle bone disease, multiple myeloma, or Paget's disease, or any other metabolic bone disease, except osteoporosis
  • Bilateral hip replacements
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

128 sites in 23 countries.

128 sites in 23 countries

Germany16 sites
  • Novartis Investigative Site

    Aachen

  • Novartis Investigative Site

    Bad Bentheim

  • Novartis Investigative Site

    Bad Pyrmont

  • Novartis Investigative Site

    Braunfels

  • Novartis Investigative site

    Dresden

  • Novartis Investigative Site

    Essen

  • Novartis Investigative Site

    Frankfurt

  • Novartis Investigative site

    Hamburg

  • Novartis Investigative Site

    Hanover

  • Novartis Investigative Site

    Heidelberg

  • Novartis Investigative Site

    Kempen

  • Novartis Investigative Site

    Leverkusen

  • Novartis Investigative Site

    Magdeburg

  • Novartis Investigative Site

    Marburg

  • Novartis Investigative Site

    München

  • Novartis Investigative Site

    Würzburg

Other trials in Germany

Spain15 sites
  • Novartis Investigative Site

    Alicante

  • Novartis Investigative Site

    Barcelona

  • Novartis Investigative Site

    Córdoba

  • Novartis Investigative Site

    Granada

  • Novartis Investigative Site

    L'Hospitalet de Llobregat

  • Novartis Investigative Site

    Madrid

  • Novartis Investigative Site

    Málaga

  • Novartis Investigative Site

    Mérida

  • Novartis Investigative Site

    Oviedo

  • Novartis Investigative Site

    Sabadell

  • Novartis Investigative Site

    Salamanca

  • Novartis Investigative Site

    Santander

  • Novartis Investigative Site

    Seville

  • Novartis Investigative Site

    Valencia

  • Novartis Investigative Site

    Villajoyosa

Other trials in Spain

Belgium11 sites
  • Novartis Investigative Site

    Brussels

  • Novartis Investigative Site

    Diepenbeek

  • Novartis Investigative Site

    Genk

  • Novartis Investigative Site

    Godinne

  • Novartis Investigative Site

    Gozée

  • Novartis Investigative Site

    Jette

  • Novartis Investigative Site

    Laken

  • Novartis Investigative Site

    Leuven

  • Novartis Investigative Site

    Liège

  • Novartis Investigative Site

    Merksem

  • Novartis Investigative Site

    Wilrijk

Other trials in Belgium

United Kingdom11 sites
  • Novartis Investigative Site

    Aberdeen

  • Novartis Investigative site

    Chorley

  • Novartis Investigative Site

    Glasgow

  • Novartis Investigative Site

    Kent

  • Novartis Investigative Site

    Liverpool

  • Novartis Investigative Site

    Manchester

  • Novartis Investigative Site

    Middx

  • Novartis Investigative Site

    Newcastle upon Tyne

  • Novartis Investigative Site

    Nottingham

  • Novartis Investigative Site

    Penarth

  • Novartis Investigative site

    Reading-Berkshire

Other trials in United Kingdom

Sweden8 sites
  • Novartis investigative site

    Gothenburg

  • Novartis investigative site

    Linköping

  • Novartis investigative site

    Lund

  • Novartis investigative site

    Malmö

  • Novartis investigative site

    Örebro

  • Novartis investigative site

    Stockholm

  • Novartis investigative site

    Umeå

  • Novartis investigative site

    Uppsala

Other trials in Sweden

Switzerland8 sites
  • Novartis Investigative Site

    Aarau

  • Novartis Investigative Site

    Baden

  • Novartis Investigative Site

    Basel

  • Novartis Investigative Site

    Bern

  • Novartis Investigative site

    Geneva

  • Novartis Investigative Site

    Lausanne

  • Novartis Investigative site

    Sion

  • Novartis Investigative Site

    Zurich

Other trials in Switzerland

Norway6 sites
  • Novartis Investigative Site

    Elverum

  • Novartis Investigative Site

    Gjettum

  • Novartis Investigative Site

    Hamar

  • Novartis Investigative Site

    Oslo

  • Novartis Investigative Site

    Paradis

  • Novartis Investigative Site

    Trondheim

Other trials in Norway

Denmark5 sites
  • Novartis Investigative Site

    Aalborg

  • Novartis Investigative Site

    Aarhus

  • Novartis Investigative Site

    Glostrup Municipality

  • Novartis Investigative Site

    Hvidovre

  • Novartis Investigative Site

    Odense C

Other trials in Denmark

Hungary5 sites
  • Novartis Investigative Site

    Budapest

  • Novartis Investigative Site

    Debrecen

  • Novartis Investigative Site

    Gyula

  • Novartis Investigative Site

    Székesfehérvár

  • Novartis Investigative Site

    Veszprém

Other trials in Hungary

Russia5 sites
  • Novartis Investigative site

    Moscow

  • Novartis Investigative site

    Saint Petersburg

  • Novartis Investigative site

    Tyumen

  • Novartis Investigative site

    Yaroslavl

  • Novartis Investigative site

    Yekaterinburg

Other trials in Russia

Slovakia5 sites
  • Novartis Investigative Site

    Banská Bystrica

  • Novartis Investigative Site

    Bratislava

  • Novartis Investigative Site

    Košice

  • Novartis Investigative site

    Ľubochňa

  • Novartis Investigative Site

    Piešťany

Other trials in Slovakia

Argentina4 sites
  • Novartis Investigative Site

    Buenos Aires

  • Novartis Investigative Site

    Córdoba

  • Novartis Investigative Site

    Mar del Plata

  • Novartis Investigative Site

    San Miguel de Tucumán

Other trials in Argentina

Brazil4 sites
  • Novartis Investigative Site

    Brasília

  • Novartis Investigative Site

    Curitiba

  • Novartis Investigative Site

    Rio de Janeiro

  • Novartis Investigative Site

    São Paulo

Other trials in Brazil

Czechia4 sites
  • Novartis Investigative Site

    České Budějovice

  • Novartis Investigative Site

    Hradec Králové

  • Novartis Investigative Site

    Pilsen

  • Novartis Investigative Site

    Prague

Other trials in Czechia

Australia3 sites
  • Novartis Investigative Site

    Geelong-VIC

  • Novartis Investigative Site

    Maroochydore-QLD

  • Novartis Investigative Site

    Randwick-NSW

Other trials in Australia

Finland3 sites
  • Novartis Investigative Site

    Helsinki

  • Novartis Investigative Site

    Tampere

  • Novartis Investigative Site

    Turku

Other trials in Finland

Italy3 sites
  • Novartis Investigative site

    Arenzano

  • Novartis Investigative site

    Siena-SI

  • Novartis Investigative site

    Valeggio sul Mincio

Other trials in Italy

South Africa3 sites
  • Novartis Investigative site

    Cape Town

  • Novartis Investigative site

    Rosebank-Johannesburg

  • Novartis Investigative site

    Western Cape

Other trials in South Africa

Austria2 sites
  • Novartis Investigative Site

    Graz

  • Novartis Investigative Site

    Vienna

Other trials in Austria

Poland2 sites
  • Novartis Investigative site

    Bialystok

  • Novartis Investigative site

    Warsaw

Other trials in Poland

Portugal2 sites
  • Novartis Investigative Site

    Lisbon

  • Novartis Investigative Site

    Ponte de Lima

Other trials in Portugal

Romania2 sites
  • Novartis Investigative Site

    Bucharest

  • Novartis Investigative Site

    Cluj-Napoca

Other trials in Romania

Iceland1 site
  • Novartis Investigative site

    Kopavogur

Other trials in Iceland

About this study

Official title: A Two Year Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Fracture Efficacy and Safety of Intravenous Zoledronic Acid 5 mg Annually for the Treatment of Osteoporosis in Men

This study will investigate if the drug zoledronic acid given once yearly is safe and has beneficial effects in treating osteoporosis by reducing bone loss and fractures in men with osteoporosis.

Being tested
Zoledronic acid 5 mg iv, Placebo
Keywords
Osteoporosis, males, vertebral fractures, clinical fractures, bone mineral density, bone biomarkers, zoledronic acid
Medical subject headings
Osteoporosis, Spinal Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Zoledronic acid 5 mg ivDrug

    Also called Aclasta,, Reclast

    Zoledronic acid 5 mg iv given once a year.

  • PlaceboDrug

    Placebo intravenous (i.v.) once a year

Study groups in NCT00439647
Study groupRoleWhat they receive
Zoledronic AcidExperimental5 mg/100 ml administered via a peripheral intravenous site as a slow infusion over 15 minutes. The intravenous (i.v.) infusion was delivered via vented infusion line (to allow constant flow) and 20-22 gauge angiocatheter, and preceded and followed by a 10 ml normal saline flush of the intravenous line for a total volume infused of 120 ml once a year.
Receives: Drug: Zoledronic acid 5 mg iv
PlaceboPlacebo comparator100 ml Placebo administered via a peripheral intravenous site as a slow infusion over 15 minutes. The i.v. infusion was delivered via vented infusion line (to allow constant flow) and 20-22 gauge angiocatheter, and preceded and followed by a 10 ml normal saline flush of the intravenous line for a total volume infused of 120 ml once a year.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With at Least One New Morphometric Vertebral Fracture Over 24 Months

    Vertebral fracture (VF) was assessed based on morphometry. QM(quantitative morphometry) incident VF(QM positive) is defined by at least 20% decrease in vertebral height of at least 4mm. If participant had QM positive at any vertebrae at any visit, x-rays from visits for participants were evaluated using Genant semi-quantitative method for VF assessment: Grade1 Mild VF is defined as 20-24% decrease in anterior, middle, and/or posterior vertebral height. Grade2 moderate VF is defined as 25-40% decrease in vertebral height. Grade3 Severe VF is defined as more than 40% decrease in vertebral height

    Measured: 24 Months

Secondary outcomes (13)
  1. Percentage of Participants With at Least One New Morphometric Vertebral Fracture Over 12 Months

    Vertebral fracture (VF) was assessed based on morphometry. QM(quantitative morphometry) incident VF(QM positive) is defined by at least 20% decrease in vertebral height of at least 4mm. If participant had QM positive at any vertebrae at any visit, x-rays from visits for participants were evaluated using Genant semi-quantitative method for VF assessment: Grade1 Mild VF is defined as 20-24% decrease in anterior, middle, and/or posterior vertebral height. Grade2 moderate VF is defined as 25-40% decrease in vertebral height. Grade3 Severe VF is defined as more than 40% decrease in vertebral height

    Measured: 12 Months

  2. Percentage of Participants With at Least One New Moderate or Severe Morphometric Vertebral Fracture Over 12 Months

    Moderate or severe vertebral fracture (VF) was assessed based on morphometry. A QM (quantitative morphometry) incident VF(QM positive) was defined by at least a 20% decrease in any vertebral height (at least 4 mm). If a participant had a QM positive at any vertebrae at any visit,x-rays from all visits for participants were evaluated using Genant semi-quantitative (SQ) method for VF assessment. Grade 2 moderate VF was defined as a 25-40% reduction in any vertebral height.Grade 3 Severe: VF was defined as more than 40% reduction in any vertebral height.

    Measured: 12 months

  3. Percentage of Participants With at Least One New Moderate or Severe Morphometric Vertebral Fracture Over 24 Months

    Moderate or severe vertebral fracture (VF) was assessed based on morphometry. A QM (quantitative morphometry) incident VF(QM positive) was defined by at least a 20% decrease in any vertebral height (at least 4 mm). If a participant had a QM positive at any vertebrae at any visit,x-rays from all visits for participants were evaluated using Genant semi-quantitative (SQ) method for VF assessment. Grade 2 moderate VF was defined as a 25-40% reduction in any vertebral height.Grade 3 Severe: VF was defined as more than 40% reduction in any vertebral height.

    Measured: 24 Months

  4. Percentage of Participants With at Least One New or Worsening Morphometric Vertebral Fracture Over 12 Months

    Worsening vertebral fracture (VF) was assessed based on morphometry. QM (quantitative morphometry) incident VF(QM positive) was defined by at least a 20% decrease in any vertebral height (at least 4 mm). If a participant had a QM positive at any vertebrae at any visit, x-rays from all visits for participants were evaluated using Genant semi-quantitative (SQ) method for VF assessment. A worsening fracture was defined as an SQ reading that was greater than the baseline SQ reading, which was at least 1 (prevalent fracture)

    Measured: Baseline, 12 months

  5. Percentage of Participants With at Least One New or Worsening Morphometric Vertebral Fracture Over 24 Months

    Worsening vertebral fracture (VF) was assessed based on morphometry. A QM (quantitative morphometry) incident VF(QM positive) was defined by at least a 20% decrease in any vertebral height (at least 4 mm). If a participant had a QM positive at any vertebrae at any visit,x-rays from all visits for participants were evaluated using Genant semi-quantitative (SQ) method for VF assessment. A worsening fracture was defined as an SQ reading that was greater than the baseline SQ reading, which was at least 1 (prevalent fracture)

    Measured: Baseline, Month 24

  6. Mean Change in Height From Baseline

    Height was measured using a stadiometer. Two measurements were taken in millimeters (mm), and repeated if the two measurements differed by greater than 4 mm. The average of the two (or four) height measurements was used for analysis

    Measured: from Baseline to 12 months and 24 months

  7. Number of Participants With First Clinical Vertebral Fracture

    Clinical vertebral fracture is a painful vertebral fracture which came to clinical attention, e.g., with increased back pain, impairment of mobility or functional limitations. Subjects who did not experience a fracture event were censored at the end of study. End of study was defined as the last visit or date of death, whichever was earlier.

    Measured: 24 months

  8. Number of Participants With First Clinical Fracture

    Clinical fracture is painful fracture in any site which came to clinical attention, e.g., with increased pain, impaired mobility or functional limitations. Subjects who did not experience fracture were censored at end of study. End of study was defined as the earlier of last visit or date of death.

    Measured: 24 months

  9. Number of Participants With First Non-vertebral Fracture

    Non-vertebral fracture is any fracture which was not of the vertebrae. Subjects who did not experience a fracture event were censored at the end of study. End of study was defined as the last visit or date of death, whichever was earlier.

    Measured: 24 months

  10. Percentage Change From Baseline in Lumbar Spine Bone Mass Density (BMD)

    Dual energy x-ray absorptiometry (DXA) Least Square Means (LSM) were analyzed using an ANCOVA model with treatment and baseline value as explanatory variables. Percent change in BMD at lumbar spine at Months 6, 12, and 24 relative to baseline as measured by DXA in a subset of at least 100 evaluable subjects at selected sites. Percentage change from baseline = 100*(endpoint - baseline)

    Measured: Month 6, Month 12, Month 24

  11. Percentage Change From Baseline in Total Hip BMD (g/CM^2)

    Dual energy x-ray absorptiometry (DXA) Least Square Means (LSM) were analyzed using an ANCOVA model with treatment and baseline value as explanatory variables. Percent change in total hip BMD at Months 6, 12, and 24 relative to baseline as measured by DXA in a subset of at least 100 evaluable subjects at selected sites. Percentage change from baseline = 100*(endpoint - baseline)

    Measured: Month 6, Month 12, Month 24

  12. Percentage Change From Baseline in Femoral Neck BMD (g/CM^2)

    Dual energy x-ray absorptiometry (DXA) Least Square Means (LSM) were analyzed using an ANCOVA model with treatment and baseline value as explanatory variables. Percent change in total femoral neck BMD at Months 6, 12, and 24 relative to baseline as measured by DXA in a subset of at least 100 evaluable subjects at selected sites. Percentage change from baseline = 100*(endpoint - baseline)

    Measured: Month 6, Month 12, Month 24

  13. Serum Beta C-terminal Telopeptides of Type I Collagen(b-CTx) by Visits

    Measured: Baseline, Month 3, Month 6, Month 12, Month 15, month 18, Month 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Feb 2007 (estimated)
  2. Study startDec 2006
  3. Primary completionOct 2010
  4. Study completionOct 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,199 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00439647
Sponsor's protocol ID
CZOL446M2309
Status last verified
Oct 2011
First submitted
22 Feb 2007
Last updated
21 Apr 2017

Publications

  • Boonen S, Reginster JY, Kaufman JM, Lippuner K, Zanchetta J, Langdahl B, Rizzoli R, Lipschitz S, Dimai HP, Witvrouw R, Eriksen E, Brixen K, Russo L, Claessens F, Papanastasiou P, Antunez O, Su G, Bucci-Rechtweg C, Hruska J, Incera E, Vanderschueren D, Orwoll E. Fracture risk and zoledronic acid therapy in men with osteoporosis. N Engl J Med. 2012 Nov 1;367(18):1714-23. doi: 10.1056/NEJMoa1204061.

    PubMed 23113482

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Zoledronic acid 5 mg iv in people with Male Osteoporosis, run by Novartis Pharmaceuticals at 128 sites in 23 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 128 sites in Germany, Spain, Belgium, United Kingdom, Sweden and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Nov 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With at Least One New Morphometric Vertebral Fracture Over 24 Months (time frame: 24 Months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00439647, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Apr 2017.

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