ClinicalTrials.gg
CompletedNCT00078832IBIS IIUpdated Oct 6, 2021

Anastrozole in Preventing Breast Cancer in Postmenopausal Women at Increased Risk of Breast Cancer

A Phase 3 interventional study of anastrozole and placebo in Breast Cancer, sponsored by Queen Mary University of London. Completed at 74 sites in 14 countries. Open to female participants aged 40 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-06.

Sponsored by Queen Mary University of London · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
3,864
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
Female
01

Study summary

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development of cancer. Anastrozole may be effective in preventing breast cancer.

PURPOSE: This randomized clinical trial is studying how well anastrozole works in preventing breast cancer in postmenopausal women who are at increased risk for the disease.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the effectiveness of anastrozole in preventing breast cancer in postmenopausal women at increased risk for the disease.

Secondary

  • Determine the role of this drug in preventing estrogen receptor-positive breast cancer in these participants.
  • Determine the effect of this drug on breast cancer mortality in these participants.
  • Determine the effect of this drug on other cancers, cardiovascular disease, fracture rates, and non-breast cancer deaths in these participants.
  • Determine the tolerability and acceptability of side effects of this drug in these participants.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Participants are stratified according to participating center. Participants are randomized to 1 of 2 treatment arms.

  • Arm I: Participants receive oral anastrozole daily for 5 years.
  • Arm II: Participants receive an oral placebo daily for 5 years. In both arms, treatment continues in the absence of the development of breast cancer (including ductal carcinoma in situ), a drop in the T-score below minus 4, or the occurrence of a new fragility fracture.

Participants are followed for at least a further 5 years.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

ACCRUAL: A total of 3,864 participants were recruited for this study over 10 years.

02

Conditions studied

  • Breast Cancer

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Keywords

  • breast cancer, chemoprevention
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's enrollment of 3,864 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Queen Mary University of London is the lead sponsor of 253 studies on the registry; 58 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Meets at least 1 of the relative risk factors based on age as follows:

    • 45 to 70 years of age:

      • First-degree relative who developed breast cancer at ≤ 50 years of age
      • First-degree relative who developed bilateral breast cancer
      • Two or more first- or second-degree relatives who developed breast cancer or ovarian cancer

        • Participants having both relatives who are second degree and on the opposite sides of the family must have at least one that was diagnosed at ≤ 50 years of age
      • Nulliparous (or first birth at ≥ 30 years of age) and a first-degree relative who developed breast cancer
      • Benign with proliferative disease and a first-degree relative who developed breast cancer
      • Mammographic opacity covering at least 50% of the breast in the absence of hormone replacement therapy within the past 3 months
    • 60 to 70 years of age:

      • First-degree relative with breast cancer at any age
      • Age at menopause ≥ 55 years
      • Nulliparous or age at first birth ≥ 30 years
    • 40 to 44 years of age:

      • Two or more first- or second-degree relatives who developed breast cancer or ovarian cancer at ≤ 50 years of age
      • First-degree relative with bilateral breast cancer who developed the first breast cancer at ≤ 50 years of age
      • Nulliparous (or first birth at ≥ 30 years of age) and a first-degree relative who developed breast cancer at ≤ 40 years of age
      • Benign biopsy with proliferative disease and a first-degree relative who developed breast cancer at ≤ 40 years of age
  • All age groups (40 to 70 ears of age) with a 10-year risk > 5% who do not fit into the above categories are allowed

    • Clearly apparent family history AND/OR other risk factors indicating appropriate increased risk of breast cancer for age
  • The following prior breast conditions are allowed (for all age groups):

    • Lobular carcinoma in situ
    • Atypical ductal or lobular hyperplasia in a benign lesion
    • Ductal carcinoma in-situ (DCIS), diagnosed within the past 6 months, and treated by mastectomy
  • No evidence of breast cancer on mammogram within the past year
  • Hormone receptor status:

    • For patients with prior DCIS, estrogen- or progesterone-receptor status must have been positive

      • Must have had greater than or equal to 5% positive cells

PATIENT CHARACTERISTICS:

Age

  • 40 to 70

Sex

  • Female

Menopausal status

  • , defined as at least 1 of the following:

    • Over 60 years of age
    • Bilateral oophorectomy
    • ≤ 60 years of age with a uterus and amenorrhea for at least 12 months
    • ≤ 60 years of age without a uterus and with follicle-stimulating hormone levels > 30 IU/L

Performance status

  • Not specified

  • At least 10 years

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Psychologically and physically suitable to receive 5 years of anti-estrogen therapy
  • No cancer within the past 5 years except non-melanoma skin cancer or carcinoma in situ of the cervix
  • No evidence of osteoporosis or fragility fractures within the spine

    • Participants with a T-score > minus 4 and no more than 2 fragility fractures are allowed
  • No concurrent severe disease that would place the participant at unusual risk or confound the results of the study
  • No other medical condition that would preclude the ability to receive the study treatment

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • No prior tamoxifen, raloxifene, or other selective estrogen receptor modulator (SERM) use for more than 6 months in duration unless an IBIS-I participant (must have been off trial therapy for at least 5 years.
  • No concurrent tamoxifen, raloxifene, or other SERM
  • No concurrent estrogen-based hormone replacement therapy
  • No concurrent systemic estrogen replacement therapy, including vaginal estrogen preparations

Radiotherapy

  • Not specified

Surgery

  • See Disease Characteristics
  • No prior prophylactic mastectomy
  • No concurrent prophylactic mastectomy

Other

  • More than 6 months since prior drugs
Terms in these criteria, in plain language(4)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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).

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
3,864 participants (actual)

Study arms

  • Experimental
    anastrozole

    anastrozole 1mg

    Drug: anastrozole

  • Placebo comparator
    placebo

    anastrozole 1mg PLACEBO

    Drug: placebo

Interventions

  • aromatase inhibitor

    Also known as: Arimidex

  • Drugplacebo

    Arimidex placebo

06

What researchers measure

Primary outcomes

  1. Development of histologically confirmed breast cancer, both invasive and non-invasive with median follow-up at 5 years

    Time frame: Dec 2013

Secondary outcomes

  1. Breast cancer mortality with median follow-up at 10 years

    Time frame: Dec 2018

07

Study locations

74 sites
  • Newcastle Mater Hospital
    Newcastle, New South Wales 2310, Australia
  • University Hospitals
    Leuven, B-3000, Belgium
  • Corporacion Nacional del Cancer
    Santiago, Chile
  • Herlev University Hospital
    Horsholm, Dk- 2730 Herlev, Denmark
  • Pirkanmaa Cancer Society
    Tampere, 33100, Finland
  • GBG Forschungs GMBH
    Frankfurt, 63263, Germany
  • Department of Oncotherapy, University of Szeged
    Szeged, 6720, Hungary
  • Beaumont Hospital
    Dublin, Beaumont 9, Ireland
  • Adelaide and Meath Hospital, Dublin Incorporating the National Children's Hospital
    Dublin, Tallaght 24, Ireland
  • Cork University Hospital
    Cork, Ireland
  • South Infirmary Victoria Hospital
    Cork, Ireland
  • St. Vincent's University Hospital
    Dublin, 4, Ireland
  • St. James's Hospital
    Dublin, 8, Ireland
  • University College Hospital
    Galway, Ireland
  • Mid-Western Cancer Centre at Mid-Western Regional Hospital
    Limerick, 0009, Ireland
  • Sligo General Hospital
    Sligo, Ireland
  • Division of Chemoprevention
    Milan, 20141, Italy
  • Sir Paul Boffa Hospital, Harper Lane
    Floriana, VLT 14, Malta
  • Instituto Portugues De Oncologia, Gabinete De Estudos Clinicos
    Lisbon, 1099-023, Portugal
  • Inselspital Bern
    Bern, CH-3010, Switzerland
  • Oncocare Sonnenhof-Klinik Engeriedspital
    Bern, CH-3012, Switzerland
  • Hopital Cantonal Universitaire de Geneve
    Geneva, CH-1211, Switzerland
  • Ospedale Beata Vergine
    Mendrisio, CH-6850, Switzerland
  • Tumor Zentrum ZeTup St. Gallen und Chur
    St. Gallen, CH-9006, Switzerland
  • Regionalspital
    Thun, 3600, Switzerland
  • Ortaklar cad Pehlivan sok, Basak koviah ap.
    Istanbul, Turkey
  • Tameside General Hospital
    Ashton-Under-Lyne, England OL6 9RW, United Kingdom
  • Royal Bolton Hospital
    Bolton, England BL4 0JR, United Kingdom
  • Royal Bournemouth Hospital
    Bournemouth, England BH7 7DW, United Kingdom
  • St. Luke's Hospital
    Bradford, England BD5 0NA, United Kingdom
  • Sussex Cancer Centre at Royal Sussex County Hospital
    Brighton, England BN2 5BE, United Kingdom
  • Frenchay Hospital
    Bristol, England BS16 1LE, United Kingdom
  • Bristol Royal Infirmary
    Bristol, England BS2 8HW, United Kingdom
  • Queen's Hospital
    Burton-upon-Trent, England DE13 0RB, United Kingdom
  • Broomfield Hospital
    Chelmsford, England CM1 7ET, United Kingdom
  • Gloucestershire Oncology Centre at Cheltenham General Hospital
    Cheltenham, England GL53 7AN, United Kingdom
  • Countess of Chester Hospital
    Chester, England CH2 1UL, United Kingdom
  • Essex County Hospital
    Colchester, England C03 3NB, United Kingdom
  • Royal Derby Hospital
    Derby, England DE1 2QY, United Kingdom
  • Saint Margaret's Hospital,
    Epping, England CM16 6TN, United Kingdom
  • Royal Devon and Exeter Hospital
    Exeter, England EX2 5DW, United Kingdom
  • Frimley Park Hospital
    Frimley, England GU16 7UJ, United Kingdom
  • Conquest Hospital
    Hastings, England TN37 7RD, United Kingdom
  • Castle Hill Hospital
    Hull, England HU16 5JQ, United Kingdom
  • Airedale General Hospital
    Keighley, England BD20 6TD, United Kingdom
  • Leeds Cancer Centre at St. James's University Hospital
    Leeds, England LS9 7TF, United Kingdom
  • Lincoln County Hospital
    Lincoln, England LN2 5QY, United Kingdom
  • Royal Liverpool University Hospital
    Liverpool, England L7 8XP, United Kingdom
  • Saint Bartholomew's Hospital
    London, England EC1A 7BE, United Kingdom
  • Guy's Hospital
    London, England SE1 9RT, United Kingdom
  • Royal Marsden - London
    London, England SW3 6JJ, United Kingdom
  • Macclesfield District General Hospital
    Macclesfield, England SK10 3BL, United Kingdom
  • Centre for Cancer Research and Cell Biology at Queen's University Belfast
    Belfast, Northern Ireland BT9 7AB, United Kingdom
  • Ninewells Hospital
    Dundee, Scotland DD1 9SY, United Kingdom
  • Edinburgh Cancer Centre at Western General Hospital
    Edinburgh, Scotland EH4 2XU, United Kingdom
  • University Hospital of Wales
    Cardiff, Wales CF14 4XW, United Kingdom
  • Singleton Hospital
    Swansea, Wales SA2 8QA, United Kingdom
  • Aberdeen Royal Infirmary
    Aberdeen, AB25 2ZA, United Kingdom
  • Lincoln County Hospital
    Grantham, LN2 5QY, United Kingdom
  • Calderdale Royal Hospital
    Huddersfield, HX3 0PW, United Kingdom
  • Royal Free and UCL Medical School
    London, N19 5LW, United Kingdom
  • Paterson Institute for Cancer Research
    Manchester, M20 4BX, United Kingdom
  • Northwick Park Hospital
    Middlesex, HA1 3UJ, United Kingdom
  • School of Surgical & Reproductive Sciences
    Newcastle, NE2 4HH, United Kingdom
  • Nottingham University Hospitals NHS Trust
    Nottingham, NG5 1PB, United Kingdom
  • Department of General Surgery Pennine Acute Hospitals NHS Trust
    Oldham, OL1 2JH, United Kingdom
  • Derriford Hospital
    Plymouth, PL6 8DH, United Kingdom
  • Cancer Clinical Trials Centre
    Sheffield, S10 2SJ, United Kingdom
  • Weston Park Hospital, Cancer Clinical Trials Centre, Department of Clinical Oncology
    Sheffield, S10 2SJ, United Kingdom
  • Princess Anne Hospital
    Southampton, SO16 5YA, United Kingdom
  • Mid Staffordshire NHS Foundation Trust
    Stafford, ST16 3SA, United Kingdom
  • Treliske Royal Cornwall Hospital
    Truro, TR1 3LJ, United Kingdom
  • Wishaw General Hospital
    Wishaw, ML2 0DP, United Kingdom
  • Yeovil District Hospital
    Yeovil, BA21 4AT, United Kingdom
08

References and documents

Publications

  • Sestak I, Singh S, Cuzick J, Blake GM, Patel R, Gossiel F, Coleman R, Dowsett M, Forbes JF, Howell A, Eastell R. Changes in bone mineral density at 3 years in postmenopausal women receiving anastrozole and risedronate in the IBIS-II bone substudy: an international, double-blind, randomised, placebo-controlled trial. Lancet Oncol. 2014 Dec;15(13):1460-1468. doi: 10.1016/S1470-2045(14)71035-6. Epub 2014 Nov 11. Erratum In: Lancet Oncol. 2014 Dec;15(13):e587. Lancet Oncol. 2014 Dec;15(13):e587. doi: 10.1016/S1470-2045(14)71152-0. PubMed 25456365 ↗
  • Jenkins VA, Ambroisine LM, Atkins L, Cuzick J, Howell A, Fallowfield LJ. Effects of anastrozole on cognitive performance in postmenopausal women: a randomised, double-blind chemoprevention trial (IBIS II). Lancet Oncol. 2008 Oct;9(10):953-61. doi: 10.1016/S1470-2045(08)70207-9. Epub 2008 Sep 1. PubMed 18768369 ↗
  • Sestak I, Smith SG, Howell A, Forbes JF, Cuzick J. Early participant-reported symptoms as predictors of adherence to anastrozole in the International Breast Cancer Intervention Studies II. Ann Oncol. 2018 Feb 1;29(2):504-509. doi: 10.1093/annonc/mdx713. PubMed 29126161 ↗
  • Cuzick J, Sestak I, Forbes JF, Dowsett M, Knox J, Cawthorn S, Saunders C, Roche N, Mansel RE, von Minckwitz G, Bonanni B, Palva T, Howell A; IBIS-II investigators. Anastrozole for prevention of breast cancer in high-risk postmenopausal women (IBIS-II): an international, double-blind, randomised placebo-controlled trial. Lancet. 2014 Mar 22;383(9922):1041-8. doi: 10.1016/S0140-6736(13)62292-8. Epub 2013 Dec 12. Erratum In: Lancet. 2014 Mar 22;383(9922):1040. Lancet. 2017 Mar 11;389(10073):1010. doi: 10.1016/S0140-6736(17)30654-2. PubMed 24333009 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2003, a primary completion of Dec 2013 and a completion of May 2021. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 8, 2004
First posted
Mar 9, 2004
Start
Sep 2003
Primary completionActual
Dec 2013
CompletionActual
May 31, 2021
Last update
Oct 6, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00078832
Responsible party
Sponsor
First posted
Mar 9, 2004
Start date
Sep 2003
Primary completion
Dec 2013
Completion
May 31, 2021
Last update
Oct 6, 2021

Study contacts

Jack Cuzick, PhD
study chair · Queen Mary University of London
Anthony Howell
study chair · University of Manchester

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Anastrozole

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