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临床试验/NCT03664895
NCT03664895招募中3 期

Density Lowering Effect of Ovarian Function Suppression in Premenopausal Breast Cancer Patients Who Had no Density Change With One Year of Tamoxifen Treatment

Seoul National University Hospital1 个研究点 分布在 1 个国家目标入组 224 人开始时间: 2018年9月3日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
224
试验地点
1
主要终点
MMG density Reduction

研究概览

简要总结

DELFINO tial is designed to investigate the role of "OFS add on to TMX ", based on MMG density as a surrogate marker in premenopausal women

  • Premise - MMG density as a surrogate marker of hormone therapy

  • Assumption - "Add on OFS to TMX" would have further decrease of density

  • 3-arm(Observation arm + Randomised 2-arm), phase III, RCT with 1:1 allocation

详细描述

Enroll : Sep03,2018~(Planned N= 224)

  1. Inclusion criteria
  • Premenopausal
  • ER+
  • Planned tamoxifen(TMX)
  • No planned ovary function suppression(OFS)
  • Regardless of ChemoTx
  • Mammography(MMG) density check via Volpara*(=Baseline MMG density, BaMD) (*Volpara= software to check MMG density)
  1. Check MMG Density via Volpara After 1yr TMX (At1yrMD) Check menopausal status after 1yr TMX(Menstruation episode or FSH <30)
  2. MMG Density Reduction(MDR =BaMD-AtMD ) at 1yr
  3. MDR ≥5% -> Keep go on TMX MDR <5% -> 1:1 randomization -> Keep go on TMX vs OFS add on to TMX
  4. Analysis : 5yr MDR (1'endpoint), 5yr DFS(2'endpoint), 5yr OS
  5. Calculation of patients' number In previous study(<Kim et al. Breast Can Res 2012>) MDR (Mammography Density Reduction) was found in about 50% of all patients who received endocrine therapy.

Expected

  • MDR in "TMX only" cohort -> 6 ± 7%
  • MDR in "OFS add on to TMX" -> 10 ± 7%

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 45 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Premenopausal women, ER+ breast cancer, stage I~III, underwent standard treatment including surgery, Planned TMX
  • available MMG density check via Volpara

排除标准

  • Bilateral breast cancer
  • Prior endocrine therapy
  • Postmenopausal status
  • unavailable MMG density check via volpara before and after TMX

研究组 & 干预措施

OFS add arm(TMX + OFS, MDR<5%)

Active Comparator

OFS add on to TMX

干预措施: Leuplin or zoladex (Drug)

结局指标

主要结局

MMG density Reduction

时间窗: 5 years

次要结局

  • Disease free survival(5 years)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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