Luteal vs Follicular Surgical Oophorectomy and Tamoxifen in Premenopausal Women With Metastatic Hormone Receptor Positive Breast Cancer

NCT ID: NCT00293540

Last Updated: 2016-07-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

249 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2015-03-31

Brief Summary

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This study will determine if hormone receptor positive premenopausal metastatic breast cancer patients who undergo removal of the ovaries in mid-luteal versus mid-follicular phase have a longer survival.

Detailed Description

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Rationale: Previous research suggests that women who have their ovaries removed as part of their treatment for breast cancer may live longer if the ovarian surgery is performed during the luteal phase (last 14 days of the menstrual cycle) rather than the follicular phase (the first 14 days of the menstrual cycle). The current study will evaluate this important research question in premenopausal women with metastatic hormone receptor-positive breast cancer who will be treated with surgery and tamoxifen.

Purpose: The purpose of this research is to find out if premenopausal women with breast cancer that has spread to other parts of the body live longer if their ovaries are removed during the second half of the menstrual cycle. This study will compare how long women live if they have their ovaries removed during the first half of their menstrual cycle (follicular phase) to how long women live if they have their ovaries removed during the second half of their menstrual cycle (luteal phase). Tamoxifen will also be given to study participants.

Treatment: Study participants will have tests performed in advance of surgery to remove their ovaries. Surgery will be performed within four weeks of these tests. The exact day will be determined by the study participant's menstrual history and by a process called randomization, which is a random decision making process to determine if each study participant will have their surgery during the first or second half of their menstrual cycle. On the day of surgery, blood will be taken immediately prior to surgery and three hours after surgery for hormone tests. After the surgery, study participants will be given tamoxifen in oral pills for daily consumption. Study participants will be asked to return to the hospital every two months for tests and distribution of additional tamoxifen tablets. Treatments will be discontinued for disease progression or unacceptable adverse effects.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Surgical oophorectomy in history-estimated mid-luteal phase of menstrual cycle plus Tamoxifen

Group Type ACTIVE_COMPARATOR

oophorectomy

Intervention Type PROCEDURE

Excision of an ovary

Tamoxifen

Intervention Type DRUG

20 mg orally every day

B

Surgical oophorectomy in history-estimated mid-follicular phase of menstrual cycle plus Tamoxifen

Group Type ACTIVE_COMPARATOR

oophorectomy

Intervention Type PROCEDURE

Excision of an ovary

Tamoxifen

Intervention Type DRUG

20 mg orally every day

Interventions

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oophorectomy

Excision of an ovary

Intervention Type PROCEDURE

Tamoxifen

20 mg orally every day

Intervention Type DRUG

Other Intervention Names

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Nolvadex

Eligibility Criteria

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Inclusion Criteria

* Estrogen receptor or progesterone receptor positive breast cancer
* Premenopausal with regular menstrual cycles

Exclusion Criteria

* Current oral contraceptives
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Breast Cancer Research Foundation

OTHER

Sponsor Role collaborator

International Breast Cancer Research Foundation

OTHER

Sponsor Role lead

Responsible Party

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Richard R. Love

Scientific director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Richard R. Love, MD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University

Locations

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Ohio State University

Columbus, Ohio, United States

Site Status

Dhaka Medical College Hospital

Dhaka, , Bangladesh

Site Status

4th Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Beijing Hospital

Beijing, , China

Site Status

Cancer Institute

Beijing, , China

Site Status

Choa Yang Capital Institute

Beijing, , China

Site Status

National Railroad

Beijing, , China

Site Status

Peoples Hospital

Beijing, , China

Site Status

Qilu Hospital

Jinan, , China

Site Status

Fudan University

Shanghai, , China

Site Status

Nizam's Institute

Hyderabaad, , India

Site Status

Dr. Ciptomanounkusumo General Hospital

Jakarta, , Indonesia

Site Status

UN. Mayala

Kuala Lumpur, , Malaysia

Site Status

National Institute of Oncology

Rabat, , Morocco

Site Status

University College Hospital

Ibadan, , Nigeria

Site Status

East Avenue Medical Center

Manila, , Philippines

Site Status

Jose Reyes

Manila, , Philippines

Site Status

Philippines General Hospital

Manila, , Philippines

Site Status

Rizal

Manila, , Philippines

Site Status

Vicente Sotto Hospital

Manila, , Philippines

Site Status

Hospital K

Hanoi, , Vietnam

Site Status

Countries

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United States Bangladesh China India Indonesia Malaysia Morocco Nigeria Philippines Vietnam

References

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Love RR, Hossain SM, Hussain MM, Mostafa MG, Laudico AV, Siguan SS, Adebamowo C, Sun JZ, Fei F, Shao ZM, Liu Y, Akram Hussain SM, Zhang B, Cheng L, Panigaro S, Walta F, Chuan JH, Mirasol-Lumague MR, Yip CH, Navarro NS Jr, Huang CS, Lu YS, Ferdousy T, Salim R, Akhter C, Nahar S, Uy G, Young GS, Hade EM, Jarjoura D. Luteal versus follicular phase surgical oophorectomy plus tamoxifen in premenopausal women with metastatic hormone receptor-positive breast cancer. Eur J Cancer. 2016 Jun;60:107-16. doi: 10.1016/j.ejca.2016.03.011. Epub 2016 Apr 20.

Reference Type DERIVED
PMID: 27107325 (View on PubMed)

Other Identifiers

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OSU-0476

Identifier Type: -

Identifier Source: org_study_id

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