Simultaneous Versus Sequential Use of Adjuvant Chemotherapy and GnRHa in Treating ER+,Premenopausal Breast Cancer

NCT ID: NCT01712893

Last Updated: 2017-08-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 216 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2009-06-30
• Study Completion Date: 2017-08-31

Brief Summary

The present study is a randomized open-label -phase III study that aims to compare the efficacy and safety of the adjuvant chemotherapy with simultaneous or sequential application of Zoladex up to 2-3 years for ≤ 45 year old premenopausal hormone receptor-positive breast cancer.

Detailed Description

Data showed that ovarian suppression therapy may protect the ovarian function in premenopausal patients received chemotherapy for breast cancer. However this is still a controversial issue. Sequential use of GnRHa (Zoladex) as ovarian suppression treatment after chemotherapy has been established as an effective endocrine therapy for ER positive premenopausal breast cancer. The present study is a randomized open-label phase III study that aims to observe the efficacy and safety of the adjuvant chemotherapy with simultaneous combination of Zoladex up to 2-3years and chemotherapy compared with the sequential schedule in ≤ 45 year old premenopausal hormone receptor-positive breast cancer patients.

Conditions

Breast Cancer

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Zoladex combined with chemotherapy

After signing informed consent, patients will be screened, eligible patients were randomly divided into 2 groups, the test group should use Zoladex 3.6mg once a month up to 2-3 years combined with chemotherapy,all patients will receive Tamoxifen after chemotherapy

Group Type: EXPERIMENTAL

Zoladex

Intervention Type: DRUG

Eligible patients were randomly divided into 2 groups, the intervention group should use Zoladex 3.6mg once a month up to 2-3 years combined with chemotherapy,and the control group should use chemotherapy alone followed by Zoladex

Zoladex after chemotherapy

After signing informed consent, patients will be screened, eligible patients were randomly divided into 2 groups, the control group should use Zoladex 3.6mg once a month up to 2-3 years after chemotherapy,all patients will receive Tamoxifen after chemotherapy

Group Type: ACTIVE_COMPARATOR

Zoladex

Intervention Type: DRUG

Eligible patients were randomly divided into 2 groups, the intervention group should use Zoladex 3.6mg once a month up to 2-3 years combined with chemotherapy,and the control group should use chemotherapy alone followed by Zoladex

Interventions

Zoladex

Eligible patients were randomly divided into 2 groups, the intervention group should use Zoladex 3.6mg once a month up to 2-3 years combined with chemotherapy,and the control group should use chemotherapy alone followed by Zoladex

Intervention Type: DRUG

Other Intervention Names

Zoladex = GnRHa,Goserelin

Eligibility Criteria

Inclusion Criteria

1. female

2. Primary invasive breast cancer pathologically approved by core needle or open biopsy

3. Patients must have undergone standard surgery for primary breast cancer as shown in the following:

• mastectomy
• breast conservation surgery followed by whole breast radiation
• axillary dissection or sentinel node biopsy

4. Need adjuvant chemotherapy after surgery

5. Patients taking neo-chemotherapy are eligible

6. Patients with synchronous bilateral cancers are eligible on the condition that If one side is IDC and the other side is DCIS, the IDC side should be of the ER and/or PR positive phenotype and IF two sides are both IDC, they must be ER and/or PR positive phenotype at the same time

7. Hormone receptor positive (≥＋) is defined as detecting ER or PR expression at any time is eligible. The situation of only PR positive and ER negative is eligible, too

8. Based on the study objective, all patients are required to be premenopausal as defined by

• menstruating actively
• less than 6 months since last menstrual period (LMP), or patients younger than 40 years of age who became amenorrheic not more than 1 year if the serum free E2、FSH and LH level was premenopausal (according to the reference value of local center).
• had previous hysterectomy with one or both ovaries left intact are eligible if the serum free E2、FSH and LH level are premenopausal (according to the reference value of local center).

9. patients must have an ECOG performance status of 0 or 1 (0-fully active, able to carry on all pre-disease performance without restriction, 1-restricted in physical strenuous actively but ambulatory)

10. leucocyte count must be ≥ 3.0*10^9/L and platelet count must be ≥ 100*10^9/L

11. AST/SGOT or ALT/AGPT must be < 3 times the ULN

12. serum creatinine must be < 2 times the ULN

13. pregnancy testing is negative and are willing to do contraception during the treatment period

Exclusion Criteria

1. patients with metastatic malignant tumor

2. previous history of asynchronous bilateral breast cancer

3. any previous malignancy in the past 5 years, except for those treated with curative intent, such as carcinoma in situ of the cervix, squamous carcinoma of the skin or basal cell carcinoma of the skin

4. any non-malignant systemic disease which interfere long time follow up

5. history of medical ovarian ablation therapy

6. severe live dysfunction, Child-Pugh is grade C

7. Severe renal dysfunction

8. Occult breast cancer

9. severe heart dysfunction, heart functional classification is above Class III

• Maximum Eligible Age: 45 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Fudan University

OTHER

Sponsor Role: lead

Responsible Party

Zhimin Shao

Director of Department of Surgical Oncology,Cancer Hospital & Institute

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Zhi-Min Shao, MD

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

FUSCC

Shanghai, Shanghai Municipality, China

Countries

China

Other Identifiers

CD trial

Identifier Type: -

Identifier Source: org_study_id