Breast Cancer
Conditions
Keywords
Fulvestrant, Advanced breast cancer, Invasive breast cancer, Stage IV Breast Cancer, Hormone Receptor-Positive Breast Cancer
Brief summary
The purpose of this study is to test the effectiveness and safety of fulvestrant in premenopausal women with advanced breast cancer.
Detailed description
Patients will receive an injection of fulvestrant on first day of treatment and then again 2 weeks later and again 2 weeks after that. Then patients will receive injections every 4 weeks. Routine blood tests will be performed each time an injection is given. Patients will be required to complete a hot flash diary, recording the number and severity of hot flashes they experience on a daily basis. After every 12 weeks of treatment, patients' disease will be assessed by x-rays or scans. If there is no disease progression, the patient will continue to receive injections every 4 weeks with reassessment every 8 weeks. Patients will continue to receive treatment as long as there is no disease progression or serious side effects.
Interventions
DRUGFulvestrant
Sponsors
Beth Israel Deaconess Medical Center
Massachusetts General Hospital
Lowell General Hospital
Brigham and Women's Hospital
Dana-Farber Cancer Institute
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Histologically or cytologically confirmed invasive breast cancer, with stage IV disease. * Tumors must be positive for estrogen receptors, progesterone receptors, or both. * Patients must be premenopausal. * Prior anti-estrogen therapy (with or without ovarian suppression) * Platelet count \> 100,000/mm3 * Age older than 18 years * ECOG performance status 0-2
Exclusion criteria
* Hormonal treatment for metastatic disease * Pregnant or breast-feeding women * Postmenopausal * Concurrent hormonal therapy or chemotherapy * Prior fulvestrant therapy * More than three prior chemotherapy regimens for metastatic disease * Concurrent, long-term anticoagulation therapy * Severe, uncontrolled intercurrent illness * History of hypersensitivity to castor oil
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To examine the clinical benefit and response rate of hormone receptor-positive metastatic breast cancer previously treated with anti-estrogen therapy in premenopausal women to treatment with fulvestrant | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the safety, time-to-progression, and duration of response for this patient population | — |
Countries
United States
Outcome results
None listed