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Phase II Randomized, Multicenter, Crossover Clinical Trial for Administration of Exemestane vs. Anastrozole as First Line Treatment for Postmenopausal Patients With Hormone Receptor Positive Advanced Breast Cancer


Phase 2
18 Years
90 Years
Not Enrolling
Female
Breast Cancer

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Trial Information

Phase II Randomized, Multicenter, Crossover Clinical Trial for Administration of Exemestane vs. Anastrozole as First Line Treatment for Postmenopausal Patients With Hormone Receptor Positive Advanced Breast Cancer


The primary study endpoint is objective response rate. The study has been designed following
Simon's test, with a p1-p0=0.15. p1 is the optimum level of activity of the experimental
treatment (exemestane), and p0 is the minimum expected activity. In this study, p1 is 25%
(25% of RR) and p0 is 10% (10% of RR). With an alpha error of 0.05 and a beta error of 0.1,
Simon test establishes a first step of 21 patients per treatment arm. If at least 2
objective responses are observed in exemestane arm, recruitment will continue until 100
patients have been recruited. After this second recruitment phase, at least 7 objective
responses must be observed to confirm the expected exemestane level of activity.


Inclusion Criteria:



- Pathological diagnoses of breast cancer.

- Postmenopausal women, defined as:

- Bilateral surgical oophorectomy or amenorrhoea >= 5 years;

- Age >= 56 years old and amenorrhoea >= 1 year;

- Chemotherapy induced amenorrhoea >= 2 years;

- Radiotherapy induced amenorrhoea at least 3 months before:

- Age < 56 and < 5 years of amenorrhoea: follicle-stimulating hormone (FSH) levels
to confirm postmenopausal status.

- Metastatic breast cancer (stage IV) or non-operable locally advanced breast cancer
(stage IIIB).

- Positive estrogen and/or progesterone receptors as >10% cells or >10fmol/mg.

- Measurable disease as per Response Evaluation Criteria in Solid Tumors (RECIST)
criteria.

- Patients who have received adjuvant tamoxifen are eligible, if progression has been
established at least 24 months since treatment start.

- Neoadjuvant chemotherapy is allowed if progression has been established at least 12
months after end of treatment.

- Patients may have received a first line of chemotherapy for advanced disease, but
treatment must have ended at least 4 weeks before enrolment, and all acute toxicities
must be resolved. Previous treatment with Herceptin is allowed.

- Normal haematological, hepatic and renal functions.

- Performance status ECOG of 0, 1, 2.

- Life expectancy superior to 3 months.

- Written informed consent.

Exclusion Criteria:

- Previous hormone treatment for metastatic disease.

- Previous treatment with aromatase inhibitors.

- Inflammatory breast cancer, or aggressive metastatic disease, or visceral lesions, or
metastasis in the central nervous system (CNS).

- Non-measurable disease.

- Second malignancy except for basal skin carcinoma or cervical in situ carcinoma
adequately treated. If other malignancies, patient must have a disease-free period
superior to 5 years.

- Treatment with any investigational product in the 4 previous weeks.

- Patients with negative estrogen and progesterone receptor tumours.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Overall response rate

Principal Investigator

Antonio Llombart, MD., PhD.

Investigator Role:

Study Chair

Investigator Affiliation:

Spanish Breast Cancer Research Group

Authority:

Spain: Spanish Agency of Medicines

Study ID:

GEICAM 2001-03

NCT ID:

NCT00128843

Start Date:

August 2001

Completion Date:

July 2005

Related Keywords:

  • Breast Cancer
  • Metastatic breast cancer
  • First line of hormone treatment
  • Postmenopausal women
  • Positive hormone receptor tumours
  • Breast Neoplasms

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