Overview

Efficacy and Safety of Letrozole vs. Letrozole Plus Zoledronic Acid as Endocrine Therapy Before Surgery in Postmenopausal Patients With Breast Cancer

Status:
Terminated
Trial end date:
2010-12-16
Target enrollment:
0
Participant gender:
Female
Summary
This study will evaluate the safety/efficacy of zoledronic acid when given by intravenous infusion every 4 weeks in addition to letrozole as endocrine therapy in postmenopausal patients with hormone responsive breast cancer
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Novartis Pharmaceuticals
Treatments:
Diphosphonates
Letrozole
Zoledronic acid
Criteria
Inclusion criteria:

- Postmenopausal women with primary invasive breast cancer, histologically confirmed by
core needle biopsy, whose tumors are estrogen (ER) and / or progesterone (PgR)
positive

- Clinical Stage T1c (Size ≥ 1.5 cm), T2, T3, T4a, b, c, N0 or N1, M0 (TNM
Classification). According to the modified RECIST criteria, tumors of size ≥ 1.5 cm
are considered measurable by mammography and can be determined as target lesions).

- Tumor measurable by mammography, sonography and clinical examination.

- Adequate bone marrow, renal and hepatic function

- Good health status (ECOG Performance status of 0, 1 or 2)

Exclusion criteria:

- Prior treatment with letrozole or bisphosphonates. Prior and concomitant
anti-breast-cancer treatments such as chemotherapy, immunotherapy / biological
response modifiers (BRM's), endocrine therapy other than letrozole (including
steroids), and radiotherapy. Patients who have received hormone replacement therapy
(HRT) will NOT be excluded, provided that HRT is discontinued at least 2 weeks prior
to entry into the study.

- Patients with unstable angina, or uncontrolled cardiac disease (e.g. Class III and IV
New York Heart Association's Functional Classification, see Appendix 9) or
uncontrolled endocrine disorders.

- Evidence of inflammatory breast cancer or distant metastasis.

- Current active dental problems including infection of the teeth or jawbone (maxilla or
mandibular); dental or fixture trauma, or a current or prior diagnosis of
osteonecrosis of the jaw (ONJ), of exposed bone in the mouth, or of slow healing after
dental procedures. Recent (within 6 weeks) or planned dental or jaw surgery (e.g.
extraction, implants).

- History of diseases with influence on bone metabolism, such as Paget's disease,
Osteogenesis Imperfecta, and primary or secondary hyperthyroidism within the 12 months
prior to study entry

Other protocol-defined inclusion/exclusion criteria may apply