1. Evaluation of zoledronate for the treatment of canine stage III osteosarcoma: A phase II study.
- Author
-
Smith AA, Lindley SES, Almond GT, Bergman NS, Matz BM, and Smith AN
- Subjects
- Animals, Dogs, Prospective Studies, Treatment Outcome, Bone Neoplasms drug therapy, Bone Neoplasms veterinary, Bone Neoplasms pathology, Dog Diseases drug therapy, Dog Diseases pathology, Osteosarcoma drug therapy, Osteosarcoma veterinary, Zoledronic Acid adverse effects
- Abstract
Background: Greater than 90% of dogs with appendicular osteosarcoma will develop pulmonary metastasis despite the standard of care. Available treatments have limited efficacy for stage III disease. Zoledronate, a bisphosphonate, induces apoptosis of canine osteosarcoma cells and appears to modulate the tumour microenvironment., Objectives: This prospective, single institutional phase IIa trial investigated the use of single agent zoledronate in dogs with pulmonary metastases from osteosarcoma., Methods: Zoledronate was administered once monthly, and thoracic radiographs were used to assess response., Results: Eleven dogs were enrolled. Stable disease was achieved in two of eight dogs available for response assessment. The median progression-free survival was 28 days (range: 4-93 days). The median stage III-specific survival time was 92 days. Adverse events were reported in four dogs; two dogs developed grade III or higher toxicities. Notable adverse events included conjunctivitis, fever, hypocalcaemia, and hypophosphatemia., Conclusions: Zoledronate appears to have limited efficacy as a single agent for stage III osteosarcoma and may be associated with unexpected toxicity in this population. This clinical trial was registered on the AVMA Animal Health Studies Database (AAHSD004396)., (© 2022 The Authors. Veterinary Medicine and Science published by John Wiley & Sons Ltd.)
- Published
- 2023
- Full Text
- View/download PDF