Clinical trial • Phase IV • Oncology

Tamoxifen citrate for Breast cancer

Phase IV trial of Tamoxifen citrate for Breast cancer. 100 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Breast cancer
Trial Stage
Phase IV
Drug Modality
Small molecule|Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
11-07-2024
First CTIS Authorization Date
09-08-2024

Trial design

Phase IV trial across 8 sites in France.

Target Sample Size
100

Eligibility

Recruits 100 Vulnerable population not selected (isVulnerablePopulationSelected=false). Exclusion criterion includes: '7. Legal incapacity or limited legal capacity. Medical or psychological conditions preventing the subject from understanding the study and signing the consent form (art. L.1121-6, L.1211-8, L.1211-9).' Consent: '1. Obtaining signed informed consent prior to any trial-specific procedure' (adult participants aged 18-40). No assent processes for minors are described..

Pregnancy Exclusion
3. Pregnancy in progress
Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected=false). Exclusion criterion includes: '7. Legal incapacity or limited legal capacity. Medical or psychological conditions preventing the subject from understanding the study and signing the consent form (art. L.1121-6, L.1211-8, L.1211-9).' Consent: '1. Obtaining signed informed consent prior to any trial-specific procedure' (adult participants aged 18-40). No assent processes for minors are described.

Inclusion criteria

  • {"criterion_text":"- 1.\tObtaining signed informed consent prior to any trial-specific procedure"}
  • {"criterion_text":"- 10.\tSocial protection"}
  • {"criterion_text":"- 2.\tBetween 18 and 40 yo"}
  • {"criterion_text":"- 3.\tHistologically proven invasive breast carcinoma"}
  • {"criterion_text":"- 4.\tIndication for adjuvant or neoadjuvant chemotherapy validated by pre-therapy PCR"}
  • {"criterion_text":"- 5.\tT0-T1-T2-T3"}
  • {"criterion_text":"- 6.\tN0-N1-N2a"}
  • {"criterion_text":"- 7.\tM0 after extension assessment according to French INCa recommendations"}
  • {"criterion_text":"- 8.\tAMH (anti-müllerian hormone) ≥1 ng/mL and/or AFC (antral follicle count) ≥ 5 (on ultrasound: ovaries puncturable transvaginally),"}
  • {"criterion_text":"- 9.\tHIV serology negative"}

Exclusion criteria

  • {"criterion_text":"- 1.\tPrevious breast cancer"}
  • {"criterion_text":"- 2.\tHistory of any other cancer in the last 5 years, with the exception of basal cell and squamous cell skin cancers"}
  • {"criterion_text":"- 3.\tPregnancy in progress"}
  • {"criterion_text":"- 4.\tPulmonary embolism less than 6 months old"}
  • {"criterion_text":"- 5.\tDeep vein thrombosis less than 6 months old"}
  • {"criterion_text":"- 6.\tDementia or altered mental state"}
  • {"criterion_text":"- 7.\tLegal incapacity or limited legal capacity. Medical or psychological conditions preventing the subject from understanding the study and signing the consent form (art. L.1121-6, L.1211-8, L.1211-9)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The feasibility of ovarian stimulation combining Tamoxifen with recombinant FSH as part of fertility preservation prior to chemotherapy for breast cancer will be assessed on the basis of the number of oocytes and/or embryos obtained per patient included.","definition_or_measurement_approach":"Measured on the basis of the number of oocytes and/or embryos obtained per patient included (count of oocytes and/or embryos per patient)."}

Secondary endpoints

  • {"endpoint_text":"- Evaluation of the average time taken to start chemotherapy: time (in days) between the day of the consultation with the oncologist and the day of administration of the first chemotherapy treatment","definition_or_measurement_approach":"Defined as time in days between oncologist consultation and administration of first chemotherapy."}
  • {"endpoint_text":"- Overall survival / event-free survival at 10 years.","definition_or_measurement_approach":"Overall survival and event-free survival assessed at 10 years (time-to-event analyses over 10 years)."}
  • {"endpoint_text":"- Number of pregnancies obtained: number of positive beta HCG and number of clinical pregnancies.","definition_or_measurement_approach":"Count of pregnancies: number of positive beta HCG tests and number of clinically confirmed pregnancies."}
  • {"endpoint_text":"- Ancillary study (Nantes patients only): Analysis of plasma concentrations of tamoxifen and its metabolites, 4 -hydroxytamoxifen, N - desmethyltamoxifen and endoxifen","definition_or_measurement_approach":"Quantitative plasma concentration analysis of tamoxifen and listed metabolites in subset of Nantes patients."}

Recruitment

Registry Or Advocacy Recruitment
True, Centre Jean Perrin
Planned Sample Size
100
Recruitment Window Months
167
Consent Approach
Signed informed consent is required prior to any trial-specific procedure ('1. Obtaining signed informed consent prior to any trial-specific procedure'). Participants are adult women aged 18-40. Subject information and informed consent forms are included in the trial documents (L2, L1 files); available documentation and translations include French versions.

Geography

Total Number Of Sites
8
Total Number Of Participants
100

France

Earliest CTIS Part Ii Submission Date
08-07-2024
Latest Decision Or Authorization Date
09-08-2024
Processing Time Days
32
Number Of Sites
8
Number Of Participants
100

Sites

Site Name
University Hospital Of Clermont-Ferrand
Department Name
Gynecologie
Contact Person Name
Anne-Sophie GREMEAU
Site Name
Centre Jean Perrin
Department Name
Oncology
Contact Person Name
Marie-Ange MOURET-REYNIER
Site Name
Institut De Cancerologie De L Ouest
Department Name
Gynecologie
Contact Person Name
Aliette DEZELLUS
Site Name
Centre De Lutte Contre Le Cancer Eugene Marquis
Department Name
Gynecologie
Contact Person Name
Adèle DESSAINT
Contact Person Email
a.dessaint@rennes.unicancer.fr
Site Name
Centre Hospitalier Universitaire De Nantes
Department Name
Gynecologie
Contact Person Name
Florence LEPERLIER
Site Name
Centre Hospitalier Universitaire De Rennes
Department Name
Gynecologie
Contact Person Name
Solène DUROS
Contact Person Email
duros.solene@gmail.com
Site Name
Centre Hospitalier Universitaire D'Angers
Department Name
Gynecologie
Contact Person Name
Pierre-Emmanuel BOUET
Site Name
Institut De Cancerologie De L Ouest (Angers address)
Department Name
Oncology
Contact Person Name
Paule AUGEREAU

Sponsor

Primary sponsor

Full Name
Institut De Cancerologie De L Ouest
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
NOLVADEX 10 mg, comprimé pelliculé
Active Substance
Tamoxifen citrate
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised
Maximum Dose
60 mg (max daily)
Investigational Product Name
Cetrotide 0.25 mg powder and solvent for solution for injection
Active Substance
Cetrorelix
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
SUBCUTANEOUS
Authorisation Status
Authorised
Maximum Dose
250 µg (max daily)
Investigational Product Name
Ovitrelle 250 micrograms solution for injection in pre-filled pen
Active Substance
Choriogonadotropin alfa
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
SUBCUTANEOUS
Authorisation Status
Authorised
Maximum Dose
250 µg (max daily/total for product)
Investigational Product Name
Puregon 300 IU/0.36 mL solution for injection
Active Substance
Follitropin beta
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
Authorised
Maximum Dose
300 U (max daily)
Combination Treatment
Yes

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