Prognostic Evaluation of Changing Endocrine Therapy in Women With Breast Cancer

NCT ID: NCT02097459

Last Updated: 2016-05-25

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Brief Summary

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It suggests in the Guideline that the postmenopausal women with breast cancer who have taken selective estrogen receptor modulators (SERMs) therapy for 2-3 years could benefit from changing endocrine therapy to aromatase inhibitors (AIs). This is a prospective, randomized and non-inferior trial to evaluate the prognosis of changing endocrine therapy from SERMs to AIs in perimenopausal and recently postmenopausal women with early-stage hormone receptor-positive breast cancer.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Failed group

Patients who have recurrence of menstruation after changing endocrine therapy to anastrozole and then go back to the original SERMs therapy.

Group Type EXPERIMENTAL

Anastrozole

Intervention Type DRUG

Tamoxifen

Intervention Type DRUG

Toremifene

Intervention Type DRUG

Succeeded group

Patients who have no recurrence of menstruation after changing endocrine therapy and then go on with anastrozole therapy.

Group Type EXPERIMENTAL

Anastrozole

Intervention Type DRUG

No chang group

Patients who don't change the endocrine therapy and go on with the original tamoxifen or toremifene therapy.

Group Type ACTIVE_COMPARATOR

Tamoxifen

Intervention Type DRUG

Toremifene

Intervention Type DRUG

Interventions

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Anastrozole

Intervention Type DRUG

Tamoxifen

Intervention Type DRUG

Toremifene

Intervention Type DRUG

Other Intervention Names

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Arimidex Fareston Shu Rui

Eligibility Criteria

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Inclusion Criteria

* Written informed consent must be obtained and documented according to the local regulatory requirements prior to beginning specific protocol procedures.
* Age of at least 45 and at most 55 years.
* Performance status (Karnofsky-Index) \>80%
* Steroid receptor (estrogen and progesterone) positive tumor (diagnosis according to hospital standard-procedures).
* No clinical evidence of local recurrence or distant metastases.
* Complete staging work-up within 3 months prior to registration. All patients must have (bilateral) mammography or breast MRI, chest X-ray; other tests may be performed as clinically indicated.
* Patients have taken the SERMs as endocrine therapy for 2-4 years.
* Patients who have had amenorrhea for at least half a year.
* Life expectancy of at least 10 years, disregarding the diagnosis of cancer.
* Adequate organ function including normal red and white blood count, platelets, serum creatinine, bilirubin, and transaminases within normal range of the institution.
* Patients must be available for and compliant to treatment and follow-up.
* Patients registered on this trial must be treated and followed up at the participating center.

Exclusion Criteria

* Known hypersensitivity reaction to the investigational compounds or incorporated substances.
* Hormone receptor-negative breast cancer.
* Local recurrence and/or metastasis of breast cancer.
* History of hysterectomy.
* Pregnant or lactating patients. Patients of childbearing potential must have a negative pregnancy test (urine or serum) within 14 days prior to registration.
* History of osteoporosis and/or fractures due to osteoporosis.
* Prior or concomitant secondary malignancy (except non-melanomatous skin cancer or carcinoma in situ of the uterine cervix)
* Any other serious medical pathology, such as congestive heart failure; unstable angina; history of myocardial infarction during the previous year; uncontrolled high risk arrhythmias
* Other serious illness or medical condition that may interfere with the understanding and giving of informed consent and the conduct of the study.
* Concurrent treatment with other experimental drugs or any other anti-cancer therapy.
* Males.
Minimum Eligible Age

45 Years

Maximum Eligible Age

55 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Qiang SUN

Chief of Breast Surgery Department, Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Qiang Sun, Doctor

Role: STUDY_CHAIR

Peking Union Medical College Hospital

Locations

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Peking Union Medical College Hospital

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qiang Sun, Doctor

Role: CONTACT

8610-69152700

Yan Lin, Doctor

Role: CONTACT

8610-69152700

Facility Contacts

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Qiang Sun, Doctor

Role: primary

8610-69152700

Other Identifiers

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PUMCH-BREAST-AI

Identifier Type: -

Identifier Source: org_study_id

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