Roll Call: Anyone in the Phase III Trial of Bisphosphonates

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I am getting my first infusion of Zometa today as a part of the Phase III Trial of Bisphosphonates as Adjuvant Therapy for Primary Breast Cancer clinical trial. There are 3 possible arms that one could be assigned to - Clodronate (oral), Zoledronic Acid (Zometa infusion),  Ibandronate (oral).

I'd like to hear from others who are taking part in this so we can compare notes. I am worried about the side effects but have decided it is worth it.

Info on the study in layman's terms:

http://www.cancer.gov/clinicaltrials/ft-SWOG-S0307/print?page=&keyword= 

Report from ASCO 2008:

http://www.asco.org/ASCO/Abstracts+%26+Virtual+Meeting/Abstracts?&vmview=abst_detail_view&confID=55&abstractID=35897

NCI Article on Zoledronic Acid for Early Breast Cancer:

http://www.cancer.gov/clinicaltrials/results/zoledronic-acid0608

In a nutshell the Austrian study concluded that:

"The addition of zoledronic acid (Zometa®) to adjuvant endocrine therapy in premenopausal women with early stage breast cancer significantly improves clinical outcomes beyond those achieved with endocrine therapy alone"

So please post here if you are on the study so we can update each other!

Thanks!

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Comments

  • maymom05
    maymom05 Member Posts: 10
    edited February 2009

    I am thinking about participating in the same trial through Moffitt Cancer Center in Tampa, FL.  So you know which drug you are assigned to?  I'm nervous about doing it b/c I really want to receive the Zometa.

  • samiam40
    samiam40 Member Posts: 416
    edited February 2009

    I am also thinking of participating.  JustSaying, did you get a dental exam before you started?  I haven't been to the dentist in a few years and know that jawbone necrosis is something you need to watch out for. 

    Also, maymom05, you do not know the drug you will be assigned to until you enroll in the study.  Also, although I know there is one study showing that zometa definitely works, my onco was not enthusiastic about just skipping the study and getting zometa. For one thing, she said it would be tough to get insurance to cover the infusions which she estimated at $800/per.

    I'm meeting with my onco tomorrow and will get more info.  Thanks for starting the thread.

  • JustSaying
    JustSaying Member Posts: 73
    edited February 2009

    Samiam40, Yes I got a dental exam a couple of weeks ago. Dentist had to fax back a form stating everything looked ok before they would admit me to the trial. I was hoping I would NOT get Zometa, as it sounds like it has more potential SEs, but of course I got it...Although Zometa and Ibandronate are the newer class drugs and they are thinking they may work better than the older Clodronate, (that will be one thing they will measure during the trial) so I suppose it's a good thing.

    Onco said it would be difficult to get insurance to pay for Zometa. Besides, when you're on the study you are watched very closely (kidney function, etc) and you are also contributing to important breast cancer research.

    I'll post an update tonight after I get home from my 1st infusion....scared...

  • Hood1980
    Hood1980 Member Posts: 537
    edited February 2009

    I'm participating in the trial & am receiving the Chlodronate.  Samiiam - they will provide a dental exam or if you have had one recently, as I had, my dentist just completed their form for me.

    Maymom, like you I wanted the Zometa too.  They actually ask you right before the randomization which one you prefer, so I got my hopes up thinking that was what I would get, but no it doesn't work that way, unfortunately.  My onc & my PA said that all 3 of these drugs worked during the Phase II of the trial.  That the Zometa, because it is an infusion, has better patient compliance; therefore perhaps a better outcome.

  • Panchoandlefty
    Panchoandlefty Member Posts: 181
    edited February 2009

    I'm 7 months into the Ibandronate (Boniva) arm. So far, so good. No side effects at all. 

    It is a daily pill which you have to take upon rising, sit upright, and fast for 30 minutes... slightly annoying, but nothing horrible. The boxes in which they have the drugs sealed are the worst. 

    I wanted Zometa for the convenience, but I have had such an easy time on the Ibandronate that I probably shouldn't complain. 

    Stephanie

  • Wink
    Wink Member Posts: 722
    edited February 2009

    I'm 3.5 months into the Ibandronate arm also.  I've had some issues with lg muscle pain & the arches of my feet ache when I stand up (need to get someone to massage them ;-).  These symptoms might not be from the Ibandronate as I've heard someone on another thread is having the same issues and was told it was from lack of estrogen (thanks chemopause).

    Stephanie - my coordinator sends me the drug removed from the box - isn't she a sweetheart!  Sometimes that half an hour seems like an eternity; but boy does that first cup of coffee taste divine!

    I'm lucky that I work in a laboratory and can perform all of my testing; I still have a $40 co-pay to see the onc each month Money mouth.  I'm just glad that I could participate.

    Donna

  • brena
    brena Member Posts: 458
    edited March 2009

    Hi Ladies,

    I started my first Clodronate pill July 3rd 2008, am doing fine with no SE's and am proud of myself for remembering to take it everyday. Remembering to take pills is not one of my strong suites! These are definitely some horse pills but doable. I did get my dental exam which had to include a tooth extraction prior to enrolling into the trial. I do realize there is a risk for developing OCJ but am willing to accept the risk for the hopeful result. As each month goes by I read more and more on the potential benefit of taking a bisphosphonate. I was required to take a dexa and bone scan prior to the study which helped identify my having Osteopenia at age 46, so again I will benefit. I believe after the 3yrs are over I will probably need to consider receiving a bisphosphonate. That seems so far in the future in reality it will be here quickly.

    take care and hoping we make a brighter future for other woman,

  • mmm5
    mmm5 Member Posts: 1,470
    edited March 2009

    Started the Clodranate arm in October, no extreme SE's just stuff that is most likely from AI's.

    The researchers say that all 3 products are working and they have had only one recurrance in 50 people. Don't know which arm she was on.

  • Alicia70598
    Alicia70598 Member Posts: 191
    edited March 2009

    Hi, JustSaying. Thanks for telling me about this thread. I decided to go with twice-yearly Zometa instead. That was the dosage used in the Austrian trial. 

  • lexislove
    lexislove Member Posts: 2,645
    edited March 2009

    I'm glad you have made your final decision Alicia!

    (I made the same) ~***~ cheers**~

  • Route53
    Route53 Member Posts: 340
    edited March 2009

    My wife (MarketingMom) just started her 4th month.  I'll have her join this group.

    Route53 (Erik)

    http://route53.wordpress.com

  • bluedasher
    bluedasher Member Posts: 1,203
    edited March 2009

    I'm probably going to join the trial. I already signed the consent forms. I visit my dentist in about an hour to get the exam and check that he is okay with it. I owe so much to the women who participated in the Herceptin trials, especially the BCIRG 006 trial that found TCH was almost as effective at preventing recurrence and was much less likely to produce heart problems than AC-TH. So I wanted to join a trial if there was an appropriate one for me. There was another trial that I qualified for at the start of chemo but my onc and I agreed that one wasn't right for me. Too high a risk with too little potential benefit for Stage I. She says this one would be appropriate for me and I trust her judgement.

  • sunandsandgirl
    sunandsandgirl Member Posts: 165
    edited March 2009

    Thank you Hood 1980 for helping me find this site.

    My oncologist recommended me for this study.  I have just finished all of my bone scans, dental exams, CT, and ultrasound testing since being diagnosed on 12/30/08.

    I started the Clodronate yesterday.  I wil start my Tamoxifen tonight.  

    I have only noticed one strange thing since taking the Clodronate.  About 2 hours and about 4 hours after I take the tablet I experience pain (really more discomfort)  in my upper teeth and a metallic taste in my mouth. It then goes away.   I think I just may be more pain sensitive right now following my bilateral mastectomy and reconstruction on 1/27/09. I had an appointment with my oncologist today to get started on the Tamoxifen, and he thought that these symptoms would go away.

    I am willing to try both these medications at least for a little while.   

    Any thoughts anyone?   

  • checkum
    checkum Member Posts: 1,211
    edited March 2009

    Hi all-

    I am in this trial.  I will be getting the IV infusion of Zometa.  I get my first this week on 3/10.  I will keep you all posted.

  • samiam40
    samiam40 Member Posts: 416
    edited March 2009

    So, is anyone participating in this after adjuvent chemo?  I had surgery 2/3 and started chemo on 3/2.  I also want to particiate in this study and I know some studies require you to start within 12 weeks of your surgery.  I will be way over that time limit by the time I finish my chemo.  Does anyone know if that is a problem?

  • mmm5
    mmm5 Member Posts: 1,470
    edited March 2009

    Samiam40

    You can start after chemo, I began after chemo about 5 weeks after completion.

  • Hood1980
    Hood1980 Member Posts: 537
    edited March 2009

    Gald you found the site sunandgirl!  I haven't heard anything about having the teeth pain, but sure is worth telling the onc about it.  I had metallic tastes all throughout chemo and several weeks following before my taste buds went back to normal.

    Samiam40 - I'm sure the folks that run the study can answer that question.  Is your onc participating?  Like mmm5 I started about 5 weeks after completion of chemo.

  • bluedasher
    bluedasher Member Posts: 1,203
    edited March 2009

    Samianm, you qualify if you are starting within 12 weeks of surgery OR within 8 weeks of completing chemo. I had surgery in October and finished chemo 4 weeks ago. I'll be starting in 2 weeks (6 weeks after my last chemo treatment).

    My oncologist told me about the study at the visit before my last chemo session. Since I said I was interested she had the information on the study mailed to me. I met with the nurse who coordinates research at my facility when I went in for my first Herceptin only treatment 3 weeks later and signed the consent forms. 

    You need a dental exam before you start the study so you might want to schedule that. Fortunately I had already moved a dental exam that would have fallen during chemo to 4 weeks after so I was all set. 

  • Hood1980
    Hood1980 Member Posts: 537
    edited March 2009
    Hi Ladies,  Just wanted to check in and ask a question... Is anyone experiencing constipation?  I'm not sure if it's from my chlodronate or from the tamoxifen or Effexor, since I started all 3 at the same time!  Any advice would be most appreciated.  Thanks!
  • sunandsandgirl
    sunandsandgirl Member Posts: 165
    edited March 2009

    I am not having any trouble with constipation, but I am having a lot of fatigue. 

  • mmm5
    mmm5 Member Posts: 1,470
    edited March 2009

    Never had constipation from the Clodratnate, but from ending chemo etc. Try fish oil caps, and COq10 both have helped me much get regulated.

  • emilyjuanita
    emilyjuanita Member Posts: 52
    edited March 2009

    Hi all.  I am also in this trial (Zomeda).  I finished chemo in November and started the Zomeda infusions in January.  I don't think I've had side effects (no bone pain or nausea) but I do feel run down.  Hard to pinpoint whether it's the new medication, the tamoxifen, lingering stress from the cancer experience, three teenagers at home, or what.  My oncologist suggested I take Effexor, but I'm really not sure if I want to add one more drug to the pile.  I've read some women have pretty negative side effects with Effexor.  Have any of you experienced anything?

  • emilyjuanita
    emilyjuanita Member Posts: 52
    edited March 2009

    Wow!  That old picture popped up!  I need a new one... I have hair now :-)

  • Lories
    Lories Member Posts: 351
    edited March 2009

    I'm with mmm5  - I am doing twice a year Zometa like the Austrian trial.

  • bluedasher
    bluedasher Member Posts: 1,203
    edited March 2009

    I just heard that I was randomized to clodronate but it is on back-order so they don't know when I'll be able to start. 1600 mg a day - I hope I'll be able to deal with those big pills.

  • brena
    brena Member Posts: 458
    edited March 2009

    Ladies,

    Anyone on Clodronate and needing a replenishment within the next 30 days may not get them on time or when needed. There is a problem with production and hence supply. Not a long delay but may cause one to miss dosage.

    take care, 

  • checkum
    checkum Member Posts: 1,211
    edited March 2009

    Had my 1st infusion, they did the IV in 15 minutes.  I got flu like symptoms the next 2 days... the next treatment they are going to slow down the infusion and add fluids and advill.  Will keep you all posted on the results.

  • clearday
    clearday Member Posts: 2
    edited March 2009

    I started Clodronate in Feb 09, I don't think I'm having any side effects. I'm still getting used to my new body after chemo! It's a shift when your cells start growing again. All I want to do is eat.

  • Hood1980
    Hood1980 Member Posts: 537
    edited March 2009

    Hi Bluedasher,  I just wanted to let you know the clodronate comes in two 800 mg capsules/pills.  They're smaller than the calcium supplements I have to take!  LOL!  They aren't hard for me to get down anyway.  But what's this that they are on backorder???  I go back April 7th for my next bag of pills,,,,

  • samiam40
    samiam40 Member Posts: 416
    edited March 2009

    I saw my oncologist for my 2nd chemo treatment yesterday, and she said I could start the trial now, before my chemo was over.  But then I read in the study literature that there was increased chance of bone necrosis if you got the IV zometa during chemo.  Did anyone actually start this trial during chemo?

    Also, did anyone get their dental exam paid for by the study?  I don't have dental insurance and it would be nice to get a break on that.

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