Oral versus intravenous ibandronic acid: a comparison of treatment options for metastatic bone disease

Purpose This trial is the first to compare directly the clinical response to and safety of oral and intravenous (IV) ibandronic acid for metastatic bone disease. Methods Patients ≥18 years with breast, prostate, lung, urogenital or colon cancer received IV ibandronic acid 6 mg infused over 15 min ev...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2008-12, Vol.134 (12), p.1303-1310
Hauptverfasser: Mystakidou, Kyriaki, Stathopoulou, Evangelia, Parpa, Efi, Kouloulias, Vassilios, Kouskouni, Evangelia, Vlahos, Lambros
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container_end_page 1310
container_issue 12
container_start_page 1303
container_title Journal of cancer research and clinical oncology
container_volume 134
creator Mystakidou, Kyriaki
Stathopoulou, Evangelia
Parpa, Efi
Kouloulias, Vassilios
Kouskouni, Evangelia
Vlahos, Lambros
description Purpose This trial is the first to compare directly the clinical response to and safety of oral and intravenous (IV) ibandronic acid for metastatic bone disease. Methods Patients ≥18 years with breast, prostate, lung, urogenital or colon cancer received IV ibandronic acid 6 mg infused over 15 min every 28 days or oral ibandronic acid 50 mg/day. Clinical response was determined using bone scintigraphy, radiography and serum C-terminal telopeptide of type I collagen (S-CTX) at months 3–6. Adverse events and biochemical safety measures were recorded. Results A total of 84.6 and 88.5% of patients had a complete/partial response to IV and oral ibandronic acid, respectively. Median percentage decreases in S-CTX were −39 and −35%, respectively. Bone pain scores decreased and analgesic use increased from month 0–3 and were stable from months 3–6. Both formulations improved physical and functioning scores. Conclusion Oral and IV ibandronic acid for bone metastases have similar efficacy and tolerability.
doi_str_mv 10.1007/s00432-008-0419-x
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Methods Patients ≥18 years with breast, prostate, lung, urogenital or colon cancer received IV ibandronic acid 6 mg infused over 15 min every 28 days or oral ibandronic acid 50 mg/day. Clinical response was determined using bone scintigraphy, radiography and serum C-terminal telopeptide of type I collagen (S-CTX) at months 3–6. Adverse events and biochemical safety measures were recorded. Results A total of 84.6 and 88.5% of patients had a complete/partial response to IV and oral ibandronic acid, respectively. Median percentage decreases in S-CTX were −39 and −35%, respectively. Bone pain scores decreased and analgesic use increased from month 0–3 and were stable from months 3–6. Both formulations improved physical and functioning scores. Conclusion Oral and IV ibandronic acid for bone metastases have similar efficacy and tolerability.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-008-0419-x</identifier><identifier>PMID: 18504612</identifier><identifier>CODEN: JCROD7</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Administration, Oral ; Aged ; Antineoplastic agents ; Biological and medical sciences ; Bone cancer ; Bone Density Conservation Agents - administration &amp; dosage ; Bone Neoplasms - drug therapy ; Bone Neoplasms - secondary ; Bone Resorption - drug therapy ; Cancer Research ; Clinical trials ; Comparative studies ; Diphosphonates - administration &amp; dosage ; Diseases of the osteoarticular system ; Drug delivery systems ; Drug therapy ; Female ; Hematology ; Humans ; Infusions, Intravenous ; Internal Medicine ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Neoplasms - drug therapy ; Oncology ; Original Paper ; Osteoporosis. Osteomalacia. Paget disease ; Pharmacology. 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Methods Patients ≥18 years with breast, prostate, lung, urogenital or colon cancer received IV ibandronic acid 6 mg infused over 15 min every 28 days or oral ibandronic acid 50 mg/day. Clinical response was determined using bone scintigraphy, radiography and serum C-terminal telopeptide of type I collagen (S-CTX) at months 3–6. Adverse events and biochemical safety measures were recorded. Results A total of 84.6 and 88.5% of patients had a complete/partial response to IV and oral ibandronic acid, respectively. Median percentage decreases in S-CTX were −39 and −35%, respectively. Bone pain scores decreased and analgesic use increased from month 0–3 and were stable from months 3–6. Both formulations improved physical and functioning scores. 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Methods Patients ≥18 years with breast, prostate, lung, urogenital or colon cancer received IV ibandronic acid 6 mg infused over 15 min every 28 days or oral ibandronic acid 50 mg/day. Clinical response was determined using bone scintigraphy, radiography and serum C-terminal telopeptide of type I collagen (S-CTX) at months 3–6. Adverse events and biochemical safety measures were recorded. Results A total of 84.6 and 88.5% of patients had a complete/partial response to IV and oral ibandronic acid, respectively. Median percentage decreases in S-CTX were −39 and −35%, respectively. Bone pain scores decreased and analgesic use increased from month 0–3 and were stable from months 3–6. Both formulations improved physical and functioning scores. 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subjects Administration, Oral
Aged
Antineoplastic agents
Biological and medical sciences
Bone cancer
Bone Density Conservation Agents - administration & dosage
Bone Neoplasms - drug therapy
Bone Neoplasms - secondary
Bone Resorption - drug therapy
Cancer Research
Clinical trials
Comparative studies
Diphosphonates - administration & dosage
Diseases of the osteoarticular system
Drug delivery systems
Drug therapy
Female
Hematology
Humans
Infusions, Intravenous
Internal Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Neoplasms - drug therapy
Oncology
Original Paper
Osteoporosis. Osteomalacia. Paget disease
Pharmacology. Drug treatments
Prognosis
Prospective Studies
Quality of Life
Tumors of striated muscle and skeleton
title Oral versus intravenous ibandronic acid: a comparison of treatment options for metastatic bone disease
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