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Prevention of Chemotherapy Induced Ovarian Failure With Goserelin in BC Patients (ZORO)

Primary Purpose

Breast Cancer

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
Goserelin
Sponsored by
German Breast Group
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Breast Cancer focused on measuring hormone insensitive breast cancer, Prevention of Chemotherapy induced ovarian failure, P.O.F., GnRH-Agonist Goserelin

Eligibility Criteria

18 Years - 45 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Written informed consent must be obtained and documented according to the local regulatory requirements prior to beginning specific protocol procedures Complete baseline documentation sent to GBG Age of at least 18 and at most 45 years Patients request to preserve ovarian function Spontaneous and regular menstrual periods before study entry with FSH below 15 mlU/ml in follicular phase Histologically confirmed primary breast cancer with the need for anthracycline-based chemotherapy Steroid receptor (estrogen and progesterone) negative tumor (diagnosis according to hospital standard-procedures) No clinical evidence of local recurrence or distant metastases. Complete staging work-up within 3 months prior to registration. All patients must have (bilateral) mammography or breast MRI, chest X-ray; other tests may be performed as clinically indicated Karnofsky-Index >80% Life expectancy of at least 10 years, disregarding the diagnosis of cancer Adequate organ function including normal red and white blood count, platelets, serum creatinine, bilirubin, and transaminases within normal range of the institution Patients must be available for and compliant to treatment and follow-up. Patients registered on this trial must be treated and followed up at the participating center. Exclusion Criteria: Known hypersensitivity reaction to the investigational compounds or incorporated substances Prior cytotoxic treatment for any reason Suspected (primary or secondary) ovarian insufficiency Pregnant or lactating patients. Patients of childbearing potential must have a negative pregnancy test (urine or serum) within 14 days prior to registration and must implement adequate non-hormonal contraceptive measures during study treatment; prior use of hormonal contraceptives has to be discontinued before first Goserelin injection Other serious illness or medical condition that may interfere with the understanding and giving of informed consent and the conduct of the study Prior or concomitant secondary malignancy (except non-melanomatous skin cancer or carcinoma in situ of the uterine cervix) Concurrent treatment with other experimental drugs or any other anti-cancer therapy Concurrent treatment with sex hormones. Prior treatment must be stopped before study entry

Sites / Locations

  • Universitätsfrauenklinik, Rostock Universität

Outcomes

Primary Outcome Measures

Normal ovarian function as defined by two consecutive menstrual periods within 21-35 days within a time frame of 5 - 8 months after last application of goserelin

Secondary Outcome Measures

Discontinuation, delay, or dose-reductions of chemotherapy
Discontinuation or delay of Goserelin injections
Any grade II to grade IV AE specified to serious or non serious events during treatment with chemotherapy +/- Goserelin
Evaluation according to EORTC Q 30
According to menopausal symptom score: E2, FSH, LH, SHGB, and Progesterone at 0, 6, 12, 18 and 24 months
Date of first regular menstrual period
Any diagnosis of pregnancy during study follow up

Full Information

First Posted
September 12, 2005
Last Updated
June 11, 2010
Sponsor
German Breast Group
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1. Study Identification

Unique Protocol Identification Number
NCT00196846
Brief Title
Prevention of Chemotherapy Induced Ovarian Failure With Goserelin in BC Patients (ZORO)
Official Title
Prospective Randomized Multicenter Study to Prevent Chemotherapy Induced Ovarian Failure With the GnRH-Agonist Goserelin in Young Hormone Insensitive Breast Cancer Patients Receiving Anthracycline Containing (Neo-)Adjuvant Chemotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
June 2010
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
December 2008 (Actual)
Study Completion Date
March 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
German Breast Group

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study done in young breast cancer patients to prevent chemotherapy induced ovarian failure
Detailed Description
Study Design: Prospective, randomized, open phase II trial Schedule: All patients will receive an anthracycline-containing polychemotherapy. Patients randomized to Goserelin will receive their first injection of 3.6 mg at least 2 weeks before start of chemotherapy. Goserelin will be given as a subcutaneous injection in the abdominal wall every 4 weeks (28 ± 3 days) until the end of the last chemotherapy cycle. Primary objective: •To increase the percentage of patients with normal ovarian function at 6 months after application of (neo)adjuvant, anthracycline-containing polychemotherapy in parallel with Goserelin compared to chemotherapy alone. Secondary objectives: To compare the two treatment groups regarding Compliance to treatment Toxicity Quality of life Menopausal Symptoms Score Ovarian function at 6, 12, 18 and 24 months Duration until recovery of regular menstrual period Pregnancy rate

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
hormone insensitive breast cancer, Prevention of Chemotherapy induced ovarian failure, P.O.F., GnRH-Agonist Goserelin

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
62 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Goserelin
Primary Outcome Measure Information:
Title
Normal ovarian function as defined by two consecutive menstrual periods within 21-35 days within a time frame of 5 - 8 months after last application of goserelin
Time Frame
December 2008
Secondary Outcome Measure Information:
Title
Discontinuation, delay, or dose-reductions of chemotherapy
Time Frame
December 2008
Title
Discontinuation or delay of Goserelin injections
Time Frame
December 2008
Title
Any grade II to grade IV AE specified to serious or non serious events during treatment with chemotherapy +/- Goserelin
Time Frame
December 2008
Title
Evaluation according to EORTC Q 30
Time Frame
March 2010
Title
According to menopausal symptom score: E2, FSH, LH, SHGB, and Progesterone at 0, 6, 12, 18 and 24 months
Time Frame
March 2010
Title
Date of first regular menstrual period
Time Frame
March 2010
Title
Any diagnosis of pregnancy during study follow up
Time Frame
March 2010

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent must be obtained and documented according to the local regulatory requirements prior to beginning specific protocol procedures Complete baseline documentation sent to GBG Age of at least 18 and at most 45 years Patients request to preserve ovarian function Spontaneous and regular menstrual periods before study entry with FSH below 15 mlU/ml in follicular phase Histologically confirmed primary breast cancer with the need for anthracycline-based chemotherapy Steroid receptor (estrogen and progesterone) negative tumor (diagnosis according to hospital standard-procedures) No clinical evidence of local recurrence or distant metastases. Complete staging work-up within 3 months prior to registration. All patients must have (bilateral) mammography or breast MRI, chest X-ray; other tests may be performed as clinically indicated Karnofsky-Index >80% Life expectancy of at least 10 years, disregarding the diagnosis of cancer Adequate organ function including normal red and white blood count, platelets, serum creatinine, bilirubin, and transaminases within normal range of the institution Patients must be available for and compliant to treatment and follow-up. Patients registered on this trial must be treated and followed up at the participating center. Exclusion Criteria: Known hypersensitivity reaction to the investigational compounds or incorporated substances Prior cytotoxic treatment for any reason Suspected (primary or secondary) ovarian insufficiency Pregnant or lactating patients. Patients of childbearing potential must have a negative pregnancy test (urine or serum) within 14 days prior to registration and must implement adequate non-hormonal contraceptive measures during study treatment; prior use of hormonal contraceptives has to be discontinued before first Goserelin injection Other serious illness or medical condition that may interfere with the understanding and giving of informed consent and the conduct of the study Prior or concomitant secondary malignancy (except non-melanomatous skin cancer or carcinoma in situ of the uterine cervix) Concurrent treatment with other experimental drugs or any other anti-cancer therapy Concurrent treatment with sex hormones. Prior treatment must be stopped before study entry
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bernd Gerber, MD
Organizational Affiliation
Rostock Universität, Universitätsfrauenklinik
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universitätsfrauenklinik, Rostock Universität
City
Rostock
State/Province
Mecklenburg Vorpommern
ZIP/Postal Code
18075
Country
Germany

12. IPD Sharing Statement

Links:
URL
http://www.germanbreastgroup.de
Description
Click here for more information about this study: ZORO Study

Learn more about this trial

Prevention of Chemotherapy Induced Ovarian Failure With Goserelin in BC Patients (ZORO)

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