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Trial · NCT00103740

Safety and Efficacy Trial With Zoledronic Acid for the Treatment of Paget's Disease of Bone, Including an Extended Observation Period

NCT00103740, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2012-05-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy Trial With Zoledronic Acid for the Treatment of Paget's Disease of Bone, Including an Extended Observation Period. Trials, record NCT00103740. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00103740

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy Trial With Zoledronic Acid for the Treatment of Paget's Disease of Bone, Including an Extended Observation Period
NCT number
NCT00103740
Status
Completed
Phases
Phase 3
Enrollment
185 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Paget's Disease of Bone
Interventions
zoledronic acid, placebo to zoledronic acid, Risedronate, Placebo to risedronate, Calcium and vitamin D supplements
First posted
2005-02-15
Last updated
2012-06-04
Results first posted
2012-05-02

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Patients Who Had Therapeutic Response at 6 MonthsBaseline, 6 months
A therapeutic response was defined as a reduction of at least 75% from baseline (Visit 1) in serum alkaline phosphatase (SAP) excess (difference between measured level and midpoint to the normal range) or normalization of SAP at the end of six months.
SecondaryRelative Change in Serum Alkaline Phosphatase in U/L at Day 28Baseline and 28 daysThe percent change in serum alkaline phosphatase from baseline to Day 28 was measured.
SecondaryRelative Change in Serum C-telopeptide (CTx) in ng/mL at Day 10Baseline and day 10The percent change in serum C-telopeptide from baseline to Day 10 was measured.
SecondaryRelative Change in Urine α-CTx in ug/mmol at Day 10Baseline and day 10The percent change in urine α-CTx from baseline to Day 10 was measured.
SecondaryTime to First Therapeutic Response182 days
Therapeutic response was defined as a reduction of at least 75% from baseline in serum alkaline phosphatase excess (difference between measured level and midpoint to the normal range) or normalization of serum alkaline phosphatase.
SecondaryNumber of Patients Who Achieved Serum Alkaline Phosphatase Normalization at Day 28Day 28
Normalization of serum alkaline phosphatase occurred if the serum alkaline phosphatase measurement fell within the normal range. Central laboratory reference ranges for serum alkaline phosphatase: 31-110 U/L (female \& male 20-58 years) and 35-115 U/L (female \& male \>58 years).
SecondaryChange in Pain Severity at Day 182Baseline and day 182Change in pain severity score from Brief Pain Inventory-Short Form (BPI-SF). This scale values are 0 to 10, a lower score means little to no pain while a higher score means greater pain.
SecondaryChange in Pain Interference at Day 182Baseline and day 182Change in pain interference score from Brief Pain Inventory-Short Form (BPI-SF). This scale values are 0 to 10, a lower score means little to no pain while a higher score means greater pain.
SecondaryNumber of Participants With a Loss of Therapeutic Response During the Extended Observation Period8 years was the maximumExtended observation period. A therapeutic response is defined as a reduction of at least 75% from baseline in serum alkaline phosphatase excess or normalization of serum alkaline phosphatase.
SecondaryNumber of Participants With a Partial Disease Relapse During the Extended Observation Period8 years was the maximum
Extended observation period. A partial disease relapse was defined as an increase in serum alkaline phosphatase \>= 50% from the serum alkaline phosphatase measurement at Month 6 and at least 1.25 times the upper normal limit.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Patients Who Had Therapeutic Response at 6 MonthsBaseline, 6 months
Modified intent to treat population: all randomized patients with both baseline and at least one post-baseline serum alkaline phosphatase measurement. Missing values at 6 months were imputed using the last post-baseline measurement prior to 6 months.
participantsNUMBER
SECONDARYRelative Change in Serum Alkaline Phosphatase in U/L at Day 28Baseline and 28 daysIntent-to-treat population: all randomized patients. Participants with observations at baseline and 28 days were included in this analysis.percent changeMEAN
SECONDARYRelative Change in Serum C-telopeptide (CTx) in ng/mL at Day 10Baseline and day 10Intent-to-treat population: all randomized patients. Participants with observations at baseline and day 10 were included in this analysis.percent changeMEAN
SECONDARYRelative Change in Urine α-CTx in ug/mmol at Day 10Baseline and day 10Intent-to-treat population: all randomized patients. Participants with observations at baseline and day 10 were included in this analysis.percent changeMEAN
SECONDARYTime to First Therapeutic Response182 daysIntent-to-treat population: all randomized patients.daysMEDIAN
SECONDARYNumber of Patients Who Achieved Serum Alkaline Phosphatase Normalization at Day 28Day 28Intent-to-treat population: all randomized patients. Participants with observations at day 28 were included in this analysis.participantsNUMBER
SECONDARYChange in Pain Severity at Day 182Baseline and day 182Intent-to-treat population: all randomized patients. Participants with observations at baseline and day 182 were included in this analysis.units on a scaleMEAN
SECONDARYChange in Pain Interference at Day 182Baseline and day 182Intent-to-treat population: all randomized patients. Participants with observations at baseline and day 182 were included in this analysis.units on a scaleMEAN
SECONDARYNumber of Participants With a Loss of Therapeutic Response During the Extended Observation Period8 years was the maximumExtended modified Intent-to-treat population: patients who had at least one serum alkaline phosphatase measurement during the extension period.participantsNUMBER
SECONDARYNumber of Participants With a Partial Disease Relapse During the Extended Observation Period8 years was the maximumExtended modified Intent-to-treat population: patients who had at least one serum alkaline phosphatase measurement during the extension period.participantsNUMBER

Results by group22

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Patients Who Had Therapeutic Response at 6 MonthsZoledronic Acid and Placebo to Risedronate84participants
Number of Patients Who Had Therapeutic Response at 6 MonthsRisedronate and Placebo to Zoledronic Acid67participants
Relative Change in Serum Alkaline Phosphatase in U/L at Day 28Zoledronic Acid and Placebo to Risedronate-49.1Standard Deviation 14.55percent change
Relative Change in Serum Alkaline Phosphatase in U/L at Day 28Risedronate and Placebo to Zoledronic Acid-24.3Standard Deviation 18.19percent change
Relative Change in Serum C-telopeptide (CTx) in ng/mL at Day 10Zoledronic Acid and Placebo to Risedronate-74.2Standard Deviation 123.73percent change
Relative Change in Serum C-telopeptide (CTx) in ng/mL at Day 10Risedronate and Placebo to Zoledronic Acid-40.1Standard Deviation 34.70percent change
Relative Change in Urine α-CTx in ug/mmol at Day 10Zoledronic Acid and Placebo to Risedronate-87.5Standard Deviation 39.33percent change
Relative Change in Urine α-CTx in ug/mmol at Day 10Risedronate and Placebo to Zoledronic Acid-28.7Standard Deviation 68.22percent change
Time to First Therapeutic ResponseZoledronic Acid and Placebo to Risedronate64Inter-Quartile Range 33 to 65days
Time to First Therapeutic ResponseRisedronate and Placebo to Zoledronic Acid91Inter-Quartile Range 64 to 181days

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Period 1 - CoreSTARTEDZoledronic Acid and Placebo to Risedronate92
Period 1 - CoreSTARTEDRisedronate and Placebo to Zoledronic Acid93
Period 1 - CoreCOMPLETEDZoledronic Acid and Placebo to Risedronate85
Period 1 - CoreCOMPLETEDRisedronate and Placebo to Zoledronic Acid89
Period 1 - CoreNOT COMPLETEDZoledronic Acid and Placebo to Risedronate7
Period 1 - CoreNOT COMPLETEDRisedronate and Placebo to Zoledronic Acid4
Period 2 - Extended Observation PeriodSTARTEDZoledronic Acid and Placebo to Risedronate78
Period 2 - Extended Observation PeriodSTARTEDRisedronate and Placebo to Zoledronic Acid63
Period 2 - Extended Observation PeriodCOMPLETEDZoledronic Acid and Placebo to Risedronate9
Period 2 - Extended Observation PeriodCOMPLETEDRisedronate and Placebo to Zoledronic Acid27

Adverse events42

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersZoledronic Acid588
otherConstipationGastrointestinal disordersRisedronate290
otherDiarrhoeaGastrointestinal disordersZoledronic Acid688
otherDiarrhoeaGastrointestinal disordersRisedronate790
otherNauseaGastrointestinal disordersZoledronic Acid688
otherNauseaGastrointestinal disordersRisedronate390
otherFatigueGeneral disordersZoledronic Acid688
otherFatigueGeneral disordersRisedronate290
otherInfluenza like illnessGeneral disordersZoledronic Acid1388
otherInfluenza like illnessGeneral disordersRisedronate690

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityZoledronic Acid
Total, all-cause mortalityRisedronate
Total, other adverse eventsZoledronic Acid4088
Total, other adverse eventsRisedronate2890
Total, serious adverse eventsZoledronic Acid488
Total, serious adverse eventsRisedronate390

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons6

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Zoledronic Acid and Placebo to Risedronate vs Risedronate and Placebo to Zoledronic Acid: Number of Participants With a Loss of Therapeutic Response During the Extended Observation PeriodTrial comparisons
Zoledronic Acid and Placebo to Risedronate vs Risedronate and Placebo to Zoledronic Acid: Number of Patients Who Achieved Serum Alkaline Phosphatase Normalization at Day 28Trial comparisons
Zoledronic Acid and Placebo to Risedronate vs Risedronate and Placebo to Zoledronic Acid: Number of Participants With a Partial Disease Relapse During the Extended Observation PeriodTrial comparisons
Zoledronic Acid and Placebo to Risedronate vs Risedronate and Placebo to Zoledronic Acid: Number of Participants With a Disease Relapse During the Extended Observation PeriodTrial comparisons
Zoledronic Acid and Placebo to Risedronate vs Risedronate and Placebo to Zoledronic Acid: Number of Patients Who Had Therapeutic Response at 6 MonthsTrial comparisons
Zoledronic Acid vs Risedronate: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00103740

GET https://conductscience.org/api/trials/v1/NCT00103740/results?page=2