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Breast CancerPhase 2COATNCT02455154

Traditional Chinese Medicine as Preventive Method for Osteoporosis Induced by Adjuvant Endocrine Therapy

A Phase 2 study testing Letrozole, Zhongyaofufang and Xianlinggubao in people with Breast Cancer and Osteoporosis, run by Shanghai Jiao Tong University School of Medicine at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To test the efficacy of two Traditional Chinese Medicine in preventing osteoporosis in patients receiving adjuvant endocrine therapy. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer, Osteoporosis
What is being tested?
Letrozole, Zhongyaofufang and Xianlinggubao
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
278 participants
Where
1 siteChina
Study dates
May 2015to Sep 2019
Phase
Phase 2
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

Who may be able to join

  • Histologically confirmed invasive breast cancer;
  • Post-surgery, primary lesion been removed;
  • Post-Menopausal patients or pre-menopausal patients who will receive ovarian function suppression;
  • Histologically confirmed ER and/or PR positive ;
  • Receiving adjuvant AIs therapy in the following one years;
  • Leukocyte ≥ 3*10(9)/L; Platelets ≥ 75*10(9)/L;
Show all 9Show fewer
  • Serum glutamate oxaloacetate(AST/SGOT) or serum glutamic-pyruvic transaminase(ALT/SGPT) <2.5 times of upper limit of normal range;
  • Serum creatinine/blood urea nitrogen(BUN) ≤ upper limit of normal (UNL) range;
  • Written informed consent according to the local ethics committee equirements;

Who cannot join

  • Metastatic Breast Cancer;
  • Received Neo-Adjuvant Endocrine Therapy;
  • History of pelvic fracture or bone metabolic disease;
  • Received drugs interfering bone metabolism in the last 12 months;
  • Baseline Bone Mineral Density: T < -2SD;
  • With other primary malignant disease;
  • With severe non-malignant co-morbidity that will influence long-term follow up;
  • Known severe hypersensitivity to any drugs in this study;

Trial locations and contacts

1 site in 1 country.

China1 site
  • Ruijin Hospital

    Shanghai, Shanghai Municipality, 200025

Other trials in China

About this study

Official title: Traditional Chinese Medicine as Preventive Method for Osteoporosis in Early Breast Cancer Patients Receiving Adjuvant Endocrine Therapy

To test the efficacy of two Traditional Chinese Medicine in preventing osteoporosis in patients receiving adjuvant endocrine therapy.

Read the detailed description

Breast cancer is the most common malignant tumor in female wolrdwide. Results from clinical trials like ATAC trial have demonstrated the efficacy of AIs in postmenopausal breast cancer patients. Meanwhile it may cause a certain rate of osteoporosis in postmenopausal patients. The aim of this trial is to test the efficacy of two traditional Chinese medicine in preventing osteoporosis in patients receiving adjuvant endocrine therapy.

Being tested
Letrozole, Zhongyaofufang, Xianlinggubao
Keywords
Chinese Traditional Medicine, Osteoporosis, adjuvant endocrine therapy, early breast cancer
Medical subject headings
Breast Neoplasms, Osteoporosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LetrozoleDrug

    Also called L

    Letrozole endocrine therapy for 2.5mg qd po.

  • ZhongyaofufangDrug

    Also called Z

    Traditional Chinese Medicine for patients with Osteoporosis

  • XianlinggubaoDrug

    Also called X

    Traditional Chinese Medicine for patients with Osteoporosis

Study groups in NCT02455154
Study groupRoleWhat they receive
LetrozolePlacebo comparatorEarly Breast Cancer patients receiving adjuvant endocrine therapy Adjuvant Endocrine Therapy: letrozole 2.5 mg qd po.
Receives: Drug: Letrozole
Letrozole + XinglinggubaoActive comparatorEarly Breast Cancer patients receiving adjuvant endocrine therapy plus Xianlinggubao Adjuvant Endocrine Therapy: letrozole 2.5 mg qd po. Xinglinggubao: 0.5g bid po
Receives: Drug: Letrozole; Drug: Xianlinggubao
Letrozole + ZhongyaofufangActive comparatorEarly Breast Cancer patients receiving adjuvant endocrine therapyplus Zhongyaofufang (Traditional Chinses Medicine) Adjuvant Endocrine Therapy: letrozole 2.5 mg qd po. Zhongyaofufang: qow po
Receives: Drug: Letrozole; Drug: Zhongyaofufang

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change of Bone Mineral Density

    The change of bone mineral density of the L2-L4 region of the spine and hip between pre- and post-endocrine therapy for one year

    Measured: 1 year

Secondary outcomes (3)
  1. Bone Frature Rate

    the rate of bone fracture in patient receiving endocrine therapy

    Measured: 1 year

  2. Bone Metabolism

    The change of bone metabolism assessed by the scale of serum bone alkaline phosphatase, serum C-telopeptide and urineN-telopeptide between pre- and post-endocrine therapy for one year

    Measured: 1 year

  3. Disease Free Survival

    the rate of patients without disease

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 May 2015 (estimated)
  2. Study startMay 2015
  3. Primary completionFeb 2019
  4. Study completionSep 2019

Resources

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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
278 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02455154
Sponsor's protocol ID
RJBC1502
Acronym
COAT
Status last verified
Apr 2020
First submitted
14 May 2015
Last updated
14 Apr 2020
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Letrozole, Zhongyaofufang and Xianlinggubao in people with Breast Cancer and Osteoporosis, run by Shanghai Jiao Tong University School of Medicine at 1 site in China.

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 9 inclusion and 8 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 14 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Change of Bone Mineral Density (time frame: 1 year). 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 14 Apr 2020.

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