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Tamoxifen, Ovarian Ablation, and/or Chemotherapy in Treating Women With Stage I, Stage II, or Stage IIIA Breast Cancer
This study is ongoing, but not recruiting participants.
First Received: November 1, 1999   Last Updated: February 6, 2009   History of Changes
Sponsors and Collaborators: Institute of Cancer Research, United Kingdom
Cancer Research Campaign Clinical Trials Centre
Scottish Cancer Therapy Network
Yorkshire Regional Clinical Trials Research Unit
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00002582
  Purpose

RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using tamoxifen may fight breast cancer by blocking the uptake of estrogen. Combination chemotherapy uses different ways to stop tumor cells from dividing so they stop growing or die. Combining hormone therapy with chemotherapy may kill more tumor cells.

PURPOSE: Randomized phase III trial to compare the effectiveness of tamoxifen with or without chemotherapy and/or ovarian ablation in treating women with stage I, stage II, or stage IIIA breast cancer.


Condition Intervention Phase
Breast Cancer
Drug: CMF regimen
Drug: cyclophosphamide
Drug: doxorubicin hydrochloride
Drug: fluorouracil
Drug: goserelin
Drug: leuprolide acetate
Drug: methotrexate
Drug: tamoxifen citrate
Procedure: oophorectomy
Radiation: radiation therapy
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Active Control
Official Title: UKCCCR RANDOMISED TRIAL OF ADJUVANT ENDOCRINE THERAPY AND CHEMOTHERAPY IN WOMEN WITH EARLY BREAST CANCER, THE ADJUVANT BREAST CANCER (ABC) TRIAL

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 6000
Study Start Date: June 1993
Detailed Description:

OBJECTIVES:

  • Estimate overall and relapse-free survival of women with early-stage breast cancer receiving adjuvant tamoxifen with or without adjuvant chemotherapy and/or ovarian suppression.

OUTLINE: This is a randomized, multicenter study. Patients are stratified by participating institution and choice of randomization option.

Postmenopausal women are randomized to the first or second groups.

Randomization for pre- and perimenopausal women is based on the clinician's judgement of appropriate adjuvant therapy (chemotherapy and/or ovarian suppression). Patients may be randomized as follows: among all four groups; for chemotherapy alone (first versus second group); for ovarian suppression alone (first versus third group); for ovarian suppression with nonrandomized assignment to chemotherapy (second versus forth group); for chemotherapy with nonrandomized assignment to ovarian suppression (second versus fourth group).

  • First group: Patients receive tamoxifen by mouth every day for 5 years.
  • Second group: Patients receive tamoxifen plus cyclophosphamide, methotrexate, fluorouracil (CMF) or doxorubicin/cyclophosphamide (AC). CMF is given every month for 6 courses; AC is given every 3 weeks for 4 courses.
  • Third group: Patients receive tamoxifen plus ovarian suppression by oophorectomy, radiation castration, or leuprolide or goserelin.
  • Fourth group: Patients receive tamoxifen plus ovarian suppression plus chemotherapy with CMF or AC.

Patients are followed for overall and relapse-free survival.

PROJECTED ACCRUAL: Approximately 6,000 women (4,000 premenopausal, 2,000 postmenopausal) will be accrued for this study.

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed invasive carcinoma of the breast for which adjuvant systemic therapy is appropriate

    • Stage I, II, or IIIA
    • Pathologically positive or negative nodes
    • Any size primary tumor
  • No edema, peau d'orange, infiltration of the skin, or direct extension to the chest wall
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • Not specified

Sex:

  • Female

Menopausal status:

  • Pre-, peri-, or postmenopausal

Performance status:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • No prior malignancy except:

    • Basal cell carcinoma
    • Carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • See Disease Characteristics

Chemotherapy:

  • See Disease Characteristics

Endocrine therapy:

  • See Disease Characteristics

Radiotherapy:

  • Not specified

Surgery:

  • Not specified

Other:

  • No prior systemic treatment for breast cancer
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00002582

Locations
United Kingdom, England
Cancer Research Campaign Trials Unit-Birmingham (CRCTU)
Birmingham, England, United Kingdom, B15 2TT
United Kingdom, Scotland
Beatson Oncology Centre
Glasgow, Scotland, United Kingdom, G11 6NT
Sponsors and Collaborators
Institute of Cancer Research, United Kingdom
Cancer Research Campaign Clinical Trials Centre
Scottish Cancer Therapy Network
Yorkshire Regional Clinical Trials Research Unit
Investigators
Study Chair: John R. Yarnold, MD, FRCR Royal Marsden - Surrey
Study Chair: Helena Earl, MBBS, PhD, FRCP Cancer Research Campaign Clinical Trials Centre
Study Chair: Stanley B. Kaye, MD, FRCP University of Glasgow
Study Chair: Tim J. Perren, MD Leeds Cancer Centre at St. James's University Hospital
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000063697, NCRI-ABC, CRC-TU-BR3010, SCTN-BR9401/BR9402, YRCO-ABC, EU-94029, UKCCCR-ABC
Study First Received: November 1, 1999
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00002582     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage I breast cancer
stage II breast cancer
stage IIIA breast cancer

Study placed in the following topic categories:
Antimetabolites
Immunologic Factors
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Folate
Bone Density Conservation Agents
Cyclophosphamide
Selective Estrogen Receptor Modulators
Hormones
Vitamin B9
Anti-Bacterial Agents
Estrogen Receptor Modulators
Leuprolide
Methotrexate
Alkylating Agents
Breast Diseases
Estrogen Antagonists
Estrogens
Skin Diseases
Antineoplastic Agents, Hormonal
Citric Acid
Adjuvants, Immunologic
Goserelin
Breast Neoplasms
Folinic Acid
Folic Acid Antagonists
Immunosuppressive Agents
Tamoxifen
Doxorubicin
Folic Acid

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Hormone Antagonists
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Bone Density Conservation Agents
Reproductive Control Agents
Cyclophosphamide
Selective Estrogen Receptor Modulators
Antibiotics, Antineoplastic
Estrogen Receptor Modulators
Neoplasms by Site
Leuprolide
Therapeutic Uses
Abortifacient Agents
Methotrexate
Dermatologic Agents
Alkylating Agents
Nucleic Acid Synthesis Inhibitors
Breast Diseases
Estrogen Antagonists
Antineoplastic Agents, Hormonal
Skin Diseases
Breast Neoplasms
Enzyme Inhibitors
Folic Acid Antagonists
Abortifacient Agents, Nonsteroidal

ClinicalTrials.gov processed this record on September 01, 2009