Breast Cancer, Menopause, Osteopenia
Conditions
Keywords
Aromatase inhibitor treatment, osteoporosis, breast cancer, bisphosphonates
Brief summary
Aromatase inhibitor therapy is in France the adjuvant reference treatment for postmenopausal women with early-stage breast cancer. This treatment induces bone loss and a higher risk of fractures. This study aimed to document the effect of bisphosphonate therapy in preventing bone loss and osteoporotic fractures in postmenopausal women with aromatase inhibitor treatment for breast cancer
Interventions
35mg oral risedronate once per week for 24 months
Placebo 35 mg once a week for 24 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Postmenopausal women (more than one year since last menstrual period or removal of ovarian function by surgical or radiotherapic means) * Operated for an invasive breast cancer (histologically proven) * Surgical treatment completed and cycles of adjuvant chemotherapy (if necessary) completed * Treated with aromatase inhibitor * Osteopenic (-2.5\<T score\<-1) without osteoporotic fracture * With written informed consent signed * With social security
Exclusion criteria
* Women presenting a history of osteoporotic fracture or a T score less than -2.5 at at least one measure site * Women presenting clinical signs of metastases * Having received other hormonal treatment in the last 3 months * Having received treatment by bisphosphonates, raloxifene, tamoxifen, parathormone, strontium ranelate, tibolone,calcitonin and corticosteroids at more than 5mg/d for 3 months in the last year * Presenting a known and untreated hyperthyroid * Presenting a known hyperadrenocorticism * Patients treated and followed for Paget's disease of bone * Presenting a untreated primary hyperparathyroid * Presenting an indication against risedronate (known hypersensibility to risedronate monosodium and/or one of its excipients, non-corrected hypocalcemia, pregnancy or breast feeding, severe renal insufficiency inferior to 30 ml/min) * Patients presenting malabsorption syndrome for glucose/galactose * Person participating in another clinical trial concerning a medicine susceptible to influence bone mass
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evolution of the lumbar spine Bone Mineral Density after one year of treatment | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Evolution of femoral BMD after one year of treatment | 1 year |
| Evolution of lumbar spine and femoral BMD after two years of treatment | 2 years |
| Evolution of bone resorption and formation markers | 2 years |
| Proportion of fractures after two years of treatment | 2 years |
| Evolution of estradiol levels | 2 years |
Countries
France