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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 controlled trial
Countries of recruitment 37 countries
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 Patients in the reference arm will receive an overall course of tamoxifen for 5 years (20 mg/day).
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 Results of the 2nd interim analysis of efficacy: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15014181

Results in: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=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 unknown@sponsor.com
  Sponsor website: http://www.pharmacia.com
Date applied 19/08/2002
Last edited 29/11/2007
Date ISRCTN assigned 19/08/2002
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