ER positive postmenopausal advanced breast cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histological confirmed invasive breast cancer by biopsy 2) Postmenopausal patients who fulfill at least one of the following as a condition of menopause 60 years of age or older 45 years of age or older with amenorrhea more than two years Provided that no hysterectomy bilateral oophorectomy 3) Estorogen receptor (ER) positive by Immunohistochemistrv(IHC; => 1%) confirmed by biopsy before treatment. 4) HER2 negative (IHC: 1+ or 0, or FISH: negative) by biopsy before treatment 5) Measurable lesion 6) Principal organs (bone marrow, heart, kidneys, etc.) are functionally preserved White blood cell count => 3,000/mm3 or Neutrophil count => 1,500/mm3 Platelet count => 100,000/mm3, Hemoglobin => 9.0 g/dL AST, ALT <= 1.5 x Upper limit of facility reference Total bilirubin <= 1.25 x Upper limit of facility reference ALP <= 1.25 x Upper limit of facility reference Serum creatinine <= 1.25 x Upper limit of facility reference clinically normal range by cardiac function electrocardiogram
Exclusion criteria
Exclusion criteria: 1) Prior chemotherapy(2 regimen or more) or endocrine therapy 2) Taking radiation therapy for target lesion 3) Taking hormone replacement therapy or selective estrogen receptor 4) History or complications of uncontrolled hypertension, severe heart disease (heart failure, ischemic heart disease, endocarditis, valvular heart disease, pericarditis, and congenital heart disease) 5) Active double cancer 6) Inflammatory breast cancer 7) Bilateral breast cancer 8) History of allergic reactions for drugs and contract medium to be used in this study 9) Medication of investigational new drug for diseases other than breast cancer 10) Patients who are impossible to be enrolled due to psychological diseases or disorder 11) The case judged inappropriate by physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To clarify biological factors and clinical pathological factors as CBR predictive factor of Fulvestrant | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical Benefit Rate of Fulvestrant CBR = Response Rate + Long SD Time To Progression Adverse Event Rate | — |
Countries
Japan
Contacts
Tohoku university Breast and endocrine surgery