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Prognostic Evaluation of Changing Endocrine Therapy in Women With Breast Cancer

Primary Purpose

Breast Cancer

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Anastrozole
Tamoxifen
Toremifene
Sponsored by
Peking Union Medical College Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Breast cancer, Endocrine therapy, Perimenopausal and recently postmenopausal patients, Early-stage hormone receptor-positive

Eligibility Criteria

45 Years - 55 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.
  • Age of at least 45 and at most 55 years.
  • Performance status (Karnofsky-Index) >80%
  • Steroid receptor (estrogen and progesterone) positive 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.
  • Patients have taken the SERMs as endocrine therapy for 2-4 years.
  • Patients who have had amenorrhea for at least half a year.
  • 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.
  • Hormone receptor-negative breast cancer.
  • Local recurrence and/or metastasis of breast cancer.
  • History of hysterectomy.
  • Pregnant or lactating patients. Patients of childbearing potential must have a negative pregnancy test (urine or serum) within 14 days prior to registration.
  • History of osteoporosis and/or fractures due to osteoporosis.
  • Prior or concomitant secondary malignancy (except non-melanomatous skin cancer or carcinoma in situ of the uterine cervix)
  • Any other serious medical pathology, such as congestive heart failure; unstable angina; history of myocardial infarction during the previous year; uncontrolled high risk arrhythmias
  • Other serious illness or medical condition that may interfere with the understanding and giving of informed consent and the conduct of the study.
  • Concurrent treatment with other experimental drugs or any other anti-cancer therapy.
  • Males.

Sites / Locations

  • Peking Union Medical College HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Failed group

Succeeded group

No chang group

Arm Description

Patients who have recurrence of menstruation after changing endocrine therapy to anastrozole and then go back to the original SERMs therapy.

Patients who have no recurrence of menstruation after changing endocrine therapy and then go on with anastrozole therapy.

Patients who don't change the endocrine therapy and go on with the original tamoxifen or toremifene therapy.

Outcomes

Primary Outcome Measures

Disease free survival
Overall Survival

Secondary Outcome Measures

Disease Free Survival
Overall Survival

Full Information

First Posted
March 19, 2014
Last Updated
May 24, 2016
Sponsor
Peking Union Medical College Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02097459
Brief Title
Prognostic Evaluation of Changing Endocrine Therapy in Women With Breast Cancer
Official Title
Prognostic Evaluation of Changing Endocrine Therapy in Perimenopausal and Recently Postmenopausal Women With Early-stage Hormone Receptor-Positive Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Recruiting
Study Start Date
March 2014 (undefined)
Primary Completion Date
March 2024 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Peking Union Medical College Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
It suggests in the Guideline that the postmenopausal women with breast cancer who have taken selective estrogen receptor modulators (SERMs) therapy for 2-3 years could benefit from changing endocrine therapy to aromatase inhibitors (AIs). This is a prospective, randomized and non-inferior trial to evaluate the prognosis of changing endocrine therapy from SERMs to AIs in perimenopausal and recently postmenopausal women with early-stage hormone receptor-positive breast cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
Breast cancer, Endocrine therapy, Perimenopausal and recently postmenopausal patients, Early-stage hormone receptor-positive

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
600 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Failed group
Arm Type
Experimental
Arm Description
Patients who have recurrence of menstruation after changing endocrine therapy to anastrozole and then go back to the original SERMs therapy.
Arm Title
Succeeded group
Arm Type
Experimental
Arm Description
Patients who have no recurrence of menstruation after changing endocrine therapy and then go on with anastrozole therapy.
Arm Title
No chang group
Arm Type
Active Comparator
Arm Description
Patients who don't change the endocrine therapy and go on with the original tamoxifen or toremifene therapy.
Intervention Type
Drug
Intervention Name(s)
Anastrozole
Other Intervention Name(s)
Arimidex
Intervention Type
Drug
Intervention Name(s)
Tamoxifen
Intervention Type
Drug
Intervention Name(s)
Toremifene
Other Intervention Name(s)
Fareston, Shu Rui
Primary Outcome Measure Information:
Title
Disease free survival
Time Frame
10 years
Title
Overall Survival
Time Frame
10 years
Secondary Outcome Measure Information:
Title
Disease Free Survival
Time Frame
5 years
Title
Overall Survival
Time Frame
5 years
Other Pre-specified Outcome Measures:
Title
Disease Free Survival
Time Frame
3 years
Title
Overall Survival
Time Frame
3 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
55 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. Age of at least 45 and at most 55 years. Performance status (Karnofsky-Index) >80% Steroid receptor (estrogen and progesterone) positive 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. Patients have taken the SERMs as endocrine therapy for 2-4 years. Patients who have had amenorrhea for at least half a year. 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. Hormone receptor-negative breast cancer. Local recurrence and/or metastasis of breast cancer. History of hysterectomy. Pregnant or lactating patients. Patients of childbearing potential must have a negative pregnancy test (urine or serum) within 14 days prior to registration. History of osteoporosis and/or fractures due to osteoporosis. Prior or concomitant secondary malignancy (except non-melanomatous skin cancer or carcinoma in situ of the uterine cervix) Any other serious medical pathology, such as congestive heart failure; unstable angina; history of myocardial infarction during the previous year; uncontrolled high risk arrhythmias Other serious illness or medical condition that may interfere with the understanding and giving of informed consent and the conduct of the study. Concurrent treatment with other experimental drugs or any other anti-cancer therapy. Males.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Qiang Sun, Doctor
Phone
8610-69152700
Email
birds90@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Yan Lin, Doctor
Phone
8610-69152700
Email
birds90@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Qiang Sun, Doctor
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qiang Sun, Doctor
Phone
8610-69152700
Email
birds90@163.com

12. IPD Sharing Statement

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Prognostic Evaluation of Changing Endocrine Therapy in Women With Breast Cancer

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