Breast Cancer Clinical Trial
Official title:
The Influence of Five Years of Adjuvant Anastrozole or Exemestane on Bone Mineral Density In Postmenopausal Women With Primary Breast Cancer
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.
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.
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