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A Prospective, Randomized, Open-label, Multicenter Study Evaluating the Effects on Cognitive Functions of Adjuvant Endocrine Therapy in Postmenopausal Women With Breast Cancer.


Phase 3
N/A
70 Years
Open (Enrolling)
Female
Breast Cancer

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Trial Information

A Prospective, Randomized, Open-label, Multicenter Study Evaluating the Effects on Cognitive Functions of Adjuvant Endocrine Therapy in Postmenopausal Women With Breast Cancer.


OBJECTIVES:

Primary

- To evaluate verbal episodic memory in patients with breast cancer after 6 months of
treatment with aromatase inhibitors (AI) vs tamoxifen citrate.

Secondary

- To evaluate cognitive functions of these patients at month 6 and 12 of treatment.

- To evaluate the psychological and social impact on these patients at month 6 and 12 of
treatment.

OUTLINE: This is a multicenter study.

Patients are randomized to 1 of 2 treatment arms.

- Arm I: Patients receive oral tamoxifen citrate once daily for 1 year in the absence of
disease progression or unacceptable toxicity.

- Arm II: Patients receive an oral aromatase inhibitor (letrozole, anastrozole, or
exemestane) once daily for 1 year in the absence of disease progression or unacceptable
toxicity.

Patients undergo cognitive, psychological, social, and quality of life assessments every 6
months using the CDS scale, the Edinburgh Handedness Inventory, the Mini Mental Test, the
French version of the National Adult Reading Test, the Benton Visual Retention test, the
direct and indirect capacities of the WAIS-R, the WMS sequential visual-spatial capacity,
the dual task test, categorical and formal verbal fluency, the Trail making test, the Stroop
test, the Wisconsin Card Sorting test, the choice reaction time test, the sequential visual
spatial capacity, the HADS scale, IADL, and QLQ-C30 questionnaires.

After completion of study treatment, patients are followed for 1 year.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed breast cancer

- No metastatic disease

- Meets criteria for initiating adjuvant endocrine therapy

- Hormone receptor status:

- Estrogen receptor- and/or progesterone receptor-positive disease

PATIENT CHARACTERISTICS:

- Postmenopausal, defined as no menstruation for ≥ 1 year, confirmed by a measurement
of FSH and 17-beta-estradiol

- Karnofsky performance status 80-100%

- Native speaker of French

- Beneficiary of a French Social Security insurance plan

- No prior cognitive disorders

- No depression or other confirmed active psychiatric disease

- Able to undergo the medical monitoring of the trial due to geographic, social or
psychological reasons

- No personal or family history of thromboembolic disease

PRIOR CONCURRENT THERAPY:

- No prior adjuvant chemotherapy

- No concurrent follow-up participation on another study

- No concurrent treatment with psychotropic substances (i.e., long half life
benzodiazepines, antipsychotics, anticholinesterase)

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Changes in verbal episodic memory performance after 6 months of treatment, using the Rey Auditory Verbal Learning Test

Safety Issue:

No

Principal Investigator

Emilie Le Rhun

Investigator Role:

Principal Investigator

Investigator Affiliation:

Centre Oscar Lambret

Authority:

Unspecified

Study ID:

CDR0000635986

NCT ID:

NCT00893061

Start Date:

February 2009

Completion Date:

Related Keywords:

  • Breast Cancer
  • stage IA breast cancer
  • stage IB breast cancer
  • stage II breast cancer
  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
  • estrogen receptor-positive breast cancer
  • progesterone receptor-positive breast cancer
  • Breast Neoplasms

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