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
研究概览
详细说明
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
研究类型
注册 (预期的)
阶段
- 阶段2
联系人和位置
学习地点
-
-
Mecklenburg Vorpommern
-
Rostock、Mecklenburg Vorpommern、德国、18075
- Universitätsfrauenklinik, Rostock Universität
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
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
大体时间:December 2008
|
December 2008
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
Discontinuation, delay, or dose-reductions of chemotherapy
大体时间:December 2008
|
December 2008
|
|
Discontinuation or delay of Goserelin injections
大体时间:December 2008
|
December 2008
|
|
Any grade II to grade IV AE specified to serious or non serious events during treatment with chemotherapy +/- Goserelin
大体时间:December 2008
|
December 2008
|
|
Evaluation according to EORTC Q 30
大体时间:March 2010
|
March 2010
|
|
According to menopausal symptom score: E2, FSH, LH, SHGB, and Progesterone at 0, 6, 12, 18 and 24 months
大体时间:March 2010
|
March 2010
|
|
Date of first regular menstrual period
大体时间:March 2010
|
March 2010
|
|
Any diagnosis of pregnancy during study follow up
大体时间:March 2010
|
March 2010
|
合作者和调查者
调查人员
- 首席研究员:Bernd Gerber, MD、Rostock Universität, Universitätsfrauenklinik
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
关键字
其他研究编号
- GBG37
- Eudract Number: 2004-003980-62
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