Numerous Phase 1 through Phase 4 clinical trials, sponsored by academic medical centers and public health organizations such as the National Cancer Institute and Mayo Clinic, have evaluated Pamidronate Disodium across metabolic and oncologic bone disorders. These studies investigate conditions including osteoporosis, Paget disease of bone, osteogenesis imperfecta, spondyloarthropathy, multiple myeloma, and metastatic breast cancer. While completed trials demonstrate its efficacy in managing bone pain and skeletal-related events, overall trial statuses vary, including recruiting, terminated, and withdrawn studies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02074631 | COMPLETED | Osteopenia; Osteoporosis |
Masonic Cancer Center, University of Minnesota |
2015-02 | PHASE2 |
| NCT02721433 | COMPLETED | Breast Cancer; Prostate Cancer; Metastasis |
Ottawa Hospital Research Institute |
2016-08 | PHASE4 |
| NCT02594878 | UNKNOWN | Immune System Disease; Musculoskeletal Disease |
University of Aarhus |
2015-10 | PHASE2 |
| NCT00004088 | COMPLETED | Multiple Myeloma and Plasma Cell Neoplasm |
City of Hope Medical Center |
1999-04-13 | PHASE2 |
| NCT02313727 | UNKNOWN | Ankylosing Spondylitis |
Bnai Zion Medical Center |
2014-12 | PHASE4 |
| NCT02544659 | COMPLETED | SAPHO Syndrome |
Peking Union Medical College Hospital |
2015-10 | PHASE1 |
| NCT01907880 | COMPLETED | Breast Cancer |
Ottawa Hospital Research Institute |
2012-08 | PHASE4 |
| NCT01799616 | UNKNOWN | Intervertebral Disc Degeneration; Modic I Discopathy; Back Pain; Low Back Pain; Magnetic Resonance Imaging (MRI) |
University Hospital, Clermont-Ferrand |
2013-01 | PHASE2 |
| NCT02101164 | WITHDRAWN | Solid Tumor; Metastatic Bone Disease |
Amgen |
2014-11 | PHASE4 |
| NCT00083382 | COMPLETED | Multiple Myeloma |
University of Arkansas |
1998-12 | PHASE2 |
| NCT00005901 | COMPLETED | Osteogenesis Imperfecta |
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) |
2000-06 | PHASE3 |
| NCT01067989 | TERMINATED | Chemotherapy; Breast Cancer, Metastatic |
HaEmek Medical Center, Israel |
2010-03 | PHASE2 |
| NCT01718951 | COMPLETED | Spondyloarthropathy |
Tuen Mun Hospital |
2012-08 | PHASE4 |
| NCT00655681 | COMPLETED | Osteoporosis; Cerebral Palsy; Spina Bifida; Osteopenia; Osteogenesis Imperfecta |
University of New Mexico |
2007-09 | |
| NCT00767169 | COMPLETED | Edentatio (Toothlessness) |
University Hospital, Linkoeping |
2008-10 | PHASE2 |
| NCT02007915 | TERMINATED | Femoral Head Avascular Necrosis |
The Hospital for Sick Children |
2009-07 | |
| NCT00101790 | UNKNOWN | Low Back Pain |
Icahn School of Medicine at Mount Sinai |
2003-09 | PHASE1 |
| NCT00262392 | WITHDRAWN | Heterotopic Ossification |
University Hospital, Basel, Switzerland |
2005-06 | |
| NCT01210599 | COMPLETED | Chronic Low Back Pain |
Pappagallo, Marco, M.D. |
2004-04 | PHASE1; PHASE2 |
| NCT00124605 | COMPLETED | Refractory Multiple Myeloma; Unspecified Adult Solid Tumor, Protocol Specific |
National Cancer Institute (NCI) |
2005-04 | PHASE1 |
| NCT00586846 | COMPLETED | Osteosarcoma |
Memorial Sloan Kettering Cancer Center |
2003-07 | PHASE2 |
| NCT00159419 | COMPLETED | Osteogenesis Imperfecta; Osteoporosis; Paget Disease of Bone |
Indiana University |
1999-08 | PHASE4 |
| NCT00482378 | COMPLETED | Multiple Myeloma and Plasma Cell Neoplasm; Pain |
Mayo Clinic |
2005-03-21 | PHASE1; PHASE2 |
| NCT00033332 | COMPLETED | Multiple Myeloma and Plasma Cell Neoplasm |
National Cancer Institute (NCI) |
2002-04 | PHASE3 |
| NCT00164008 | COMPLETED | Osteopenia; Complications of Heart-lung Transplant; Other Complications of Lung Transplant |
Bayside Health |
2002-10 | PHASE4 |
| NCT00738257 | COMPLETED | Bone Loss |
Novartis Pharmaceuticals |
2000-06 | PHASE4 |
| NCT00128297 | COMPLETED | Breast Cancer; Neoplasm Metastasis |
Spanish Breast Cancer Research Group |
2000-10-18 | PHASE4 |
| NCT00657852 | COMPLETED | Bone Disease, Metabolic |
Hospital Clinic of Barcelona |
2000-12 | PHASE4 |
| NCT00302627 | COMPLETED | Transplant Bone Disease |
Providence Health & Services |
1999-01 | |
| NCT00376883 | COMPLETED | Multiple Myeloma |
Nordic Myeloma Study Group |
2000-01 | PHASE3 |
| NCT00120133 | COMPLETED | Osteoporosis |
Children's Mercy Hospital Kansas City |
2004-12 | |
| NCT00022841 | TERMINATED | Osteoporosis |
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) |
PHASE1; PHASE2 | |
| NCT00372710 | TERMINATED | Breast Cancer With Bone Metastasis |
Novartis |
2002-08 | PHASE3 |
| NCT00004906 | COMPLETED | Breast Cancer |
Hackensack Meridian Health |
1999-10 | PHASE2 |
| NCT00108394 | COMPLETED | Osteopenia; Renal Osteodystrophy |
US Department of Veterans Affairs |
2002-10 | PHASE4 |
| NCT00548288 | UNKNOWN | Arthroplasty; Mineral Density |
General and Teaching Hospital Celje |
2007-11 | PHASE1 |
| NCT00083408 | COMPLETED | Multiple Myeloma |
University of Arkansas |
1998-03 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2024-02-20)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).
- Pamidronate Disodium Solubility in DMSO
- Pamidronate Disodium Stock Solution
- Pamidronate Disodium Storage
- Pamidronate Disodium Stability
- Pamidronate Disodium Molecular Weight
- Pamidronate Disodium SMILES
- Pamidronate Disodium CAS Number
- Pamidronate Disodium Chemical Structure (2D and 3D)
- Pamidronate Disodium SDS|MSDS