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Evaluation of Zoledronic Acid as a Single Agent or as an Adjuvant to Chemotherapy in High Grade Osteosarcoma (ZOL)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified June 2011 by Tata Memorial Hospital.
Recruitment status was:  Recruiting
Information provided by:
Tata Memorial Hospital Identifier:
First received: May 27, 2008
Last updated: June 22, 2011
Last verified: June 2011

This trial will be a pilot study to find out if zoledronic acid improves the response to chemotherapy in high grade osteosarcoma. In arm A of the study, 40 adult patients will be randomised into two groups. One group will get standard chemotherapy and the other group will get Zoledronic acid in addition to chemotherapy. The investigators will assess the histological necrosis as well as disease status for up to 2 years.

In Arm B, adult patients with relapsed disease or advanced disease who are unable to take any other therapy and are given only symptomatic care will be given 6 doses of zoledronic acid and followed up for disease status. This will be to determine the role of zoledronic acid as a single agent.

Condition Intervention Phase
Drug: Zoledronic acid
Drug: Standard chemotherapy
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Evaluation of Zoledronic Acid as a Single Agent and as an Adjuvant to Chemotherapy in the Management of High Grade Osteosarcoma

Resource links provided by NLM:

Further study details as provided by Tata Memorial Hospital:

Primary Outcome Measures:
  • histological response disease free interval [ Time Frame: 2 years ]

Estimated Enrollment: 60
Study Start Date: May 2008
Estimated Study Completion Date: August 2013
Estimated Primary Completion Date: May 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: A
standard chemotherapy which is Adriamycin, Cisplatinum and Ifosfamide
Drug: Standard chemotherapy
Adriamycin + Cisplatinum and Ifosfamide
Other Names:
  • Doxorubicin
  • Holoxan
Experimental: B
zoledronic acid prior to standard chemotherapy
Drug: Zoledronic acid
4mg IV 3 weekly for 6 doses
Other Names:
  • Zolendron,
  • Zometa
Drug: Standard chemotherapy
Adriamycin + Cisplatinum and Ifosfamide
Other Names:
  • Doxorubicin
  • Holoxan
Experimental: C
zoledronic acid alone 4mg IV 3 weekly for 6 doses
Drug: Zoledronic acid
4mg IV 3 weekly for 6 doses
Other Names:
  • Zolendron,
  • Zometa


Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Adult patients (between the ages of 18 to 65 years) with a recently diagnosed high grade osteosarcoma of the extremity
  2. Non Metastatic at presentation. The metastases are ruled out by a CT scan of the chest and a PET scan.
  3. Patients are willing and able to afford the standard chemotherapy.

Exclusion Criteria:

  1. Non-extremity sarcomas. (pelvis and spine)
  2. Age less than 18 years or greater than 65 years
  3. Metastatic at presentation
  4. Pregnant or lactating women
  5. Renal dysfunction in the form of elevated serum creatinine
  6. Dental treatment anticipated after evaluation.
  7. Patients who have received or are likely to receive steroids.
  Contacts and Locations
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Please refer to this study by its identifier: NCT00691236

Contact: Manish G Agarwal, M.S(Orth) 91-22-2444-7189
Contact: Ajay Puri, M.S(Orth) 91-22-2417-7183

Tata Memorial Hospital Recruiting
Mumbai, Maharashtra, India, 400012
Principal Investigator: Manish G Agarwal, M.S(Orth)         
Sponsors and Collaborators
Tata Memorial Hospital
Principal Investigator: Manish Agarwal, M.S(Orth) Tata Memorial Hospital
  More Information

Responsible Party: Dr Manish Agarwal, Tata Memorial Hospital Identifier: NCT00691236     History of Changes
Other Study ID Numbers: 382
Study First Received: May 27, 2008
Last Updated: June 22, 2011

Keywords provided by Tata Memorial Hospital:
zoledronic acid
adjuvant to chemotherapy

Additional relevant MeSH terms:
Neoplasms, Bone Tissue
Neoplasms, Connective Tissue
Neoplasms, Connective and Soft Tissue
Neoplasms by Histologic Type
Zoledronic acid
Bone Density Conservation Agents
Physiological Effects of Drugs processed this record on May 25, 2017