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CompletedNCT00238316Updated Apr 2, 2020

Letrozole in Preventing Breast Cancer in Postmenopausal Women Who Are at Increased Risk for Breast Cancer Due to High Breast Density

A Phase 2 interventional study of letrozole and Placebo in Breast Cancer, sponsored by NCIC Clinical Trials Group. Completed at 10 sites in 2 countries. Open to female participants aged Up to 120 Years. Per ClinicalTrials.gov, last updated 2020-04-02.

Sponsored by NCIC Clinical Trials Group · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Registered 4 years 10 months after the study started (first participant enrolled Dec 2000, registered Oct 2005).
Phase
Phase 2
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
Up to 120 Years
Sex
Female
01

Study summary

RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming, growing, or coming back. The use of letrozole may stop cancer from forming or coming back in postmenopausal women who are at increased risk for breast cancer due to high breast density.

PURPOSE: This randomized phase II trial is studying how well letrozole works in preventing breast cancer in postmenopausal women who are at increased risk for breast cancer due to high breast density.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the proportion of postmenopausal women who are at increased risk for the development or recurrence of breast cancer, based on high breast density (≥ grade 4), who achieve a decrease in breast density of ≥ 1 grade after treatment with letrozole for 1 year.

Secondary

  • Determine whether a decrease in breast density grade is sustained at 1 year in patients treated with this drug.
  • Correlate plasma estrogen profile (E1, E1S, E2) with breast density grade at baseline in these patients.
  • Determine the percentage of patients with breast tissue hyperplasia and atypical hyperplasia, as assessed by histopathological examination of breast tissue biopsies, before and after treatment with this drug.
  • Determine the changes in estrogen profile from baseline, at 1 year, and 1 year after cessation of this drug in these patients.
  • Compare changes in predetermined specific parameters of safety at the end of 1 year of treatment with this drug with baseline evaluations of these patients.
  • Determine whether modifications of these predetermined specific parameters of safety are sustained 1 year after cessation of treatment with this drug in these patients.
  • Determine the general safety of 1 year of treatment with this drug in these patients.
  • Compare the effects of this drug on menopause-specific quality of life of these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to breast density grade (4/6 vs 5/6 vs 6/6). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral letrozole once daily for 1 year in the absence of unacceptable toxicity.
  • Arm II: Patients receive oral placebo once daily for 1 year in the absence of unacceptable toxicity.

Menopause-specific quality of life is assessed at baseline and then at 12 and 24 months.

After completion of study treatment, patients are followed at 6 months and 1 year.

PROJECTED ACCRUAL: A total of 120 patients (80 in arm I and 40 in arm II) will be accrued for this study within 12 months.

02

Conditions studied

  • Breast Cancer

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Keywords

  • breast cancer
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 68 is close to the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

NCIC Clinical Trials Group is the lead sponsor of 114 studies on the registry; none are open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 7 (26%) have results posted.

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

04

Who can participate

Ages eligible
Up to 120 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • At increased risk for the development or recurrence of breast cancer, as defined by 1 of the following:

    • Baseline mammogram indicating mammographic density occupying ≥ 25% (grade 4/6, 5/6, or 6/6) of the breast tissue

      • No suspicion of breast cancer, unless subsequently ruled out
    • Prior ductal carcinoma in situ (DCIS)

      • Untreated disease OR > 6 months since completion of adjuvant endocrine therapy
      • Receptor status of lesion is not required
    • Prior invasive breast cancer

      • Breast cancer must have been surgically removed at time of original diagnosis with no evidence of metastases
  • No clinical evidence of breast cancer
  • Acceptable quality dual-energy x-ray absorptiometry (DEXA) of the L2-L4 postero-anterior (PA) spine and hip performed within past 6 months

    • Bone mass density T-score of either PA spine or hip must be ≥ 2.0 SD below the mean peak bone mass in young normal woman
  • Stable chronic leukemia allowed
  • Hormone receptor status:

    • Hormone receptor-negative, -positive, or -equivocal tumor

PATIENT CHARACTERISTICS:

Age

  • Postmenopausal

Sex

  • Female

Menopausal status

  • Postmenopausal, as defined by 1 of the following:

    • Over 55 years of age with spontaneous cessation of menses for ≥ 1 year
    • 55 years of age and under with spontaneous cessation of menses for ≤ 1 year, but amenorrheic (e.g., spontaneous or secondary to hysterectomy) AND follicle-stimulating hormone level > 34.4 IU/L
    • Bilateral oophorectomy

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Cardiovascular

  • No recent unstable myocardial infarction
  • No prior stroke
  • No high blood pressure
  • No other uncontrolled cardiovascular disease

Other

  • Other prior malignancies without metastatic disease allowed
  • Willing and able to complete quality of life questionnaires in either English or French
  • No uncontrolled metabolic or endocrine disease
  • No malabsorption syndrome

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No concurrent immunotherapy

Chemotherapy

  • No concurrent chemotherapy

Endocrine therapy

  • See Disease Characteristics
  • At least 3 months since prior and no concurrent hormone replacement therapy or raloxifene
  • At least 6 months since prior tamoxifen
  • No concurrent steroid therapy
  • No concurrent selective estrogen-receptor modulators
  • No other concurrent endocrine or hormonal therapy

Radiotherapy

  • Not specified

Surgery

  • See Disease Characteristics
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
68 participants (actual)

Study arms

  • Active comparator
    Letrozole

    Drug: letrozole

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • Drugletrozole

    2.5 mg PO daily for 1 year

  • OtherPlacebo

    2.5 mg PO daily for one 1 year

06

What researchers measure

Primary outcomes

  1. Percentage change of the BMD parameters from baseline BMD values

    Time frame: 7 years

  2. Percentage change of bone biomarker measurements (serum bone alkaline phosphatase and urine N-telopeptide) from baseline values

    Time frame: 7 years

07

Study locations

10 sites
  • Massachusetts General Hospital Cancer Center
    Boston, Massachusetts 02114, United States
  • Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
    Boston, Massachusetts 02115-6084, United States
  • Tom Baker Cancer Centre - Calgary
    Calgary, Alberta T2N 4N2, Canada
  • Nova Scotia Cancer Centre
    Halifax, Nova Scotia B3H 1V7, Canada
  • Hamilton Osteoporosis Diagnostic Services
    Hamilton, Ontario L8N 1Y2, Canada
  • Ottawa Hospital Regional Cancer Centre - General Campus
    Ottawa, Ontario K1H 8L6, Canada
  • St. Catharines General Hospital at Niagara Health System
    St. Catharines, Ontario L2R 5K3, Canada
  • Toronto Sunnybrook Regional Cancer Centre at Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Hospital
    Toronto, Ontario M5G 2M9, Canada
  • Hotel Dieu de Montreal
    Montreal, Quebec H2W 1T8, Canada
08

References and documents

Publications

  • Cigler T, Tu D, Yaffe MJ, Findlay B, Verma S, Johnston D, Richardson H, Hu H, Qi S, Goss PE. A randomized, placebo-controlled trial (NCIC CTG MAP1) examining the effects of letrozole on mammographic breast density and other end organs in postmenopausal women. Breast Cancer Res Treat. 2010 Apr;120(2):427-35. doi: 10.1007/s10549-009-0662-0. Epub 2009 Dec 6. PubMed 19967558 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00238316
Lead sponsor
NCIC Clinical Trials Group
Responsible party
Sponsor
First posted
Oct 13, 2005
Start date
Dec 5, 2000
Primary completion
Nov 16, 2007
Completion
Feb 10, 2009
Last update
Apr 2, 2020

Study contacts

Paul E. Goss, MD, PhD
study chair · Massachusetts General Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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