ZOMETA International Site for Healthcare Professionals Outside of the US

US Residents

ZOMETA in Advanced Cancers

Prostate Cancer

Skeletal complications can shorten the survival of patients with advanced prostate cancer1-3

Bone metastases strike the majority of patients with advanced prostate cancer1

  • 65% to 75% of patients with advanced prostate cancer develop bone metastases,* which may lead to bone complications or skeletal-related events (SREs)1†
  • A clinical trial demonstrated that without treatment with a bone-targeted agent2
    • 49% of patients with prostate cancer and bone metastases experienced an SRE within 2 years
    • SRE frequency was approximately every 8 months

*Incidence at autopsy.
SREs are generally defined as pathological fractures, spinal cord compression, radiation or surgery to bone, or tumour-induced hypercalcaemia.4

As new treatments extend survival, the threat of SREs increases2,5

First SRE vs. median survival: advanced prostate cancer

Median time to first SRE for patients treated with placebo in a clinical trial.
§Median survival in men with good performance status and disease confined to bone that affects the axial skeleton.

Having an SRE may impact duration of survival3

  • Experiencing an SRE can decrease survival by more than 3 years in patients with bone metastases from prostate cancer3
References: 1. Coleman RE. Metastatic bone disease: clinical features, pathophysiology and treatment strategies. Cancer Treatment Rev. 2001;27:165-176. 2. Saad F, Gleason DM, Murray R, et al; Zoledronic Acid Prostate Cancer Study Group. Long-term efficacy of zoledronic acid for the prevention of skeletal complications in patients with metastatic hormone-refractory prostate cancer. J Natl Cancer Inst. 2004;96:879-882. 3. Oefelein MG, Ricchiuti V, Conrad W, Resnick MI. Skeletal fractures negatively correlate with overall survival in men with prostate cancer. J Urol. 2002;168:1005-1007. 4. ZOMETA Summary of Product Characteristics. Novartis Pharma AG. 5. Coleman RE. Skeletal complications of malignancy. Cancer. 1997;80:1588-1594. 6. Saad F, Gleason DM, Murray R, et al; Zoledronic Acid Prostate Cancer Study Group. A randomized, placebo-controlled trial of zoledronic acid in patients with hormone-refractory metastatic prostate carcinoma. J Natl Cancer Inst. 2002;94:1458-1468. 7. Saad F, Lipton A. Clinical benefits and considerations of bisphosphonate treatment in metastatic bone disease. Semin Oncol. 2007;34(suppl 4):S17-S23. 8. Vollmer RT, Dawson NA, Vogelzang NJ. The dynamics of prostate specific antigen in hormone refractory prostate carcinoma. Cancer. 1998;83:1989-1994. 9. Aapro M, Abrahamsson PA, Body JJ, et al. Guidance on the use of bisphosphonates in solid tumours: recommendations of an international expert panel. Ann Oncol. 2008;19:420-432. 10. Mottet N, Bellmunt J, Bolla M, et al. EAU guidelines on prostate cancer. Part II: treatment of advanced, relapsing, and castration-resistant prostate cancer. Eur Urol. 2011;59:572-583.

Disclaimer: This is an international website for ZOMETA® (zoledronic acid) and is intended for healthcare professionals outside the US. If you are a US resident, please click on the US Residents link at the top of this page. The information on this site is not country-specific and may contain information that is outside the approved indications in the country in which you are located.

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