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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00497458
Registration number
NCT00497458
Ethics application status
Date submitted
4/07/2007
Date registered
6/07/2007
Date last updated
9/04/2009
Titles & IDs
Public title
Androgen Therapy for Breast Cancer Patients With Aromatase Inhibitor Induced Side-Effects
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Scientific title
Phase II Study of Testosterone Replacement in Women Experiencing Aromatase Inhibitor Side-Effects in Adjuvant Therapy for Breast Cancer
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Secondary ID [1]
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ART2
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Universal Trial Number (UTN)
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Trial acronym
ART2
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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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Arthralgia
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Osteoporosis
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Condition category
Condition code
Cancer
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Breast
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Musculoskeletal
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Osteoporosis
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Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Testosterone
Placebo comparator: Arimidex - Arimidex 1 mg plus placebo
Active comparator: Arimidex test 40mg - Arimidex 1mg and testosterone 40mg
Active comparator: Arimidex plus test 80mg - Arimidex 1mg and testosterone 80mg
Treatment: Drugs: Testosterone
testosterone 40 or 80 mg once a day
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Reduces arthralgia and associated joint symptoms as indicated by the change in hand or large joint pain from baseline to 3 months using a 100mm visual analogue scale for pain.
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Assessment method [1]
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Timepoint [1]
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3 months
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Primary outcome [2]
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Has acceptable safety and tolerability profile with particular reference to androgenic adverse events including acne, hirsutism, and alopecia.
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Assessment method [2]
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Timepoint [2]
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3 months
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Secondary outcome [1]
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Impacts the bone resorption marker CTx
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Assessment method [1]
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Timepoint [1]
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3 months
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Secondary outcome [2]
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Impacts serum HDL, LDL Trg, total Chol,
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Assessment method [2]
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Timepoint [2]
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3 months
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Secondary outcome [3]
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Impacts serum levels of oestrogens, androgens and SHBG levels
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Assessment method [3]
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Timepoint [3]
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3 months
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Eligibility
Key inclusion criteria
* Provision of written informed consent
* Undergone a total mastectomy, a lumpectomy or a quadrantectomy for primary breast cancer +/-chemo, +/-radiotherapy
* Have commenced anastrozole therapy within the previous 6 months
* Presence of node negative or positive disease
* Receptor-positive tumors, defined as ER =10% of the tumor cells positive by immunocytochemical evaluation
* Postmenopausal whether induced by surgery, radiotherapy (chemotherapy-induced amenorrhea may be difficult to determine they may be amenorrhoeic but still have functioning ovaries), or by being naturally amenorrhoeic, for 1 year or more if younger than 50 and for 6 months if 50 or older
* Postmenopausal levels of FSH/LH/E2 (follicle stimulating hormone, luteinizing hormone, oestrogen) according to the definition of "postmenopausal range" for the laboratory involved
* Have developed arthralgia and associated joint symptoms whilst being treated with anastrozole with a score of 40mm or greater on a pain and stiffness 100mm VAS
* WBC = 3.0 x 109/L, granulocytes = 1.5 X 109/L and platelets = 100 x 109/L.
* AST/SGOT or ALT/SGPT = 3 times ULN Serum creatinine = 2 times ULN
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Presence of metastatic disease
* Diabetes mellitus or glucose intolerance defined as a fasting glucose >6mmol/l
* Previous or concomitant other (non-breast cancer) malignancy within the previous 5 years
* Presence of other non-malignant systemic diseases which may prevent prolonged follow-up
* History of coronary artery disease or no history of previous coronary heart disease but at least two other coronary heart disease risk factors: LDL =8.8 mg/dL OR if fewer than two other coronary heart disease risk factors: LDL =10.45 mg/dL or total fasting cholesterol = 13.2 mg/dL
* Patients on hormone replacement therapy (HRT) within 4 weeks before trial treatment was initiated
* Patients on breast cancer chemoprevention with anti-oestrogens if less than 18 months between stopping and diagnosis of breast cancer
* Are at risk of transmitting Human Immunodeficiency Virus or viral hepatitis via infected blood
* Known hypersensitivity to any component of testosterone
* Unable to comply with study requirements
* Taking the following concomitant medications at the screening visit-bisphosphonate, anti-cancer treatment other than anastrozole (this includes Herceptin).
* Prolonged systemic corticosteroid treatment, except for topical applications (e.g. for rash), inhaled sprays (e.g. for obstructive airways diseases), eye drops or local injections (e.g. intra-articular). Note: Short duration (< 2 weeks) of systemic corticosteroids is allowed (e.g. for Chronic Obstructive Pulmonary Disease) but not within 1 month prior to randomisation.
* Any investigational drugs
* Systemic hormone replacement therapy
* Pregnant or lactating women
* Patients with history of fragility fracture or low BMD, osteoporosis or osteopenia
* Known liver disease
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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?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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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
1/07/2007
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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
1/06/2009
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Burnside Breast Centre - Adelaide
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Recruitment postcode(s) [1]
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- Adelaide
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Havah Therapeutics Pty Ltd
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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AstraZeneca
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate whether increasing blood levels of androgen can reduce some of the side-effects of anti-estrogen therapy (Arimidex)
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Trial website
https://clinicaltrials.gov/study/NCT00497458
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Stephen N Birrell, MD PhD
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Address
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Havah Therapeutics Pty Ltd
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00497458
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