Early-stage Breast CancerPhase 3NCT00309478
Randomized Study Comparing CMF and Goserelin + Tamoxifen in Premenopausal Receptor-positive Patients
A Phase 3 study testing Cyclophosphamide, Methotrexate and Fluorouracil implant in people with Early-stage Breast Cancer, run by Austrian Breast & Colorectal Cancer Study Group.
Trial summary
Primarily, this clinical investigation compared the efficacy of cyclophosphamide + methotrexate + fluorouracil chemotherapy vs. goserelin + tamoxifen treatment in terms of prognosis (disease-free survival, overall survival) in premenopausal patients with potentially curative, operated hormone receptor-positive breast… Read more about this study
- Who is it for?
- Ages 19 years and older, women only
- Conditions the study is for
- Early-stage Breast Cancer
- What is being tested?
- Cyclophosphamide, Methotrexate and Fluorouracil implant
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,099 participants
- Where
- No sites listed yet
- Study dates
- Dec 1990to Jun 2004
- 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 19 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Premenopausal patients with histologically verified, lymph node-negative (pT1c-pT3) or lymph node-positive (pT1a-pT3) breast cancer
- Hormone receptor-positive status
- More than 6 histologically examined lymph nodes
- Laboratory parameters
- hematopoiesis: > 3500/µl leukocytes, > 100,000/µl thrombocytes
- renal function: creatinin < 1.5mg %
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- hepatic function: GOT </= 2.5 x UNL
- bilirubin: < 1.5mg %
- metabolic parameters: Na, Ca, K in normal range, normal level of blood sugar
- blood coagulation: PZ > 60%
- Concluded healing process following surgery
- </= 4 weeks interval since surgery
- Informed consent
Who cannot join
- T4 carcinoma; inflammatory breast cancer, carcinoma in situ
- Simultaneous or sequential bilateral breast cancer
- Preoperative tumor-reducing radiotherapy or preoperative tumor-specific medical treatment
- Male patients
- Pregnancy or lactation
- Lacking compliance or understanding of the disease
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- General contraindication against cytostatic treatment
- Serious concomitant disease preventing implementation of adjuvant therapy or regular follow-up
- Second carcinoma or status post second carcinoma (except for curatively treated squamous cell carcinoma of the skin or cervical carcinoma in situ)
About this study
Official title: A Randomized Phase III Study Comparing Cyclophosphamide + Methotrexate + Fluorouracil vs. Goserelin + Tamoxifen in Premenopausal, Hormone Receptor-positive, Lymph Node-positive or -Negative Patients
Primarily, this clinical investigation compared the efficacy of cyclophosphamide + methotrexate + fluorouracil chemotherapy vs. goserelin + tamoxifen treatment in terms of prognosis (disease-free survival, overall survival) in premenopausal patients with potentially curative, operated hormone receptor-positive breast cancer.
- Conditions
- Early-stage Breast Cancer
- Being tested
- Cyclophosphamide, Methotrexate, Fluorouracil implant, Goserelin, Tamoxifen
- Keywords
- Cyclophosphamide, Methotrexate, Fluorouracil, Goserelin, Tamoxifen, 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.
CyclophosphamideDrug
Cyclophosphamide 600mg/m2
MethotrexateDrug
Methotrexate 40mg/m2
Fluorouracil implantDrug
Fluorouracil 600mg/m2
GoserelinDrug
Also called Zoladex
Zoladex 3.6mg/28 days for 3 years
TamoxifenDrug
Also called Nolvadex
Nolvadex 20mg/day for 5 years
| Study group | Role | What they receive |
|---|---|---|
| 2 (CMF scheme) | Experimental | 6 cycles CMF scheme (cyclophosphamide, methotrexate, fluorouracil) Receives: Drug: Cyclophosphamide; Drug: Methotrexate; Drug: Fluorouracil implant |
| 1 (Nol + Zol) | Experimental | Zoladex (3 years) combined with Nolvadex (5 years) Receives: Drug: Goserelin; Drug: Tamoxifen |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-free survival
Overall survival
Secondary outcomes (1)
Toxicities
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2006 (estimated)
- Study startDec 1990
- Primary completionJun 2004
- Study completionJun 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Early-stage 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
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,099 participants (actual)
Sponsor and investigators
- Lead sponsor
- Austrian Breast & Colorectal Cancer Study Group
- Sponsor type
- Research network
- Collaborators
- AstraZeneca
- Responsible party
- Sponsor
- Investigators
- Raimund Jakesz, MD, Principal investigator, Austrian Breast & Colorectal Cancer Study Group
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00309478
- Sponsor's protocol ID
- ABCSG-5
- Status last verified
- Jun 2023
- First submitted
- 31 Mar 2006
- Last updated
- 29 Jun 2023
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase III Study Comparing Cyclophosphamide + Methotrexate + Fluorouracil vs. Goserelin + Tamoxifen in Premenopausal, Hormone Receptor-positive, Lymph Node-positive or -Negative Patients
- ClinicalTrials.gov ID
- NCT00309478
- Acronym / sponsor ID
- ABCSG-5
- Conditions
- Early-stage Breast Cancer
- Keywords
- Cyclophosphamide, Methotrexate, Fluorouracil, Goserelin, Tamoxifen, Breast cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,099 participants (actual)
- Lead sponsor
- Austrian Breast & Colorectal Cancer Study GroupResearch network
- Collaborators
- AstraZeneca
- Study start
- Dec 1990 (actual)
- Primary completion
- Jun 2004 (actual)
- Study completion
- Jun 2004 (actual)
- First posted
- 3 Apr 2006 (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.
Primarily, this clinical investigation compared the efficacy of cyclophosphamide + methotrexate + fluorouracil chemotherapy vs. goserelin + tamoxifen treatment in terms of prognosis (disease-free survival, overall survival) in premenopausal patients with potentially curative, operated hormone receptor-positive breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 2 (CMF scheme) | Experimental | Drug: Cyclophosphamide, Drug: Methotrexate, Drug: Fluorouracil implant6 cycles CMF scheme (cyclophosphamide, methotrexate, fluorouracil) |
| 1 (Nol + Zol) | Experimental | Drug: Goserelin, Drug: TamoxifenZoladex (3 years) combined with Nolvadex (5 years) |
Who may qualify
- Ages
- 19 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Premenopausal patients with histologically verified, lymph node-negative (pT1c-pT3) or lymph node-positive (pT1a-pT3) breast cancer
- Hormone receptor-positive status
- More than 6 histologically examined lymph nodes
- Laboratory parameters
- Concluded healing process following surgery
Key exclusion criteria (9 listed)
- T4 carcinoma; inflammatory breast cancer, carcinoma in situ
- Simultaneous or sequential bilateral breast cancer
- Preoperative tumor-reducing radiotherapy or preoperative tumor-specific medical treatment
- Male patients
- Pregnancy or lactation
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 |
|---|---|---|
| CyclophosphamideCyclophosphamide 600mg/m2 | Drug | 2 (CMF scheme) |
| MethotrexateMethotrexate 40mg/m2 | Drug | 2 (CMF scheme) |
| Fluorouracil implantFluorouracil 600mg/m2 | Drug | 2 (CMF scheme) |
| GoserelinAlso: ZoladexZoladex 3.6mg/28 days for 3 years | Drug | 1 (Nol + Zol) |
| TamoxifenAlso: NolvadexNolvadex 20mg/day for 5 years | Drug | 1 (Nol + Zol) |
Primary outcome
Disease-free survival
Overall survival
1 secondary outcome
Toxicities
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 29 Jun 2023.
- Related InfoLink provided by the sponsor.
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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.
Raimund Jakesz, MD principal investigator
Austrian Breast & Colorectal Cancer Study Group
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cyclophosphamide, Methotrexate and Fluorouracil implant in people with Early-stage Breast Cancer, run by Austrian Breast & Colorectal Cancer Study Group.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 13 inclusion and 9 exclusion criteria. 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 29 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. 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. The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 29 Jun 2023.