Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial)
3상
진행 중(모집 완료)
NCT00310180
| 대상 질환 | Breast Adenocarcinoma, Hormone Receptor Positive, Stage IA Breast Cancer AJCC v7, Stage IB Breast Cancer AJCC v7 |
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| 임상 단계 | 3상 |
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| 스폰서 | National Cancer Institute (NCI) |
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| 상태 | 진행 중(모집 완료) |
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| 참여자 수 | 10,273 명 |
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| 중재(약물) | Anastrozole, Exemestane, Laboratory Biomarker Analysis, Letrozole, Quality-of-Life Assessment |
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| 시작일 | 2006년 4월 7일 |
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| 완료일 | 2018년 3월 2일 |
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| 결과 공개일 | 2019년 3월 12일 |
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요약
This randomized phase III trial studies the best individual therapy for women who have node-negative, estrogen-receptor positive breast cancer by using a special test (Oncotype DX), and whether hormone therapy alone or hormone therapy together with combination chemotherapy is better for women who have an Oncotype DX recurrence score of 11-25. Estrogen can cause the growth of breast cancer cells. Hormone therapy may fight breast cancer by blocking the use of estrogen by the tumor cells or by lowering the amount of estrogen the body makes. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving hormone therapy together with more than one chemotherapy drug (combination chemotherapy) has been shown to reduce the chance of breast cancer recurrence, but the benefit of adding chemotherapy to hormone therapy for women with node-negative, estrogen-receptor positive breast cancer is small. New tests may provide information about which patients are more likely to benefit from chemotherapy.
5-year Disease-free Survival
Assessed every 6 months within 5 years from registration and then annually up to 20 years, DFS rate estimated at 5 years · percentage of participants
| Arm A | 94.0 percentage of participants |
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| Arm B | 92.8 percentage of participants |
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| Arm C | 93.1 percentage of participants |
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| Arm D | 87.6 percentage of participants |
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| p-value | 0.13 |
| Hazard Ratio (HR) | 1.08 (95% CI 0.94–1.24) |
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