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Assessment of Efficacy of Zoledronic Acid in the Treatment of Bone Marrow Edema Syndrome (ZoMARS)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01348269
First Posted: May 5, 2011
Last Update Posted: June 8, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
Crolll Gmbh
University of Wuerzburg
Information provided by (Responsible Party):
Dr. Lothar Seefried, Orthopaedische Klinik Koenig-Ludwig-Haus
May 2, 2011
May 5, 2011
June 8, 2017
May 2011
August 26, 2015   (Final data collection date for primary outcome measure)
Reduction of the Edema area [ Time Frame: Week 6 after study start ]
Same as current
Complete list of historical versions of study NCT01348269 on ClinicalTrials.gov Archive Site
  • Reduction of pain (VAS) [ Time Frame: Week 0, 3, 6 ]
  • Quality of life (Qualeffo-41 questionnaire - Quality of life questionnaire of the European Foundation for Osteoporosis) [ Time Frame: Week 0, 3, 6 ]
  • Subjective estimation of medical condition (PDI) [ Time Frame: Week 0, 3, 6 ]
  • Number of additional medicinal visits [ Time Frame: Week 3, 6 ]
  • Number of days of illness [ Time Frame: Week 3, 6 ]
  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: Week 3, 6 ]
    including changes in the following parameters according to DVO guidelines: Calcium, Phosphate, Creatinin-Clearance (Cockcroft-Gault), Alkaline Phosphatase, γGT, CRP
  • Reduction of pain (VAS) [ Time Frame: Week 0, 3, 6 ]
  • Quality of life (Qualeffo-41 questionnaire) [ Time Frame: Week 0, 3, 6 ]
  • Subjective estimation of medical condition (PDI) [ Time Frame: Week 0, 3, 6 ]
  • Number of additional medicinal visits [ Time Frame: Week 3, 6 ]
  • Number of days of illness [ Time Frame: Week 3, 6 ]
  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: Week 3, 6 ]
    including changes in the following parameters according to DVO guidelines: Calcium, Phosphate, Creatinin-Clearance (Cockcroft-Gault), Alkaline Phosphatase, γGT, CRP
Not Provided
Not Provided
 
Assessment of Efficacy of Zoledronic Acid in the Treatment of Bone Marrow Edema Syndrome
A Prospective, Bi-centric,Randomized, Primary Double-blind, Placebo-controlled Phase III Study to Assess the Efficacy of Zoledronic Acid in the Treatment of Bone Marrow Edema Syndrome
The primary aim is to test the reduction of bone marrow edema syndrome after a singular intravenous treatment with Zoledronic Acid within 6 weeks compared to placebo. The volume of the edema is defined as biometric data measured by the use of MRT before and six weeks after treatment. The hypothesis has to be checked whether Zoledronic Acid is efficient in the treatment of painful bone marrow edema. A statistically significant reduction of the edema in the MRT is considered as evidence for efficacy.
Not Provided
Interventional
Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Bone Marrow Edema
  • Drug: Aclasta
    1 x intravenous non-current drip (infusion)
  • Drug: Placebo
    NaCl Solution
  • Active Comparator: Aclasta
    Intervention: Drug: Aclasta
  • Placebo Comparator: NaCl Solution
    Intervention: Drug: Placebo
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
63
August 26, 2015
August 26, 2015   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Men: age over ≥ 18 years or women: age over ≥ 18 years with finished reproductivity according to the following definition:
  • ≥ 12 month persistent natural (spontaneous) amenorrhoea (women aged <50: additionally: FSH >40MIE/ml and estrogen deficiency of <30pg/ml or a negative estrogen test)
  • status post hysterectomy and / or bilateral oophorectomy
  • finished reproduction planning
  • secure diagnosis of bone marrow edema using MRT
  • current osteologic basic laboratory values (≤ 4 weeks before V2) according to DVO criteria
  • presence of an personally signed informed consent for the participation in the study

Exclusion Criteria:

  • - subchondral bone loss or already occurred cartilage damage due to the bone marrow edema
  • reactive bone marrow edema with advanced arthrotic changes in the adjacent joint (grade III and IV according to Kellgren and Lawrence)
  • patients with edematous changes in bone marrow due to the diagnosis of M. Sudeck / algodystrophy / Complex Regional Pain Syndrome (CRPS)
  • patients with known hypo- and hyperparathyroidism, osteogenesis imperfecta, osteomalacia, M. Paget or another systemic skeletal diseases, except osteoporosis
  • patients with bone necrosis in the painful skeletal region
  • patients with infectious process at the affected bone or the adjacent joint and adjacent soft parts, respectively
  • patients with diagnosed or assumed rheumatoid arthritis, Lupus erythematodes, collagenosis or vasculitides
  • patients with advanced renal insufficiency (GFR according to Cockcroft

    / Gault ≤ 40 ml/min/KO)

  • patients with malignant diseases with osseous manifestation in anamnesis/history
  • status post malignant basic/primary disease with large dosed chemotherapy
  • current or massive dose therapy completed before less than 6 weeks (>7.5mg prednisolon equivalent) with glucocorticoids
  • patients with a malignant tumor disease within the past 5 years, independent from the affected organ system and independent from the implemented treatment, the presence of a relapse or metastatic invasion, except basal cell carcinoma and squamous-cell carcinoma of the skin Current treatment due to uveitis
  • vague/ambiguous hyper- or hypocalcemia, hyper- or hypophosphatemia
  • etiological vague/ambiguous AP-increase
  • symptomatic renal calculus or nephrocalcinosis within 2 years before V2
  • recent fracture within the last 3 months independent of the localisation
  • non consolidated fractures
  • previous treatment with i.v. bisphosphonates within the last 12 months
  • previous treatment with oral bisphosphonates within the last 12 months and longer than 3 months
  • pre-treatment with prostacyclin analogs (Ilomedin® / Iloprost®) within the past 6 months
  • Current treatment due to inflammatory diseases of the jaw area as well as planned tooth extractions or tooth extractions less than 6 months ago or oral surgery implant treatment
  • pregnancy or nursing period
  • patients immediately involved in the conduction of the trial and relatives
  • patients with current proceedings related to the bone marrow edema
  • patients for which the participation in the study carries an increased risk under consideration of the health condition due to the assessment of the investigator
  • participation in another clinical trial within 30 days before study start or during the trial
  • participation of patient who might be dependent on the investigator, also the spouse, parents or children
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
No
Contact information is only displayed when the study is recruiting subjects
Germany
 
 
NCT01348269
CZOL446HDE38T
No
Not Provided
Not Provided
Dr. Lothar Seefried, Orthopaedische Klinik Koenig-Ludwig-Haus
Wuerzburg University Hospital
  • Crolll Gmbh
  • University of Wuerzburg
Study Chair: Rainer Meffert, Prof. Dr. Department of trauma, hand, reconstructive and plastic, University of Wuerzburg
Wuerzburg University Hospital
April 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP