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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03906669
Registration number
NCT03906669
Ethics application status
Date submitted
18/09/2018
Date registered
8/04/2019
Titles & IDs
Public title
A Window of Opportunity Study of Pre-operative Endocrine Therapy With and Without Prometrium in Postmenopausal Women With Early Stage Breast Hormone Receptor Positive (HR+) Human Epidermal Receptor 2 Negative (HER2-) Breast Cancer.
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Scientific title
A Window of Opportunity Study of Endocrine Therapy With and Without Prometrium in Postmenopausal Women With Early Stage Hormone Receptor-positive Breast Cancer.
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Secondary ID [1]
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ACTRN1261000928213
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Universal Trial Number (UTN)
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Trial acronym
WinPro
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Early-stage Breast Cancer
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Hormone Receptor Positive Tumor
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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
Treatment: Drugs - Letrozole
Treatment: Drugs - Letrozole and Prometrium
Treatment: Drugs - Tamoxifen and Prometrium
Active comparator: Letrozole - Letrozole 2.5mg PO daily for 14 days between diagnosis of breast cancer and definite surgery
Experimental: Letrozole and Prometrium - Letrozole 2.5mg PO daily and Prometrium 300mg PO daily for 14 days between diagnosis of breast cancer and definite surgery
Experimental: Tamoxifen and Prometrium - Tamoxifen 20mg PO daily and Prometrium 300mg PO daily for 14 days between diagnosis of breast cancer and definite surgery
Treatment: Drugs: Letrozole
PO daily for 14 days
Treatment: Drugs: Letrozole and Prometrium
PO daily for 14 days
Treatment: Drugs: Tamoxifen and Prometrium
PO daily for 14 days
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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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Geometric mean suppression of proliferation marker Ki67
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Assessment method [1]
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The geometric mean suppression of the centrally assessed proliferation marker Ki67, after two weeks of intervention, compared with baseline
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Timepoint [1]
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After two weeks of intervention, compared with baseline
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Secondary outcome [1]
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Safety and tolerability: number of participants with treatment-related adverse events as assessed by CTCAE v4.0
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Assessment method [1]
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Safety and tolerability of combination therapy (NCI-CTCAE v4.0)
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Timepoint [1]
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2 years
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Eligibility
Key inclusion criteria
1. Histologically confirmed ER+ and PR+ breast cancer (defined as =10% positive staining cells)
2. Histologically confirmed HER2-negative breast cancer (defined as IHC 0-1 and/or FISH/CISH <2.2)
3. Tumour size =1 cm as measured by ultrasound and/or mammogram
4. Ability to understand all patient information and informed-consent documents, written informed consent to participate in the trial, and to avail tissue and blood samples for research
5. Aged 18 years or older
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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
1. Women currently on hormone therapies, including hormone replacement therapy and oral contraceptive pill
2. Locally advanced/inoperable and inflammatory breast cancer
3. Planned for a mastectomy (due to increased risk of venous thromboembolism)
4. Clinical evidence of metastatic disease
5. Patients treated with other preoperative systemic therapies
6. Nut allergy (prometrium contains peanut oil)
7. Prior history of uterine cancer, deep vein thrombosis, pulmonary embolism or clotting disorder
8. Women who are pregnant or breast-feeding
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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
Open (masking not used)
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Who is / are masked / blinded?
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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
Recruiting
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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
20/03/2018
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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
1/04/2024
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St Vincent's Hospital - Sydney
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Recruitment postcode(s) [1]
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2010 - Sydney
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Funding & Sponsors
Primary sponsor type
Other
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Name
St Vincent's Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
A phase II randomised, open label study of pre-operative endocrine therapy with \& without prometrium in postmenopausal women with early stage breast hormone receptor positive (HR+) human epidermal receptor 2 negative (HER2-) breast cancer.
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Trial website
https://clinicaltrials.gov/study/NCT03906669
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Trial related presentations / publications
Mohammed H, Russell IA, Stark R, Rueda OM, Hickey TE, Tarulli GA, Serandour AA, Birrell SN, Bruna A, Saadi A, Menon S, Hadfield J, Pugh M, Raj GV, Brown GD, D'Santos C, Robinson JL, Silva G, Launchbury R, Perou CM, Stingl J, Caldas C, Tilley WD, Carroll JS. Progesterone receptor modulates ERalpha action in breast cancer. Nature. 2015 Jul 16;523(7560):313-7. doi: 10.1038/nature14583. Epub 2015 Jul 8. Erratum In: Nature. 2015 Oct 1;526(7571):144. doi: 10.1038/nature14959. Serandour, Aurelien A A[Corrected to Serandour, Aurelien A]. Lim E, Tarulli G, Portman N, Hickey TE, Tilley WD, Palmieri C. Pushing estrogen receptor around in breast cancer. Endocr Relat Cancer. 2016 Dec;23(12):T227-T241. doi: 10.1530/ERC-16-0427. Epub 2016 Oct 11.
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Public notes
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Contacts
Principal investigator
Name
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Elgene Lim, MBBS FRACP PhD
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Address
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Garvan Research Institute
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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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Robert Kent
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Address
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Country
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Phone
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+61293555611
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT03906669