Phase i clinical studies study the effect of a drug on patients with the disease.

Brief Summary:

This is a 4-week study to examine the effects of a new experimental medication on women with breast cancer and established bone metastases. This study will enroll approximately 45 women. The primary hypotheses are: (1) odanacatib will result in a substantial suppression of urinary N-telopeptide of type I collagen (u-NTx) similar to that achieved with an intravenous (IV) infusion of zoledronic acid (ZA) over 4 weeks of treatment; and (2) odanacatib (MK-0822) will be safe and well tolerated during 4 weeks of treatment.


Condition or disease Intervention/treatment Phase
Breast Cancer Metastatic Bone Disease Drug: ZA Drug: Odanacatib Drug: Odanacatib matching placebo Drug: ZA matching placebo Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 43 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Phase II Study to Assess the Safety, Tolerability, and Efficacy of MK-0822 (Cathepsin-K Inhibitor) in the Treatment of Women With Breast Cancer and Established Bone Metastases (MBD)
Actual Study Start Date : November 16, 2006
Actual Primary Completion Date : December 5, 2007
Actual Study Completion Date : December 5, 2007

Resource links provided by the National Library of Medicine

Phase i clinical studies study the effect of a drug on patients with the disease.


Arm Intervention/treatment
Active Comparator: Single IV infusion of ZA 4 mg

Participants will receive a single IV infusion of ZA 4 mg at the start of treatment and a once-daily odanacatib matching placebo tablet for 4 weeks.

Drug: ZA

Single ZA 4 mg IV infusion at the start of treatment

Other Name: Zometa®


Drug: Odanacatib matching placebo

Once-daily odanacatib matching placebo for 4 weeks


Experimental: Odanacatib 5 mg

Participants will receive a once-daily odanacatib 5 mg tablet for 4 weeks and a single IV infusion of ZA matching placebo at the start of treatment.

Drug: Odanacatib

Once-daily odanacatib 5 mg tablet for 4 weeks

Other Name: MK-0822


Drug: ZA matching placebo

Single IV infusion of ZA matching placebo given at the start of treatment



Primary Outcome Measures :

  1. Percentage Change From Baseline in Urinary N-telopeptide of Type I Collagen (u-NTx) at Week 4 [ Time Frame: Baseline and Week 4 ]

    u-NTx is a biochemical index of bone resorption. Participants provided urine specimens on Day 1 (baseline) and at Week 4 for measurement of u-NTx.


  2. Number of Participants Who Experienced an Adverse Event (AE) [ Time Frame: Up to 6 weeks ]

    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.


  3. Number of Participants Who Discontinued Treatment Due to an AE [ Time Frame: Up to 4 weeks ]

    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.



Secondary Outcome Measures :

  1. Percentage Change From Baseline in Urinary Deoxypyridinoline (u-DPD) at Week 4 [ Time Frame: Baseline and Week 4 ]

    u-DPD is a biochemical marker of bone resorption. Participants provided urine specimens on Day 1 (baseline) and Week 4 for measurement of u-DPD.




Information from the National Library of Medicine

Phase i clinical studies study the effect of a drug on patients with the disease.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patient has histologically or cytologically-confirmed breast cancer
  • Patient has documented skeletal metastases

Exclusion Criteria:

  • Patient is undergoing current oral bisphosphonate therapy, or has a history of oral bisphosphonate use within 6 months of entry into study


Information from the National Library of Medicine

Phase i clinical studies study the effect of a drug on patients with the disease.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00399802

Merck Sharp & Dohme LLC

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Study Director: Medical Monitor Merck Sharp & Dohme LLC

Jensen AB, Wynne C, Ramirez G, He W, Song Y, Berd Y, Wang H, Mehta A, Lombardi A. The cathepsin K inhibitor odanacatib suppresses bone resorption in women with breast cancer and established bone metastases: results of a 4-week, double-blind, randomized, controlled trial. Clin Breast Cancer. 2010 Dec 1;10(6):452-8. doi: 10.3816/CBC.2010.n.059.


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Responsible Party: Merck Sharp & Dohme LLC
ClinicalTrials.gov Identifier: NCT00399802    
Other Study ID Numbers: 0822-016
2006_533 ( Other Identifier: Merck Registration Number )
MK-0822-016 ( Other Identifier: Merck Protocol Number )
First Posted: November 15, 2006    Key Record Dates
Results First Posted: February 1, 2018
Last Update Posted: August 16, 2018
Last Verified: July 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
URL: http://engagezone.msd.com/ds_documentation.php

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:

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Breast Neoplasms
Bone Diseases
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Musculoskeletal Diseases

What is Phase 1 of a clinical trial?

A phase I clinical trial tests the safety, side effects, best dose, and timing of a new treatment. It may also test the best way to give a new treatment (for example, by mouth, infusion into a vein, or injection) and how the treatment affects the body.

What is the difference between Phase 1 and Phase 2 clinical trials?

Phase 1: First testing in humans, primarily to test safety. A drug is given to a small number of healthy volunteers who are closely monitored. Phase 2: Testing in a small number of patients, to assess safety, to monitor how a drug is metabolized, and to gather initial data on efficacy.

What are the three things which happen in Phase 1 Clinical Trials?

The main aim of phase 1 trials is to find out about doses and side effects. They need to do this first, before testing the potential new treatment to see if it works..
how much of the drug is safe to give..
what the side effects are..
what happens to the drug in the body..
if the treatment helps shrink the cancer..

What are Phase I II and III clinical trials?

Phase I trials test if a new treatment is safe and look for the best way to give the treatment. Doctors also look for signs that cancer responds to the new treatment. Phase II trials test if one type of cancer responds to the new treatment. Phase III trials test if a new treatment is better than a standard treatment.