Letrozole in Postmenopausal Women at Increased Risk for Breast Cancer

Dana-Farber Cancer Institute

Status and phase

Unknown

Phase 2

Conditions

Breast Cancer

Post-Menopausal

Treatments

Drug: Letrozole

Study type

Interventional

Funder types

Other

Identifiers

NCT00280930

NCIC CTG MAP.1

05-183

Details and patient eligibility

About

The purpose of this study to see what happens to breast density in healthy postmenopausal women after treatment with letrozole in one year, compared with treatment with placebo for one year. Other goals of the study include determining if there is a connection between estrogen level and breast density for women in the study and collecting information about the quality of life of those taking part in the study.

Full description

Patients will be randomized into one of two study groups. Group 1 will receive letrozole and Group 2 will receive placebo. This is a double-blind trial so neither the patient or the doctor will know what treatment group they are assigned to.
If the patient is in Group 1 they will take letrozole tablets orally once a day with food for one year. Patients in Group 2 will take a placebo tablet orally once a day with food for one year.
Patients in both groups will also be given calcium tablets (500mg) and vitamin D tablets (400IU) once a day for one year.
After the initial screening visits, the patient will return to the clinic at 3, 6, 9 and 12 months (a total of up to 6 visits in the first year). There will also be two follow-up visits at 18 and 24 months. For the 3, 9 and 18 month visits, telephone contact instead of a clinic visit is allowed.
The following tests and procedures will be performed during these visits:

evaluation of side effects; routine blood tests(6, 12, and 24 month visits); urine sample (6 and 12 month visits); complete physical exam including breast exam (12 and 24 month visits); mammogram (12 and 24 month visits); bone marrow density x-ray test (12 and 24 month visits); standard x-rays of the lower back and chest (12 month visit); and a questionnaire about how the patient is feeling (12 and 24 month visits).

The length of participation in this study is for 1 year of study treatment followed by 1 year of follow-up.

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Postmenopausal status defined as: women >55 years of age-no spontaneous menses for at least 12 months; in women < 55 years-no spontaneous menses within the past 12 months and with an FSH level >34.4 IU/I; bilateral oophorectomy
If subject had prior invasive breast cancer it must have been surgically removed at the time of orginal diagnosis with no evidence of metastases and the primary tumor may be receptive negative, positive or equivocal
Baseline mammogram (within 6 months) indicating mammographic density occupying >25% (grade 4/5, 5/6 or 6/6) of the breast tissue
Baseline breast examination demonstrating no clinical evidence of breast cancer
Acceptable quality DEXA of the L2-L4 postero-anterior (PA) spine and hup must be performed 6 months of randomization
Subject is willing and able to complete the quality of life questionnaire in either English or French

Exclusion criteria

Mammogram suspicious for breast cancer (unless subsequently ruled out)
Patient's with prior malignancies are eligible unless they have metastatic disease
Uncontrolled metabolic or endocrine disease, cardiovascular disease or malabsorption syndrome
Current chemotherapy or immunotherapy
Hormone replacement therapy or Evista (raloxifene) discontinued less than three months before baseline mammogram
Tamoxifen therapy discontinued less than six months prior to randomization