CClinicalTrials.gg
RecruitingNCT02914158ASPAITUpdated Jan 17, 2023

Adjuvant Ovarian Suppression Plus Aromatase Inhibitor or Tamoxifen in Young Women

A Phase 3 interventional study of Goserelin and Tamoxifen in Breast Cancer, sponsored by First Affiliated Hospital, Sun Yat-Sen University. Recruiting at 25 sites in China. Open to female participants aged Up to 35 Years. Per ClinicalTrials.gov, last updated 2023-01-17.

Sponsored by First Affiliated Hospital, Sun Yat-Sen University · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2023, 2 years 9 months ago, but the record still lists the study as recruiting.
  • Registered 5 months after the study started (first participant enrolled Mar 2016, registered Sep 2016).
  • Started Mar 2016; still recruiting 10 years 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
680
Allocation
Randomized
Ages
Up to 35 Years
Sex
Female
01

Study summary

The objective of this study is to compare the curative effects in patients under the age of 35 with hormone receptor positive breast cancer and high recurrent risk factors including large tumor or metastatic lymph nodes randomized to ovarian function suppression (OFS) plus aromatase inhibitors or OFS plus tamoxifen as adjuvant endocrine therapy, and explore the differences of curative effects between different subtypes to provide direct evidence for treatments of young breast cancer patients.

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Conditions studied

  • Breast Cancer

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Keywords

  • breast cancer
  • ovarian function suppression (OFS)
  • aromatase inhibitors(AIs)
  • tamoxifen(TAM)
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 planned enrollment of 680 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

First Affiliated Hospital, Sun Yat-Sen University is the lead sponsor of 155 studies on the registry; 51 are open to participants now.

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

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Who can participate

Ages eligible
Up to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Signed informed consent;
  2. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2;
  3. Patients pathologically diagnosed with hormone receptor positive invasive breast cancer: immunohistochemistry ER positive (≥1%);
  4. Premenopausal patients with age ≤35 years (at least menstruate once for prior 3 months, assess menstruation situation before chemotherapy if have);
  5. No distant metastasis;
  6. Clinical stage (TNM) meets at least one of the conditions as follow: T≥2cm or at least one region of regional lymph node metastasis (including micrometastases);
  7. Patients must have undergone a surgery and (neo)adjuvant chemotherapy, targeted therapy, radiotherapy (if necessary) according to Chinese Anti-Cancer Association guidelines and specifications version 2015 for diagnosis and treatment of breast cancer;
  8. Indexes of hematology and biochemistry conform to following standards: HGB≥10g/dl, WBC≥4,000/mm3, PLT≥100,000/mm3, GOT, GPT, ALP≤2xULN, TBIL, DBIL, CCr≤1.5xULN.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant or lactating women or women of childbearing potential reject contraceptive measures;
  2. History of organ transplantation (including autologous bone marrow transplantation and peripheral stem cell transplantation);
  3. Concurrent malignancies or history of non-breast malignancies within the 5 years prior to study entry, except for curatively treated basal cell and squamous cell carcinomas of the skin, carcinoma in situ of the cervix; peripheral nervous system disorders caused by diseases or history of obvious mental and central nervous system disorders;
  4. Prior use of neo-adjuvant chemotherapy after a definite diagnosis;
  5. Nervous system disorders caused by diseases or obvious mental disorder, which would affect patients right to consent and compliance, or make patients in critical condition;
  6. Serious hepatopathy (e.g., cirrhosis, etc.), nephropathy, respiratory illness, digestive illness or poorly controlled diabetes;
  7. Cardiac illness with obvious abnormal EKG or clinical symptoms, namely congestive heart failure, coronary atherosclerotic heart disease with obvious symptoms, arrhythmia difficult to control by drugs, or history of myocardial infarction within the 12 months prior to study entry or class III/IV of cardiac function;
  8. Concurrent treatment in another investigational trial;
  9. Sensitivity or contraindication to any of the study medications.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
680 participants (estimated)

Study arms

  • Experimental
    Ovarian Suppression and aromatase inhibitors

    Ovarian Suppression:Goserelin 3.6 mg or Leuprolide 3.75 mg administered intravenously every 28 days, for 5 years. AI: no restriction of specific drugs, oral by standard dose of post-menopause breast cancer, for 5 years.

    Drug: Goserelin · Drug: Aromatase Inhibitors · Drug: Leuprolide

  • Active comparator
    Ovarian Suppression and tamoxifen

    Ovarian Suppression:Goserelin 3.6 mg or Leuprolide 3.75 mg administered intravenously every 28 days, for 5 years. Tamoxifen: 20mg oral for every day, for 5 years.

    Drug: Goserelin · Drug: Tamoxifen · Drug: Leuprolide

Interventions

  • DrugGoserelin
  • DrugTamoxifen
  • DrugAromatase Inhibitors
  • DrugLeuprolide

    Also known as: leuprolide acetate

06

What researchers measure

Primary outcomes

  1. Disease-Free Survival (DFS)

    DFS is defined as the time between randomization and the date of the first occurrence of events as follow: local, regional recurrence or distant metastasis of invasive breast cancer, contralateral invasive breast cancer, or death due to any diseases. Patients who have not had disease progression or death at the end of follow-up (5 years) will be censored at the date last known to be alive and distant metastasis free. Subgroup analysis DFS of Luminal A and Luminal B breast cancer.

    Time frame: 5 years

Secondary outcomes

  1. Overall Survival (OS)

    The time from randomization to death due to any cause. Patients still alive at the end of follow-up (5 years) will be censored at the last known alive date.

    Time frame: 5 years

  2. Invasive Breast Cancer Recurrence-Free Interval(BCFI)

    The time between randomization and the first occurrence of local, regional recurrence or distant metastasis of invasive breast cancer, or contralateral invasive breast cancer. Patients who have not had invasive breast cancer recurrence at the end of follow-up (5 years) will be censored at the date last known to be distant metastasis free.

    Time frame: 5 years

  3. Adverse Effects Rate

    Time frame: 5 years

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Study locations

17 of 25 sites recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, China
    Active, not recruiting
  • Peking University First Hospital
    Beijing, China
    Active, not recruiting
  • Dongguan People's Hospital
    Dongguan, China
    • Ailing Zhang · Contact
    Recruiting
  • GuangDong Hospital Of Traditional Chinese Medicine
    Guangzhou, China
    • Qianjun Chen · Contact
    Recruiting
  • Guangdong People's Hospital
    Guangzhou, China
    Active, not recruiting
  • Guangdong Provincial Women and Children's Hospital
    Guangzhou, China
    • Zhang A Qin · Contact
    Recruiting
  • Guangzhou First Municipal People's Hospital
    Guangzhou, China
    • Li Zhao · Contact
    Recruiting
  • Guangzhou Women and Childrens Medical Center
    Guangzhou, China
    • Hongming Ma · Contact
    Recruiting
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University
    Guangzhou, China
    • Yao H Rui · Contact
    Recruiting
  • Sun Yat-sen University Cancer Center
    Guangzhou, China
    • Yuan Z Yu · Contact
    Recruiting
  • The Second Affiliated Hospital of Guangzhou Medical University
    Guangzhou, China
    • Lehong Zhang · Contact
    Recruiting
  • Guilin TCMhospital of China
    Guilin, China
    • Rui Zhuo · Contact
    Recruiting
  • Zhejiang Provincial People's Hospital
    Hangzhou, China
    Active, not recruiting
  • Harbin Medical University Cancer Hospital
    Harbin, China
    • Li Cai · Contact
    Recruiting
  • Yunnan Cancer Hospital
    Kunming, China
    Active, not recruiting
  • Maoming People's Hospital
    Maoming, China
    • Weixiong Yang · Contact
    Recruiting
  • The first Affiliated Hospital of Guangxi Medical University
    Nanning, China
    • Jingcai Zhong · Contact
    Recruiting
  • The Affiliated Hospital of Qingdao University
    Qingdao, China
    Active, not recruiting
  • The First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, China
    Active, not recruiting
  • Affiliated hospital of Guangdong Medicine College
    Zhanjiang, China
    • Li J Wen · Contact
    Recruiting
  • Affiliated hospital of Guangdong Medicine College
    Zhanjiang, China
    • Zhang Y Qi · Contact
    Recruiting
  • Lian Jiang People' s Hospital
    Zhanjiang, China
    • Huang Heng · Contact
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, China
    Active, not recruiting
  • Zhongshan People's Hospital
    Zhongshan, China
    • Feihai Ling · Contact
    Recruiting
  • The Fifth Affiliated Hospital Sun Yat-Sen University
    Zhuhai, China
    • Hongyu Zhang · Contact
    Recruiting
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References and documents

Publications

  • Fan L, Strasser-Weippl K, Li JJ, St Louis J, Finkelstein DM, Yu KD, Chen WQ, Shao ZM, Goss PE. Breast cancer in China. Lancet Oncol. 2014 Jun;15(7):e279-89. doi: 10.1016/S1470-2045(13)70567-9. PubMed 24872111 ↗
  • Early Breast Cancer Trialists' Collaborative Group (EBCTCG). Aromatase inhibitors versus tamoxifen in early breast cancer: patient-level meta-analysis of the randomised trials. Lancet. 2015 Oct 3;386(10001):1341-1352. doi: 10.1016/S0140-6736(15)61074-1. Epub 2015 Jul 23. PubMed 26211827 ↗
  • LHRH-agonists in Early Breast Cancer Overview group; Cuzick J, Ambroisine L, Davidson N, Jakesz R, Kaufmann M, Regan M, Sainsbury R. Use of luteinising-hormone-releasing hormone agonists as adjuvant treatment in premenopausal patients with hormone-receptor-positive breast cancer: a meta-analysis of individual patient data from randomised adjuvant trials. Lancet. 2007 May 19;369(9574):1711-23. doi: 10.1016/S0140-6736(07)60778-8. PubMed 17512856 ↗
  • Pagani O, Regan MM, Walley BA, Fleming GF, Colleoni M, Lang I, Gomez HL, Tondini C, Burstein HJ, Perez EA, Ciruelos E, Stearns V, Bonnefoi HR, Martino S, Geyer CE Jr, Pinotti G, Puglisi F, Crivellari D, Ruhstaller T, Winer EP, Rabaglio-Poretti M, Maibach R, Ruepp B, Giobbie-Hurder A, Price KN, Bernhard J, Luo W, Ribi K, Viale G, Coates AS, Gelber RD, Goldhirsch A, Francis PA; TEXT and SOFT Investigators; International Breast Cancer Study Group. Adjuvant exemestane with ovarian suppression in premenopausal breast cancer. N Engl J Med. 2014 Jul 10;371(2):107-18. doi: 10.1056/NEJMoa1404037. Epub 2014 Jun 1. PubMed 24881463 ↗
  • Francis PA, Regan MM, Fleming GF, Lang I, Ciruelos E, Bellet M, Bonnefoi HR, Climent MA, Da Prada GA, Burstein HJ, Martino S, Davidson NE, Geyer CE Jr, Walley BA, Coleman R, Kerbrat P, Buchholz S, Ingle JN, Winer EP, Rabaglio-Poretti M, Maibach R, Ruepp B, Giobbie-Hurder A, Price KN, Colleoni M, Viale G, Coates AS, Goldhirsch A, Gelber RD; SOFT Investigators; International Breast Cancer Study Group. Adjuvant ovarian suppression in premenopausal breast cancer. N Engl J Med. 2015 Jan 29;372(5):436-46. doi: 10.1056/NEJMoa1412379. Epub 2014 Dec 11. PubMed 25495490 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 17, 2023, 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
NCT02914158
Lead sponsor
First Affiliated Hospital, Sun Yat-Sen University
Responsible party
Ying Lin (Vice Director of Department of Breast Surgery, First Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Sep 26, 2016
Start date
Mar 30, 2016
Primary completion
Dec 30, 2023 (estimated)
Completion
Dec 2025 (estimated)
Last update
Jan 17, 2023

Study contacts

Lin Ying, doctor
Contact
linying3@mail.sysu.edu.cn
020-28823235
Chen R Ping, bachelor
Contact
ruping089@163.com
13533242895
View the source record on ClinicalTrials.gov ↗

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