HOrmone Therapy Immediately After Histological Diagnosis of Breast Cancer

NCT ID: NCT03111615

Last Updated: 2017-12-05

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

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-01

Study Completion Date

2020-05-01

Brief Summary

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Breast Cancer is a public health issue worldwide. The time from diagnosis to treatment initiation varies from country to country and regionally within a country. Early diagnosis and prompt treatment initiation are key factors in patient survival rates.

Currently there is a rising trend, with a high percentage of patients with "Luminal" like breast cancer only undergoing adjuvant endocrine therapy.

Authors argue that tumor biology alterations after introducing very early endocrine therapy might have a prognostic and therapeutic impact and should be studied.

Detailed Description

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Selected patients of female gender, above 50 y.o, and after a biopsy of Luminal-like Breast Cancer will go under aromatase inhibitor, from the diagnosis day till the surgical therapy to be decided (if so).In this study are going to be included patients that refuse surgical treatment, remaining this way in an "active surveillance". This last group is going to be randomised in order to recieve hormontherapy plus placebo vs hormontherapy plus acetolisalicilic acid.

In this way, authors want to investigate if:

1. st This approach influences the tumor biology
2. nd This approach influences tumor pathologic response and progression free survival.
3. rd It is a valid approach and in which grade, for patients that refuse surgical treatment

Conditions

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Hormone Dependent Neoplasms Breast Cancer Female

Keywords

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Aromatase inhibitors Luminal Breast Cancer neoadjuvant hormone therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Aromatase inibitor therapy to start immediately after biopsy results are available Letrozole 2.5mg or Anastrazol 1 mg
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Aromatase Inhibitor group

Female patients of 50 and above y.o. shall initiate hormone therapy (Letrozol 2.5 mg or Anastrazol 1 mg) immediately after the diagnosis until surgery.

Group Type EXPERIMENTAL

Aromatase Inhibitors

Intervention Type DRUG

Aromatase Inhibitor to start immediately after diagnosis of a Luminal Invasive Breast Carcinoma Patients will be given Letrozol 2.5 mg or Anastrazol1 mg, every 24H and all of them will be given Calcium + Vit D supplement.

Venlafaxin 75 mg is to be administrated cases indicated

Control group

Female patients of 50 and above y.o. that follow standard protocol (no pre-surgery (Letrozol 2.5 mg or Anastrazol 1 mg))

Group Type NO_INTERVENTION

No interventions assigned to this group

Aromatase Inhibitor Active surveillance

Female patients of 50 and above y.o. that refuse surgery and therefor follow standard protocol (only Letrozol 2.5mg or Anastrazol 1 mg) until disease progression, death or will of surgery In this subgroup we are going to include, under HT, female patients with CDis,that refuse the standard treatment with surgery plus eventual rt and/or ht

Group Type OTHER

Aromatase Inhibitors

Intervention Type DRUG

Aromatase Inhibitor to start immediately after diagnosis of a Luminal Invasive Breast Carcinoma Patients will be given Letrozol 2.5 mg or Anastrazol1 mg, every 24H and all of them will be given Calcium + Vit D supplement.

Venlafaxin 75 mg is to be administrated cases indicated

Aromatase Inhibitor Active surveillance + aas

emale patients of 50 and above y.o. that refuse surgery and therefor follow standard protocol (only Letrozol 2.5mg or Anastrazol 1 mg plus acetilsalicilic acid) until disease progression, death or will of surgery In this subgroup we are going to include, under HT, female patients with CDis,that refuse the standard treatment with surgery plus eventual rt and/or ht

Group Type OTHER

Aromatase Inhibitors

Intervention Type DRUG

Aromatase Inhibitor to start immediately after diagnosis of a Luminal Invasive Breast Carcinoma Patients will be given Letrozol 2.5 mg or Anastrazol1 mg, every 24H and all of them will be given Calcium + Vit D supplement.

Venlafaxin 75 mg is to be administrated cases indicated

Interventions

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Aromatase Inhibitors

Aromatase Inhibitor to start immediately after diagnosis of a Luminal Invasive Breast Carcinoma Patients will be given Letrozol 2.5 mg or Anastrazol1 mg, every 24H and all of them will be given Calcium + Vit D supplement.

Venlafaxin 75 mg is to be administrated cases indicated

Intervention Type DRUG

Other Intervention Names

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Aromatase Inhibitor

Eligibility Criteria

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Exclusion Criteria

* informed consent
* \<50 y.o.
* Pre-menopausal state
Minimum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Centro Hospitalar Lisboa Ocidental

OTHER_GOV

Sponsor Role lead

Responsible Party

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Zacharoula Sidiropoulou

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vasco Fonseca, MD

Role: PRINCIPAL_INVESTIGATOR

CHLO Medical Oncology dpt

Zacharoula Sidiropoulou

Role: PRINCIPAL_INVESTIGATOR

CHLO Surgery dpt

Locations

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Hospital São Francisco Xavier

Lisbon, , Portugal

Site Status

Countries

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Portugal

Central Contacts

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Vasco Fonseca, MD

Role: CONTACT

Phone: 0035121 043 1000

Email: [email protected]

Other Identifiers

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CentroHLOBreastUnit

Identifier Type: -

Identifier Source: org_study_id