ISRCTN44195747已完成3 期
A partially-blind phase III randomised trial of fulvestrant (Faslodex™) with or without concomitant anastrozole (Arimidex™) compared with exemestane in post-menopausal women with oestrogen receptor (ER) positive locally advanced/metastatic breast cancer following progression on non-steroidal aromatase inhibitors
The Royal Marsden NHS Foundation Trust / The Institute of Cancer Research (UK)0 个研究点目标入组 698 人开始时间: 2003年9月8日最近更新:
适应症
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 698
研究概览
简要总结
2013 Results article in http://www.ncbi.nlm.nih.gov/pubmed/23902874 results
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- Female
入选标准
- •Patients with locally advanced/metastatic breast cancer who have progressed on the non-steroidal aromatase inhibitors (Arimidex™ or letrozole [Femara™]):
- •1. Female postmenopausal patients defined as:
- •1.1. Aged 60 years or over
- •1.2. Aged 45 to 59 with intact uterus and amenorrhoeic for at least 12 months
- •1.3. Any age having had a bilateral oophorectomy
- •2. Histologically or cytologically confirmed adenocarcinoma of the breast
- •3. Patients with original ER positive and/or progesterone (PgR) positive breast cancer which has relapsed or progressed during endocrine therapy with a single-agent non-steroidal aromatase inhibitor (NSAI) given either:
- •3.1. As adjuvant treatment where the patient received at least 12 months therapy, or
- •3.2. As first-line therapy for metastatic disease. Patients treated with an NSAI as first-line therapy must have had either an objective response (complete response [CR]/partial response [PR]), or stabilisation of disease for at least six months.
- •4. Measurable/evaluable sites of metastatic disease (response evaluation criteria in solid tumours [RECIST])
- •5. World Health Organisation (WHO) performance status zero, one or two
- •6. Prior therapy permissible:
- •6.1. Tamoxifen given in the adjuvant or neo-adjuvant setting only
- •6.2. Prior chemotherapy in the adjuvant or neo-adjuvant setting
- •6.3. Prior chemotherapy as first-line treatment for metastatic breast cancer followed by NSAI alone for at least six months
- •6.4. Patients with bone-only metastases are eligible provided they have evaluable site of bone metastases that can be followed by skeletal survey or magnetic resonance imaging (MRI)/computed tomography (CT) scanning
- •6.5. Patients already established on bisphosphonate therapy for at least six months are eligible for the trial and may continue on bisphosphonates
- •7. Written informed consent and available for prolonged follow-up
- •8. Adequate haematological function defined by haemoglobin more than or equal to 10 g/dl, neutrophil count more than or equal to 1.5 x 10^9/l and platelets more than or equal to 100 x 10^9/l
- •9. Adequate hepatic function defined by aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than or equal to 2.5 x upper limit of normal. Alkaline phosphatase less than or equal to 5 x upper limit of normal, unless bone metastases in the absence of liver disease. Renal function adequate defined by creatinine less than 175 mmol/l.
- •10. Life expectancy of more than three months and suitable for further endocrine therapy
排除标准
- •1. Patients whose primary breast cancer was classified as:
- •1.1. ER negative and PgR natural killer (NK)
- •1.2. ER negative/PgR negative
- •1.3. ER NK
- •2. Rapidly progressive visceral disease (i.e., lymphangitis carcinomatosa, diffuse hepatic involvement)
- •3. Bone-only metastases where lesions are not evaluable (i.e., patients with the same scan but no lytic disease on skeletal survey or MRI/CT)
- •4. Patients with malignancies (other than breast cancer) within the last five years, except for adequately treated in situ carcinoma of the cervix or basal cell/squamous cell carcinoma of the skin
- •5. Systemic corticosteroids for more than 15 days within the last four weeks
- •6. Investigational drugs given within the previous four weeks
- •7. Patients with thrombocytopaenia (platelets less than 100 x 10^9/l ) or on anti-coagulant therapy (contra-indicated due to risk of bleeding with intramuscular injection of Faslodex™)
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