Study Stopped
in preparation for an amendment
Pre-operative Hormonal Treatment for Hormone Receptor Positive Breast Cancer
A Randomized, Prospective Trial of 2-6 Weeks Pre-operative Hormonal Treatment for Hormone Receptor Positive Breast Cancer: Anastrozole +/- Fulvestrant or Tamoxifen Exposure - Response in Molecular Profile (AFTER-study).
2 other identifiers
interventional
250
1 country
4
Brief Summary
To investigate prospectively whether short term endocrine treatment can induce molecular changes, predictive for therapy response.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 breast-cancer
Started Jul 2008
Longer than P75 for phase_2 breast-cancer
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2008
CompletedFirst Submitted
Initial submission to the registry
August 19, 2008
CompletedFirst Posted
Study publicly available on registry
August 20, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2024
CompletedJanuary 22, 2021
January 1, 2021
13.9 years
August 19, 2008
January 20, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Decrease in tumor cell proliferation and induced apoptosis.
At baseline and after 2-6 weeks of endocrine treatment
Secondary Outcomes (1)
Comparison of changes in gene expression after different endocrine treatment exposures
At baseline and after endocrine treatment
Study Arms (4)
1
ACTIVE COMPARATORAnastrozole
2
EXPERIMENTALAnastrozole + Fulvestrant
3
ACTIVE COMPARATORTamoxifen
4
OTHERTamoxifen (pre-menopausal and male patients)
Interventions
Anastrozole; 1 mg, QD, PO Fulvestrant; 500 mg, IM, day 1, 15, 29 and monthly thereafter
Eligibility Criteria
You may qualify if:
- Patients with proven invasive adenocarcinoma of the breast
- Any tumor with a size ≥ 1cm (NOT inflammatory breast cancer)
- WHO-performance score 0 or 1
- Written informed consent
You may not qualify if:
- Clues of metastatic disease by clinical examination according to most recent NABON guidelines
- Multicentric breast cancer
- Inflammatory breast cancer
- Hormone replacement during the last 12 months
- Other systemic treatment during the waiting time till surgery
- Already planned date for surgery within the next 2 weeks
- Any psychological, familial, sociological or geographical condition potentially hampering adequate informed consent or compliance with the study protocol
- Patient's refusal to undergo a core biopsy procedure of the primary tumor before the start of treatment
- NB: Patients of childbearing potential must implement adequate non-hormonal contraceptive measures during the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Netherlands Cancer Institutelead
- AstraZenecacollaborator
Study Sites (4)
Medisch Centrum Haaglanden
The Hague, South Holland, Netherlands
NKI-AVL
Amsterdam, 1066 CX, Netherlands
St. Antonius ziekenhuis
Nieuwegein, Netherlands
UMC St. Radboud
Nijmegen, Netherlands
Related Publications (1)
Reinema FV, Sweep FCGJ, Adema GJ, Peeters WJM, Martens JWM, Bussink J, Span PN. Tamoxifen induces radioresistance through NRF2-mediated metabolic reprogramming in breast cancer. Cancer Metab. 2023 Feb 8;11(1):3. doi: 10.1186/s40170-023-00304-4.
PMID: 36755288DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sabine C Linn, MD
NKI-AvL
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 19, 2008
First Posted
August 20, 2008
Study Start
July 1, 2008
Primary Completion
June 1, 2022
Study Completion
June 1, 2024
Last Updated
January 22, 2021
Record last verified: 2021-01