Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG 24-02

NCT ID: NCT00659373

Last Updated: 2016-07-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Study Completion Date

2016-04-30

Brief Summary

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RATIONALE: Learning about the long-term effects of adjuvant tamoxifen (T), adjuvant tamoxifen with ovarian function suppression (T+OFS), and exemestane with ovarian function suppression (E+ OFS) on brain function may help doctors plan cancer treatment.

PURPOSE: This study is looking at brain function in premenopausal women who are receiving adjuvant tamoxifen (T) alone against those receive adjuvant tamoxifen (T+OFS) or exemestane (E+OFS) with ovarian function suppression (OFS) for early-stage breast cancer on clinical trial IBCSG-2402.

Detailed Description

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OBJECTIVES:

Primary:

\* To evaluate and compare the changes in cognitive function over one year in premenopausal breast cancer patients who receive adjuvant tamoxifen (T) alone against those receive adjuvant tamoxifen (T+OFS) or exemestane (E+OFS) with ovarian function suppression (OFS).

OUTLINE: This is a multicenter study.

Objective cognitive function was measured with the CogState computerized test battery. The CogState battery consists of seven tasks: Detection, Identification, Monitoring, Memory, Learning, International Shopping List Task (ISLT), and ISLT-Delayed Recall. Performance speed is measured for the Detection, Identification and Monitoring tasks and performance accuracy is measured for the Memory, Learning, ISLT, and ISLT-Delayed Recall. Measures of performance speed are normalized using measures of performance accuracy (%) are normalized using arcsine transformation. The main outcome measure is a composite score which is the average of these task scores (after transformation and standardization by age-specific norms). Patients complete these assessments at baseline (i.e. before start of protocol hormonal therapy) and approximately one year after randomization to the parent IBCSG 24-02 (SOFT) study.

Data were collected separately for the T+OFS and E+OFS participants in the parent study, IBCSG 24-02 (SOFT). The sample size for this Co-SOFT substudy was small, so the analysis plan was revised to pre-specify collective analysis for all patients receiving OFS.

Conditions

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Breast Cancer Fatigue Sleep Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Tamoxifen

Tamoxifen 20mg orally daily for 5 years

Group Type ACTIVE_COMPARATOR

Tamoxifen

Intervention Type DRUG

T+OFS

Tamoxifen 20mg orally daily for 5 years plus ovarian function suppression (OFS; triptorelin (GnRH analogue) 3.75 mg by im injection q28 days for 5 years; or surgical oophorectomy; or ovarian irradiation)

Group Type EXPERIMENTAL

Tamoxifen

Intervention Type DRUG

triptorelin

Intervention Type DRUG

E+OFS

Exemestane 25mg orally daily for 5 years plus ovarian function suppression (OFS; triptorelin (GnRH analogue) 3.75 mg by im injection q28 days for 5 years; or surgical oophorectomy; or ovarian irradiation)

Group Type EXPERIMENTAL

triptorelin

Intervention Type DRUG

Exemestane

Intervention Type DRUG

Interventions

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Tamoxifen

Intervention Type DRUG

triptorelin

Intervention Type DRUG

Exemestane

Intervention Type DRUG

Other Intervention Names

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Nolvadex GnRH analogue Trelstar Depot Decapeptyl Depot Aromasin

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed breast cancer

* Completely resected disease
* Registered for clinical trial IBCSG-2402, but not yet started protocol hormonal therapy

* Has not yet received any of the following adjuvant endocrine therapy, either before or after registration on IBCSG-2402:

* Tamoxifen, exemestane, or gonadotropin-releasing hormone (GnRH) agonist
* Ovarian irradiation
* Bilateral oophorectomy
* Hormone receptor status:

* Estrogen and/or progesterone receptor positive

* Each tumor must be hormone receptor positive

PATIENT CHARACTERISTICS:

* Premenopausal
* Can speak and read the local language(s) fluently

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
Maximum Eligible Age

120 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Breast Cancer Trials, Australia and New Zealand

OTHER

Sponsor Role collaborator

Cancer and Leukemia Group B

NETWORK

Sponsor Role collaborator

ETOP IBCSG Partners Foundation

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Juerg Bernhard, PhD

Role: STUDY_CHAIR

ETOP IBCSG Partners Foundation

Kelly-Anne Phillips

Role: STUDY_CHAIR

Peter MacCallum Cancer Centre, Australia

Timothy Ahles, MD

Role: STUDY_CHAIR

Cancer and Leukemia Group B

Locations

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Mercy General Hospital

Sacramento, California, United States

Site Status

Front Range Cancer Specialists

Fort Collins, Colorado, United States

Site Status

Norwalk Hospital

Norwalk, Connecticut, United States

Site Status

Piedmont Hospital

Atlanta, Georgia, United States

Site Status

Northside Hospital Cancer Center

Atlanta, Georgia, United States

Site Status

Saint Joseph's Hospital of Atlanta

Atlanta, Georgia, United States

Site Status

CCOP - Atlanta Regional

Atlanta, Georgia, United States

Site Status

CCOP - Northern Indiana CR Consortium

South Bend, Indiana, United States

Site Status

New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care

Concord, New Hampshire, United States

Site Status

Don Monti Comprehensive Cancer Center at North Shore University Hospital

Manhasset, New York, United States

Site Status

Mission Hospitals - Memorial Campus

Asheville, North Carolina, United States

Site Status

Batte Cancer Center at Northeast Medical Center

Concord, North Carolina, United States

Site Status

Abramson Cancer Center of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

British Columbia Cancer Agency - Centre for the Southern Interior

Kelowna, British Columbia, Canada

Site Status

Ottawa Hospital Regional Cancer Centre - General Campus

Ottawa, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Phillips KA, Regan MM, Ribi K, Francis PA, Puglisi F, Bellet M, Spazzapan S, Karlsson P, Budman DR, Zaman K, Abdi EA, Domchek SM, Feng Y, Price KN, Coates AS, Gelber RD, Maruff P, Boyle F, Forbes JF, Ahles T, Fleming GF, Bernhard J. Adjuvant ovarian function suppression and cognitive function in women with breast cancer. Br J Cancer. 2016 Apr 26;114(9):956-64. doi: 10.1038/bjc.2016.71. Epub 2016 Apr 19.

Reference Type RESULT
PMID: 27092785 (View on PubMed)

Other Identifiers

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IBCSG-24-02-ANZ0701

Identifier Type: -

Identifier Source: secondary_id

ANZ0701

Identifier Type: -

Identifier Source: secondary_id

CALGB-IBCSG-24-02-ANZ0701

Identifier Type: -

Identifier Source: secondary_id

CDR0000594003

Identifier Type: -

Identifier Source: org_study_id

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