Tamoxifen Compared With LY353381 in Treating Women With Newly Diagnosed Breast Cancer
Recruitment status was Active, not recruiting
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Purpose
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using tamoxifen or LY353381 may fight breast cancer by blocking the use of estrogen.
PURPOSE: This randomized phase I trial is studying how well tamoxifen works on the biomarkers of the tumor tissue, compared with LY353381, in treating women with newly diagnosed breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: arzoxifene hydrochloride Drug: tamoxifen citrate |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | A Phase IB Randomized Study of an Antiestrogen in Women With Newly Diagnosed Breast Cancer |
| Study Start Date: | July 2000 |
OBJECTIVES:
- Determine whether LY353381 hydrochloride or tamoxifen administered in the interval between biopsy and re-excision alters the expression of tissue biomarkers relative to placebo controls in postmenopausal women with newly diagnosed breast cancer.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study.
- Phase I: Patients are randomized to receive either oral LY353381 hydrochloride or oral placebo daily.
Upon completion of phase I, all treatment centers begin phase II of the study.
- Phase II: Patients are randomized to receive either oral tamoxifen or oral placebo daily.
Treatment in both phases continues for 2-6 weeks (until scheduled lumpectomy or mastectomy) in the absence of disease progression or unacceptable toxicity.
Patients are followed at 1 and 2 weeks after surgery.
PROJECTED ACCRUAL: A minimum of 120 patients (60 per treatment phase) will be accrued for this study within 18 months.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed noninvasive or small invasive breast cancer
- Low or intermediate grade (ductal carcinoma in situ, T1, or T2) OR
- Estrogen and/or progesterone receptor positive
- Largest mass no greater than 5 cm
- Clustered microcalcifications as only abnormality allowed with no upper size limit
- If no distinction between mass and microcalcifications, size as 1 lesion
- Lumpectomy or mastectomy must be planned for 2-6 weeks from start of study
- No evidence of metastases from any malignancy
Hormone receptor status:
- Estrogen and progesterone receptor positive (unless low or intermediate grade tumor)
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Sex:
- Female
Menopausal status:
Postmenopausal by one of the following:
- Prior oophorectomy
- Over age 50 with prior hysterectomy, ovaries remaining
- Uterus and ovaries intact and no menstrual period for more than 3 months
Performance status:
- Not specified
Life expectancy:
- Not specified
Hematopoietic:
- Platelet count greater than 100,000/mm^3
- Hemoglobin greater than 10 g/dL
- Absolute granulocyte count greater than 1,000/mm^3
Hepatic:
- Albumin greater than 3 g/dL
- Bilirubin less than 1.5 mg/dL
- AST less than 100 U/L
- Alkaline phosphatase less than 200 U/L
Renal:
- Creatinine less than 1.5 mg/dL
Cardiovascular:
- No history of deep vein thrombosis
Pulmonary:
- No prior pulmonary embolus
Other:
- Not pregnant or nursing
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- At least 1 year since prior chemotherapy
Endocrine therapy:
- At least 1 year since prior aromatase inhibitors, antiestrogens, or LH agonists/antagonists
- No concurrent hormone replacement therapy or oral contraceptives (from time of randomization)
Radiotherapy:
- Not specified
Surgery:
- See Disease Characteristics
Other:
- No concurrent treatment for other malignancy
Contacts and Locations| United States, Alabama | |
| University of Alabama at Birmingham Comprehensive Cancer Center | |
| Birmingham, Alabama, United States, 35294-3300 | |
| United States, California | |
| Jonsson Comprehensive Cancer Center, UCLA | |
| Los Angeles, California, United States, 90095-1781 | |
| Comprehensive Cancer Centers of the Desert | |
| Palm Springs, California, United States, 92262 | |
| United States, Illinois | |
| Loyola University Medical Center | |
| Maywood, Illinois, United States, 60153 | |
| United States, Kansas | |
| University of Kansas Medical Center | |
| Kansas City, Kansas, United States, 66160-7357 | |
| United States, Ohio | |
| Cleveland Clinic Taussig Cancer Center | |
| Cleveland, Ohio, United States, 44195 | |
| Arthur G. James Cancer Hospital - Ohio State University | |
| Columbus, Ohio, United States, 43210-1240 | |
| United States, Pennsylvania | |
| Kimmel Cancer Center of Thomas Jefferson University - Philadelphia | |
| Philadelphia, Pennsylvania, United States, 19107-5541 | |
| United States, Texas | |
| U.S. Oncology Research Inc. | |
| Dallas, Texas, United States, 75246 | |
| Study Chair: | Carol J. Fabian, MD | University of Kansas |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT00005886 History of Changes |
| Other Study ID Numbers: | CDR0000067956, KUMC-7813-99, KUMC-HSC-7419-98, NCI-P00-0158 |
| Study First Received: | June 2, 2000 |
| Last Updated: | July 23, 2008 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Cancer Institute (NCI):
|
stage I breast cancer stage II breast cancer ductal breast carcinoma in situ breast cancer in situ |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Tamoxifen Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses |
Pharmacologic Actions Selective Estrogen Receptor Modulators Estrogen Receptor Modulators Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Bone Density Conservation Agents Estrogen Antagonists |
ClinicalTrials.gov processed this record on June 17, 2013