A Phase 3 interventional study of tamoxifen citrate and Anastrozole in Breast Cancer, sponsored by Queen Mary University of London. Completed at 97 sites in 14 countries. Open to female participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-09-19.
Sponsored by Queen Mary University of London · Phase 3, Interventional, and Treatment
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using either tamoxifen or anastrozole may fight breast cancer by blocking the use of estrogen. It is not yet known whether tamoxifen is more effective than anastrozole in preventing breast cancer after surgery for ductal carcinoma in situ.
PURPOSE: This randomized phase III trial is studying how well adjuvant tamoxifen works compared to anastrozole in treating postmenopausal women who have undergone surgery to remove ductal carcinoma in situ.
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a randomized, double-blind, multicentre study. Patients are stratified according to participating centre. Patients are randomized to 1 of 2 treatment arms.
Patients are followed annually for 5 years and a further 5 years (minimum) off treatment.
Peer Reviewed and Funded by Cancer Research UK. Sponsored by Queen Mary University of London
ACTUAL ACCRUAL: A total of 2,980 patients were accrued for this study over 9 years.
285 studies on the registry are indexed under Carcinoma, Intraductal, Noninfiltrating; 54 are open to participants now.
This study's enrollment of 2,980 is above the median of 66 across 207 interventional studies indexed under Carcinoma, Intraductal, Noninfiltrating.
Browse Carcinoma, Intraductal, Noninfiltrating studies →Queen Mary University of London is the lead sponsor of 253 studies on the registry; 58 are open to participants now.
Compared within Carcinoma, Intraductal, Noninfiltrating, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Breast Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →
DISEASE CHARACTERISTICS:
Diagnosis of ductal carcinoma in situ within the past 6 months
Hormone receptor status:
Estrogen or progesterone receptor positive
PATIENT CHARACTERISTICS:
Age
Sex
Menopausal status
, defined as meeting at least 1 of the following criteria:
Performance status
Hematopoietic
Hepatic
Renal
Cardiovascular
Pulmonary
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Surgery
Other
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).
The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.
A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.
Stroke symptoms need emergency care at once, even if they go away.
Postmenopausal
Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Life expectancy
The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
TIA (transient ischaemic attack)
A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.
Stroke symptoms need emergency care at once, even if they go away.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Drug: Anastrozole
Drug: tamoxifen citrate
Tamoxifen 20mg + Anastrozole placebo
Also known as: Nolvadex
Anastrozole 1mg + Tamoxifen placebo
Also known as: Arimidex
Number of Participants With Breast Cancer Recurrence, Including Recurrent DCIS and New Contralateral Tumours
Time frame: Date of the breast cancer occurrence is defined as the date of the confirmation of the specific event (from randomisation to date of occurrence). Data presented is from randomisation to study completion, median follow-up was 11.6 years (IQR: 9.9-13.5).
Number of Participants With ER+ Breast Cancer Recurrence, Including Recurrent DCIS and New Contralateral Tumours
Time frame: Date of the breast cancer occurrence is defined as the date of the confirmation of the specific event (from randomisation to date of occurrence). Data presented is from randomisation to study completion, median follow-up was 11.6 years (IQR: 9.9-13.5).
Number of Participants With ER- Breast Cancer Recurrence
Time frame: Date of the breast cancer occurrence is defined as the date of the confirmation of the specific event (from randomisation to date of occurrence). Data presented is from randomisation to study completion, median follow-up was 11.6 years (IQR: 9.9-13.5).
Number of Breast Cancer Deaths
Time frame: Date of the death is defined as the date of the confirmation of the specific event (from randomisation to date of occurrence). Data presented is from randomisation to study completion, median follow-up was 11.6 years (IQR: 9.9-13.5).
Number of Non-breast Cancer Deaths
Time frame: Date of the death is defined as the date of the confirmation of the specific event (from randomisation to date of occurrence). Data presented is from randomisation to study completion, median follow-up was 11.6 years (IQR: 9.9-13.5).
| Milestone | Anastrozole | Tamoxifen |
|---|---|---|
| Started | 1471 | 1509 |
| Completed | 1449 | 1489 |
| Not completed | 22 | 20 |
| Participants | Anastrozole | Tamoxifen |
|---|---|---|
| Number of Participants With Breast Cancer Recurrence, Including Recurrent DCIS and New Contralateral Tumours | 103 | 120 |
| Participants | Anastrozole | Tamoxifen |
|---|---|---|
| Number of Participants With ER+ Breast Cancer Recurrence, Including Recurrent DCIS and New Contralateral Tumours | 58 | 82 |
| Participants | Anastrozole | Tamoxifen |
|---|---|---|
| Number of Participants With ER- Breast Cancer Recurrence | 24 | 15 |
| Participants | Anastrozole | Tamoxifen |
|---|---|---|
| Number of Breast Cancer Deaths | 3 | 3 |
| Participants | Anastrozole | Tamoxifen |
|---|---|---|
| Number of Non-breast Cancer Deaths | 59 | 65 |
Collected over Adverse event data were collected from randomisation to study completion, median follow-up was 11.6 years (IQR: 9.9-13.5).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Anastrozole | 62/1,449 (4.3%) | 333/1,449 (23%) | 1,323/1,449 (91.3%) |
| Tamoxifen | 69/1,489 (4.6%) | 371/1,489 (24.9%) | 1,380/1,489 (92.7%) |
| Event | Anastrozole | Tamoxifen |
|---|---|---|
| OsteoarthritisMusculoskeletal and connective tissue disorders | 15/1449 | 11/1489 |
| Uterine polypReproductive system and breast disorders | 1/1449 | 15/1489 |
| DeathGeneral disorders | 14/1449 | 10/1489 |
| Deep vein thrombosisVascular disorders | 5/1449 | 14/1489 |
| Endometrial hyperplasiaReproductive system and breast disorders | 1/1449 | 12/1489 |
| Ankle fractureInjury, poisoning and procedural complications | 10/1449 | 11/1489 |
| Cerebrovascular accidentNervous system disorders | 10/1449 | 1/1489 |
| Transient ischaemic attackNervous system disorders | 10/1449 | 3/1489 |
| PneumoniaInfections and infestations | 5/1449 | 10/1489 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 5/1449 | 9/1489 |
| Event | Anastrozole | Tamoxifen |
|---|---|---|
| Hot flushReproductive system and breast disorders | 815/1449 | 898/1489 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 842/1449 | 748/1489 |
| Night sweatsSkin and subcutaneous tissue disorders | 310/1449 | 341/1489 |
| Vulvovaginal drynessReproductive system and breast disorders | 201/1449 | 166/1489 |
| Hot flushVascular disorders | 161/1449 | 184/1489 |
| MalaiseGeneral disorders | 165/1449 | 177/1489 |
| Vaginal dischargeReproductive system and breast disorders | 31/1449 | 140/1489 |
| Weight increasedInvestigations | 126/1449 | 133/1489 |
| MyalgiaMusculoskeletal and connective tissue disorders | 124/1449 | 106/1489 |
| InsomniaPsychiatric disorders | 109/1449 | 93/1489 |
| Age, Categorical(Participants) | Anastrozole | Tamoxifen | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 1139 | 1171 | 2310 |
| >=65 years | 332 | 338 | 670 |
| Age, Continuous(years) | Anastrozole | Tamoxifen | Total |
|---|---|---|---|
| Median | 60.4 (56.4 to 64.7) | 60.3 (55.8 to 64.5) | 60.3 (56.1 to 64.6) |
| Sex: Female, Male(Participants) | Anastrozole | Tamoxifen | Total |
|---|---|---|---|
| Female | 1471 | 1509 | 2980 |
| Male | 0 | 0 | 0 |
| Race and Ethnicity Not Collected(Participants) | Anastrozole | Tamoxifen | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Anastrozole | Tamoxifen | Total |
|---|---|---|---|
| Sweden | 4 | 4 | 8 |
| United Kingdom | 429 | 460 | 889 |
| Italy | 165 | 158 | 323 |
| Australia | 76 | 92 | 168 |
| Switzerland | 19 | 26 | 45 |
| Belgium | 54 | 50 | 104 |
| Chile | 9 | 8 | 17 |
| Finland | 4 | 3 | 7 |
| Ireland | 42 | 36 | 78 |
| France | 211 | 215 | 426 |
| Germany | 386 | 393 | 779 |
| Hungary | 7 | 8 | 15 |
| Malta | 2 | 2 | 4 |
| New Zealand | 4 | 6 | 10 |
| Turkey | 7 | 8 | 15 |
| Austria | 51 | 39 | 90 |
| India | 1 | 1 | 2 |
This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.
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Studies of the drugs tested here: Tamoxifen · Anastrozole
Carcinoma, Intraductal, Noninfiltrating →
Queen Mary University of London →