Prevention of Chemotherapy Induced Ovarian Failure With Goserelin in BC Patients (ZORO)
Prospective Randomized Multicenter Study to Prevent Chemotherapy Induced Ovarian Failure With the GnRH-Agonist Goserelin in Young Hormone Insensitive Breast Cancer Patients Receiving Anthracycline Containing (Neo-)Adjuvant Chemotherapy
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
Study Design:
Prospective, randomized, open phase II trial
Schedule:
All patients will receive an anthracycline-containing polychemotherapy.
Patients randomized to Goserelin will receive their first injection of 3.6 mg at least 2 weeks before start of chemotherapy. Goserelin will be given as a subcutaneous injection in the abdominal wall every 4 weeks (28 ± 3 days) until the end of the last chemotherapy cycle.
Primary objective:
•To increase the percentage of patients with normal ovarian function at 6 months after application of (neo)adjuvant, anthracycline-containing polychemotherapy in parallel with Goserelin compared to chemotherapy alone.
Secondary objectives:
To compare the two treatment groups regarding
- Compliance to treatment
- Toxicity
- Quality of life
- Menopausal Symptoms Score
- Ovarian function at 6, 12, 18 and 24 months
- Duration until recovery of regular menstrual period
- Pregnancy rate
研究の種類
研究の種類
入学 (予想される)
入学
段階
段階
- フェーズ2
連絡先と場所
研究場所
-
-
Mecklenburg Vorpommern
-
Rostock、Mecklenburg Vorpommern、ドイツ、18075
- Universitätsfrauenklinik, Rostock Universität
-
-
参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Written informed consent must be obtained and documented according to the local regulatory requirements prior to beginning specific protocol procedures
- Complete baseline documentation sent to GBG
- Age of at least 18 and at most 45 years
- Patients request to preserve ovarian function
- Spontaneous and regular menstrual periods before study entry with FSH below 15 mlU/ml in follicular phase
- Histologically confirmed primary breast cancer with the need for anthracycline-based chemotherapy
- Steroid receptor (estrogen and progesterone) negative tumor (diagnosis according to hospital standard-procedures)
- No clinical evidence of local recurrence or distant metastases. Complete staging work-up within 3 months prior to registration. All patients must have (bilateral) mammography or breast MRI, chest X-ray; other tests may be performed as clinically indicated
- Karnofsky-Index >80%
- Life expectancy of at least 10 years, disregarding the diagnosis of cancer
- Adequate organ function including normal red and white blood count, platelets, serum creatinine, bilirubin, and transaminases within normal range of the institution
- Patients must be available for and compliant to treatment and follow-up. Patients registered on this trial must be treated and followed up at the participating center.
Exclusion Criteria:
- Known hypersensitivity reaction to the investigational compounds or incorporated substances
- Prior cytotoxic treatment for any reason
- Suspected (primary or secondary) ovarian insufficiency
- Pregnant or lactating patients. Patients of childbearing potential must have a negative pregnancy test (urine or serum) within 14 days prior to registration and must implement adequate non-hormonal contraceptive measures during study treatment; prior use of hormonal contraceptives has to be discontinued before first Goserelin injection
- Other serious illness or medical condition that may interfere with the understanding and giving of informed consent and the conduct of the study
- Prior or concomitant secondary malignancy (except non-melanomatous skin cancer or carcinoma in situ of the uterine cervix)
- Concurrent treatment with other experimental drugs or any other anti-cancer therapy
- Concurrent treatment with sex hormones. Prior treatment must be stopped before study entry
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:防止
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
Normal ovarian function as defined by two consecutive menstrual periods within 21-35 days within a time frame of 5 - 8 months after last application of goserelin
時間枠:December 2008
|
December 2008
|
二次結果の測定
二次結果の測定
結果測定 |
時間枠 |
|---|---|
|
Discontinuation, delay, or dose-reductions of chemotherapy
時間枠:December 2008
|
December 2008
|
|
Discontinuation or delay of Goserelin injections
時間枠:December 2008
|
December 2008
|
|
Any grade II to grade IV AE specified to serious or non serious events during treatment with chemotherapy +/- Goserelin
時間枠:December 2008
|
December 2008
|
|
Evaluation according to EORTC Q 30
時間枠:March 2010
|
March 2010
|
|
According to menopausal symptom score: E2, FSH, LH, SHGB, and Progesterone at 0, 6, 12, 18 and 24 months
時間枠:March 2010
|
March 2010
|
|
Date of first regular menstrual period
時間枠:March 2010
|
March 2010
|
|
Any diagnosis of pregnancy during study follow up
時間枠:March 2010
|
March 2010
|
協力者と研究者
捜査官
捜査官
- 主任研究者:Bernd Gerber, MD、Rostock Universität, Universitätsfrauenklinik
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始
研究開始
一次修了 (実際)
一次修了
研究の完了 (実際)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
最初の投稿
学習記録の更新
投稿された最後の更新 (見積もり)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
その他の研究ID番号
- GBG37
- Eudract Number: 2004-003980-62
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