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CompletedNCT01237327Updated May 6, 2011Results posted

Multicenter Follow Up Study Of Subjects Who Participated In An Original Protocol Of Exemestane Vs. Megestrol Acetate In Postmenopausal Women With Metastatic Breast Cancer

A Phase 3 interventional study of Megestrol acetate and exemestane (Aromasin) in Metastatic Breast Cancer, sponsored by Pfizer. Completed at 7 sites in China. Open to female participants. Per ClinicalTrials.gov, last updated 2011-05-06.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
84
Sex
Female
01

Study summary

Long term efficacy of exemestane as compared to megestrol acetate in the treatment of women with natural or induced postmenopausal status with advanced breast cancer whose disease has progressed following anti-estrogens or anti-estrogens plus chemotherapy and who had participated on an original study of exemestane vs megestrol : study 971-ONC-0028-080.

02

Conditions studied

  • Metastatic Breast Cancer

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Keywords

  • Metastatic Breast Cancer
  • Advanced
  • Postmenopausal
  • Exemestane vs Megestrol
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 84 is above the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Previous participation in study 971-ONC-0028-080.

Exclusion criteria

Exclusion Criteria:

  • Subjects who had not previously participated in study 971-ONC-0028-080.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Active comparator
    1

    Drug: Megestrol acetate

  • Experimental
    2

    Drug: exemestane (Aromasin)

Interventions

  • DrugMegestrol acetate

    Megestrol Acetate 160 mg oral tablets Qd

    Also known as: Megace

  • Drugexemestane (Aromasin)

    exemestane (Aromasin) 25 mg oral tablets Qd

    Also known as: Aromasin

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Overall survival in months measured from date of starting treatment in core study to date of death for any reason.

    Time frame: Every 12 weeks up to 6 years

Secondary outcomes

  1. Objective Response Rate (ORR)

    Percentage of participants achieving an objective response (OR) defined as complete response (CR) or partial response (PR) out of the total number of participants randomized in each treatment group

    Time frame: Every 12 weeks up to 6 years

  2. Duration of Response (DR)

    Duration of objective response (complete response \[CR\] or partial response \[PR\]) calculated from date objective response was first documented to date of progressive disease. For subjects proceeding from PR to CR, the onset of PR was taken as the onset of objective response.

    Time frame: Every 12 weeks up to 6 years

  3. Time to Tumor Progression (TTP)

    TTP = time between first day of study treatment and date of documented disease progression, or date of tumor-related death in the absence of previously documented progressive disease (PD). PD defined as a 25% or greater increase in size of 1 or more lesions compared to smallest previous assessment, or appearance of new lesion, or unequivocal worsening of bone lesions, or progression of nonevaluable lesions.

    Time frame: Every 12 weeks up to 6 years

  4. Time to Treatment Failure (TTF)

    TTF = time between first day of study treatment and date of diagnosis of progression, withdrawal from study treatment for any reason, administration of other antitumor treatment, or death from any cause, whichever was the earliest event.

    Time frame: Every 12 weeks up to 6 years

07

Results

Posted Mar 14, 2011
Limitations and caveats
At the time of study completion in 2007, via protocol amendment participants still on treatment were allowed to continue treatment, being monitored for Serious Adverse Events (SAE) only. The final participant discontinued in 2009.

Participant flow

Participant flow — Overall Study
MilestoneExemestaneMegestrol Acetate
Started4341
Stopped treatment in core study (d/c)2224
Completed treatment in core study32
Continued treatment in extension study2117
Completed11
Not completed4240
Withdrew: Protocol violation: core study10
Withdrew: Completed 26 weeks treatment:core study32
Withdrew: Progression of disease: core study1822
Withdrew: Progression of disease: extension study1513
Withdrew: Protocol specific withdrawal criteria10
Withdrew: Withdrawal by subject13
Withdrew: Lost to follow-up30

Outcome measures

PrimaryOverall Survival

Overall survival in months measured from date of starting treatment in core study to date of death for any reason.

Time frame:
Every 12 weeks up to 6 years
Reported as:
Median · months
Overall Survival
monthsExemestaneMegestrol Acetate
Overall Survival29.2 (22.9 to 47.8)16.3 (11.6 to 27.6)
Statistical analysis
  • Exemestane vs Megestrol Acetate · Log Rank · p = 0.3348 · Hazard ratio (hr): 0.7799 · 95% CI 0.47 to 1.294
SecondaryObjective Response Rate (ORR)

Percentage of participants achieving an objective response (OR) defined as complete response (CR) or partial response (PR) out of the total number of participants randomized in each treatment group

Time frame:
Every 12 weeks up to 6 years
Reported as:
Number · percentage of participants
Objective Response Rate (ORR)
percentage of participantsExemestaneMegestrol Acetate
Objective Response Rate (ORR)23.312.2
SecondaryDuration of Response (DR)

Duration of objective response (complete response \[CR\] or partial response \[PR\]) calculated from date objective response was first documented to date of progressive disease. For subjects proceeding from PR to CR, the onset of PR was taken as the onset of objective response.

Time frame:
Every 12 weeks up to 6 years
Reported as:
Median · months
Duration of Response (DR)
monthsExemestaneMegestrol Acetate
Duration of Response (DR)12.9 (10.8 to 49.0)35.4 (23.6 to NA)
SecondaryTime to Tumor Progression (TTP)

TTP = time between first day of study treatment and date of documented disease progression, or date of tumor-related death in the absence of previously documented progressive disease (PD). PD defined as a 25% or greater increase in size of 1 or more lesions compared to smallest previous assessment, or appearance of new lesion, or unequivocal worsening of bone lesions, or progression of nonevaluable lesions.

Time frame:
Every 12 weeks up to 6 years
Reported as:
Median · months
Time to Tumor Progression (TTP)
monthsExemestaneMegestrol Acetate
Time to Tumor Progression (TTP)6.0 (3.7 to 13.0)3.7 (2.1 to 8.9)
SecondaryTime to Treatment Failure (TTF)

TTF = time between first day of study treatment and date of diagnosis of progression, withdrawal from study treatment for any reason, administration of other antitumor treatment, or death from any cause, whichever was the earliest event.

Time frame:
Every 12 weeks up to 6 years
Reported as:
Median · months
Time to Treatment Failure (TTF)
monthsExemestaneMegestrol Acetate
Time to Treatment Failure (TTF)6.0 (3.7 to 11.4)3.7 (2.1 to 8.8)

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Exemestane—1/41 (2.4%)24/41 (58.5%)
Megestrol Acetate—2/40 (5%)25/40 (62.5%)
Most frequent serious events
Most frequent serious events
EventExemestaneMegestrol Acetate
Chest pain NECGeneral disorders0/411/40
Back painMusculoskeletal and connective tissue disorders0/411/40
Cerebral haemorrhageNervous system disorders0/411/40
Headache NOSNervous system disorders0/411/40
Spinal cord compressionNervous system disorders0/411/40
Completed suicidePsychiatric disorders1/410/40
Most frequent other events
Showing 10 of 55
Most frequent other events
EventExemestaneMegestrol Acetate
FatigueGeneral disorders1/416/40
NauseaGastrointestinal disorders6/412/40
Weight increasedInvestigations3/415/40
CoughRespiratory, thoracic and mediastinal disorders5/414/40
Sweating increasedSkin and subcutaneous tissue disorders5/414/40
FlushingVascular disorders5/410/40
Bone painMusculoskeletal and connective tissue disorders2/413/40
InfluenzaInfections and infestations3/411/40
Dyspnoea NOSRespiratory, thoracic and mediastinal disorders3/412/40
Chest pain NECGeneral disorders1/412/40

Baseline characteristics

Age, Customized
Age, Customized(participants)ExemestaneMegestrol AcetateTotal
< 50 years101525
50 to 64 years172441
65 to 79 years16218
Sex: Female, Male
Sex: Female, Male(Participants)ExemestaneMegestrol AcetateTotal
Female434184
Male000
08

Study locations

7 sites
  • Cancer Institute and Hospital, Chinese Academy of Medical Sciences
    Beijing, 100021, China
  • PLA 307 Hospital
    Beijing, 100039, China
  • Ba Yi Hospital, Cancer Center of CPLA
    Nanjing, 210002, China
  • Jiangsu Cancer Hospital
    Nanjing, 210009, China
  • Cancer Hospital
    Shanghai, 200032, China
  • The 2nd Central Hospital of Tianjin
    Tianjin, 300120, China
  • The 1st Affiliated Hospital, Xi'an Jiao Tong University
    Xi'an, 710061, China
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01237327
Lead sponsor
Pfizer
First posted
Nov 9, 2010
Start date
Nov 2001
Primary completion
Dec 2007
Completion
Dec 2009
Results posted
Mar 14, 2011
Last update
May 6, 2011

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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