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Single-Dose Local Radiation Therapy Compared With Ibandronate in Treating Patients With Localized Metastatic Bone Pain



Single-Dose Local Radiation Therapy Compared With Ibandronate in Treating Patients With Localized Metastatic Bone Pain

For Condition: Pain,Lung Cancer,metastatic cancer,Prostate Cancer,Breast Cancer
Status: Recruiting
Sponsor(s): Cancer Research UK and University College London Cancer Trials Unit ,
Synopsis: RATIONALE: Ibandronate may be effective in reducing bone pain caused by metastatic cancer. Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known whether ibandronate is more effective than standard treatment with radiation therapy in treating metastatic bone pain. PURPOSE: Randomized clinical trial to compare the effectiveness of ibandronate with that of single-doselocal radiation therapy in treating patients who have localized metastatic bone pain.
Details: OBJECTIVES: Primary - Compare pain control at 4 and 12 weeks post-treatment in patients with localized metastatic bone pain treated with single-dose ibandronate vs single-dose local radiotherapy . Secondary - Compare the quality of life of patients treated with these regimens. - Correlate urinary markers of osteoclast activity (pyridinoline and deoxypyridinoline) with the clinical outcome of patients treated with these regimens. OUTLINE: This is a randomized, open-label, crossover, multicenter study. Patients are stratified according to primary tumor type and participating center. Patients are randomized into 1 of 2 treatment arms. - Arm I: Patients receive a single dose of local radiotherapy to the site of pain. - Arm II: Patients receive a single dose of ibandronate IV over 1-2 hours. Patients who do not achieve a partial or complete response at 4 weeks crossover to the alternate arm. Quality of life is assessed at baseline and then at 4 and 12 weeks. Pain is assessed at baseline, at 4, 8, and 12 weeks, and then at 6 months. Patients are followed at 4, 8, and 12 weeks and then at 6 months. PROJECTED ACCRUAL: A total of 580 patients (290 per treatment arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed primary malignancy of the breast, lung, or prostate OR sclerotic bone metastases (for patients with serum prostate-specific antigen > 100 ng/mL) - Radiologically confirmed bone metastases by plain x-ray, isotope scan, CT scan, or MRI - Clinical diagnosis of metastatic bone pain for which radiotherapy is indicated - Single localized metastatic bone pain AND receiving optimal analgesics and adjuvant drugs, including non-steroidal anti-inflammatory drugs, unless contraindicated - Hormone receptor status: - Not specified PATIENT CHARACTERISTICS: Age - Over 18 Sex - Not specified Menopausal status - Not specified Performance status - Not specified Life expectancy - At least 3 months Hematopoietic - Not specified Hepatic - Not specified Renal - Creatinine 3.0 mg/dL - No hypercalcemia (corrected calcium > 10.8 mg/dL) - No hypocalcemia (corrected calcium < 8.2 mg/dL) Other - No known hypersensitivity to ibandronate or other bisphosphonates - No history of aspirin-sensitive asthma - Able to comply with pain chart and quality of life assessments - Not pregnant or nursing PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - More than 4 weeks since prior change in systemic chemotherapy - No prior high-dose chemotherapy (dose intensity > 3 times standard dose) Endocrine therapy - More than 4 weeks since prior change in hormonal therapy Radiotherapy - See Disease Characteristics - No prior external beam radiotherapy to index site - No prior systemic radioisotope therapy (e.g., strontium chloride Sr 89 or samarium Sm 153 lexidronam pentasodium) Surgery - Not specified Other - More than 6 months since prior bisphosphonate treatment - More than 4 weeks since prior aminoglycoside antibiotics - More than 30 days since prior investigational drugs
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
OrlaCummins,  Study Chair,  Cancer Research UK and University College London Cancer Trials Unit

Charing Cross Hospital *Recruiting*
London,  England,  W6 8RF
United Kingdom
Recruiting Simon  Stewart 44-20-8846-7659

Derbyshire Royal Infirmary *Recruiting*
Derby,  England,  DE1 2QY
United Kingdom
Recruiting Pamela  Woodings 01-332-347-141 ext. 4575

Churchill Hospital *Recruiting*
Oxford,  England,  OX3 7LJ
United Kingdom
Recruiting C.  Alcock 44-186-574-1841

Clatterbridge Centre for Oncology NHS Trust *Recruiting*
Merseyside,  England,  CH63 4JY
United Kingdom
Recruiting I.  Syndikus 44-151-334-1155

Hammersmith Hospital *Recruiting*
London,  England,  W12 ONN
United Kingdom
Recruiting Clare  Vernon 44-171-740-3177

Ealing Hospital NHS Trust *Recruiting*
Southall Middlesex,  England,  UB1 3HW
United Kingdom
Recruiting C.  Lewanski 44-020-8967-5000

Northern Centre for Cancer Treatment at Newcastle General Hospital *Recruiting*
Newcastle upon Tyne,  England,  NE4 6BE
United Kingdom
Recruiting P.  Atherton 44-191-219-4200

Royal Surrey County Hospital *Recruiting*
Guildford,  England,  GU2 5XX
United Kingdom
Recruiting Marianne  Illsley 44-1483-406-767

Walsgrave Hospital *Recruiting*
Coventry,  England,  CV2 2DX
United Kingdom
Recruiting Robert  Grieve 24-76-535-020

Derriford Hospital *Recruiting*
Plymouth,  England,  PL6 8DH
United Kingdom
Recruiting C.J.  Tyrrell 44-075-283-4519

Mount Vernon Hospital *Recruiting*
Northwood,  England,  HA6 2RN
United Kingdom
Recruiting Peter  Hoskin 44-019-2384-4533

Princess Royal Hospital *Recruiting*
Hull,  England,  HU8 9HE
United Kingdom
Recruiting M.J.  Lind 44-482-676-736

Oldchurch Hospital *Recruiting*
Romford,  England,  RM7 OBE
United Kingdom
Recruiting  Alsafer 44-1708-746-090

Ipswich Hospital NHS Trust *Recruiting*
Ipswich,  England,  IP4 5PD
United Kingdom
Recruiting John  Vay 44-014-7371-2233

Alexandra Healthcare NHS *Recruiting*
Redditch, Worcestershire,  England,  B98 7UB
United Kingdom
Recruiting C.  Irwin 44-015-2750-3030

Royal Sussex County Hospital *Recruiting*
Brighton,  England,  BN2 5BF
United Kingdom
Recruiting David  Bloomfield 44-1273-696-955 ext. 7686

St. Mary's Hospital *Recruiting*
London,  England,  W2 1NY
United Kingdom
Recruiting Carmel  Coulter 44-020-7886-6000

Weston Park Hospital *Recruiting*
Sheffield,  England,  S1O 2SJ
United Kingdom
Recruiting O.P.  Purohit 44-114-226-5000

George Eliot Hospital *Recruiting*
Nuneaton,  England,  CV10 7DJ
United Kingdom
Recruiting  Hocking 44-024-7635-1351

Nottingham City Hospital NHS Trust *Recruiting*
Nottingham,  England,  NG5 1PB
United Kingdom
Recruiting Michael  Sokal 44-115-969-1169

Royal Marsden Hospital - Sutton *Recruiting*
Sutton,  England,  SM2 5PT
United Kingdom
Recruiting Alan  Horwich 44-20-8661-3274

Southampton General Hospital *Recruiting*
Southampton,  England,  SO16 6YD
United Kingdom
Recruiting Tom  Illidge 44-23-8079-8751

Northwick Park Hospital *Recruiting*
Harrow,  England,  HA1 3UJ
United Kingdom
Recruiting Jane  Maher 44-20-864-3232

Portsmouth Oncology Centre at Saint Mary's Hospital *Recruiting*
Portsmouth Hants,  England,  PO3 6AD
United Kingdom
Recruiting Jean  Dubois 44-23-9228-6000

Saint Bartholomew's Hospital *Recruiting*
London,  England,  EC1A 7BE
United Kingdom
Recruiting Melanie  Powell 44-20-7601-8391

Leicester Royal Infirmary *Recruiting*
Leicester,  England,  LE1 5WW
United Kingdom
Recruiting G.D.  Thomas 44-116-258-6217

Addenbrooke's NHS Trust *Recruiting*
Cambridge,  England,  CB2 2QQ
United Kingdom
Recruiting Margaret  Moody 44-1223-245-151

Velindre Cancer Center at Velinde Hospital *Recruiting*
Cardiff,  Wales,  CF14 2TL
United Kingdom
Recruiting Peter  Barrett Lee 44-29-2061-5888

Lincoln County Hospital *Recruiting*
Lincoln,  England,  LN2 5QY
United Kingdom
Recruiting T.  Sreenivasant 44-1522-573-965

Pilgrim Hospital *Recruiting*
Boston,  England,  PE21 9QT
United Kingdom
Recruiting Elisabeth  Murray 44-1205-364-801

Royal Devon and Exeter Hospital *Recruiting*
Exeter,  England,  EX2 5DW
United Kingdom
Recruiting Denise  Sheehan 44-1392-411-611

Cancer Research UK and University College London Cancer Trials Unit *Recruiting*
London,  England,  NW1 2ND
United Kingdom
Recruiting Orla  Cummins 44-207-679-8036


Additional Information:
Study ID Numbers:
  CDR0000361728;  ISRCTN86185157,CRUK-NCRI-RT-02-01,RIB,EU-20224
Study Start Date: 
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00082927

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