Clinical Trials

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in managing bone pain and skeletal-related events, overall trial statuses vary, including recruiting, terminated, and withdrawn studies.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NCT02101164 WITHDRAWN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)

Check the Pamidronate Disodium product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Pamidronate disodium selectively binds to hydroxyapatite in bone matrix and inhibits farnesyl pyrophosphate synthase within the mevalonate pathway, thereby disrupting the prenylation of essential small GTPases in osteoclasts. The resulting induction of osteoclast apoptosis and suppression of bone resorption effectively mitigates bone loss and skeletal complications in clinical conditions such as osteoporosis, Paget disease of bone, and bone metastases from breast cancer or multiple myeloma.

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>).

Note: Technical data last updated: Sep 1, 2026.