Safety and Efficacy of Hormone Therapy With Letrozole in Postmenopausal Women With Breast Cancer

NCT ID: NCT00330317

Last Updated: 2017-02-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2010-11-16

Brief Summary

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The aim of this study is to assess the safety and efficacy of neoadjuvant hormone therapy with letrozole in postmenopausal women with estrogen- and/or progesterone-receptor positive primary breast cancer on tumour regression to permit breast conserving surgery.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Letrozole

Group Type EXPERIMENTAL

letrozole

Intervention Type DRUG

2.5mg letrozole once-daily

Interventions

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letrozole

2.5mg letrozole once-daily

Intervention Type DRUG

Other Intervention Names

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Femara, FEM345

Eligibility Criteria

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Inclusion Criteria

1. Postmenopausal women able to comply with the protocol requirements with confirmed primary invasive breast cancer whose tumours are estrogen-and/or progesterone-receptor positive
2. Clinical stage T2 or \>T2 tumours which in the investigators' opinion would not be eligible for breast-conserving surgery. The nodal status will be evaluated by palpation and/or ultrasound.
3. Postmenopausal status defined by one of the following:

* Women with an intact uterus AND

* ≥ 55 years of age, OR
* \< 55 years of age without menses for the last 5 years, OR
* \< 55 years of age and have not had menses for at least the last 12 months (but have had menses in the last 5 years) and have postmenopausal levels of follicle-stimulating hormone.
* Women without an intact uterus AND

* ≥ 55 years of age, OR
* \< 55 years of age and postmenopausal levels of follicle-stimulating hormone
* Both ovaries removed (prior to the diagnosis of breast cancer).
4. Tumour measurable by clinical examination, mammography and ultrasound
5. Adequate bone marrow function as shown by:

* WBC ≥ 3.5 x 10\^9/L
* ANC ≥ 1.5 x 10\^9/L
* Platelets ≥ LLN
* Hb \> 10 g/dL

Exclusion Criteria

1. Multifocal disease (cancer that starts in several different sites)
2. Patients with bilateral breast tumours.
3. Patients who are eligible for breast conserving surgery.
4. Evidence of inflammatory breast cancer or distant metastasis.
5. Simultaneous anti-cancer treatments such as chemotherapy, immunotherapy/biological response modifiers, endocrine therapy (including steroids), bisphosphonate therapy and radiotherapy. NOTE: Bisphosphonate therapy for osteoporosis is NOT excluded, and can be continued. Patients who have received hormone replacement therapy will NOT be excluded if it is discontinued at least 2 weeks before starting the study.

The following additional treatments are NOT allowed during the treatment phase of the study:

* Any other anti-cancer therapy
* Hormone replacement therapy.
* Estrogen cream (including any intra-vaginal preparation).
* Steroids other than creams or inhalers.
* Megestrol acetate for the treatment of hot flushes.
* Radiation therapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmeceuticals

Locations

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Novartis Investigative Site

Bournemouth, , United Kingdom

Site Status

Novartis Investigative Site

Brighton, , United Kingdom

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Novartis Investigative Site

Bristol, , United Kingdom

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Novartis Investigative Site

Crewe, , United Kingdom

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Novartis Investigative Site

Dundee, , United Kingdom

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Novartis Investigative Site

East Sussex, , United Kingdom

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Novartis Investigative Site

Epping, , United Kingdom

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Novartis Investigative Site

Farnworth, , United Kingdom

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Novartis Investigative Site

Gateshead, , United Kingdom

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Novartis Investigative Site

Glasgow, , United Kingdom

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Novartis Investigative Site

Hants, , United Kingdom

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Novartis Investigative Site

Leicester, , United Kingdom

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Novartis Investigative Site

Liverpool, , United Kingdom

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Novartis Investigative Site

London, , United Kingdom

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Novartis Investigative Site

Luton, , United Kingdom

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Novartis Investigative Site

Manchester, , United Kingdom

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Novartis Investigative Site

Newcastle, , United Kingdom

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Novartis Investigative Site

Poole, , United Kingdom

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Novartis Investigative Site

Saint Leonards-on-Sea, , United Kingdom

Site Status

Novartis Investigative Site

West Smithfield, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Carpenter R, Doughty JC, Cordiner C, Moss N, Gandhi A, Wilson C, Andrews C, Ellis G, Gui G, Skene AI. Optimum duration of neoadjuvant letrozole to permit breast conserving surgery. Breast Cancer Res Treat. 2014 Apr;144(3):569-76. doi: 10.1007/s10549-014-2835-8. Epub 2014 Feb 23.

Reference Type RESULT
PMID: 24562823 (View on PubMed)

Other Identifiers

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CFEM345EGB07

Identifier Type: -

Identifier Source: org_study_id

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