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Clinical trial in breast cancer patients with bone metastases pretreated for approximately 1 year with a standard zoledronic acid regimen. Looking at the continued effectiveness and safety of giving zoledronic acid every 4 weeks versus every 12 weeks given over 1 year. This study is prospective, double-blind, stratified, multi-center, and two-arm.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zoledronic acid every (q) 4 weeks | Experimental | Participants received 4mg of zoledronic acid intravenously (IV) infusion q 4 weeks. |
|
| Zoledronic acid q 12 weeks | Experimental | Participants received 4 mg zoledronic acid IV q 12 weeks and received placebo to Zometa IV at the 4 week intervals between the q 12 week zoledronic acid infusions in order to maintain the blind. |
|
| Placebo / zoledronic acid | Experimental | Participants randomized to this arm received placebo but the arm was later dropped and participants in this arm were swithced to the zoledronic acid q 4 weeks according to a study amendment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zoledronic acid | Drug | 4mg IV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Patients Who Experienced at Least One Skeletal Related Event (SRE) | An SRE was defined as a pathologic fracture (vertebral and non-vertebral), spinal cord compression, radiation to bone or surgery to bone. | 52 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Time to First SRE | An SRE was defined as a pathologic bone fracture (vertebral and non-vertebral), spinal cord compression, radiation to bone, or surgery to bone. The time to first individual SRE was defined as the date of randomization to the date of first occurrence of any SRE. | 52 weeks |
| Time to First Individual Type of SRE |
Not provided
Inclusion Criteria:
Female patients ≥ 18 years of age. Confirmed breast cancer with bone metastasis. Pretreated with Zometa®, or Aredia (pamidronate) or all sequential regimens of both, for a minimum of 9 doses;
Exclusion Criteria:
Abnormal kidney function determined by serum creatinine levels. Current active dental problems including: ongoing infection of the teeth or jawbone; current exposed bone in the mouth; and current or prior diagnosis of osteonecrosis of the jaw.
Recent (within 8 weeks) or planned dental or jaw surgery (e.g., extraction, implants).
Diagnosis of metabolic bone disease other than osteoporosis (e.g., Paget's disease of bone).
Known hypersensitivity to Zometa. Treatment with other investigational drugs within 30 days prior to randomization.
Other protocol-defined exclusion criteria may have applied.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Providence Alaska Medical Center Cancer Research | Anchorage | Alaska | 99508 | United States | ||
| Heritage Physicians Group Oncology |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28125763 | Derived | Hortobagyi GN, Van Poznak C, Harker WG, Gradishar WJ, Chew H, Dakhil SR, Haley BB, Sauter N, Mohanlal R, Zheng M, Lipton A. Continued Treatment Effect of Zoledronic Acid Dosing Every 12 vs 4 Weeks in Women With Breast Cancer Metastatic to Bone: The OPTIMIZE-2 Randomized Clinical Trial. JAMA Oncol. 2017 Jul 1;3(7):906-912. doi: 10.1001/jamaoncol.2016.6316. |
| Label | URL |
|---|---|
| Visit NovartisClinicalTrials.com: Pre-qualify for a trial, and view a list of trials and participating study centers. | View source |
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The initial study design contained 3 arms: zoledronic acid q4 weeks, zoledronic acid q12 weeks and placebo q4 weeks. Due to a study amendment, the placebo arm was discontinued and participants in this treatment group were switched to the zoledronic acid q4 week group. These participants were not included in the efficacy analysis.
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| ID | Title | Description |
|---|---|---|
| FG000 | Zoledronic Acid Every (q) 4 Weeks | Participants received 4mg of zoledronic acid intravenously (IV) infusion q 4 weeks. |
| FG001 | Zoledronic Acid q 12 Weeks | Participants received 4 mg zoledronic acid IV q 12 weeks and received placebo to Zometa IV at the 4 week intervals between the q 12 week zoledronic acid infusions in order to maintain the blind. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug | Placebo to zoledronic acid |
|
Types of SREs analyzed were pathologic fractures (vertebral and non-vertebral), spinal cord compression, radiation to bone and surgery to bone. The time to first indvidual SRE was defined as the date of randomization to the date of the first occurrence of any individual SRE. |
| 52 weeks |
| Change From Baseline in Mean Composite Brief Pain Inventory (BPI) Score | Participants completed a BPI short form which is a 9 item self-administered questionnaire used to evaluate the severity of a participant's pain and the impact of this pain on the participant's daily functioning. The participant rates his or her worst, least, average, and current pain intensity, lists current treatments and perceived effectiveness, and rates the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a 10 point scale. The BPI composite score, which was calculated as the average of items 3, 4, 5 and 6 (worst pain, least pain, average pain and pain right now), ranged from 0 (best possible outcome, no pain) to 10 (worst possible outcome, pain as bad as you can imagine). A positive change from baseline indicates worsening. | baseline, 52 weeks |
| Change From Baseline in Mean Analgesic Score | The analgesic score indicates the types of pain medication used. The scores range as follows: 0 = none medication; 1 = minor analgesics (aspirin, NSAID, acetaminophen, propoxyphene, etc.); 2 = Tranquilizers, antidepressants, muscle relaxants, and steroids; 3 = Mild narcotics (oxycodone, meperidine, codeine, etc.); and 4 = Strong narcotics (morphine, hydromorphone, etc.). A positive change from baseline indicates worsening. | baseline, 52 weeks |
| Change From Baseline in Urinary N-telopeptide / Creatinine Ratio | Urine samples were collected to obtain n-telopeptide and creatinine values. | baseline, 48 weeks |
| Change From Baseline in Serum Bone Specific Alkaline Phosphatase | Serum samples were collected to obtain bone specific alkaline phosphatase values. | baseline, 48 weeks |
| Skeletal Morbidity Rate | An SMR for a patient was defined as the "number of occurrences" of any (or a particular) SRE allowing for only 1 event in any 3-week interval, divided by the "time at risk" in years. The "number of occurrences" and the "time at risk" were counts of SRE and the time from the randomization date. Counting began from randomization in the way that every counted event was followed by a 20-day period during which no SRE was counted, nor was the time counted as "at risk". For example, if a patient had 1 SRE during the study, the "time at risk" was calculated as the total number of days in the study minus the 20-day follow-up period for that SRE. If a patient had no SRE events, the entire study period was counted as "time at risk". This SMR calculation method had the advantage of avoiding multiple counts of possibly interdependent SREs (e.g. having 1 fracture increases the probability of having a subsequent SRE). | 52 weeks |
| Hot Springs |
| Arkansas |
| 71913 |
| United States |
| The Center for Chest Care | Springdale | Arkansas | 72764 | United States |
| Pacific Cancer Medical Center, Inc. | Anaheim | California | 92801 | United States |
| South Bay Oncology Hematology Partners | Campbell | California | 95008 | United States |
| Bay Area Cancer Research | Concord | California | 94520 | United States |
| Pacific Coast Hem/Onc | Fountain Valley | California | 92708 | United States |
| Wilshire Oncology Medical Group | La Verne | California | 91750 | United States |
| Kenmar Research Institute | Los Angeles | California | 90057 | United States |
| North Valley Hematology/Oncology Providence Holy Cross Medical | Northridge | California | 91328 | United States |
| Medical Oncology Care Associates | Orange | California | 92868 | United States |
| Ventura County Hematology and Oncology | Oxnard | California | 93030 | United States |
| The Office of Dr. Swarna Chanduri, MD | Pomona | California | 91767 | United States |
| Access Clinical Research | Rancho Mirage | California | 92270 | United States |
| Cancer and Blood of the Desert | Rancho Mirage | California | 92270 | United States |
| University of California Davis Cancer Center | Sacramento | California | 95817 | United States |
| University of California at Los Angeles | Sylmar | California | 91342 | United States |
| Denver Health Medical Center CACZ885M2301 | Denver | Colorado | 80204-4507 | United States |
| Eastern Connecticut Hematology & Oncology Associates | Norwich | Connecticut | 06360 | United States |
| Georgetown University/Lombardi Cancer Center | Washington D.C. | District of Columbia | 20007-2197 | United States |
| Washington Hospital Center | Washington D.C. | District of Columbia | 20010 | United States |
| Baptist Cancer Center | Jacksonville | Florida | 32209 | United States |
| Pasco Hernando Oncology | New Port Richey | Florida | 34652 | United States |
| The Office of Dr. Elizabeth Tan-Chiu, MD PA | Planatation | Florida | 33324 | United States |
| Suburban Hematology-Oncology | Lawrenceville | Georgia | 30045 | United States |
| NorthwesternUniv.Med.School/Robert H. Lurie Comp.Cancer Ctr | Chicago | Illinois | 60611 | United States |
| Evanston Northwestern Healthcare Medical Group | Evanston | Illinois | 60201 | United States |
| Edward Cancer Center | Naperville | Illinois | 60540 | United States |
| Midwest Cancer Research Group | Skokie | Illinois | 60077 | United States |
| Investigative Clinical Research | Indianapolis | Indiana | 46254 | United States |
| Cancer Care Center | New Albany | Indiana | 47150 | United States |
| Associated Physicians & Surgeons Clinic | Terre Haute | Indiana | 47804 | United States |
| Medical Associates Clinic, PC | Dubuque | Iowa | 52001 | United States |
| University of Iowa Health Care | Iowa City | Iowa | 52242-1091 | United States |
| Siouxland Hematology-Oncology Associates LLP | Sioux City | Iowa | 51101 | United States |
| Cotton O'Neil Oncology Clinic | Topeka | Kansas | 66606 | United States |
| Cancer Center of Kansas | Witchita | Kansas | 67214-3728 | United States |
| Kentucky Lung Clinic & Kentucky Sleep Clinic | Hazard | Kentucky | 41701 | United States |
| Lexington Oncology Associates | Lexington | Kentucky | 40503 | United States |
| Cabrini Center for Cancer Care | Alexandria | Louisiana | 71301 | United States |
| Southwest Oncology Associates Ltd. | Lafayette | Louisiana | 70503 | United States |
| Greenbaum Cancer Center | Baltimore | Maryland | 21201-1595 | United States |
| St. Agnes Hospital | Baltimore | Maryland | 21229 | United States |
| The Harry and Jeanette Weinberg Cancer Institute at Franklin | Baltimore | Maryland | 21237 | United States |
| Center for Cancer & Blood Disorders | Bethesda | Maryland | 20817 | United States |
| Frederick Memorial Hospital | Frederick | Maryland | 21701 | United States |
| Caritas Holy Family Hospital | Methuen | Massachusetts | 01844 | United States |
| University of Michigan Clinical Trials Office | Ann Arbor | Michigan | 48109 | United States |
| Wayne State University | Detroit | Michigan | 48201 | United States |
| Henry Ford Hospital Oncology | Detroit | Michigan | 48202 | United States |
| Oncology Care Associates, PLLC | Saint Joseph | Michigan | 49085 | United States |
| St. Luke's Hospital and Health Network | Duluth | Minnesota | 55805 | United States |
| Fairview Clinical Trial Services | Minneapolis | Minnesota | 55414 | United States |
| Univ. of Minnesota Cancer Center 420 Delaware St. | Minneapolis | Minnesota | 55455 | United States |
| Hubert H. Humphrey Cancer Center | Robbinsdale | Minnesota | 55422 | United States |
| Jackson Oncology Associates | Jackson | Mississippi | 39202 | United States |
| Capitol Comprehensive Cancer Care Clinic | Jefferson City | Missouri | 65109 | United States |
| The Center for Cancer Care and Research | St Louis | Missouri | 63141 | United States |
| Nebraska Hematology-Oncology PC | Lincoln | Nebraska | 68506 | United States |
| Nevada Cancer Centers 2851 North Tenaya Way | Las Vegas | Nevada | 89109 | United States |
| Center for Cancer and Hematologic Disease | Cherry Hill | New Jersey | 08003 | United States |
| Saint Barnabas Medical Center | Livingston | New Jersey | 07039 | United States |
| Somerset Hematology Oncology Associates | Somerset | New Jersey | 08873 | United States |
| Advanced Oncology Associates | Armonk | New York | 10504 | United States |
| Arena Oncology Associates, PC | Great Neck | New York | 11021 | United States |
| Benedictine Hospital | Kingston | New York | 12401 | United States |
| Beth Israel Medical Center | New York | New York | 10003 | United States |
| Columbia Presbyterian Medical Center | New York | New York | 10032 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Jmaes P. Wilmot Cancer Center | Rochester | New York | 14642 | United States |
| Alamance Regional Medical Cancer Center | Burlington | North Carolina | 27215 | United States |
| Northeast Oncology Associates Suite 250 | Concord | North Carolina | 28025 | United States |
| Barberton Citizens Hospital | Barberton | Ohio | 44203 | United States |
| Gabrail Cancer Center | Canton | Ohio | 44718 | United States |
| Ohio Cancer Specialists | Mansfield | Ohio | 44907 | United States |
| Hematology/Oncology Consultants Inc. | West Worthington | Ohio | 43235 | United States |
| Trilogy Cancer Care | Wooster | Ohio | 44691 | United States |
| Bay Area Hospital - Pharmacy | Coos Bay | Oregon | 97420 | United States |
| The Corvallis Clinic, P.C. | Corvallis | Oregon | 97330 | United States |
| Milton S Hershey Medical Center | Hershey | Pennsylvania | 17033 | United States |
| Lancaster Cancer Center | Lancaster | Pennsylvania | 17601 | United States |
| U of Pittsburgh Cancer Institute Magee-Womens Hospital | Pittsburgh | Pennsylvania | 15213 | United States |
| Guthrie Cancer Center | Sayre | Pennsylvania | 18840 | United States |
| Mainline Oncology Hematology Assoc. | Wynnewood | Pennsylvania | 19096 | United States |
| M. Francisco Gonzalez, MD., FACP | Columbia | South Carolina | 29203 | United States |
| Santee Hematology/Oncology | Sumter | South Carolina | 29150 | United States |
| MD Anderson Cancer Center/University of Texas 1155 Herman Pressler Street | Houston | Texas | 77031 | United States |
| Cancer Centers of South Texas | San Antonio | Texas | 78229 | United States |
| Providence Everett Medical Clinic | Everett | Washington | 98201 | United States |
| Seattle Cancer Care Alliance Seattle Cancer Care Alliance | Seattle | Washington | 98109 | United States |
| Rockwood Clinic Rockwood Clinic, PS | Spokane | Washington | 99202 | United States |
| Medical College of Wisconsin | Milwaukee | Wisconsin | 53226 | United States |
| FG002 | Placebo / Zoledronic Acid | Participants randomized to this arm received placebo but the arm was later dropped and participants in this arm were later switched to the zoledronic acid q 4 weeks according to a study amendment. |
| Treated (Safety Set) |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Zoledronic Acid Every (q) 4 Weeks | Participants received 4mg of zoledronic acid intravenously (IV) infusion q 4 weeks. |
| BG001 | Zoledronic Acid q 12 Weeks | Participants received 4 mg zoledronic acid IV q 12 weeks and received placebo to Zometa IV at the 4 week intervals between the q 12 week zoledronic acid infusions in order to maintain the blind. |
| BG002 | Placebo / Zoledronic Acid | Participants randomized to this arm received placebo but the arm was later dropped and participants in this arm were later switched to the zoledronic acid q 4 weeks according to a study amendment. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex/Gender, Customized | All participants were female. | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Proportion of Patients Who Experienced at Least One Skeletal Related Event (SRE) | An SRE was defined as a pathologic fracture (vertebral and non-vertebral), spinal cord compression, radiation to bone or surgery to bone. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups. | Posted | Number | Percentage of participants | 52 weeks |
|
|
| |||||||||||||||||||||||||||||
| Secondary | Time to First SRE | An SRE was defined as a pathologic bone fracture (vertebral and non-vertebral), spinal cord compression, radiation to bone, or surgery to bone. The time to first individual SRE was defined as the date of randomization to the date of first occurrence of any SRE. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups. | Posted | Median | 95% Confidence Interval | Days | 52 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Time to First Individual Type of SRE | Types of SREs analyzed were pathologic fractures (vertebral and non-vertebral), spinal cord compression, radiation to bone and surgery to bone. The time to first indvidual SRE was defined as the date of randomization to the date of the first occurrence of any individual SRE. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups. | Posted | Median | 95% Confidence Interval | Weeks | 52 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Mean Composite Brief Pain Inventory (BPI) Score | Participants completed a BPI short form which is a 9 item self-administered questionnaire used to evaluate the severity of a participant's pain and the impact of this pain on the participant's daily functioning. The participant rates his or her worst, least, average, and current pain intensity, lists current treatments and perceived effectiveness, and rates the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a 10 point scale. The BPI composite score, which was calculated as the average of items 3, 4, 5 and 6 (worst pain, least pain, average pain and pain right now), ranged from 0 (best possible outcome, no pain) to 10 (worst possible outcome, pain as bad as you can imagine). A positive change from baseline indicates worsening. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups and had both baseline and week 52 values. | Posted | Mean | Standard Deviation | scores on a scale | baseline, 52 weeks |
| ||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Mean Analgesic Score | The analgesic score indicates the types of pain medication used. The scores range as follows: 0 = none medication; 1 = minor analgesics (aspirin, NSAID, acetaminophen, propoxyphene, etc.); 2 = Tranquilizers, antidepressants, muscle relaxants, and steroids; 3 = Mild narcotics (oxycodone, meperidine, codeine, etc.); and 4 = Strong narcotics (morphine, hydromorphone, etc.). A positive change from baseline indicates worsening. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups and had both baseline and week 52 values. | Posted | Mean | Standard Deviation | score | baseline, 52 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Urinary N-telopeptide / Creatinine Ratio | Urine samples were collected to obtain n-telopeptide and creatinine values. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups and had both baseline and week 48 values. | Posted | Mean | Standard Deviation | ratio | baseline, 48 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Serum Bone Specific Alkaline Phosphatase | Serum samples were collected to obtain bone specific alkaline phosphatase values. | The population included participants who were in the zoledronic acid q4 weeks and zoledronic acid q12 weeks treatment groups and had both baseline and week 48 values. | Posted | Mean | Standard Deviation | mcg/L | baseline, 48 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Skeletal Morbidity Rate | An SMR for a patient was defined as the "number of occurrences" of any (or a particular) SRE allowing for only 1 event in any 3-week interval, divided by the "time at risk" in years. The "number of occurrences" and the "time at risk" were counts of SRE and the time from the randomization date. Counting began from randomization in the way that every counted event was followed by a 20-day period during which no SRE was counted, nor was the time counted as "at risk". For example, if a patient had 1 SRE during the study, the "time at risk" was calculated as the total number of days in the study minus the 20-day follow-up period for that SRE. If a patient had no SRE events, the entire study period was counted as "time at risk". This SMR calculation method had the advantage of avoiding multiple counts of possibly interdependent SREs (e.g. having 1 fracture increases the probability of having a subsequent SRE). | This population included all participants who were in the zoledronic acid q 4 weeks and zoledronic acid q 12 weeks treatment groups. | Posted | Mean | Standard Deviation | Number of events per year | 52 weeks |
|
Not provided
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Zoledronic Acid Every (q) 4 Weeks | Participants received 4mg of zoledronic acid intravenously (IV) infusion q 4 weeks. | 50 | 198 | 182 | 198 | ||
| EG001 | Zoledronic Acid q 12 Weeks | Participants received 4 mg zoledronic acid IV q 12 weeks and received placebo to Zometa IV at the 4 week intervals between the q 12 week zoledronic acid infusions in order to maintain the blind. | 51 | 202 | 185 | 202 | ||
| EG002 | Placebo / Zoledronic Acid | Participants randomized to this arm received placebo but the arm was later dropped and participants in this arm were later switched to the zoledronic acid q 4 weeks according to a study amendment. | 3 | 13 | 12 | 13 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Leukocytosis | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pancytopenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Palpitations | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pericardial effusion | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Supraventricular tachycardia | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Arteriovenous malformation | Congenital, familial and genetic disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypercalcaemia of malignancy | Endocrine disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Eye swelling | Eye disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Haematemesis | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Megacolon | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Mesenteric vein thrombosis | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oesophageal stenosis | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oesophagitis | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oral disorder | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Varices oesophageal | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Disease progression | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Drug withdrawal syndrome | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Fibrosis | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| General physical health deterioration | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Generalised oedema | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Mucosal inflammation | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Perforated ulcer | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Biliary dilatation | Hepatobiliary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Cholangitis | Hepatobiliary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hepatic failure | Hepatobiliary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Clostridium difficile colitis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Escherichia sepsis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Clavicle fracture | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Comminuted fracture | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Femur fracture | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Spinal compression fracture | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Subdural haematoma | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Hepatic enzyme increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Troponin increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Failure to thrive | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Osteonecrosis of jaw | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pathological fracture | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Breast cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Metastases to bone | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Metastases to central nervous system | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Metastases to liver | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Metastases to lung | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Metastases to meninges | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Non-small cell lung cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 16.0 | Systematic Assessment |
| |
| Brain mass | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Cerebral haemorrhage | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Coma | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Convulsion | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Depressed level of consciousness | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hemiparesis | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hepatic encephalopathy | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hydrocephalus | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Spinal cord compression | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Vasogenic cerebral oedema | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Acute psychosis | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Mental status changes | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hydronephrosis | Renal and urinary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Urinary tract obstruction | Renal and urinary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pelvic pain | Reproductive system and breast disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Tachypnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Decubitus ulcer | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Swelling face | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Orthostatic hypotension | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Palpitations | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pericardial effusion | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Ventricular tachycardia | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Vision blurred | Eye disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oesophagitis | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oral disorder | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Swollen tongue | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Chills | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oedema | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Oral herpes | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Tooth infection | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Foot fracture | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Laceration | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA 16.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood albumin decreased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood cholesterol increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood glucose increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood lactate dehydrogenase increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood potassium decreased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Blood urea increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Liver function test abnormal | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Red blood cell count decreased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Serum ferritin decreased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Weight increased | Investigations | MedDRA 16.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Balance disorder | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypersomnia | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Neuralgia | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Neuropathy peripheral | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Restless legs syndrome | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pollakiuria | Renal and urinary disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Vaginal discharge | Reproductive system and breast disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Sleep apnoea syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Night sweats | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Palmar-plantar erythrodysaesthesia syndrome | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pruritus generalised | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Aortic aneurysm | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hot flush | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Lymphoedema | Vascular disorders | MedDRA 16.0 | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis | 862-778-8300 |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077211 | Zoledronic Acid |
| ID | Term |
|---|---|
| D004164 | Diphosphonates |
| D063065 | Organophosphonates |
| D009943 | Organophosphorus Compounds |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
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