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Trial registered on ANZCTR
Registration number
ACTRN12614000507684
Ethics application status
Approved
Date submitted
5/05/2014
Date registered
13/05/2014
Date last updated
10/06/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Pre-surgical aromatase inhibitor combined with non-steroidal anti inflammatory drug treatment in breast cancer
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Scientific title
Randomised phase 2 trial of pre-surgical aromatase inhibitor, combined with non-steroidal anti inflammatory drug treatment or no additional treatment, in post-menopausal women with early stage operable breast cancer, to determine anti-proliferative response to aromatase inhibitor and effect of both agents on immune cell composition.
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Secondary ID [1]
284543
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NIL
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Universal Trial Number (UTN)
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Trial acronym
SAND
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
post menopausal breast cancer
291805
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Condition category
Condition code
Cancer
292167
292167
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
in window of time between diagnosis and surgery, post-menopausal women with ER positive breast cancer will be treated with an aromatase inhibitor alone, letrozole 2.5mg daily oral tablet, or with aspirin 200mg twice daily, oral tablet, in an anti inflammatory dose. Adherence will be monitored by twice weekly nurse review, and blood estradiol levels.
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Intervention code [1]
289302
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Treatment: Drugs
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Comparator / control treatment
control is aromatase inhibitor alone.
study arm is aromatase inhibitor plus aspirin
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Control group
Active
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Outcomes
Primary outcome [1]
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change in biological markers, including inflammation and proliferation, over 14 days of treatment. Pre- and post treatment tumour samples will be compared, and studied by immunohistochemistry for immune cell subsets, inflammatory cells, and tumour cell Ki67. Gene expression profiling using the same tumour samples will also be studied at a later stage.
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Assessment method [1]
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Timepoint [1]
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14 days, or day of surgery if this is sooner.
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Secondary outcome [1]
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safety of aspirin over 14 days, including peri-operatively, by twice weekly nurse assessment before and after surgery, using standard toxicity grading, recorded on CRF for specific side effects of interest.
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Assessment method [1]
308071
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Timepoint [1]
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During 14 days of treatment, on day of surgery and at 4-6 weeks
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Eligibility
Key inclusion criteria
ER positive, stage 1-2 breast cancer, post-menopausal, no prior therapy
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Minimum age
50
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
not post-menopausal, prior breast cancer, other illnesses,
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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
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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 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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Date of first participant enrolment
Anticipated
23/06/2014
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Actual
4/12/2014
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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
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6029
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New Zealand
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State/province [1]
6029
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
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Box 5541, Wellesley Street,
Auckland 1141
New Zealand
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Country [1]
289171
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New Zealand
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Primary sponsor type
University
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Name
University of otago
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Address
University of otago
PO Box 56
Dunedin 9054
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
287840
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None
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Name [1]
287840
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Address [1]
287840
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Country [1]
287840
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290947
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HDEC
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Ethics committee address [1]
290947
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
290947
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05/05/2014
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Approval date [1]
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22/09/2014
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Ethics approval number [1]
290947
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Summary
Brief summary
Previous work suggests that the presence of inflammation in post-menopausal breast cancer is associated with a poor response to aromatase inhibitor treatment. Here, an anti inflammatory drug aspirin is given with the aromatase inhibitor, and the breast cancer will be sampled before and after the treatment, given in the window of time between diagnosis and definitive surgery
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Trial website
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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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Prof Bridget Robinson
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Address
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Oncology Service, and University of Otago Christchurch,
Christchurch Hospital
Riccarton Avenue
Christchurch 8140
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Country
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New Zealand
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Phone
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+64 3 3640020
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Bridget Robinson
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Address
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Oncology Service
Christchurch Hospital
Riccarton Avenue
Christchurch 8140
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Country
48111
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New Zealand
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Phone
48111
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+64 3 3640020
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Fax
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Email
48111
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[email protected]
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Contact person for scientific queries
Name
48112
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Anita Dunbier
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Address
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University of Otago
Department of Biochemistry
PO Box 56
Dunedin 9054
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Country
48112
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New Zealand
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Phone
48112
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+64 3 4799258
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Fax
48112
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Email
48112
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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