A Phase 3 Comparative Study of TAP-144-SR(6M) in Postoperative and Hormone Therapy-naïve Patients With Premenopausal Breast Cancer
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Fase 3
Contacten en locaties
Studie Locaties
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Aichi
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Nagoya-shi, Aichi, Japan
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Fukushima
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Fukushima-shi, Fukushima, Japan
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Gunma
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Maebashi-shi, Gunma, Japan
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Ohta-shi, Gunma, Japan
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Hokkaido
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Sapporo-shi, Hokkaido, Japan
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Kanagawa
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Isehara-shi, Kanagawa, Japan
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Yokohama-shi, Kanagawa, Japan
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Kumamoto
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Kumamoto-shi, Kumamoto, Japan
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Kyoto
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Kyoto-shi, Kyoto, Japan
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Nigata
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Nigata-shi, Nigata, Japan
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Okayama
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Kurashiki-shi, Okayama, Japan
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Osaka
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Osaka-shi, Osaka, Japan
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Suita-shi, Osaka, Japan
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Saitama
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Kita-adachi-gun, Saitama, Japan
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Tokyo
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Shinjuku-ku, Tokyo, Japan
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- The participant has histopathologically-confirmed primary breast cancer in Japanese.
- The participant is aged 20 years or older when informed consent is obtained
- The participant has estrogen receptor (ER)-positive tumor cells and/or progesterone receptor (PgR)-positive primary tumor. And HER-2 is negative.
- The participant has breast cancer in the clinical stages of T1-T3, N-any and M0 by TNM classification (the seventh edition, proposed by UICC in 2009). (No distant metastasis to lung, liver and bone should be confirmed on the image-based diagnosis at study enrollment. The image taken within 12 weeks prior to study enrollment is also available for the diagnosis.) The number of axillary lymph node metastasis is not limited.
- Any operative procedure for breast cancer is acceptable. In principle, after breast-conserving surgery, the participant will receive postoperative radiation to the conserving breast.
- Neoadjuvant chemotherapy and adjuvant chemotherapy prior to study enrollment are acceptable. (It is advisable the same kind of chemotherapy is performed at each site.)
- The participant has a history of regular menstrual periods within 12 weeks prior to study enrollment, or the participant has FSH of less than 40 mIU/mL and E2 of 10 pg/mL or more measured within 12 weeks prior to study enrollment. The participant has not had a chemical menopause (i.e., FSH of less than 40 mIU/mL and E2 of 10 pg/mL or more) within 12 weeks after completing adjuvant chemotherapy.
- The participant is in a condition to receive study drug and Tamoxifen (TAM) within 12 weeks after surgery or after adjuvant chemotherapy prior to study enrollment. Adjuvant chemotherapy prior to study is required to have been completed at the time of study enrollment.
- The participant has ECOG performance status of grades 0 or 1 at the time of study enrollment.
The participant meets the following criteria of hepatic, renal and bone marrow functions on the laboratory test results at screening:
- Hepatic function: AST (GOT) ≤ 3.0 times the upper limit of normal (ULN) ALT (GPT) ≤ 3.0 times the ULN
- Renal function: serum creatinine level < 1.5 times the ULN
- Bone marrow function : white blood cell count ≥ 3,000/mm3 platelet count ≥ 100,000/μL hemoglobin ≥ 10.0g/dL
- The participant agrees to use a non-hormonal method of contraception through the study period.
Exclusion Criteria:
- The participant has received neoadjuvant or adjuvant hormonal therapy for the latest breast cancer surgery.
- The participant has received bilateral oophorectomy and bilateral ovarian irradiation.
- The participant has inflammatory breast cancer or bilateral breast cancer.
- The participant has non-invasive ductal carcinoma.
- The participant has multiple primary cancers, or a history of carcinoma in other organs.
- The participant is pregnant or breast-feeding.
- The participant has a history of hypersensitivity to synthetic LH-RH, LH-RH derivative, TAM, TAM analogue (antiestrogen) or any component of the study drug.
- The participant has a history of, or has been diagnosed with thromboembolism including myocardial infarction, cerebral infarction, venous thrombosis, and pulmonary embolism, or cardiac failure.
- Patients whose QTcF interval exceeded 460 msec on the 12-lead electrocardiogram at screening.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
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Experimenteel: TAP-144-SR(6M)
TAP-144-SR(6M) 22.5 mg, injection, treatment interval 24 weeks for up to 96 weeks.
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Actieve vergelijker: TAP-144-SR(3M)
TAP-144-SR(3M) 11.25 mg, injection, treatment interval 12 weeks for up to 96 weeks.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Percentage of Participants With Suppressive Effect of Serum Estradiol (E2) to Menopausal Level (=<30 pg/mL) From Week 4 Through Week 48
Tijdsspanne: Week 4 up to Week 48
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Comparison of both the treatment groups was done by assessing the suppressive effect on serum E2 concentration maintained at menopausal level (=<30pg/mL).
Suppression rate was calculated as proportion of participants maintained at menopausal level.
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Week 4 up to Week 48
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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Concentration of Serum E2
Tijdsspanne: Baseline, Hour (hr) 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309, 337, 421, 505, 589 and 673
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The measure indicates serum E2 concentration at baseline and post-baseline time points.
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Baseline, Hour (hr) 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309, 337, 421, 505, 589 and 673
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Concentration of Serum Luteinizing Hormone (LH)
Tijdsspanne: Baseline, Hour 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309, 337, 421, 505, 589 and 673
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This measure indicates serum LH concentration at baseline and post-baseline time points.
It was measured in milli-international units per milliliter (mIU/mL).
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Baseline, Hour 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309, 337, 421, 505, 589 and 673
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Concentration of Follicle Stimulating Hormone (FSH)
Tijdsspanne: Baseline, Hour 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309, 337, 421, 505, 589 and 673
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This measure indicates serum FSH concentration at baseline and post-baseline time points.
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Baseline, Hour 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309, 337, 421, 505, 589 and 673
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Disease Free Survival (DFS) Rate at Week 96
Tijdsspanne: Week 96
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DFS is defined as time from randomization to earliest day of onset the events, recurrence [including recurrence in the ipsilateral breast], secondary cancer [including breast cancer in the contralateral breast] and death.
DFS at Week 96 was defined as the percentage, calculated with Kaplan-Meier method, of participants did not experience any events at Week 96 since the randomization.
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Week 96
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Distant Disease Free Survival (DDFS) Rate at Week 96
Tijdsspanne: Week 96
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DDFS is defined as time from randomization to earliest day of onset the events, distant recurrence, secondary cancer [including breast cancer in the contralateral breast] and death.
DDFS at week 96 was defined as the percentage calculated with Kaplan-Meier method, of participants did not experience any events at week 96 since the randomization.
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Week 96
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Serum Unchanged TAP-144 Level
Tijdsspanne: Baseline, Hour 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309 and 337
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This measure indicates the unchanged TAP-144 level in serum.
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Baseline, Hour 1, 3, 6 on Day 1, Day 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, 169, 176, 183, 197, 225, 253, 281, 309 and 337
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QT Interval Measured by 12-lead Electrocardiogram (ECG)
Tijdsspanne: Baseline, Hour 1, 3, 6 on Day 1, Day 29, 85, 169 and 337
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12-lead electrocardiography measurement was performed in supine position after 5 minutes at rest.
Each measurement was recorded continuously for 10 seconds at the recording speed of 25 millimeter/second (mm/second).
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Baseline, Hour 1, 3, 6 on Day 1, Day 29, 85, 169 and 337
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Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studie voltooiing (Werkelijk)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- TAP-144-SR(6M)IP/CPH-202
- JapicCTI-121762 (Register-ID: JapicCTI)
- U1111-1128-7039 (Register-ID: WHO)
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