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CompletedNCT00354302Updated Apr 2, 2020

Bone Mineral Density in Postmenopausal Women With Primary Breast Cancer Who Are Receiving Treatment on Clinical Trial

A Phase 3 interventional study of calcium carbonate and calcium citrate in Breast Cancer and Osteoporosis, sponsored by NCIC Clinical Trials Group. Completed at 13 sites in Canada. Open to female participants aged 45 Years to 120 Years. Per ClinicalTrials.gov, last updated 2020-04-02.

Sponsored by NCIC Clinical Trials Group · Phase 3, Interventional, and Diagnostic

Phase
Phase 3
Study type
Interventional
Enrollment
497
Allocation
Not applicable
Ages
45 Years to 120 Years
Sex
Female
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Study summary

RATIONALE: Learning about the effect of exemestane and anastrozole on bone mineral density in postmenopausal women with primary breast cancer may help plan treatment, decrease the risk of broken bones, and help patients live more comfortably.

PURPOSE: This phase III trial is studying bone mineral density in postmenopausal women with primary breast cancer who are receiving treatment on clinical trial CAN-NCIC-MA27.

Read the detailed description

OBJECTIVES:

  • Determine whether there is a clinically relevant difference in bone mineral density (BMD) at 2 years in postmenopausal women with primary breast cancer (with or without osteopenia or osteoporosis) treated with exemestane vs anastrozole on protocol CAN-NCIC-MA27.

OUTLINE: This is a multicenter, companion study. Patients are stratified according to baseline bone mineral density (BMD) measurement (T-score* ≥ -2.0 standard deviation [SD] [no osteopenia or osteoporosis] vs T-score* \< -2.0 SD).

NOTE: *The lowest of the two T-scores: L1-L4 or total hip

Blood samples for the identification of bone biomarkers (formation marker: serum amino-terminal procollagen 1 extension peptide [P1NP] and resorption marker: serum N-telopeptide) are obtained at baseline and at 6 and 12 months. BMD is determined by dual-energy x-ray absorptiometry (DEXA) at baseline and then annually for 5 years (or for as long as patient is receiving treatment on protocol CAN-NCIC-MA27).

Patients receive oral calcium and oral cholecalciferol (vitamin D) daily. Patients with osteopenia or osteoporosis (stratum II) also receive oral bisphosphonate therapy

PROJECTED ACCRUAL: A total of 408 patients will be accrued for this study.

02

Conditions studied

  • Breast Cancer
  • Osteoporosis

Keywords

  • osteoporosis
  • stage I breast cancer
  • stage II breast cancer
  • stage IIIA 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 497 is above 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
45 Years to 120 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Enrolled in and meets eligibility requirements for protocol CAN-NCIC-MA27
  • Acceptable quality dual-energy x-ray absorptiometry (DEXA) of the L1-L4 postero-anterior spine and hip within 12 weeks prior to randomization on protocol CAN-NCIC-MA27
  • Hormone receptor status:

    • Estrogen receptor- and/or progesterone receptor-positive tumor

PATIENT CHARACTERISTICS:

  • Female
  • Postmenopausal
  • No malabsorption syndrome
  • No known cholecalciferol (vitamin D) deficiency, active hyper- or hypoparathyroidism, or Paget's disease
  • No uncontrolled thyroid disease, Cushing's disease, or other pituitary disease
  • No other bone disease (including osteomalacia or osteogenesis imperfecta)

PRIOR CONCURRENT THERAPY:

  • More than 6 months since prior drugs (investigational or not), including bisphosphonates, for the prevention of osteoporosis (stratum I)
  • More than 12 months since prior and no concurrent anticonvulsants
  • More than 6 months since prior and no concurrent corticosteroids at doses > 5 mg/day of prednisone (or equivalent) for > 2 weeks
  • More than 12 months since prior and no concurrent anabolic steroids
  • No prior bisphosphonates (stratum II)
  • No concurrent sodium fluoride at daily doses ≥ 5 mg/day
  • No long-term (i.e., > 6 months) use of coumarins
  • No concurrent drugs (investigational or not), including bisphosphonates, for the prevention of osteoporosis (for patients with no osteopenia or osteoporosis [stratum I])
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Study design

Phase
Phase 3
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
497 participants (actual)

Interventions

  • Dietary supplementcalcium carbonate
  • Dietary supplementcalcium citrate
  • Dietary supplementcholecalciferol
  • Drugalendronate sodium
  • Drugcalcium gluconate
  • Drugrisedronate sodium
  • Otherlaboratory biomarker analysis
  • Proceduredual x-ray absorptometry
06

What researchers measure

Primary outcomes

  1. Percentage change of bone mineral density (BMD) measured at 2 years (from baseline) in the L1-L4 region of the spine and the hip

    Time frame: 5 years

Secondary outcomes

  1. Percentage change in BMD at 5 years (from baseline)

    Time frame: 5 years

  2. Mean percentage change in BMD at 1, 3, and 5 years (from baseline)

    Time frame: 5 years

  3. Proportion of patients without osteopenia or osteoporosis (stratum I) who develop BMD below the absolute threshold for osteopenia (< -2.0 standard deviation below the mean), suffer any osteoporotic fracture, or have an asymptomatic fracture revealed ...

    Time frame: 5 years

  4. Percentage of patients with osteopenia or osteoporosis (stratum II) who have ≥ 5% improvement of BMD at 2 years post randomization on protocol CAN-NCIC-MA27 and who have clinically apparent osteoporosis-related fracture of the long bones

    Time frame: 5 years

  5. Pattern of change in bone biomarkers from baseline

    Time frame: 5 years

  6. Clinical safety and tolerability of study medications

    Time frame: 5 years

07

Study locations

13 sites
  • BCCA - Vancouver Cancer Centre
    Vancouver, British Columbia V5Z 4E6, Canada
  • CancerCare Manitoba
    Winnipeg, Manitoba R3E 0V9, Canada
  • The Moncton Hospital
    Moncton, New Brunswick E1C 6Z8, Canada
  • Atlantic Health Sciences Corporation
    Saint John, New Brunswick E2L 4L2, Canada
  • Cambridge Memorial Hospital
    Cambridge, Ontario N1R 3G2, Canada
  • Algoma District Cancer Program
    Sault Ste. Marie, Ontario P6B 0A8, Canada
  • Thunder Bay Regional Health Science Centre
    Thunder Bay, Ontario P7B 6V4, Canada
  • Odette Cancer Centre
    Toronto, Ontario M4N 3M5, Canada
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
  • Univ. Health Network-Princess Margaret Hospital
    Toronto, Ontario M5G 2M9, Canada
  • Hopital Charles LeMoyne
    Greenfield Park, Quebec J4V 2H1, Canada
  • CHA-Hopital Du St-Sacrement
    Quebec City, Quebec G1S 4L8, Canada
  • Allan Blair Cancer Centre
    Regina, Saskatchewan S4T 7T1, Canada
08

References and documents

Publications

  • Goss PE, Hershman DL, Cheung AM, Ingle JN, Khosla S, Stearns V, Chalchal H, Rowland K, Muss HB, Linden HM, Scher J, Pritchard KI, Elliott CR, Badovinac-Crnjevic T, St Louis J, Chapman JA, Shepherd LE. Effects of adjuvant exemestane versus anastrozole on bone mineral density for women with early breast cancer (MA.27B): a companion analysis of a randomised controlled trial. Lancet Oncol. 2014 Apr;15(4):474-82. doi: 10.1016/S1470-2045(14)70035-X. Epub 2014 Mar 11. PubMed 24636210 ↗

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
NCT00354302
Lead sponsor
NCIC Clinical Trials Group
Collaborators
National Cancer Institute (NCI), North Central Cancer Treatment Group, SWOG Cancer Research Network
Responsible party
Sponsor
First posted
Jul 20, 2006
Start date
Apr 24, 2006
Primary completion
Mar 2011
Completion
Jan 6, 2012
Last update
Apr 2, 2020

Study contacts

Paul E. Goss, MD, PhD
study chair · Massachusetts General Hospital
James N. Ingle, MD
study chair · Mayo Clinic
Dawn Hershman, MD
study chair · Herbert Irving Comprehensive Cancer Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2012. You cannot join it, but the record below documents what was studied.

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