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Leuprorelin Acetate SR 11.25 mg for Injection Specified Drug-use Survey Long-term Use Survey on Premenopausal Breast Cancer Patients (96 Weeks)

Leuplin SR 11.25 mg for Injection Specified Drug-use Survey Long-term Use Survey on Premenopausal Breast Cancer Patients (96 Weeks)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02154139
Enrollment
651
Registered
2014-06-03
Start date
2005-12-31
Completion date
2010-03-31
Last updated
2016-02-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer

Keywords

Pharmacological therapy

Brief summary

The purpose of this survey is to examine the safety and efficacy of long-term use (96 weeks) of leuprorelin acetate SR (slow release) 11.25 milligram (mg) for injection (Leuplin SR 11.25 mg for Injection) in premenopausal breast cancer patients in daily medical practice, as well as to examine factors that can influence the safety and efficacy of treatment with leuprorelin acetate SR 11.25 mg for injection (Leuplin SR 11.25 mg for Injection).

Detailed description

This survey was designed to examine the safety and efficacy of long-term use (96 weeks) of leuprorelin acetate 3 months depot for injection (Leuplin SR 11.25 mg for Injection) in premenopausal breast cancer patients in daily medical practice, as well as to examine factors that can influence the safety and efficacy of treatment with leuprorelin acetate SR 11.25 mg for injection (Leuplin SR 11.25 mg for Injection). For adults, 11.25 mg of leuprorelin acetate is usually administered subcutaneously once every 12 weeks. Prior to injection, the plunger rod of the syringe is pushed upward with the needle pointed upward, allowing the entire suspension fluid contained to be transferred to the powder. The powder is then fully suspended in the fluid while ensuring that bubbles are not generated.

Interventions

DRUGLeuprorelin acetate

Leuprorelin acetate SR 11.25 mg for injection

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Healthy volunteers
No

Inclusion criteria

* Premenopausal breast cancer patients (patients with advanced or recurrent breast cancer and patients who received adjuvant therapy).

Exclusion criteria

* Patients with a history of treatment with Leuplin SR 11.25 mg for Injection

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reporting One or More Adverse Drug ReactionsBaseline up to 96 weeksAdverse drug reactions are defined as adverse events (AE) which are in the investigator's opinion of causal relationship to the study treatment. AE are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.
Number of Participants Reporting One or More Serious Adverse Drug ReactionsBaseline up to 96 weeksSerious adverse drug reactions are defined as serious adverse events (SAE) which are in the investigator's opinion of causal relationship to the study treatment. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The event occurred was breast cancer female

Secondary

MeasureTime frameDescription
Percentage of Participants With Advanced or Recurrent Breast Cancer (Best Response)Week 24, 48,96Best overall response for a participant is the best observed post-baseline disease response as per Response Evaluation Criteria in Solid Tumors (RECIST) 1.0 criteria. Objective response was defined as a complete response (CR) or partial response (PR) determined on 2 consecutive occasions greater than or equal to (\>=) 4 weeks apart, using Response Evaluation Criteria in Solid Tumors (RECIST). CR: The disappearance of all target lesions and all non-target lesions, normalization of tumor marker level, and no new lesions. PR: Disappearance of all target lesions and persistence of \>= 1 non-target lesions and/or the maintenance of tumor marker level above the normal limits, or, at least a 30 percent (%) decrease in the sum of the longest diameter of target lesions, and no new lesions or unequivocal progression of existing non-target lesions.
Percentage of Participants With Progression Free SurvivalBaseline up to 96 weeksProgression-free survival (PFS) was defined as the time from the first day of study treatment to documented disease progression or death on study (ie, death from any cause within 30 days of the last dose of study drug), whichever occurred first. Disease progression was at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of 1 or more new lesions or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. For patients who experienced no disease progression and did not die while on study, data were censored at the date of the last tumor assessment. Kaplan-Meier methodology was used to estimate PFS.
Percentage of Participants With Recurrence-free Survival Who Were Treated With the Drug as Adjuvant TherapyBaseline up to 96 weeksRecurrence-free survival was determined in participants who were treated with the drug as adjuvant therapy, and tabulated, based on the date recurrence is confirmed, the presence or absence of recurrence, continued survival or death, and the date of death.

Participant flow

Recruitment details

Participants took part in the study at 157 investigative site in Japan from 26-Dec-05 to 31-Mar-10.

Pre-assignment details

Participants with a historical diagnosis of premenopausal breast cancer (advanced or recurrent) who were treated with Leuprorelin Acetate 11.25 milligrams (mg) in daily medical practice along with adjuvant therapy were observed.

Participants by arm

ArmCount
Leuprorelin Acetate
Leuprorelin Acetate 11.25 mg, injection subcutaneously once every 12 weeks up to 96 weeks.
644
Total644

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyInjection not administered2
Overall StudyInvestigator transferred3
Overall StudyOther2

Baseline characteristics

CharacteristicLeuprorelin Acetate
Age, Customized
20-29 years
11 participants
Age, Customized
30-34 years
47 participants
Age, Customized
35-39 years
113 participants
Age, Customized
40-44 years
201 participants
Age, Customized
45-49 years
212 participants
Age, Customized
50-55 years
58 participants
Age, Customized
Unknown
2 participants
Performance Status (at the start of treatment with leuprorelin acetate 11.25 mg for injection)
0
602 participants
Performance Status (at the start of treatment with leuprorelin acetate 11.25 mg for injection)
1
33 participants
Performance Status (at the start of treatment with leuprorelin acetate 11.25 mg for injection)
2
3 participants
Performance Status (at the start of treatment with leuprorelin acetate 11.25 mg for injection)
3
4 participants
Performance Status (at the start of treatment with leuprorelin acetate 11.25 mg for injection)
4
2 participants
Recurrence prior to start of treatment with leuprorelin acetate 11.25 mg for injection
Experienced recurrence
50 participants
Recurrence prior to start of treatment with leuprorelin acetate 11.25 mg for injection
No recurrence observed
594 participants
Sex/Gender, Customized644 participants
Stage of primary lesion
Stage 0
17 participants
Stage of primary lesion
Stage I
265 participants
Stage of primary lesion
Stage IIA
199 participants
Stage of primary lesion
Stage IIB
85 participants
Stage of primary lesion
Stage IIIA
24 participants
Stage of primary lesion
Stage IIIB
6 participants
Stage of primary lesion
Stage IIIC
1 participants
Stage of primary lesion
Stage IV
23 participants
Stage of primary lesion
T0N0M0
2 participants
Stage of primary lesion
Unclassifiable
22 participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
76 / 644
serious
Total, serious adverse events
20 / 644

Outcome results

Primary

Number of Participants Reporting One or More Adverse Drug Reactions

Adverse drug reactions are defined as adverse events (AE) which are in the investigator's opinion of causal relationship to the study treatment. AE are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.

Time frame: Baseline up to 96 weeks

Population: Safety analysis set was defined as participants who were enrolled and completed the study.

ArmMeasureValue (NUMBER)
Leuprorelin AcetateNumber of Participants Reporting One or More Adverse Drug Reactions128 participants
Primary

Number of Participants Reporting One or More Serious Adverse Drug Reactions

Serious adverse drug reactions are defined as serious adverse events (SAE) which are in the investigator's opinion of causal relationship to the study treatment. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The event occurred was breast cancer female

Time frame: Baseline up to 96 weeks

Population: Safety analysis set was defined as participants who were enrolled and completed the study.

ArmMeasureValue (NUMBER)
Leuprorelin AcetateNumber of Participants Reporting One or More Serious Adverse Drug Reactions1 participants
Secondary

Percentage of Participants With Advanced or Recurrent Breast Cancer (Best Response)

Best overall response for a participant is the best observed post-baseline disease response as per Response Evaluation Criteria in Solid Tumors (RECIST) 1.0 criteria. Objective response was defined as a complete response (CR) or partial response (PR) determined on 2 consecutive occasions greater than or equal to (\>=) 4 weeks apart, using Response Evaluation Criteria in Solid Tumors (RECIST). CR: The disappearance of all target lesions and all non-target lesions, normalization of tumor marker level, and no new lesions. PR: Disappearance of all target lesions and persistence of \>= 1 non-target lesions and/or the maintenance of tumor marker level above the normal limits, or, at least a 30 percent (%) decrease in the sum of the longest diameter of target lesions, and no new lesions or unequivocal progression of existing non-target lesions.

Time frame: Week 24, 48,96

Population: The efficacy assessment population was defined as participants with advanced or recurrent breast cancer whose efficacy data at baseline and at least 1 post-baseline time points was available.

ArmMeasureGroupValue (NUMBER)
Leuprorelin AcetatePercentage of Participants With Advanced or Recurrent Breast Cancer (Best Response)Week 2410.34 percentage of participants
Leuprorelin AcetatePercentage of Participants With Advanced or Recurrent Breast Cancer (Best Response)Week 4812.00 percentage of participants
Leuprorelin AcetatePercentage of Participants With Advanced or Recurrent Breast Cancer (Best Response)Week 9615.00 percentage of participants
Secondary

Percentage of Participants With Progression Free Survival

Progression-free survival (PFS) was defined as the time from the first day of study treatment to documented disease progression or death on study (ie, death from any cause within 30 days of the last dose of study drug), whichever occurred first. Disease progression was at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of 1 or more new lesions or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. For patients who experienced no disease progression and did not die while on study, data were censored at the date of the last tumor assessment. Kaplan-Meier methodology was used to estimate PFS.

Time frame: Baseline up to 96 weeks

Population: The efficacy assessment population was defined as participants with advanced or recurrent breast cancer whose efficacy data at baseline and at least 1 post-baseline time points was available.

ArmMeasureValue (NUMBER)
Leuprorelin AcetatePercentage of Participants With Progression Free Survival49.68 percentage of participants
Secondary

Percentage of Participants With Recurrence-free Survival Who Were Treated With the Drug as Adjuvant Therapy

Recurrence-free survival was determined in participants who were treated with the drug as adjuvant therapy, and tabulated, based on the date recurrence is confirmed, the presence or absence of recurrence, continued survival or death, and the date of death.

Time frame: Baseline up to 96 weeks

Population: The efficacy assessment population was defined as participants with advanced or recurrent breast cancer whose efficacy data at baseline and at least 1 post-baseline time points was available.

ArmMeasureValue (NUMBER)
Leuprorelin AcetatePercentage of Participants With Recurrence-free Survival Who Were Treated With the Drug as Adjuvant Therapy95.37 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026