Status:

COMPLETED

FRAGRANCE Part A Safety: Study to Find a Genetic Signature of de Novo Resistance to Letrozole

Lead Sponsor:

Jules Bordet Institute

Collaborating Sponsors:

Feculdade de Medicina da Universidade de Sao Paulo - Brasil

Hospital de Clinicas de Porto Alegre

Conditions:

Breast Cancer

Eligibility:

FEMALE

Phase:

PHASE2

Brief Summary

Find a genetic signature of de novo resistance to letrozole in adjuvant breast cancer;

Detailed Description

The aromatase inhibitors are drugs already approved for the treatment of breast cancer in the adjuvant and metastatic setting, and have demonstrated a superiority when compared to other hormone therap...

Eligibility Criteria

Inclusion

  • Inclusion criteria :
  • Female gender
  • Post-menopausal(no age limit) defined as:
  • Radiation-induced menopause or surgical bilateral oophorectomy, or
  • Women with an intact uterus and
  • i. \> 55 years of age or ii. without menses for the last 5 years or iii. £ 55 years of age and has not had menses for at least the last 12 months (but has had menses in the last 5 years) and has postmenopausal levels of FSH c. Women without an intact uterus and i. \> 55 years of age or ii. £ 55 years of age and has postmenopausal levels of FSH
  • Contraindications for the use of neoadjuvant/adjuvant chemotherapy, refusal by the patient to receive chemotherapy or if the investigator believes the patient is a suitable candidate for this protocol.
  • WHO performance status \< 1
  • Histologically-confirmed ductal or lobular operable adenocarcinoma of the breast (stage I, II and III)
  • Confirmed absence of liver, lung and bone metastases.
  • Primary tumor of at least 2 cm, measured clinically and/or radiologically
  • Multifocal invasive tumors are not eligible, unless a biopsy showing ER positivity can be obtained from each tumor lesion.
  • ER-positive and/or PgR-positive tumors, defined according to immunohistochemistry (i.e. \> 10% of positive cells after immunostaining), if woman younger 70 years; ER-positive or PgR-positive tumors if woman older than 70 years.
  • Fixed and frozen samples from the primary tumor, obtained before treatment, must be available for evaluation of biological markers (cDNA microarrays, EGFR, HER-2, intra-tumoral aromatase).
  • No concurrent second malignancy, including contralateral breast cancer (exceptions are: adequately treated basal cell carcinoma of the skin and in situ carcinoma of the cervix). Any prior second malignancy must be in remission for ³ 5 years.
  • No other serious illness or medical condition including:
  • History of documented congestive heart failure; angina pectoris requiring antianginal medication; evidence of recent (\< 6 months) transmural infarction on ECG; poorly controlled hypertension (e.g. systolic \>180 mm Hg or diastolic greater than 100 mm Hg); clinically significant valvular heart disease; or high-risk uncontrolled arrhythmias.
  • Chronic lung disease
  • History of significant neurological or psychiatric disorders that would prohibit the understanding and giving of informed consent, including psychotic disorders, mental retardation, and dementia.
  • Active concurrent infection
  • No concurrent or previous anti-cancer treatment is allowed
  • Adequate organ function as defined by:
  • Neutrophils ³ 1.5 x 109/L
  • Platelets ³ 100 x 109/L
  • Bilirubin £ 1.5x upper limit of normal (ULN)
  • Transaminases £ 2.5x ULN
  • Creatinine £ 1.5x ULN
  • Normal left ventricular ejection fraction by echocardiography or MUGA scan \[for combination studies only\]
  • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial.
  • Before patient registration/randomization, informed consent must be given according to ICH/EU GCP, and national/local regulations.
  • Exclusion crieria :
  • Non specified

Exclusion

    Key Trial Info

    Start Date :

    November 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 1 2014

    Estimated Enrollment :

    49 Patients enrolled

    Trial Details

    Trial ID

    NCT00199134

    Start Date

    November 1 2004

    End Date

    December 1 2014

    Last Update

    January 6 2015

    Active Locations (1)

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    Jules Bordet Institute

    Brussels, Belgium, 1000