Breast CancerPhase 3NCT00016432
Exemestane in Treating Postmenopausal Women With Resected Stage I, Stage II, or Stage IIIA Breast Cancer Who Have Completed 5 Years of Tamoxifen
A Phase 3 study testing exemestane in people with Breast Cancer, run by NSABP Foundation Inc at 162 sites in 3 countries.
Trial summary
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using exemestane may fight breast cancer by reducing the production of estrogen by the tumor cells. It is not yet known whether exemestane is effective in preventing the recurrence of breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- exemestane
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,598 participants
- Where
- 162 sitesin 3 countries
- Study dates
- May 2001to Feb 2011
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically confirmed invasive adenocarcinoma of the breast at time of original diagnosis
- Tumor confined to the breast and ipsilateral axilla on clinical exam (T1-3, N0-1, M0) (stage I-IIIA)
- No ipsilateral lymph nodes clinically fixed to one another or to other structures (N2 disease) at time of original diagnosis
- Prior surgical resection, including 1 of the following:
- Total mastectomy and axillary dissection (modified radical mastectomy) OR
- Lumpectomy and axillary dissection
- Prior post-lumpectomy breast radiotherapy required
- Prior sentinel node biopsy allowed with the exception of the following:
- If any sentinel node is histologically positive by hematoxylin and eosin (H \& E) OR histologically suspicious on H \& E and confirmed positive by immunohistochemistry then the patient must have a complete axillary dissection
- Previously resected margins must be clear of invasive tumor and ductal carcinoma in situ
- Currently disease free
- Previously treated with tamoxifen for 57-66 months
- Completed tamoxifen within the past 180 days
- No bilateral malignancy or mass in the opposite breast suspicious for malignancy unless biopsy proven negative
- No local, regional, or distant recurrence of disease or second primary breast malignancy (including contralateral breast cancer)
- No advanced disease at time of original diagnosis (e.g., ulceration, erythema, infiltration of the skin or underlying chest wall [complete fixation], peau d'orange, or skin edema of any magnitude)
- Tethering or dimpling of the skin or nipple inversion allowed
- Current skeletal pain allowed if a bone scan and/or radiologic exam is negative for metastatic disease
- Hormone receptor status:
- Primary tumor estrogen receptor (ER) positive AND/OR
- Progesterone receptor positive
- Borderline ER positive tumors allowed if previously treated with tamoxifen
PATIENT CHARACTERISTICS:
Age:
- Postmenopausal
Sex:
- Female
Menopausal status:
- Postmenopausal, defined as 1 of the following:
- Prior bilateral oophorectomy
- Absence of spontaneous menstrual cycle for more than 1 year
- Follicle-stimulating hormone within the postmenopausal range if under 55 and had a prior hysterectomy without a bilateral oophorectomy
Performance status:
- Not specified
Life expectancy:
- At least 10 years
Hematopoietic:
- Absolute granulocyte count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin normal
Hepatic:
- Bilirubin less than 2 times upper limit of normal (ULN)
- SGOT or SGPT no greater than 2.5 times ULN
- Alkaline phosphatase less than 2 times ULN
- No systemic hepatic disease that would preclude study participation
Renal:
- Creatinine no greater than 1.5 times ULN
- No systemic renal disease that would preclude study participation
Cardiovascular:
- No systemic cardiovascular disease that would preclude study participation
Other:
- No other malignancy within the past 5 years except effectively treated squamous cell or basal cell skin cancer, surgically treated carcinoma in situ of the cervix, or surgically treated lobular carcinoma in situ of the ipsilateral or contralateral breast
- No nonmalignant systemic disease that would preclude study participation
- No psychiatric or addictive disorder that would preclude informed consent
- Not pregnant
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- Prior adjuvant chemotherapy allowed if administered concurrently with or prior to tamoxifen
Endocrine therapy:
- See Disease Characteristics
- No concurrent estrogen, progesterone, clomiphene, testosterone, gonadotropin-releasing hormone, oral contraceptives, selective estrogen-receptor modulators, or dehydroepiandrosterone (DHEA)
- Estring or estrogen vaginal cream at 0.3 mg or 1/8 of an applicator applied vaginally 3 times a week allowed
- No other concurrent systemic hormonal therapy (e.g., tamoxifen or raloxifene)
Radiotherapy:
- See Disease Characteristics
- Prior post-mastectomy loco-regional radiotherapy or post-lumpectomy regional radiotherapy allowed
Surgery:
- See Disease Characteristics
Other:
- Prior participation in other adjuvant NSABP study allowed if study was reported in peer-review publication or tamoxifen was not a study drug
- Concurrent bisphosphonates or calcitonin for prevention or treatment of osteoporosis allowed
- Concurrent statins (simvastatin, pravastatin, fluvastatin, atorvastatin, or lovastatin) or other drugs to control lipid levels allowed
Trial locations and contacts
162 sites in 3 countries.
162 sites in 3 countries
United States150 sites
Akron City Hospital
Akron, Ohio, 44309
New York Oncology Hematology, P.C.
Albany, New York, 12208
MBCCOP - University of New Mexico HSC
Albuquerque, New Mexico, 87131
Lehigh Valley Hospital
Allentown, Pennsylvania, 18103
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48106
Emory University School of Medicine
Atlanta, Georgia, 30322
Medical College of Georgia
Augusta, Georgia, 30912
Franklin Square Hospital Center
Baltimore, Maryland, 21237
Eastern Maine Medical Center
Bangor, Maine, 04401
Illinois Oncology, Ltd.
Belleville, Illinois, 62221
Green Mountain Oncology Group
Bennington, Vermont, 05201
National Naval Medical Center
Bethesda, Maryland, 20889-5000
CCOP - Montana Cancer Consortium
Billings, Montana, 59101
Boston Medical Center
Boston, Massachusetts, 02118
Lahey Clinic - Burlington
Burlington, Massachusetts, 01805
Alamance Cancer Center
Burlington, North Carolina, 27216
Vermont Cancer Center
Burlington, Vermont, 05405-0075
Aultman Cancer Center
Canton, Ohio, 44710
Lineberger Comprehensive Cancer Center, UNC
Chapel Hill, North Carolina, 27599-7295
Camcare Health
Charleston, West Virginia, 25304
Rush-Presbyterian-St. Luke's Medical Center
Chicago, Illinois, 60612
Illinois Masonic Medical Center
Chicago, Illinois, 60657
Jewish Hospital of Cincinnati, Inc.
Cincinnati, Ohio, 45236
Barrett Cancer Center
Cincinnati, Ohio, 45267-0502
Morton Plant Hospital
Clearwater, Florida, 33756
Ireland Cancer Center
Cleveland, Ohio, 44106-5065
North Idaho Cancer Center
Coeur d'Alene, Idaho, 83814
Ellis Fischel Cancer Center - Columbia
Columbia, Missouri, 65203
CCOP - Columbus
Columbus, Ohio, 43206
Arthur G. James Cancer Hospital - Ohio State University
Columbus, Ohio, 43210-1240
Center for Oncology Research and Treatment, Medical City Hospital
Dallas, Texas, 75230
Simmons Cancer Center - Dallas
Dallas, Texas, 75235-9154
Geisinger Medical Center
Danville, Pennsylvania, 17822-2001
Genesis Medical Center
Davenport, Iowa, 52803
Halifax Medical Center
Daytona Beach, Florida, 32114
CCOP - Central Illinois
Decatur, Illinois, 62526
University of Colorado Cancer Center
Denver, Colorado, 80010
CCOP - Colorado Cancer Research Program, Incorporated
Denver, Colorado, 80224
CCOP - Iowa Oncology Research Association
Des Moines, Iowa, 50309-1016
Henry Ford Health System
Detroit, Michigan, 48202
City of Hope Comprehensive Cancer Center
Duarte, California, 91010-3000
CCOP - Duluth
Duluth, Minnesota, 55805
Michigan State University
East Lansing, Michigan, 48824
Alexian Brothers Medical Center
Elk Grove Village, Illinois, 60007
CCOP - Evanston
Evanston, Illinois, 60201
CCOP - Merit Care Hospital
Fargo, North Dakota, 58122
University of Connecticut
Farmington, Connecticut, 06032
Dwight David Eisenhower Army Medical Center
Fort Gordon, Georgia, 30905-5650
California Cancer Center
Fresno, California, 93720
Glens Falls Hospital
Glens Falls, New York, 12801
CCOP - Grand Rapids
Grand Rapids, Michigan, 49503
St. Vincent Hospital
Green Bay, Wisconsin, 54307-3508
Sutter Health Western Division Cancer Research Group
Greenbrae, California, 94904
East Carolina University School of Medicine
Greenville, North Carolina, 27858-4354
CCOP - Greenville
Greenville, South Carolina, 29615
CCOP - Northern New Jersey
Hackensack, New Jersey, 07601
Hartford Hospital
Hartford, Connecticut, 06102-5037
Cancer Center of Hawaii
Honolulu, Hawaii, 96826
Baylor College of Medicine
Houston, Texas, 77030
Comprehensive Cancer Institute of Huntsville
Huntsville, Alabama, 35801
Clarian Health Partners Inc.
Indianapolis, Indiana, 46206-1367
St. Vincent Hospital and Health Care Center
Indianapolis, Indiana, 46260
Holden Comprehensive Cancer Center
Iowa City, Iowa, 52242-1009
Baptist Regional Cancer Institute - Jacksonville
Jacksonville, Florida, 32207
CCOP - Kalamazoo
Kalamazoo, Michigan, 49007-3731
CCOP - Kansas City
Kansas City, Missouri, 64131
CCOP - Dayton
Kettering, Ohio, 45429
Thompson Cancer Survival Center
Knoxville, Tennessee, 37916
Scripps Cancer Center
La Jolla, California, 92037
Rebecca and John Moores UCSD Cancer Center
La Jolla, California, 92093-0658
CCOP - Southern Nevada Cancer Research Foundation
Las Vegas, Nevada, 89106
Lucille Parker Markey Cancer Center, University of Kentucky
Lexington, Kentucky, 43213
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Loma Linda University Cancer Institute
Loma Linda, California, 92354
Pacific Shores Medical Group
Long Beach, California, 90813
Jonsson Comprehensive Cancer Center, UCLA
Los Angeles, California, 90095-1781
Norton Healthcare System
Louisville, Kentucky, 40202-5070
Consultants in Blood Disorders and Cancer
Louisville, Kentucky, 40207
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas, 79410-1894
CCOP - Marshfield Medical Research and Education Foundation
Marshfield, Wisconsin, 54449
Sylvester Cancer Center, University of Miami
Miami, Florida, 33136
CCOP - Mount Sinai Medical Center
Miami Beach, Florida, 33140
St. Luke's Medical Center
Milwaukee, Wisconsin, 53215
Medical College of Wisconsin Cancer Center
Milwaukee, Wisconsin, 53226
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55415
Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Louisiana State University Medical Center - New Orleans
New Orleans, Louisiana, 70112
Tulane University Medical Center
New Orleans, Louisiana, 70112
CCOP - Ochsner
New Orleans, Louisiana, 70121
CCOP - Christiana Care Health Services
Newark, Delaware, 19899
Newark Beth Israel Medical Center
Newark, New Jersey, 07112
Virginia Oncology Associates - Newport News
Newport News, Virginia, 23606
Eastern Virginia Medical School
Norfolk, Virginia, 23507
West Suburban Hospital Medical Center
Oak Park, Illinois, 60302
CCOP - Missouri Valley Cancer Consortium
Omaha, Nebraska, 68106
Methodist Hospital Cancer Center - Omaha
Omaha, Nebraska, 68114
Chao Family Comprehensive Cancer Center
Orange, California, 92868
MD Anderson Cancer Center Orlando
Orlando, Florida, 32806
Comprehensive Cancer Centers of the Desert
Palm Springs, California, 92262
Camden-Clark Memorial Hospital
Parkersburg, West Virginia, 26102
CCOP - Illinois Oncology Research Association
Peoria, Illinois, 61602
Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
Philadelphia, Pennsylvania, 19107-5541
Albert Einstein Cancer Center
Philadelphia, Pennsylvania, 19141
CCOP - Greater Phoenix
Phoenix, Arizona, 85006-2726
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212-4772
University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, 15213-3489
Berkshire Medical Center
Pittsfield, Massachusetts, 01201
Cancer Research Network Inc.
Plantation, Florida, 33324
CCOP - Columbia River Oncology Program
Portland, Oregon, 97213
Utah Valley Regional Medical Center - Provo
Provo, Utah, 84604
Reading Hospital and Medical Center
Reading, Pennsylvania, 19612-6052
Massey Cancer Center
Richmond, Virginia, 23298-0037
Oncology and Hematology Associates of Southwest Virginia, Inc.
Roanoke, Virginia, 24014
William Beaumont Hospital
Royal Oak, Michigan, 48073
Sutter Cancer Center
Sacramento, California, 95816
CCOP - Metro-Minnesota
Saint Louis Park, Minnesota, 55416
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78284-7811
Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
San Diego, California, 92120
CCOP - Santa Rosa Memorial Hospital
Santa Rosa, California, 95403
Oncology Hematology Consultants
Sarasota, Florida, 34239
Mercy Hospital Cancer Center - Scranton
Scranton, Pennsylvania, 18501
CCOP - Virginia Mason Research Center
Seattle, Washington, 98101
Puget Sound Oncology Consortium
Seattle, Washington, 98109
CCOP - Sioux Community Cancer Consortium
Sioux Falls, South Dakota, 57104
CCOP - Northern Indiana CR Consortium
South Bend, Indiana, 46601
Providence Hospital - Southfield
Southfield, Michigan, 48075-9975
CCOP - Upstate Carolina
Spartanburg, South Carolina, 29303
Baystate Medical Center
Springfield, Massachusetts, 01199
CCOP - Cancer Research for the Ozarks
Springfield, Missouri, 65807
St. Louis University Health Sciences Center
St Louis, Missouri, 63110-0250
CCOP - St. Louis-Cape Girardeau
St Louis, Missouri, 63141
Stanford University Medical Center
Stanford, California, 94305-5408
Staten Island University Hospital
Staten Island, New York, 10305
CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
Syracuse, New York, 13217
CCOP - Northwest
Tacoma, Washington, 98405-0986
CCOP - Scott and White Hospital
Temple, Texas, 76508
Lincoln Medical and Mental Health Center
The Bronx, New York, 10451
MBCCOP-Our Lady of Mercy Cancer Center
The Bronx, New York, 10466
CCOP - Toledo Community Hospital
Toledo, Ohio, 43623-3456
CCOP - Oklahoma
Tulsa, Oklahoma, 74136
CCOP - Carle Cancer Center
Urbana, Illinois, 61801
Kaiser Permanente Medical Center - Vallejo
Vallejo, California, 94589
South Pointe Hospital - Cancer Care Center
Warrensville Heights, Ohio, 44122
George Washington University Medical Center
Washington D.C., District of Columbia, 20037
CCOP - Wichita
Wichita, Kansas, 67214-3882
CCOP - Southeast Cancer Control Consortium
Winston-Salem, North Carolina, 27104-4241
Comprehensive Cancer Center at Wake Forest University
Winston-Salem, North Carolina, 27157-1082
CCOP - MainLine Health
Wynnewood, Pennsylvania, 19096
York Cancer Center
York, Pennsylvania, 17315
Canada11 sites
Tom Baker Cancer Center - Calgary
Calgary, Alberta, T2N 4N2
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Credit Valley Hospital
Mississauga, Ontario, L5M 2N1
Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2L-4M1
Royal Victoria Hospital - Montreal
Montreal, Quebec, H3A 1A1
Montreal General Hospital
Montreal, Quebec, H3G 1A4
Jewish General Hospital - Montreal
Montreal, Quebec, H3T 1E2
St. Mary's Hospital Center
Montreal, Quebec, H3T 1M5
Hopital du Saint-Sacrement, Quebec
Québec, Quebec, G1S 4L8
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z 4E6
About this study
Official title: A Randomized Trial Evaluating The Effect Of Exemestane In Clinical Stage T1-3 N0-1 M0 Postmenopausal Breast Cancer Patients Completing At Least Five Years Of Tamoxifen Therapy
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using exemestane may fight breast cancer by reducing the production of estrogen by the tumor cells. It is not yet known whether exemestane is effective in preventing the recurrence of breast cancer.
PURPOSE: Randomized phase III trial to study the effectiveness of exemestane in preventing cancer recurrence in postmenopausal women who have resected stage I, stage II, or stage IIIA breast cancer and have completed 5 years of tamoxifen.
Read the detailed description
OBJECTIVES:
- Determine whether the administration of 5 years of exemestane after 5 years of tamoxifen therapy is more effective than 5 years of prior tamoxifen therapy alone in prolonging disease-free survival, overall survival, and time to treatment failure in postmenopausal women with resected stage I, II, or IIIA breast cancer.
- Determine the effect of tamoxifen withdrawal on bone, in terms of height, fractures, and total alkaline phosphatase in these patients and on bone mineral density and bone biochemical markers in a subset of patients.
- Determine the effect of exemestane on bone loss after tamoxifen withdrawal in these patients.
- Evaluate the quality of life of a subset of these patients.
OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral exemestane daily for 5 years.
- Arm II (closed as of 10/15/03): Patients receive an oral placebo daily for 5 years.
Quality of life is assessed at baseline and then every 6 months for 5.5 years.
Patients are followed every 6 months for 6 years and then annually thereafter.
PROJECTED ACCRUAL: A total of 3,000 patients will be accrued for this study within 3 years and 4 months.
- Conditions
- Breast Cancer
- Being tested
- exemestane, Placebo
- Keywords
- stage I breast cancer, stage II breast cancer, stage IIIA breast cancer
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
exemestaneDrug
25 mg for 5 years
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | Exemestane Receives: Drug: exemestane |
| Group 2 | Placebo comparator | Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-free survival
Measured: Every 12 months until breast cancer recurrence, second primary cancer or death from any cause.
Secondary outcomes (3)
Overall survival
Measured: Death from any cause
Time to treatment failure
Measured: time from randomization to recurrence or contralateral second primary cancer
Bone measure as measured by total alkaline phosphatase, fracture history, and height measurement
Measured: measurements taken at regular intervals from randomization through 6 years following randomiztion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2003 (estimated)
- Study startMay 2001
- Primary completionOct 2003
- Study completionFeb 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,598 participants (actual)
Sponsor and investigators
- Lead sponsor
- NSABP Foundation Inc
- Sponsor type
- Research network
- Collaborators
- National Cancer Institute (NCI)
- Investigators
- Norman Wolmark, MD, Principal investigator, NSABP Foundation Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00016432
- Sponsor's protocol ID
- NSABP B-33
- Other IDs
- CDR0000068640
- Status last verified
- Apr 2011
- First submitted
- 6 May 2001
- Last updated
- 19 Apr 2011
- Results posted
- No
Publications
Mamounas EP, Jeong JH, Wickerham DL, Smith RE, Ganz PA, Land SR, Eisen A, Fehrenbacher L, Farrar WB, Atkins JN, Pajon ER, Vogel VG, Kroener JF, Hutchins LF, Robidoux A, Hoehn JL, Ingle JN, Geyer CE Jr, Costantino JP, Wolmark N. Benefit from exemestane as extended adjuvant therapy after 5 years of adjuvant tamoxifen: intention-to-treat analysis of the National Surgical Adjuvant Breast And Bowel Project B-33 trial. J Clin Oncol. 2008 Apr 20;26(12):1965-71. doi: 10.1200/JCO.2007.14.0228. Epub 2008 Mar 10.
PubMed 18332472Mamounas E, Jeong J-H, Wickerham L, et al.: Benefit from exemestane (EXE) as extended adjuvant therapy after 5 years of tamoxifen (TAM): intent-to-treat analysis of NSABP B-33. [Abstract] Breast Cancer Res Treat 100 (Suppl 1): A-49, S22, 2006.
Study at a glance
From the registry record, last updated by the sponsor on 19 Apr 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Trial Evaluating The Effect Of Exemestane In Clinical Stage T1-3 N0-1 M0 Postmenopausal Breast Cancer Patients Completing At Least Five Years Of Tamoxifen Therapy
- ClinicalTrials.gov ID
- NCT00016432
- Acronym / sponsor ID
- NSABP B-33
- Conditions
- Breast Cancer
- Keywords
- stage I breast cancer, stage II breast cancer, stage IIIA breast cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,598 participants (actual)
- Lead sponsor
- NSABP Foundation IncResearch network
- Collaborators
- National Cancer Institute (NCI)
- Study start
- May 2001
- Primary completion
- Oct 2003 (actual)
- Study completion
- Feb 2011 (actual)
- First posted
- 27 Jan 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using exemestane may fight breast cancer by reducing the production of estrogen by the tumor cells. It is not yet known whether exemestane is effective in preventing the recurrence of breast cancer.
PURPOSE: Randomized phase III trial to study the effectiveness of exemestane in preventing cancer recurrence in postmenopausal women who have resected stage I, stage II, or stage IIIA breast cancer and have completed 5 years of tamoxifen.
Detailed description
OBJECTIVES:
- Determine whether the administration of 5 years of exemestane after 5 years of tamoxifen therapy is more effective than 5 years of prior tamoxifen therapy alone in prolonging disease-free survival, overall survival, and time to treatment failure in postmenopausal women with resected stage I, II, or IIIA breast cancer.
- Determine the effect of tamoxifen withdrawal on bone, in terms of height, fractures, and total alkaline phosphatase in these patients and on bone mineral density and bone biochemical markers in a subset of patients.
- Determine the effect of exemestane on bone loss after tamoxifen withdrawal in these patients.
- Evaluate the quality of life of a subset of these patients.
OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral exemestane daily for 5 years.
- Arm II (closed as of 10/15/03): Patients receive an oral placebo daily for 5 years.
Quality of life is assessed at baseline and then every 6 months for 5.5 years.
Patients are followed every 6 months for 6 years and then annually thereafter.
PROJECTED ACCRUAL: A total of 3,000 patients will be accrued for this study within 3 years and 4 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Experimental | Drug: exemestaneExemestane |
| Group 2 | Placebo comparator | Drug: PlaceboPlacebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| exemestane25 mg for 5 years | Drug | Group 1 |
| PlaceboPlacebo | Drug | Group 2 |
Primary outcome
Disease-free survival
Time frame: Every 12 months until breast cancer recurrence, second primary cancer or death from any cause.
3 secondary outcomes
Overall survival
Time frame: Death from any cause
Time to treatment failure
Time frame: time from randomization to recurrence or contralateral second primary cancer
Bone measure as measured by total alkaline phosphatase, fracture history, and height measurement
Time frame: measurements taken at regular intervals from randomization through 6 years following randomiztion
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Apr 2011.
- Results publication: PubMed 18332472Mamounas EP, Jeong JH, Wickerham DL, Smith RE, Ganz PA, Land SR, Eisen A, Fehrenbacher L, Farrar WB, Atkins JN, Pajon ER, Vogel VG, Kroener JF, Hutchins LF, Robidoux A, Hoehn JL, Ingle JN, Geyer CE Jr, Costantino JP, Wolmark N. Benefit from exemestane as extended adjuvant therapy after 5 years of adjuvant tamoxifen: intention-to-treat analysis of the National Surgical Adjuvant Breast And Bowel Project B-33 trial. J Clin Oncol. 2008 Apr 20;26(12):1965-71. doi: 10.1200/JCO.2007.14.0228. Epub 2008 Mar 10.
- Results publicationMamounas E, Jeong J-H, Wickerham L, et al.: Benefit from exemestane (EXE) as extended adjuvant therapy after 5 years of tamoxifen (TAM): intent-to-treat analysis of NSABP B-33. [Abstract] Breast Cancer Res Treat 100 (Suppl 1): A-49, S22, 2006.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Norman Wolmark, MD principal investigator
NSABP Foundation Inc
162 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing exemestane in people with Breast Cancer, run by NSABP Foundation Inc at 162 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Apr 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 162 sites in United States, Canada, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-free survival (time frame: Every 12 months until breast cancer recurrence, second primary cancer or death from any cause.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00016432, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Apr 2011.