Breast Cancer Clinical Trial
Official title:
Extended Endocrine Therapy for Premenopausal Women With Breast Cancer
The purpose of this study is to determine the safety and tolerability of the combination of two drugs (letrozole and leuprolide) in women who have already taken tamoxifen for at least 4.5 years. Letrozole, an aromatase inhibitor (which blocks an enzyme that produces estrogen), is a drug that is FDA approved. It has been shown to reduce the risk of breast cancer recurrence in postmenopausal women with breast cancer who have been previously treated with tamoxifen. Letrozole works by stopping the production of estrogen in parts of the body other than the ovaries. Leuprolide is a drug that stops a women's ovarian cycles. This process is known as ovarian function suppression. Stopping a women's menstrual cycle may be effective against breast cancer for some patients when given as initial therapy. The combination of letrozole and leuprolide is considered a standard treatment for women with metastatic breast cancer, and is also sometimes used for treatment of premenopausal early stage breast cancer, but it has not been accepted as a standard of care treatment.
- Participants will be given a monthly intramuscular injection of leuprolide. Six to
eight weeks after the first leuprolide injection, participants will be instructed to
begin taking letrozole pills by mouth at home each day.
- During this research study, participants will also be offered injections of zoledronic
acid to preserve bone mineral density. If desire, these injections will be given every
6 months for a total of 4 injections during the course of the research study.
- The treatments in this research study may increase the risk of bone density loss, so
vitamin D and calcium supplements will be recommended to participants.
- The following tests and procedures will be performed during the research study:
Physical Exam (every visit); Blood tests; Urine test (beginning and end of treatment);
Imaging (annual mammograms); Bone Density (DXA) Scan (beginning and end of treatment);
Questionnaires (throughout the study).
- Participants will be on this study for about two years.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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