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A randomised double-blind trial in post-menopausal women with primary breast cancer who have received adjuvant tamoxifen for 2-3 years, comparing subsequent adjuvant exemestane treatment with further tamoxifen
ISRCTN ISRCTN11883920
ClinicalTrials.gov identifier
Public title A randomised double-blind trial in post-menopausal women with primary breast cancer who have received adjuvant tamoxifen for 2-3 years, comparing subsequent adjuvant exemestane treatment with further tamoxifen
Scientific title
Acronym N/A
Serial number at source 960EXE031
Study hypothesis Early improvements in disease-free survival have been noted when an aromatase inhibitor is given either instead of or sequentially after tamoxifen in postmenopausal women with oestrogen-receptor-positive early breast cancer. However, little information exists on the long-term effects of aromatase inhibitors after treatment, and whether these early improvements lead to real gains in survival.
Ethics approval Not provided at time of registration
Study design Randomised double-blind controlled trial
Countries of recruitment International
Disease/condition/study domain Breast cancer
Participants - inclusion criteria 1. Histologically/cytologically confirmed unilateral operable breast adenocarcinoma
2. Estrogen receptor (ER)+ or ER unknown
3. Adequate therapy for primary disease
4. Postmenopausal
5. Receiving tamoxifen and treated with tamoxifen for 2-3 years
6. Remain free from disease following treatment for primary disease
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/01/1998
Anticipated end date 31/12/2003
Status of trial Completed
Patient information material
Target number of participants 4724
Interventions 1. Patients in the reference arm will receive an overall course of tamoxifen for 5 years (20 mg/day)
2. Patients in the investigational arm will receive 25 mg/day exemestane (after 2-3 years tamoxifen giving a total of 5 years endocrine therapy)
Primary outcome measure(s) Disease-free survival
Secondary outcome measure(s) Overall survival
Sources of funding Pharmacia and Upjohn (UK)
Trial website
Publications 1. 2004 results of the 2nd interim analysis of efficacy in http://www.ncbi.nlm.nih.gov/pubmed/15014181
2. 2007 results in http://www.ncbi.nlm.nih.gov/pubmed/17307102
Contact name Dr  -  -
  Address UKCCCR Register Co-ordinator
MRC Clinical Trials Unit
222 Euston Road
  City/town London
  Zip/Postcode NW1 2DA
  Country United Kingdom
  Tel +44 (0) 20 7670 4723
  Fax +44 (0) 20 7670 4818
  Email register@ctu.mrc.ac.uk
Sponsor Pharmacia Ltd (UK)
  Address Davy Avenue
  City/town Milton Keynes
  Zip/Postcode MK5 8PH
  Country United Kingdom
  Tel +44 (0)1908 661101
  Fax +44 (0)1908 690091
  Email
  Sponsor website: http://www.pharmacia.com
Date applied 19/08/2002
Last edited 10/11/2008
Date ISRCTN assigned 19/08/2002
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