Rheumatological Evaluation of Anastrozole and Letrozole as Adjuvant Treatment in Post-menopausal Women With Breast Cancer

NCT ID: NCT00688909

Last Updated: 2021-06-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

261 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2009-06-30

Brief Summary

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This study will evaluate whether patients who are intolerant and discontinue anastrozole due to grade 2-3 arthralgia-myalgia have a decrease in rheumatological symptoms while taking letrozole

Detailed Description

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This is a multi-center prospective non-randomized single arm, open label trial in postmenopausal HR positive early breast cancer patients who experience grade 2-3 arthralgia-myalgia while on anastrozole, resulting in the discontinuation of anastrozole. After a 2-3 week period without any aromatase inhibitor treatment, eligible patients will initiate letrozole treatment at a dose of 2.5mg per day for a duration of 24 weeks. If a patient has breast cancer recurrence or is intolerant to letrozole during the 24 week period, the drug will be discontinued.

Conditions

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Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Letrozole

Participants received 2.5 milligram (mg) of Letrozole tablets orally once daily (QD) for a period of 24 weeks.

Group Type EXPERIMENTAL

letrozole

Intervention Type DRUG

2.5 mg daily by mouth for 6 months

Interventions

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letrozole

2.5 mg daily by mouth for 6 months

Intervention Type DRUG

Other Intervention Names

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Femara

Eligibility Criteria

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Inclusion Criteria

1. Postmenopausal women with HR+ early stage breast cancer at the time of initial diagnosis. For study purposes, postmenopausal is defined as:

* Age ≥ 50 y and amenorrheic for 12 or more months.
* Age ≥ 50 y and amenorrheic for 3 or more months after receiving adjuvant chemotherapy.
* Age \< 50 y and amenorrheic for 12 or more months.
* Prior bilateral oophorectomy.
* Prior hysterectomy and has postmenopausal levels of FSH, LH, and estradiol as per local institutional standards.
* Age \> 55 y and prior hysterectomy.
2. Patients who are intolerant and discontinue anastrozole 2-3 weeks prior to study entry when given as adjuvant treatment for HR+ early stage breast cancer due to grade 2-3 (NCI-CTCAE V3) arthralgia-myalgia.
3. Hormone receptor-positive tumors as defined by institutional standards.
4. ECOG performance status of 0, 1, or 2
5. Consent to participate in the trial. -

Exclusion Criteria

1. Postmenopausal women with HR+ metastatic or locally relapsed breast cancer excluding chest wall recurrence with no evidence of systemic disease.
2. Recent history of pain associated with non-traumatic bone fracture.
3. Pain requiring chronic use of analgesics (due to any reason).
4. History of rheumatological disease except osteoarthritis.
5. Prior hormonal therapy with AIs other than anastrozole.
6. Systemic hormone replacement therapy (HRT) less than 4 weeks before study entry other than Estring®, Vagifem® or low dose estrogen vaginal cream.
7. Concomitant disease which significantly affects quality of life.
8. Patient unable to complete self administered questionnaire.
9. Patients unable to sign consent form.
Minimum Eligible Age

50 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 Pharmaceuticals

Locations

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Clearview Cancer Center

Huntsville, Alabama, United States

Site Status

Hematology Oncology Services of Arkansas

Little Rock, Arkansas, United States

Site Status

Grass Valley Hematology Oncology

Grass Valley, California, United States

Site Status

Aptium Oncology - Comprehensive Cancer Care of the Desert

Palm Springs, California, United States

Site Status

Bay Area Cancer Research Group

Pleasant Hill, California, United States

Site Status

Front Range Specialist

Fort Collins, Colorado, United States

Site Status

Lynn Cancer Center

Boca Raton, Florida, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Memorial Cancer Center

Hollywood, Florida, United States

Site Status

Palm Beach Cancer Specialists

West Palm Beach, Florida, United States

Site Status

Northeast Georgia Cancer Care, LLC

Athens, Georgia, United States

Site Status

Augusta Oncology

Augusta, Georgia, United States

Site Status

Oncology Specialist of North Georgia

Gainesville, Georgia, United States

Site Status

The Cancer Instiute at Alexian Brothers

Elk Grove Village, Illinois, United States

Site Status

Evanston Northwestern Hospital

Evanston, Illinois, United States

Site Status

Edward H. Kaplan MD & Associates - North Shore Cancer Research Associates

Skokie, Illinois, United States

Site Status

Cancer Care of Kansas

Wichita, Kansas, United States

Site Status

Kentuckiana Cancer Institute

Louisville, Kentucky, United States

Site Status

Mercy Hospital

Portland, Maine, United States

Site Status

Mercey Hospital

Baltimore, Maryland, United States

Site Status

Maryland Hematology Oncology Associates, PA

Baltimore, Maryland, United States

Site Status

Suburban Hospital Cancer Program

Bethesda, Maryland, United States

Site Status

Hematology Oncology Asssociates of Ohio & Michigan

Lambertville, Michigan, United States

Site Status

Center for Cancer Care and Research

St Louis, Missouri, United States

Site Status

Ballas Cancer Center, LLC DBA - St Louis

St Louis, Missouri, United States

Site Status

Southeast Nebraska Hematology & Oncology Consultants

Lincoln, Nebraska, United States

Site Status

Trinitas Comprehensive Cancer Center

Elizabeth, New Jersey, United States

Site Status

Hematology-Oncology Assoc of Northern New Jersey

Morristown, New Jersey, United States

Site Status

Somerset Hematology & Oncology

Somerville, New Jersey, United States

Site Status

Cooper University Hospital

Voorhees Township, New Jersey, United States

Site Status

Broom Oncology

Binghamton, New York, United States

Site Status

Cancer Care of W. NC

Asheville, North Carolina, United States

Site Status

Marion L. Shepard Cancer Center

Washington, North Carolina, United States

Site Status

Summa Health System

Akron, Ohio, United States

Site Status

Mukesh Bhatt, MD, INC.

Medina, Ohio, United States

Site Status

Berks Hematology Oncology

West Reading, Pennsylvania, United States

Site Status

South Carolina Oncology Associates

Columbia, South Carolina, United States

Site Status

The West Clinic

Memphis, Tennessee, United States

Site Status

Tenessee Oncology

Nashville, Tennessee, United States

Site Status

Coastal Bend Cancer Center

Corpus Christi, Texas, United States

Site Status

Center for Oncology Research and Treatment

Dallas, Texas, United States

Site Status

Central Utah Clinic

American Fork, Utah, United States

Site Status

Northern Utah Associates

Ogden, Utah, United States

Site Status

Medical Oncology & Hematology Associates of Northern Virginia

Fairfax, Virginia, United States

Site Status

Rockingham Memorial Hospital Regional Cancer Center

Harrisonburg, Virginia, United States

Site Status

Peninsula Cancer Center

Newport News, Virginia, United States

Site Status

Green Bay Oncologist, St Vincent Hospital

Green Bay, Wisconsin, United States

Site Status

Oncology Alliance

Wauwatosa, Wisconsin, United States

Site Status

Countries

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United States

Related Links

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https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=3500

Results for CFEM345DUS59 from the Novartis Clinical Trials Results Database

Other Identifiers

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CFEM345DUS59

Identifier Type: -

Identifier Source: org_study_id

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