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Breast CancerPhase 3NCT02535221

Neoadjuvant Endocrine Therapy Versus Chemotherapy in Premenopausal Patients With ER+ & HER2- Breast Cancer

A Phase 3 study testing Goserelin+TAM+AI and Epirubicin+CTX+5-Fu in people with Breast Cancer, run by Peking University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study proposes to prove that the efficacy of adjuvant endocrine therapy for the premenopausal HR positive breast cancer patients is non-inferiority to adjuvant chemotherapy assessed by ultrasound response rate. Read more about this study

Who is it for?
Ages 35 to 55 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Goserelin+TAM+AI and Epirubicin+CTX+5-Fu
Could I receive a placebo?
No, everyone receives an active treatment
How many people
234 participants
Where
1 siteChina
Study dates
29 Jul 2015to 31 Dec 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 to 55 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • 35 years old <age≤55 years old, in premenopausal status(with the judgement by researchers when the patients are recruited) Histologically confirmed primary invasive breast cancer
  • Stage: T2N0M0(cT>2cm, SLNB negative), hard to proceed the breast conserving surgery(not feasible or may affect the appearance of breast)
  • Histologically confirmed HR+ (ER or PR positive, and >50% cell in IHC) HER2 negative breast cancer by pathological evaluation
  • No other previous treatment for primary breast cancer
  • Without other tumor or unstable complication or uncontrolled infection
  • No contradiction for the third generation AIs, LHRHa, chemotherapy
  • Attend the study voluntarily, sign the informed consent.

Who cannot join

  • Metastasis disease by pathological or radiological diagnosis
  • the history of other tumor
  • contradiction for the third generation AIs, LHRHa, chemotherapy
  • Contradiction for adjuvant chemotherapy: serious cardiology or cerebral vessel disease, liver or kidney disfunction, blood system disease, the other situation or complication that are not suitable or cannot adaptable for chemotherapy
  • Contradiction for proceeding surgery: contradiction for anesthesia, large lesion,T4, lymph node positive
  • other situation not suitable for the research: psychological disease, mental disorder, social problem, geographic problem
  • have been attendance in other anti-tumor treatment or other clinical trials 8) reject to attend the study

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Tao Ouyang, MD contact

ouyanghongtao@263.net

China1 site, 1 recruiting
  • Beijing Cancer Hospital Breast Center

    Beijing

    Recruiting

Other trials in China

About this study

Official title: Randomized Trial of Neoadjuvant Endocrine Therapy Versus Chemotherapy in Premenopausal Patients With Estrogen Receptor-Positive HER2 Negative Breast Cancer

This study proposes to prove that the efficacy of adjuvant endocrine therapy for the premenopausal HR positive breast cancer patients is non-inferiority to adjuvant chemotherapy assessed by ultrasound response rate.

Conditions
Breast Cancer
Being tested
Goserelin+TAM+AI, Epirubicin+CTX+5-Fu
Keywords
Premenopausal Patients, Estrogen Receptor-Positive HER2 negative
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Goserelin+TAM+AIDrug

    Also called Endocrine therapy

    Goserelin 3.6mg subcutaneous injection per 4 weeks, for 16-20weeks. TAM 10mg oral twice a day for the first four weeks(to wait the Goserelin start to work in body) than change to AI 1mg oral once a day with Goserelin for the next 12-16 weeks.

  • Epirubicin+CTX+5-FuDrug

    Also called Chemotherapy

    Epirubicin(80-100 mg/m2 Q21 days) + CTX(600 mg/m2 Q 21days) + 5-Fu (600 mg/m2 Q21 days or 200 mg/m2 •day from Day1 to day 21) for four to six cycles.

Study groups in NCT02535221
Study groupRoleWhat they receive
Endocrine therapy;ExperimentalInterventions:Goserelin+TAM+AI:Goserelin 3.6mg subcutaneous injection per 4 weeks, for 16-20weeks. TAM 10mg oral twice a day for the first four weeks(to wait the Goserelin start to work in body) than change to AI 1mg oral once a day with Goserelin for the next 12-16 weeks.
Receives: Drug: Goserelin+TAM+AI
ChemotherapyActive comparatorInterventions:Epirubicin+CTX+5-Fu:Epirubicin(80-100 mg/m2 Q21 days) + CTX(600 mg/m2 Q 21days) + 5-Fu (600 mg/m2 Q21 days or 200 mg/m2 •day from Day1 to day 21) for four to six cycles.
Receives: Drug: Epirubicin+CTX+5-Fu

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. ultrasound response rate

    Measured: within 2 weeks before surgery

Secondary outcomes (1)
  1. pathological response rate(Miller & Payne standard)

    Measured: with 2 weeks after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2015 (estimated)
  2. Study start29 Jul 2015
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
234 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02535221
Sponsor's protocol ID
BCP12
Status last verified
Nov 2021
First submitted
9 Jun 2015
Last updated
29 Nov 2021
Results posted
No
Data monitoring committee
No

Publications

  • Gu C, He Y, Zhang N, Liu Y, Li J, Wang T, Fan T, Fan Z, Ouyang T. A Non-Inferior Randomized Trial of Neoadjuvant Endocrine Therapy Compared to Neoadjuvant Chemotherapy in Premenopausal Patients With Hormone-Responsive and HER2-Negative Lymph Node-Negative Breast Cancer. Cancer Control. 2025 Jan-Dec;32:10732748251339958. doi: 10.1177/10732748251339958. Epub 2025 May 7.

    PubMed 40331570

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Goserelin+TAM+AI and Epirubicin+CTX+5-Fu in people with Breast Cancer, run by Peking University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Tao Ouyang, MD (ouyanghongtao@263.net), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ultrasound response rate (time frame: within 2 weeks before surgery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02535221, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2021.

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