Cognitive Function in Postmenopausal Women With Breast Cancer Receiving Hormone Therapy on Clinical Trial IBCSG-1-98

NCT ID: NCT00343616

Last Updated: 2012-07-27

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

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2009-05-31

Brief Summary

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RATIONALE: Studying cognitive function, such as thinking, attention, concentration, and memory, in postmenopausal women receiving hormone therapy for breast cancer may help improve quality of life and the ability to plan treatment for cancer.

PURPOSE: This phase III trial is studying cognitive function in postmenopausal women with breast cancer receiving hormone therapy on clinical trial IBCSG-1-98.

Detailed Description

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OBJECTIVES:

Primary

* Compare cognitive function in postmenopausal women with breast cancer who have received 5 years of adjuvant tamoxifen vs letrozole on protocol IBCSG-1-98.

Secondary

* Compare cognitive function in patients who have received a single hormonal therapy for 5 years vs those who have received that same hormonal therapy for 3 years, having previously received an alternate hormonal therapy for 2 years.
* Compare improvement in cognitive function 1 year after cessation of adjuvant hormonal therapy.
* Compare changes in cognitive function in patients who have received prior adjuvant chemotherapy vs those who have not received adjuvant chemotherapy.
* Assess the relationship between objective and subjective measures of cognitive function, including specific cognitive domains.
* Assess the relationship between cognitive function and psychological distress, fatigue, and quality of life.

OUTLINE: This is a longitudinal, multicenter study.

Patients undergo cognitive function testing and complete self-reported questionnaires regarding cognitive ability, quality of life, fatigue, and psychosocial status during the fifth year of adjuvant hormonal therapy on protocol IBCSG-1-98 and then during the sixth year\* (post randomization on protocol IBCSG-1-98) (i.e., after completion of adjuvant hormonal therapy).

NOTE: \*Patients who receive extended letrozole, hormone replacement therapy, or other endocrine therapy beyond 5 years do not undergo the 6-year assessment.

PROJECTED ACCRUAL: A total of 148 patients will be accrued for this study.

Conditions

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Breast Cancer Cognitive/Functional Effects Fatigue Psychosocial Effects of Cancer and Its Treatment

Keywords

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cognitive/functional effects fatigue psychosocial effects of cancer and its treatment stage I breast cancer stage II breast cancer stage IIIA breast cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Tamoxifen for 5 years

Patients treated with tamoxifen for 5 years after randomization.

Group Type EXPERIMENTAL

cognitive assessment

Intervention Type PROCEDURE

Cognitive function will be assessed using the CogState battery and the Cognitive Failures Questionnaire.

fatigue assessment and management

Intervention Type PROCEDURE

Fatigue will be evaluated using the Brief Fatigue Inventory.

psychologic distress

Intervention Type PROCEDURE

Psychologic distress will be evaluated using the General Health Questionnaire after cognitive testing.

quality-of-life assessment

Intervention Type PROCEDURE

Quality of life will be assessed using global linear analogue self-assessment (LASA) indicators for physical well-being, mood, coping effort (PACIS), perceived social support and subjective health estimation.

Letrozole for 5 years

Patients treated with letrozole for 5 years after randomization.

Group Type EXPERIMENTAL

cognitive assessment

Intervention Type PROCEDURE

Cognitive function will be assessed using the CogState battery and the Cognitive Failures Questionnaire.

fatigue assessment and management

Intervention Type PROCEDURE

Fatigue will be evaluated using the Brief Fatigue Inventory.

psychologic distress

Intervention Type PROCEDURE

Psychologic distress will be evaluated using the General Health Questionnaire after cognitive testing.

quality-of-life assessment

Intervention Type PROCEDURE

Quality of life will be assessed using global linear analogue self-assessment (LASA) indicators for physical well-being, mood, coping effort (PACIS), perceived social support and subjective health estimation.

Tamoxifen 2 years plus letrozole 3 years

Patients treated with tamoxifen for 2 years and afterwards with letrozole for 3 years.

Group Type EXPERIMENTAL

cognitive assessment

Intervention Type PROCEDURE

Cognitive function will be assessed using the CogState battery and the Cognitive Failures Questionnaire.

fatigue assessment and management

Intervention Type PROCEDURE

Fatigue will be evaluated using the Brief Fatigue Inventory.

psychologic distress

Intervention Type PROCEDURE

Psychologic distress will be evaluated using the General Health Questionnaire after cognitive testing.

quality-of-life assessment

Intervention Type PROCEDURE

Quality of life will be assessed using global linear analogue self-assessment (LASA) indicators for physical well-being, mood, coping effort (PACIS), perceived social support and subjective health estimation.

Letrozole for 2 years plus tamoxifen for 3 years

Patients treated with letrozole for 2 years and afterwards with tamoxifen for 3 years.

Group Type EXPERIMENTAL

cognitive assessment

Intervention Type PROCEDURE

Cognitive function will be assessed using the CogState battery and the Cognitive Failures Questionnaire.

fatigue assessment and management

Intervention Type PROCEDURE

Fatigue will be evaluated using the Brief Fatigue Inventory.

psychologic distress

Intervention Type PROCEDURE

Psychologic distress will be evaluated using the General Health Questionnaire after cognitive testing.

quality-of-life assessment

Intervention Type PROCEDURE

Quality of life will be assessed using global linear analogue self-assessment (LASA) indicators for physical well-being, mood, coping effort (PACIS), perceived social support and subjective health estimation.

Interventions

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cognitive assessment

Cognitive function will be assessed using the CogState battery and the Cognitive Failures Questionnaire.

Intervention Type PROCEDURE

fatigue assessment and management

Fatigue will be evaluated using the Brief Fatigue Inventory.

Intervention Type PROCEDURE

psychologic distress

Psychologic distress will be evaluated using the General Health Questionnaire after cognitive testing.

Intervention Type PROCEDURE

quality-of-life assessment

Quality of life will be assessed using global linear analogue self-assessment (LASA) indicators for physical well-being, mood, coping effort (PACIS), perceived social support and subjective health estimation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Hormone receptor status

* Estrogen receptor- and/or progesterone receptor-positive tumor

PATIENT CHARACTERISTICS:

* Female
* Postmenopausal

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* No concurrent hormone replacement therapy
Minimum Eligible Age

30 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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ETOP IBCSG Partners Foundation

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kelly-Anne Phillips

Role: STUDY_CHAIR

Peter MacCallum Cancer Centre, Australia

Juerg Bernhard, PhD

Role: STUDY_CHAIR

ETOP IBCSG Partners Foundation

Locations

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Institute of Oncology at Prince of Wales Hospital

Randwick, New South Wales, Australia

Site Status

Peter MacCallum Cancer Centre

East Melbourne, Victoria, Australia

Site Status

St. Vincent's Hospital - Melbourne

Fitzroy, Victoria, Australia

Site Status

Cabrini Hospital

Malvern, Victoria, Australia

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

European Institute of Oncology

Milan, , Italy

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Universitaetsspital-Basel

Basel, , Switzerland

Site Status

Oncology Institute of Southern Switzerland

Bellinzona, , Switzerland

Site Status

International Breast Cancer Study Group

Bern, , Switzerland

Site Status

Kantonsspital - St. Gallen

Sankt Gallen, , Switzerland

Site Status

Ninewells Hospital

Dundee, Scotland, United Kingdom

Site Status

Countries

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Australia Belgium Italy New Zealand Switzerland United Kingdom

Other Identifiers

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IBCSG-18-98-CFS

Identifier Type: -

Identifier Source: secondary_id

IBCSG-1-98-CFS

Identifier Type: -

Identifier Source: secondary_id

NOVARTIS-2026703019

Identifier Type: -

Identifier Source: secondary_id

EU-20624

Identifier Type: -

Identifier Source: secondary_id

CDR0000482396

Identifier Type: -

Identifier Source: org_study_id