Breast Cancer
Conditions
Keywords
breast cancer, skeletal metastases, bisphosphonate therapy, Breast cancer with painful skeletal metastases
Brief summary
The purpose of the study is to determine the efficacy and safety of a three time repeated loading dose of intravenous ibandronate (ibandronic acid), 6 mg, in breast cancer patients with painful skeletal metastases.
Detailed description
Painful skeletal metastases are a common site of advanced disease. For instance, in breast cancer, and despite cancer treatments (radiotherapy, cytotoxic treatment and adequate treatment of pain), the patients often need additional treatments that may relieve their symptoms. Bisphosphonates, such as ibandronic acid, have in pilot studies shown a significant decrease in pain scores, both after loading dose and after long-term treatment. In this study the safety and efficacy of an intravenous loading dose of three times 6 mg ibandronate during three consecutive days in breast cancer patients with painful skeletal metastases will be studied.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Breast cancer with presence of bone metastases * Pain score over 4 on the VAS
Exclusion criteria
* Patients with pathological fractures or medulla compression or neuropathic pain * Patients with infection or corticosteroid treatment * Pregnant or lactating patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Worst and average pain in movement and rest on the visual analogue scale (VAS) before the first dose, on days 2, 3, 7 and on day 28 | — |
| Analgesic consumption during the same period will additionally be assessed | — |
Secondary
| Measure | Time frame |
|---|---|
| World Health Organization (WHO) performance status | — |
| Bone markers: serum 1CTP, serum P1NP, serum NTX on day 1 before dosing, and on days 7 and 28 | — |
| Safety: serum cystatin C and serum creatinine, and reporting of adverse events | — |
Countries
Finland