Asset profile

Zoledronic acid

Small molecule

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Mixedregistrational program

Evidence outlook · registrational program

NCT00127205 · Breast Cancer

This registrational program is split: one trial met its primary endpoint and another missed. The grade and rationale below record what each trial was designed to show and what it found.

NCT00127205: This was a large randomized, open-label, three-arm active-controlled trial with 2,231 participants in the zoledronic acid arm, 2,235 in the clodronate arm, and 1,552 in the ibandronate arm. Its hard clinical primary endpoint, disease-free survival, was not significantly different between treatments, so the findings provide useful but inconclusive evidence for a benefit of zoledronic acid.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 29 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Zoledronic Acid: this drugPhase 3Small moleculeFarnesyl pyrophosphate synthase (FPPS)
Abemaciclib (Verzenio)ApprovedSmall moleculeCDK4 and CDK6
Alpelisib (BYL719)ApprovedSmall moleculePI3K-alpha
AnastrozoleApprovedSmall moleculeAromatase
CapecitabineApprovedSmall moleculeFluoropyrimidine (antimetabolite)
CapivasertibApprovedSmall moleculeAKT (inhibitor)
Datopotamab DeruxtecanApprovedAntibody–drug conjugateTROP2
DenosumabApprovedMonoclonal antibodyRANKL
DocetaxelApprovedSmall moleculeMicrotubules (tubulin)
ElacestrantApprovedSmall moleculeEstrogen receptor
Eribulin MesylateApprovedSmall moleculeTubulin / microtubules
EverolimusApprovedSmall moleculemTOR kinase, mTOR (mTORC1) (inhibitor)
ExemestaneApprovedSmall moleculeAromatase
Fulvestrant (Faslodex)ApprovedSmall moleculeEstrogen receptor
GedatolisibApprovedSmall moleculePI3K (class I isoforms) and mTORC1/mTORC2
GemcitabineApprovedSmall moleculeribonucleotide reductase / DNA polymerase (dCTP competition)

…and 45 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(23 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (3)
December 2026 (3)
Phase 1Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia, Hodgkin Lymphoma, Non-Hodgkin Lymphoma, Myelodysplastic Syndrome …Recruiting
Est. primary completion 2026-12 · NCT02508038 · CT.gov ↗
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Phase 1Neuroblastoma, Refractory Neuroblastoma, Relapsed Neuroblastoma, Relapsed Osteosarcoma, Refractory OsteosarcomaRecruiting
Est. primary completion 2026-12 · NCT05400603 · CT.gov ↗
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Phase 1With MSS/pMMR Advanced, Platinum-resistant Ovarian CancerRecruiting
Est. primary completion 2026-12-31 · NCT06513624 · CT.gov ↗
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2027 (10)
January 2027 (1)
Phase 3Giant Cell Tumor of BoneRecruiting
Est. primary completion 2027-01 · NCT03295981 · CT.gov ↗
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February 2027 (5)
Phase 4Osteoporosis, PostmenopausalActive not recruiting
Est. primary completion 2027-02-01 · NCT05655013 · CT.gov ↗
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Phase 1Epithelial Ovarian, Fallopian Tube, Primary Peritoneal CancerActive not recruiting
Est. primary completion 2027-02-02 · NCT05053750 · CT.gov ↗
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Early phase / not applicableControlled Type 2 Diabetic Patients With PeriodontitisNot yet recruiting
Est. primary completion 2027-02-07 · NCT07753317 · CT.gov ↗
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Phase 1/2Congenital Dyserythropoietic Anemia (CDA)Recruiting
Est. primary completion 2027-02-25 · NCT07471516 · CT.gov ↗
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Phase 2Critical Illness, OsteoporosisRecruiting
Est. primary completion 2027-02-28 · NCT04608630 · CT.gov ↗
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March 2027 (1)
Phase 4Osteoporosis, Osteoporosis, Postmenopausal, Osteoporosis FractureActive not recruiting
Est. primary completion 2027-03-31 · NCT05058976 · CT.gov ↗
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May 2027 (1)
Phase 3Imaging Examination Shows at Least One Site With Bone Metastases From Soild TumorsNot yet recruiting
Est. primary completion 2027-05-31 · NCT06221072 · CT.gov ↗
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August 2027 (1)
Phase 1Chronic Kidney Disease, Osteoporosis, DialysisNot yet recruiting
Est. primary completion 2027-08-15 · NCT07741136 · CT.gov ↗
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December 2027 (1)
Phase 2Pancreatic Adenocarcinoma, Recurrent Pancreatic Carcinoma, Stage I Pancreatic Cancer AJCC v6 and v7 …Active not recruiting
Est. primary completion 2027-12 · NCT03073785 · CT.gov ↗
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2028 (6)
January 2028 (2)
Phase 1Hematopoietic Stem Cell TransplantationRecruiting
Est. primary completion 2028-01 · NCT07375290 · CT.gov ↗
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Phase 3Sarcopenia in ElderlyNot yet recruiting
Est. primary completion 2028-01-01 · NCT07056478 · CT.gov ↗
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February 2028 (1)
Phase 4Primary HyperparathyroidismRecruiting
Est. primary completion 2028-02-01 · NCT06859580 · CT.gov ↗
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October 2028 (1)
Phase 3FHA (Functional Hypothalamic Amenorrhea)Recruiting
Est. primary completion 2028-10 · NCT06533865 · CT.gov ↗
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December 2028 (2)
Phase 4HIV Infected Individuals, OsteopeniaRecruiting
Est. primary completion 2028-12-01 · NCT06762730 · CT.gov ↗
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Phase 4OsteoporosisRecruiting
Est. primary completion 2028-12-31 · NCT07281586 · CT.gov ↗
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2029 (1)
March 2029 (1)
Phase 2Osteomyelitis ChronicNot yet recruiting
Est. primary completion 2029-03-15 · NCT07668583 · CT.gov ↗
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2030 (3)
February 2030 (1)
Phase 1/2Neuroblastoma, Rhabdomyosarcoma, Synovial Sarcoma, Peripheral Nerve Sheath Tumors, Clear Cell Sarcoma, Alveolar Soft Part Sarcoma …Recruiting
Est. primary completion 2030-02 · NCT06625190 · CT.gov ↗
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August 2030 (1)
Phase 4OsteoporosisRecruiting
Est. primary completion 2030-08-31 · NCT06059222 · CT.gov ↗
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October 2030 (1)
Phase 4Postmenopausal OsteoporosisRecruiting
Est. primary completion 2030-10 · NCT06767150 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (94)
Phase 2/3 (11)
Phase 2 (77)
Phase 1/2 (10)
Phase 1 (25)
Phase 4 (81)
Early phase / not applicable (28)
Used as active comparator (22)
Appears in other studies (11)