At a glance
ClinicalIndex Comparison Record- ✓Premenopausal women with estradiol in premenopausal range (confirmed by testing or regular menses for 6 months without hormonal therapy)
- ✓Resected (surgical) hormone receptor-positive breast cancer (ER and/or PgR ≥10% by immunohistochemistry)
- ✓Stage I-III disease confined to breast and axillary nodes (internal mammary nodes allowed if sentinel node negative)
- ✓Proper breast surgery: total mastectomy OR breast-conserving surgery with negative margins and radiation to conserved breast
- ✕Postmenopausal status (estradiol not in premenopausal range)
- ✕Distant metastatic disease
- ✕Locally advanced or inoperable disease: inflammatory breast cancer, supraclavicular node involvement, or enlarged internal mammary nodes (unless pathologically negative)
- ✕Positive final surgical margins (except DCIS at margin if mastectomy performed)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase III Trial Evaluating the Role of Ovarian Function Suppression and the Role of Exemestane as Adjuvant Therapies for Premenopausal Women With Endocrine Responsive Breast Cancer
In Brief
A Phase 3 clinical trial evaluating Exemestane, Laboratory Biomarker Analysis, and 5 other interventions for Estrogen Receptor Positive Breast Cancer and 7 related conditions. Completed, enrolled 3,066 participants across 500 sites in 3 countries.
Detailed Summary
RATIONALE: Estrogen can stimulate the growth of breast tumor cells. Ovarian function suppression combined with hormone therapy using tamoxifen or exemestane may fight breast cancer by reducing the production of estrogen. It is not yet known whether suppression of ovarian function plus either tamoxifen or exemestane is more effective than tamoxifen alone in preventing the recurrence of hormone-responsive breast cancer. PURPOSE: This randomized phase III trial studies ovarian suppression with either tamoxifen or exemestane to see how well they work compared to tamoxifen alone in treating premenopausal women who have undergone surgery for hormone-responsive breast cancer.
Study Details
Timeline
Interventions
Exemestane 25mg orally daily for 5 years plus ovarian function suppression
Correlative studies
Undergo bilateral surgical oophorectomy
Ancillary studies
Undergo ovarian irradiation
Tamoxifen 20mg orally daily for 5 years
3.75 mg by im injection q28 days for 5 years