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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00369850
Registration number
NCT00369850
Ethics application status
Date submitted
24/08/2006
Date registered
29/08/2006
Date last updated
27/07/2012
Titles & IDs
Public title
Bone Density and Bone Loss in Postmenopausal Women With Breast Cancer Receiving Treatment in Clinical Trial IBCSG-1-98
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Scientific title
Investigating Bone Density and Bone Loss Without Baseline Information
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Secondary ID [1]
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IBCSG-18-98-BS
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Secondary ID [2]
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CDR0000482381
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Cancer
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Osteoporosis
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Condition category
Condition code
Cancer
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Breast
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Musculoskeletal
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Osteoporosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - laboratory biomarker analysis
Treatment: Surgery - Dual energy X-ray absorptiometry (DEXA)
Treatment: Surgery - Spine X-ray
Experimental: Tamoxifen for 5 years - Patients treated with tamoxifen for 5 years after randomisation.
Experimental: Letrozole for 5 years - Patients treated with letrozole for 5 years after randomisation.
Experimental: Tamoxifen 2 years plus letrozole 3 years - Patients treated with tamoxifen for 2 years and afterwards with letrozole for 3 years.
Experimental: Letrozole 2 years plus tamoxifen 3 years - Patients treated with letrozole for 2 years and afterwards with tamoxifen for 3 years.
Other interventions: laboratory biomarker analysis
Biomarkers (C-telopeptide, osteocalcin and skeletal alkaline phosphatase) will be assessed in serum.
Treatment: Surgery: Dual energy X-ray absorptiometry (DEXA)
Mone mineral density measurements of L2-L4 and hip will be performed using DEXA.
Treatment: Surgery: Spine X-ray
Thoracic and lumbar X-ray (T4-L4, lateral projection) will be performed.
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Intervention code [1]
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Other interventions
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Intervention code [2]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Relative percent change of bone mineral density (BMD) form baseline to after 2, 3, 4, or 5 years of treatment on protocol IBCSG-1-98
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Assessment method [1]
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Timepoint [1]
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5 years after randomisation to BIG 1-98
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Primary outcome [2]
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Recovery of BMD at 1 year after the completion of treatment on protocol IBCSG-1-98
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Assessment method [2]
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Timepoint [2]
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6 years after randomisation to BIG 1-98
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Primary outcome [3]
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Proportion of patients with BMD below the absolute threshold value for osteoporosis
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Assessment method [3]
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Timepoint [3]
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5 years after randomisation to BIG 1-98
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Primary outcome [4]
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Relative percent change in markers of bone resorption from baseline to after 2, 3, 4, or 5 years of treatment on protocol IBCSG-1-98
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Assessment method [4]
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Timepoint [4]
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5 years after randomisation to BIG 1-98
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Primary outcome [5]
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Recovery of the markers of bone resorption at 1 year after the completion of treatment on protocol IBCSG-1-98
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Assessment method [5]
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Timepoint [5]
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6 years after randomisation to BIG 1-98
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Diagnosis of breast cancer
* Resected disease
* Enrolled on protocol IBCSG-1-98
* Receiving adjuvant endocrine therapy comprising 1 of the following regimens:
* Letrozole
* Tamoxifen
* Letrozole after 2 years of tamoxifen
* Tamoxifen after 2 years of letrozole
* Not yet completed 5 years of treatment
* No breast cancer recurrence or second primary cancer
* No known, symptomatic bone disease, including osteomalacia or osteogenesis imperfecta
* No prior registration to protocol IBCSG-1-98 Bone Mineral Density substudy
* Hormone receptor status:
* Estrogen receptor-positive and/or progesterone receptor-positive tumor
PATIENT CHARACTERISTICS:
* Female
* Postmenopausal
* No uncontrolled thyroid or parathyroid disease, Cushing's disease, or other pituitary diseases
* No malabsorption syndrome or clinically relevant vitamin D deficiency
* No patients for whom the bone density determination is impossible
PRIOR CONCURRENT THERAPY:
* See Disease Characteristics
* More than 1 year since prior and no concurrent anticonvulsants
* More than 6 weeks since prior and no concurrent corticosteroids (at doses > the equivalent of 5 mg/day prednisone) for > 2 weeks total
* No prior or concurrent sodium fluoride (at daily doses = 5 mg/day) for > 1 month
* More than 12 months since prior and no concurrent anabolic steroids
* More than 6 months since prior treatment, either investigational or not, for the prevention of osteoporosis (excluding calcium or cholecalciferol [vitamin D])
* No concurrent raloxifene
* Concurrent therapeutic intervention for osteoporosis comprising bisphosphonates allowed
* Concurrent warfarin allowed provided it is given for = 4 weeks
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Minimum age
30
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2004
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/01/2012
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Sample size
Target
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Accrual to date
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Final
458
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Institute of Oncology at Prince of Wales Hospital - Randwick
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Recruitment hospital [2]
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Royal Brisbane and Women's Hospital - Brisbane
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Recruitment postcode(s) [1]
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2031 - Randwick
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Recruitment postcode(s) [2]
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4029 - Brisbane
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Recruitment outside Australia
Country [1]
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France
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State/province [1]
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Bordeaux
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Italy
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Aviano
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Italy
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Bergamo
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Italy
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State/province [4]
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Milano
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New Zealand
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Dunedin
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Peru
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Lima
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Country [7]
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South Africa
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State/province [7]
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Cape Town
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Country [8]
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Spain
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State/province [8]
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Madrid
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Country [9]
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Switzerland
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State/province [9]
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Aarau
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Country [10]
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Switzerland
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State/province [10]
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Bern
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Country [11]
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Switzerland
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State/province [11]
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Lausanne
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Country [12]
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Switzerland
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State/province [12]
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Mendrisio
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Country [13]
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Switzerland
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State/province [13]
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St. Gallen
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Country [14]
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Switzerland
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State/province [14]
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Thun
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Funding & Sponsors
Primary sponsor type
Other
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Name
ETOP IBCSG Partners Foundation
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Diagnostic procedures, such as bone mineral density testing and x-ray, help measure bone loss in women receiving treatment for breast cancer. The test results may help doctors plan better treatment. PURPOSE: This phase III trial is studying bone density and bone loss in postmenopausal women with breast cancer receiving treatment in clinical trial IBCSG-1-98.
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Trial website
https://clinicaltrials.gov/study/NCT00369850
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Trial related presentations / publications
Decensi A, Sun Z, Guerrieri-Gonzaga A, Thurlimann B, McIntosh C, Tondini C, Monnier A, Campone M, Debled M, Schonenberger A, Zaman K, Johansson H, Price KN, Gelber RD, Goldhirsch A, Coates AS, Aebi S. Bone mineral density and circulating biomarkers in the BIG 1-98 trial comparing adjuvant letrozole, tamoxifen and their sequences. Breast Cancer Res Treat. 2014 Apr;144(2):321-9. doi: 10.1007/s10549-014-2849-2. Epub 2014 Feb 1.
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Public notes
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Contacts
Principal investigator
Name
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Stefan Aebi, MD
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Address
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Insel Gruppe AG, University Hospital Bern
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00369850
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