Breast Cancer Clinical Trial
Official title:
Prevention of Chemotherapy-induced Menopause by Temporary Ovarian Suppression With Triptorelin Vs. Control in Young Breast Cancer Patients. A Randomized Phase III Multicenter Study [PROMISE]
RATIONALE: Chemotherapy may cause early menopause in premenopausal women. Triptorelin may
prevent this from happening.
PURPOSE: This randomized phase III trial is studying triptorelin to see how well it works in
preventing early menopause in premenopausal women who are receiving chemotherapy for stage
I, stage II, or stage III breast cancer that has been removed by surgery.
OBJECTIVES:
Primary
- Evaluate the incidence of chemotherapy-induced early menopause in premenopausal women
undergoing adjuvant chemotherapy in combination with vs without triptorelin for
previously resected stage I-III breast cancer.
Secondary
- Compare the toxicity of adjuvant chemotherapy and triptorelin vs adjuvant chemotherapy
alone.
OUTLINE: This is a prospective, open-label, multicenter, randomized study. Patients are
randomized to 1 of 2 treatment arms.
- Arm I (adjuvant chemotherapy alone): Patients receive adjuvant chemotherapy alone.
- Arm II (adjuvant chemotherapy and triptorelin): Patients receive adjuvant chemotherapy
and triptorelin intramuscularly 1 week before and then every 4 weeks for the duration
of chemotherapy. The last dose of triptorelin is given before the last course of
chemotherapy.
Patients with hormone-sensitive tumors who resume ovarian function after stopping
chemotherapy and triptorelin restart triptorelin until ovarian function is suppressed for 2
years.
Patients undergo menopausal status assessment, using follicle-stimulating hormone,
luteinizing hormone, and estradiol as biochemical markers, at baseline and 3, 6, 9, and 12
months after the last course of chemotherapy.
After completion of study treatment, patients are followed at 3, 6, 9, and 12 months.
PROJECTED ACCRUAL: A total of 280 patients will be accrued for this study.
;
Allocation: Randomized, Masking: Open Label, Primary Purpose: Supportive Care
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