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Comparison Trial of Letrozole to Anastrozole in the Adjuvant Treatment of Postmenopausal Women With Hormone Receptor and Node Positive Breast Cancer

Phase 3
Completed
Conditions
Breast Cancer
Interventions
Registration Number
NCT00248170
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

Eligible patients will be post-menopausal hormone receptor- and lymph node-positive females who recently underwent primary surgery for breast cancer. Patients will be randomized to letrozole (2.5 mg per day for 5 years) vs anastrozole (1 mg per day for 5 years). Follow up will occur for 5 years after the completion of enrollment for survival and disease status updates.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
4172
Inclusion Criteria
  • Recent primary surgery for breast cancer
  • Early stage breast cancer
  • Postmenopausal
  • Hormone receptor positive
  • Positive lymph node involvement
Exclusion Criteria
  • Metastatic disease
  • Presence of contralateral breast cancer including DCIS
  • Progression

Other protocol-defined inclusion/exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LetrozoleLetrozole2.5 mg by mouth (p.o.) once daily
AnastrozoleAnastrozole1 mg p.o. once daily
Primary Outcome Measures
NameTimeMethod
Disease Free Survival84 months

Disease-free survival was defined as the time from the date of randomization to the date of the first documentation of re-occurrence of invasive breast cancer in local, regional or distant sites, new invasive breast cancer in the contra-lateral breast, or death from any cause.

Secondary Outcome Measures
NameTimeMethod
Distant Disease-free Survival84 months

Distant disease-free survival was defined as the time from date of randomization to the date of the first development of any relapse at a distant site or death from any cause.

Percentage of Participants Who Experienced Clinical Fracture Events84 months

The incidence of clinical fractures was analyzed.

Time to Development of Distant Metastases84 months

Time to development of distant metastases was defined as the time from date of randomization to the date of the first development of any recurrent or metastatic disease in sites other than the local mastectomy scar, the ipsilateral breast in case of breast conservation or the contra lateral breast.

Overall Survival84 months

Overall survival was defined as the time from the date of randomization to the date of death from any cause.

Time to Development of Contra Lateral Breast Cancer84 months

Time to development of contra lateral breast cancer was defined as the time from the date of randomization to the date of the first development of any disease in the contra lateral breast.

Percentage of Participants Who Experienced Cardiovascular Events84 months

The incidence of ischemic heart disease, cardiac failures, cerebrovascular accidents and thromboembolic events was analyzed.

Change From Baseline in Serum Lipid Profilesbaseline, 6, 12, 24, 36, 48 and 60 months

Total cholesterol was analyzed to assess the impact on serum lipids profiles. The adjusted means was calculated.

Trial Locations

Locations (41)

Chattanooga Oncology and Hematology Assoicates, PC

🇺🇸

Chattanooga, Tennessee, United States

Texas Cancer Center ( Medical City Dallas Hospital)

🇺🇸

Dallas, Texas, United States

El Paso Cancer Treatment Ctr-East

🇺🇸

El Paso, Texas, United States

Raleigh Hematology Oncology Associates

🇺🇸

Cary, North Carolina, United States

Texas Oncology Presbyterian Hospital

🇺🇸

Dallas, Texas, United States

Northern Arizona Hematology/Oncology Associates, P.C.

🇺🇸

Flagstaff, Arizona, United States

Center for Oncology Research and Treatment, PA

🇺🇸

Dallas, Texas, United States

Novartis Investigative Site

🇬🇧

Surrey, United Kingdom

Texas Oncology Texas Oncology PA

🇺🇸

Dallas, Texas, United States

New York Oncology Hematology, P.C. NYOH Latham

🇺🇸

Troy, New York, United States

Longview Cancer Center

🇺🇸

Longview, Texas, United States

Allison Cancer Center

🇺🇸

Midland, Texas, United States

Texas Cancer Center Denton

🇺🇸

Denton, Texas, United States

Medical Oncology Associates of Wyorning Valley, PC

🇺🇸

Kingston, Pennsylvania, United States

Texas Oncology Sammons Cancer Center

🇺🇸

Dallas, Texas, United States

San Antonio Tumor and Blood Clinic

🇺🇸

Fredericksburg, Texas, United States

Virginia Cancer Specialists, PC

🇺🇸

Fairfax, Virginia, United States

South Texas Cancer Center- McAllen

🇺🇸

McAllen, Texas, United States

Texas Cancer Center- Sherman

🇺🇸

Sherman, Texas, United States

MD Anderson Cancer Center/University of Texas

🇺🇸

Houston, Texas, United States

Wichita Community Clinical Oncology Program

🇺🇸

Wichita, Kansas, United States

Kansas City Cancer Center

🇺🇸

Overland Park, Kansas, United States

Sarah Cannon Oncology Hematology Care, Inc

🇺🇸

Cincinnati, Ohio, United States

Sarah Cannon Research Institute

🇺🇸

Nashville, Tennessee, United States

Central Indiana Cancer Centers

🇺🇸

Indianapolis, Indiana, United States

Tyler Cancer Center

🇺🇸

Tyler, Texas, United States

Waco Cancer and Research Center

🇺🇸

Waco, Texas, United States

Northwest Cancer Specialists, P.C.

🇺🇸

Vancover, Washington, United States

Comprehensive Cancer Institute

🇺🇸

Huntsville, Alabama, United States

Florida Cancer Specialists

🇺🇸

Fort Meyers, Florida, United States

Gulfcoast Oncology Associates

🇺🇸

St. Petersburg, Florida, United States

St. Louis Cancer & Breast Institute

🇺🇸

St. Louis, Missouri, United States

Texas Oncology, P.A.

🇺🇸

Fort Worth, Texas, United States

Oncology Associates of Oregon, PC

🇺🇸

Eugene, Oregon, United States

Aultman Cancer Center

🇺🇸

Canton, Ohio, United States

Florida Cancer Institute

🇺🇸

Orlando, Florida, United States

Birmingham Hematology and Oncology Associates

🇺🇸

Birmingham, Alabama, United States

Center for Cancer & Blood Disorders

🇺🇸

Bethesda, Maryland, United States

Oncology & Hematology Associates, PC

🇺🇸

New London, Connecticut, United States

Cancer Centers of Florida PA

🇺🇸

Ocoee, Florida, United States

University Cancer & Blood Center, LLC

🇺🇸

Athens, Georgia, United States

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