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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00002777
Registration number
NCT00002777
Ethics application status
Date submitted
1/11/1999
Date registered
11/04/2003
Date last updated
2/07/2012
Titles & IDs
Public title
Exemestane Compared With Tamoxifen in Treating Women With Locally Recurrent or Metastatic Breast Cancer
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Scientific title
RANDOMIZED PHASE II STUDY IN FIRST LINE HORMONAL TREATMENT FOR METASTATIC BREAST CANCER WITH EXEMESTANE OR TAMOXIFEN IN POSTMENOPAUSAL PATIENTS
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Secondary ID [1]
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EORTC-10951
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Secondary ID [2]
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EORTC-10951
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Cancer
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Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically or cytologically proven adenocarcinoma of the breast that is metastatic and progressive or locally recurrent and inoperable
* At least one bidimensionally measurable or evaluable lesion
* Lytic bone lesions on x-ray/CT scan, surrounded by calcified bone, and at least 1 cm
* Bidimensionally measurable extraosseous disease required for patients on bisphosphonates
* The following are not considered evaluable:
* Previously irradiated lesions
* Lymphangitic spread
* Ascites
* Blastic bone lesions
* Pleural effusions
* No rapidly progressive disease for which hormonal therapy is not indicated
* No massive visceral disease (i.e., more than one third of any organ)
* No brain metastases
* Hormone receptor status:
* Estrogen receptor positive or progesterone receptor positive, defined by 1 of the following:
* At least 10 femtomoles H3-estrogen or at least 20 femtomoles
* H3 progesterone binding per mg of cytosol protein by DCC or sucrose density method
* At least 0.10 femtomoles H3-estrogen or at least 0.20 femtomoles
* H3-progesterone binding per mg of DNA by IF/EIA technique
* Positive immunohistochemistry noted on pathology report
* Unknown receptor status eligible provided:
* Disease-free interval of at least 2 years since adjuvant therapy or initial surgery (if no adjuvant therapy), including most recently treated tumor in bilateral breast cancer if status unknown in one primary tumor
PATIENT CHARACTERISTICS:
Age:
* 18 and over
Sex:
* Female
Menopausal status:
* Postmenopausal by 1 of the following:
* Natural menopause and more than 1 year since last menstrual period (LMP)
* Radiation-induced oophorectomy and more than 1 year since LMP
* Chemotherapy induced menopause if:
* At least 1 year since LMP (+ 1 year post-tamoxifen)
* Serum FSH and LH and plasma estradiol levels in postmenopausal range
* LHRH-induced amenorrhea
* Surgical castration
* Patients under age 56 with prior hysterectomy and 1 or both ovaries intact or tamoxifen-induced amenorrhea with at least 12 months since prior tamoxifen must have postmenopausal serum FSH and LH and plasma estradiol concentrations
Performance status:
* ECOG (WHO) 0-2
Hematopoietic:
* Absolute neutrophil count at least 1,500/mm^3
* Platelet count at least 100,000/mm^3
Hepatic:
* Bilirubin less than 1.5 times upper limit of normal (ULN)
* SGOT/SGPT less than 2.5 times ULN (less than 5 times ULN with liver metastases)
Renal:
* Creatinine less than 1.5 times ULN
Cardiovascular:
* No deep venous thrombosis
Other:
* No mental incapacitation
* No severe concurrent disease
* No prior or concurrent malignancy except curatively treated carcinoma in situ of the cervix or basal cell or squamous cell skin cancer
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* No concurrent immunotherapy
Chemotherapy:
* See Disease Characteristics
* At least 3 weeks since chemotherapy for metastatic disease and recovered
* No more than 1 prior chemotherapy regimen for metastatic disease
* Prior adjuvant chemotherapy allowed if disease free for at least 6 months
* No concurrent chemotherapy
Endocrine therapy:
* No prior hormonal therapy for advanced disease (e.g., tamoxifen or LHRH agonists)
* Prior adjuvant tamoxifen allowed if disease free for at least 6 months
* No other concurrent hormonal therapy, including steroids
Radiotherapy:
* Recovered from toxic effects of prior radiotherapy
* Concurrent palliative radiotherapy, including whole brain irradiation, allowed
Surgery:
* See Disease Characteristics
* No prior ovariectomy for advanced disease
Other:
* No other concurrent investigational drugs
* Concurrent bisphosphonates allowed if short term (7 days) for hypercalcemia due to suspect tumor flare or if on prior bisphosphonates with bidimensionally measurable extraosseous lesion
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/1996
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
342
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Princess Alexandra Hospital - Brisbane
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Austin Hospital - Heidelberg
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Bankstown - Lidcombe Hospital - Bankstown
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2170 - Liverpool
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4102 - Brisbane
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Recruitment postcode(s) [3]
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3084 - Heidelberg
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Recruitment postcode(s) [4]
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NSW 2200 - Bankstown
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Recruitment outside Australia
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Belgium
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Antwerp
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Belgium
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Brussels (Bruxelles)
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Belgium
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Haine Saint Paul
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Belgium
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La Louviere
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Belgium
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Leuven
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Wilrijk
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Bordeaux
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Caen
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Rouen
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Saint Cloud
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Malaysia
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Kuala Lumpur
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's-Gravenhage (Den Haag, The Hague)
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Amersfont
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Leiden
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Gdansk
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United Kingdom
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England
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United Kingdom
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Scotland
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Funding & Sponsors
Primary sponsor type
Other
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Name
European Organisation for Research and Treatment of Cancer - EORTC
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using exemestane or tamoxifen may fight cancer by blocking the uptake of estrogen. PURPOSE: Randomized phase II/III trial to compare the effectiveness of exemestane with that of tamoxifen in treating postmenopausal women who have locally recurrent or metastatic breast cancer.
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Trial website
https://clinicaltrials.gov/study/NCT00002777
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Trial related presentations / publications
Paridaens RJ, Dirix LY, Beex LV, Nooij M, Cameron DA, Cufer T, Piccart MJ, Bogaerts J, Therasse P. Phase III study comparing exemestane with tamoxifen as first-line hormonal treatment of metastatic breast cancer in postmenopausal women: the European Organisation for Research and Treatment of Cancer Breast Cancer Cooperative Group. J Clin Oncol. 2008 Oct 20;26(30):4883-90. doi: 10.1200/JCO.2007.14.4659. Epub 2008 Sep 15. Atalay G, Dirix L, Biganzoli L, Beex L, Nooij M, Cameron D, Lohrisch C, Cufer T, Lobelle JP, Mattiaci MR, Piccart M, Paridaens R. The effect of exemestane on serum lipid profile in postmenopausal women with metastatic breast cancer: a companion study to EORTC Trial 10951, 'Randomized phase II study in first line hormonal treatment for metastatic breast cancer with exemestane or tamoxifen in postmenopausal patients'. Ann Oncol. 2004 Feb;15(2):211-7. doi: 10.1093/annonc/mdh064. Paridaens R, Therasse P, Dirix L, et al.: First line hormonal treatment (HT) for metastatic breast cancer (MBC) with exemestane (E) or tamoxifen (T) in postmenopausal patients (pts): A randomized phase III trial of the EORTC Breast group. [Abstract] J Clin Oncol 22 (Suppl 14): A-515, 6s, 2004. Paridaens R, Therasse P, Dirix L, et al.: First results of a randomized phase III trial comparing exemestane versus tamoxifen as first-line hormone therapy (HT) for postmenopausal women with metastatic breast cancer (MBC) : EORTC 10951 in collaboration with the exemestane working group and NCIC Clinical Trials Group. [Abstract] Eur J Cancer 2 (Suppl 3): A-241, 126, 2004.
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Public notes
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Contacts
Principal investigator
Name
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Robert Paridaens, MD, PhD
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Address
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University Hospital, Gasthuisberg
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Paridaens RJ, Dirix LY, Beex LV, Nooij M, Cameron ...
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Journal
Atalay G, Dirix L, Biganzoli L, Beex L, Nooij M, C...
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Paridaens R, Therasse P, Dirix L, et al.: First li...
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Paridaens R, Therasse P, Dirix L, et al.: First re...
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Results not provided in
https://clinicaltrials.gov/study/NCT00002777
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