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Randomized Phase II Trial of Anastrozole Plus Metronomic Tegafur-uracil as Neo-adjuvant Therapy in Postmenopausal Breast Cancer

Phase 2
Terminated
Conditions
Breast Neoplasms
Interventions
Registration Number
NCT01262274
Lead Sponsor
Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan
Brief Summary

The Aim of this study is to validate a treatment of anastrozole in combination with tegafur-uracil as pre-operative therapy for postmenopausal primary breast cancer. Although pre-operative hormone therapy is a novel therapeutic approach, only hormone therapy has limitation in terms of efficacy. Metronomic chemotherapy, which is the frequent administration of low-dose cytotoxic agents, is not only target tumor cells but also inhibiting angiogenesis. Because there was a report that efficacy of hormone therapy add to metronomic chemotherapy as pre-operative therapy, a randomized phase II trial of anastrozole (ANA) in combination with/without metronomic tegafur-uracil (UFT) as neo-adjuvant for postmenopausal breast cancer will be conducted.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
57
Inclusion Criteria
  • Histologically-confirmed diagnosis of invasive breast cancer
  • Clinical stage T2, N0 or N1, M0 (TNM Classification)
  • Patients must be postmenopausal
  • Tumors are estrogen receptor (ER) positive and human epidermal growth factor receptor (HER2) negative
  • ECOG Performance status (PS) 0 or 1
  • Patients must be able to swallow tablets and capsules
  • Candidates for mastectomy or breast-conserving surgery
  • Adequate bone marrow, liver and renal function
  • Written informed consent was obtained from all patients before randomization.
Exclusion Criteria
  • Inoperable, bilateral or inflammatory breast cancer
  • multiple carcinoma
  • Personal history of invasive carcinoma
  • Patients receive systemic therapy of corticosteroid
  • Patients receive estrogen preparation or raloxifene
  • Patients with other concurrent severe and/or uncontrolled medical disease
  • Patients whom doctors judged inadequate to the enrollment of this study by other reasons.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ANA+UFTAnastrozole plus tegafur-uracil-
ANAAnastrozole-
Primary Outcome Measures
NameTimeMethod
Response Rate (confirmed by calipers CT or MRI)six months
Secondary Outcome Measures
NameTimeMethod
Reduction Rate, Pathological response, Breast-conserving surgery rate, Adverse event rate, Predictive factorseven months

Trial Locations

Locations (1)

Department of Breast and Endocrine Surgery, Osaka University Graduate School of Medicine

🇯🇵

Osaka city, Osaka prefecture, Japan

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