CClinicalTrials.gg
CompletedNCT00311636Updated Jun 26, 2013

Triptorelin in Preventing Early Menopause in Premenopausal Women Who Are Receiving Chemotherapy for Stage I, Stage II, or Stage III Breast Cancer That Has Been Removed By Surgery

A Phase 3 interventional study of cyclophosphamide and docetaxel in Breast Cancer, sponsored by Gruppo Italiano Mammella (GIM). Completed at 18 sites in Italy. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2013-06-26.

Sponsored by Gruppo Italiano Mammella (GIM) · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
280
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
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Study summary

RATIONALE: Chemotherapy may cause early menopause in premenopausal women. Triptorelin may prevent this from happening.

PURPOSE: This randomized phase III trial is studying triptorelin to see how well it works in preventing early menopause in premenopausal women who are receiving chemotherapy for stage I, stage II, or stage III breast cancer that has been removed by surgery.

Read the detailed description

OBJECTIVES:

Primary

  • Evaluate the incidence of chemotherapy-induced early menopause in premenopausal women undergoing adjuvant chemotherapy in combination with vs without triptorelin for previously resected stage I-III breast cancer.

Secondary

  • Compare the toxicity of adjuvant chemotherapy and triptorelin vs adjuvant chemotherapy alone.

OUTLINE: This is a prospective, open-label, multicenter, randomized study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I (adjuvant chemotherapy alone): Patients receive adjuvant chemotherapy alone.
  • Arm II (adjuvant chemotherapy and triptorelin): Patients receive adjuvant chemotherapy and triptorelin intramuscularly 1 week before and then every 4 weeks for the duration of chemotherapy. The last dose of triptorelin is given before the last course of chemotherapy.

Patients with hormone-sensitive tumors who resume ovarian function after stopping chemotherapy and triptorelin restart triptorelin until ovarian function is suppressed for 2 years.

Patients undergo menopausal status assessment, using follicle-stimulating hormone, luteinizing hormone, and estradiol as biochemical markers, at baseline and 3, 6, 9, and 12 months after the last course of chemotherapy.

After completion of study treatment, patients are followed at 3, 6, 9, and 12 months.

PROJECTED ACCRUAL: A total of 280 patients will be accrued for this study.

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Conditions studied

  • Breast Cancer

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Keywords

  • stage I breast cancer
  • stage II breast cancer
  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
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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 planned enrollment of 280 is above the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Gruppo Italiano Mammella (GIM) is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed breast cancer resected at time of original diagnosis

    • Stage I-III disease
  • Candidate for 1 of the following adjuvant chemotherapy regimens:

    • FEC (fluorouracil, epirubicin hydrochloride, and cyclophosphamide) every 21 or 28 days
    • CMF (cyclophosphamide, methotrexate, and fluorouracil) every 28 days
    • A→CMF (doxorubicin hydrochloride followed by CMF)
    • EC→P (epirubicin hydrochloride and cyclophosphamide every 21 days followed by paclitaxel every 21 days)
    • FEC→P (FEC every 21 days followed by paclitaxel every 21 days)
    • EC→D (EC every 21 days followed by docetaxel every 21 days)
    • AC (doxorubicin hydrochloride and cyclophosphamide) every 21 days
    • AC→P (AC every 21 days followed by paclitaxel every 21 days)
    • E→CMF (epirubicin hydrochloride followed by CMF every 28 days)
  • No evidence of metastases or localized or distant recurrence

    • Investigation to exclude metastases required for any suspicious manifestation
  • Premenopausal, defined as the presence of active menstrual cycles or normal menses within six weeks before initiation of chemotherapy
  • Hormone receptor status not specified

PATIENT CHARACTERISTICS:

  • Female
  • No other malignancy within the past 5 years except basal cell or squamous cell skin cancer or adequately treated in situ carcinoma of the cervix
  • No history of noncompliance to medical regimens or patients who are considered potentially unreliable
  • Not pregnant or nursing
  • Negative pregnancy test

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No prior chemotherapy and/or radiotherapy for cancer or non-neoplastic disease
  • No other concurrent hormonal therapy except for tamoxifen
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Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Masking
None (open label)
Enrollment
280 participants (estimated)

Interventions

  • Drugcyclophosphamide
  • Drugdocetaxel
  • Drugdoxorubicin hydrochloride
  • Drugepirubicin hydrochloride
  • Drugfluorouracil
  • Drugmethotrexate
  • Drugpaclitaxel
  • Drugtriptorelin
  • Procedureadjuvant therapy
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What researchers measure

Primary outcomes

  1. Chemotherapy-induced early menopause as measured by follicle-stimulating hormone, 17 beta estradiol levels, and menstrual activity resumption at 1 year following the completion of chemotherapy

Secondary outcomes

  1. Toxicity as measured by Common Toxicity Criteria at each chemotherapy course

07

Study locations

18 sites
  • Ospedale Civile
    Castelfranco - TV, 31033, Italy
  • Ospedale Sant Anna
    Como, 22100, Italy
  • Ospedale Santa Croce
    Cuneo, 12100, Italy
  • Azienda Ospedaliera di Firenze
    Florence, 50011, Italy
  • Istituto Nazionale per la Ricerca sul Cancro
    Genoa, 16132, Italy
  • Presidio Ospedaliero di Livorno
    Livorno, 57100, Italy
  • Carlo Poma Hospital
    Mantova, 46100, Italy
  • Federico II University Medical School
    Naples, 80131, Italy
  • Seconda Universita di Napoli
    Naples, 80131, Italy
  • Istituto G. Pascale
    Naples, 81131, Italy
  • Ospedale Silvestrini
    Perugia, 06156, Italy
  • Ospedale Santa Chiara Pisa
    Pisa, 56126, Italy
  • Istituto Regina Elena
    Rome, 00128, Italy
  • Ospedale Civile ASL 1
    Sassari, 07100, Italy
  • Ospedale SS Trinita
    Sora, 03039, Italy
  • Ospedale Treviglio Caravaggio
    Treviglio, 24047, Italy
  • Ospedale Maggiore dell' Universita
    Trieste, 34100, Italy
  • Universita di Torino
    Turin, 10126, Italy
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References and documents

Publications

  • Del Mastro L, Boni L, Michelotti A, Gamucci T, Olmeo N, Gori S, Giordano M, Garrone O, Pronzato P, Bighin C, Levaggi A, Giraudi S, Cresti N, Magnolfi E, Scotto T, Vecchio C, Venturini M. Effect of the gonadotropin-releasing hormone analogue triptorelin on the occurrence of chemotherapy-induced early menopause in premenopausal women with breast cancer: a randomized trial. JAMA. 2011 Jul 20;306(3):269-76. doi: 10.1001/jama.2011.991. PubMed 21771987 ↗
  • Lambertini M, Boni L, Michelotti A, Gamucci T, Scotto T, Gori S, Giordano M, Garrone O, Levaggi A, Poggio F, Giraudi S, Bighin C, Vecchio C, Sertoli MR, Pronzato P, Del Mastro L; GIM Study Group. Ovarian Suppression With Triptorelin During Adjuvant Breast Cancer Chemotherapy and Long-term Ovarian Function, Pregnancies, and Disease-Free Survival: A Randomized Clinical Trial. JAMA. 2015 Dec 22-29;314(24):2632-40. doi: 10.1001/jama.2015.17291. PubMed 26720025 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00311636
Lead sponsor
Gruppo Italiano Mammella (GIM)
First posted
Apr 6, 2006
Start date
Sep 2003
Primary completion
Jan 2008
Completion
Apr 2008
Last update
Jun 26, 2013

Study contacts

Lucia Del Mastro, MD
study chair · IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
View the source record on ClinicalTrials.gov ↗

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