Phase III, Randomized, Double Blind Trial Low Dose Tamoxifen Versus Placebo in Hormone Replacement Therapy (HRT) Users
HOT
The HOT Study: Hormone Replacement Therapy Opposed by Low Dose Tamoxifen. A Phase III Trial of Breast Cancer Prevention With Low Dose Tamoxifen in HRT Users.
1 other identifier
interventional
1,884
1 country
1
Brief Summary
The propose of this trial is to assess the effect of low dose tamoxifen for breast cancer prevention in HRT (Hormone Replacement Therapy)users.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 breast-cancer
Started Mar 2002
Longer than P75 for phase_3 breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2002
CompletedFirst Submitted
Initial submission to the registry
January 24, 2012
CompletedFirst Posted
Study publicly available on registry
April 18, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2023
CompletedJune 28, 2023
June 1, 2023
16.8 years
January 24, 2012
June 27, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
breast cancer incidence
The primary objective is to assess if tamoxifen at a low dose reduces the incidence of breast cancer in healthy postmenopausal women undergoing or willing to initiate hormone replacement therapy (HRT), including the women who will eventually withdraw HRT during the 5 year intervention period and additional 5 years of follow up.
10 years
Secondary Outcomes (1)
Incidence of adverse events
10 years
Study Arms (2)
Placebo
PLACEBO COMPARATOR1 tablet day for 5 years
Tamoxifen
ACTIVE COMPARATORTamoxifen 5 mg, (1 tablet) day for 5 years
Interventions
Eligibility Criteria
You may qualify if:
- Postmenopausal women candidates to HRT for control of menopausal symptoms or prevention of postmenopausal disorders. women currently undergoing HRT for any duration; (women off HRT for 1 year or longer are considered de novo users);
- negative bilateral mammography (within the last 6 months);
- written informed consent.
You may not qualify if:
- active proliferative disorders of the endometrium such as atypical hyperplasia, history of active endometriosis, unresected polyps, symptomatic myomata;
- alterations of metabolic, liver, renal and cardiac grade 2 function (NCI criteria grade 2 or higher);
- any type of retinal disorders, severe cataract and glaucoma;
- presence of significant risk factors for venous events, including immobilization within the last 3 months for longer than 2 weeks following surgery or trauma, history of estrogen-associated and "sine causa" superficial phlebitis, deep venous thrombophlebitis or other significant VTE (pulmonary embolism, stroke, etc.);
- use of tamoxifen, raloxifene or other SERMs within the last 4 weeks;
- anticoagulant therapy in progress (heparin or dicoumarol);
- active infections;
- severe psychiatric disorders or inability to comply to the protocol procedures; any other factor that at the investigator's discretion contraindicates the use of either tamoxifen or HRT.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
European Institute of Oncology
Milan, 20141, Italy
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Umberto Veronesi, MD
European Institute of Oncology
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 24, 2012
First Posted
April 18, 2012
Study Start
March 1, 2002
Primary Completion
December 1, 2018
Study Completion
December 1, 2023
Last Updated
June 28, 2023
Record last verified: 2023-06