ELECTRONIC SUPPLEMENTARY MATERIALS Title Prospective observational study of treatment pattern, effectiveness and safety of zoledronic acid therapy beyond 24 months in patients with multiple myeloma or bone metastases from solid tumors. Support Care Cancer Authors T. Van den Wyngaert, M. Delforge, C. Doyen, L. Duck, K. Wouters, I. Delabaye, C. Wouters, H. Wildiers. Corresponding author Name: Dr. Tim Van den Wyngaert E-mail: tim.van.den.wyngaert@uza.be Address: Antwerp University Hospital Department of Nuclear Medicine Wilrijkstraat 10 2650 Edegem Belgium 1 FIGURE S1. Mean exposure to zoledronic acid relative to the recommended dose as calculated per 3 month observation period for patients with solid tumors and multiple myeloma who completed the 18 month follow-up (n=218). 2 FIGURE S2. Kaplan-Meier estimates of the proportion of patients without an SRE during the planned 18-month follow-up period by primary malignancy and regardless of study completion (log-rank p=0.03). 3 FIGURE S3. Trending of the incidence of the 43 adverse event (AE) types with at least 5 occurrences. These AEs account for 55% of all reported AEs on a total of 226 unique AE types. The linear slope parameter of the incidence of each AE was calculated over 6 month intervals during the 18 month follow-up. Corresponding 95% confidence intervals and the Cochran-Armitage p-values for trend are shown, together with the overall AE prevalence respective to the 298 study patients. A significant positive/negative slope parameter indicates an increase/decrease in AE incidence during the study, respectively. 4 TABLE S1. Zoledronic acid treatment decisions at each visit in patients completing 18 months of follow-up (n=218). Decision Continued Discontinued Interrupted Re-initiated Number of patients per study month (%) 3 6 9 12 15 18 194 (89.0) 185 (84.9) 172 (78.9) 162 (74.3) 149 (68.3) 134 (61.5) 18 (8.3) 7 (3.2) 12 (5.5) 12 (5.5) 11 (5.0) 14 (6.4) 6 (2.8) 4 (1.8) 7 (3.2) 4 (1.8) 5 (2.3) 4 (1.8) 0 (0.0) 2 (0.9) 2 (0.9) 3 (1.4) 3 (1.4) 5 (2.3) 5