Prostate cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Signed informed consent is obtained prior to the entry to this clinical study. 2) Patients with histologically confirmed adeno- carcinoma of the prostate. 3) Patients with radiologic evidence of bone metastasis. 4) Treatment-naive prostate cancer patients. 5) Age is >=20 years old. 6) Performance status ECOG 0~2 including performance status 3~4 accompanied by symptoms only due to bone metastasis. 7) Laboratory requirements a) WBC >=3000/mm3 or neutrophil >=1500/mm3 b) Hemoglobin >=9.0g c) Platelet >=100000/mm3 d) Total bilirubin <=1.5 times of upper limit of normal e) AST and ALT <=2.5 times of upper limit of normal f) serum Creatinine <=2.0mg/dL g) serum Calcium (adjusted) >=8.0mg/dL
Exclusion criteria
Exclusion criteria: Patients 1) do not meet the inclusion criteria. 2) have an allergy to bisphosphonates including zoledronic acid. 3) required an urgent radiation therapy for bone metastasis based on symptoms described below: unmanageable pain, spinal cord paralysis, etc. 4) have a treatment history with a bisphosphonate (excluding bisphosphonates taken orally). 5) have an uncontrollable pleural or pericardial effusion. 6) have a brain metastasis with symptoms. 7) have a heavy infection. 8) under or planned an invasive dental treatment. 9) have an interstitial pneumonitis or pulmonary fibrosis. 10) have an active cancer except prostate cancer: cancer free duration <= 3 years. 11) have a myocardial infarction within 6 months. 12) have severe complications: cardiovascular disease, hepatic dysfunction, or coagulation disorders, etc. 13) have mental disorders or neurological symptoms. 14) disqualified by a doctor in charge.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to progression | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) SRE rate 2) Time to the first SRE 3) PSA response 4) Changes in ALP, BAP, serum NTx, TRAP-5b 5) Adverse effects 6) Changes in bone scan index 7) Changes in bone mineral density | — |
Countries
Japan
Contacts
Saitama Medical Center, Saitama Medical University Urology