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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Study of Zoladex Given Every 12 Weeks Versus Given Every Month in Advanced Breast Cancer (ABC) Pre-menopausal Women

NCTNCT00322348 (opens ClinicalTrials.gov in a new tab)Other idD8664C00008Other idZoladex ABC Study

Overview

Status
Completed
Phase
Phase 2
Enrollment
98 participants (actual)
Sponsor
AstraZeneca · Industry
Design
Randomized · Open label (no masking)
Countries
3 countries

Czechia, Russia, Ukraine

Start
Apr 2006
Primary completion
Not stated
Completion
Nov 2009
First posted
5 May 2006 (estimated)
Last update posted
24 Jan 2011 (estimated)
Conditions
Advanced Breast Cancer

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20062007200820092010
  1. Ph 2

    Study of Zoladex Given Every 12 Weeks Versus Given Every Month in Advanced Breast Cancer (ABC) Pre-menopausal Women

    NCT00322348

    Apr 2006 to Nov 2009

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The primary objective is to evaluate whether Zoladex 10.8 mg (12-weekly) is non-inferior to Zoladex 3.6 mg (4-weekly) in pre-menopausal women with oestrogen receptor positive advanced breast cancer by assessment of progression-free survival at 24 weeks. Secondary Objectives are to compare the safety and tolerability profile of ZOLADEX 10.8 mg and ZOLADEX 3.6 mg by assessment of adverse events (AEs)and to assess goserelin PK in Japanese and Caucasian participants who have received ZOLADEX 10.8 mg by assessment of goserelin plasma concentration time profiles Recruitment into the study has been permanently stopped as of 24 December 2007 due to slow recruitment. 98 (vs the planned 260) patients were randomised into the study and will be followed as per protocol for 2 years

Interventions

  • Goserelin acetateDrug
  • Goserelin acetateDrug

Arms2

  • Experimental

    ZOLADEX 10.8 mg

    ZOLADEX (goserelin acetate) 10.8 mg intramuscular depot for injection every 12 weeks

  • Experimental

    ZOLADEX 3.6 mg

    ZOLADEX (goserelin acetate) 3.6 mg intramuscular depot for injection every 4 weeks

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Percentage of Participants With Progression Free Survival (PFS) at Week 24

    Time frame · Objective tumour assessments carried out every 12 weeks (+/- 7 days) until Week 24, and then every 24 weeks (+/- 14 days) until Week 96 or objective progression is confirmed according to Response Evaluation Criteria in Solid Tumours (RECIST).

    Registry description

    The number of participants for whom neither objective disease progression or death (due to any cause) has been observed at Week 24 over the number of randomised participants x 100.

Secondary outcomes(5)
  1. Objective Response Rate (ORR) at Week 24

    Time frame · Response Evaluation Criteria in Solid Tumours (RECIST) tumour assessments carried out every 12 weeks from randomisation until Week 24 in those patients with measurable disease at baseline.

    Registry description

    Number of participants who were objective responders at Week 24 over the number of participants evaluable for response x 100. An objective responder = a participants whose best unconfirmed response is either CR (Complete Response Disappearance of all target lesions) or PR (Partial Response At least a 30% decrease in target lesions)

  2. Oestradiol (E2) Serum Concentrations at Week 24

    Time frame · Blood samples for measurement of E2 concentrations collected from all patients at scheduled visits of screening, Day 1 and Weeks 12 and 24 (+/- 7 days). Week 24 data is presented

    Registry description

    A comparison of mean E2 serum concentrations at timepoint(s) post Day 1 performed using analysis of covariance (ANCOVA), with treatment group, baseline E2 serum concentrations and country as covariates. Data analysed on the log scale; log scale mean and pooled log scale standard deviation from Analysis of Covariance (ANCOVA) presented.

  3. Maximum Plasma Concentration, Cmax (ng/mL)

    Time frame · Blood samples taken at Days 1, 2 and 3, Weeks 4, 12 and 24. Derived from the individual goserelin plasma concentration-time profiles following the first dose of study drug for patients in the pharmacokinetic (PK) subgroup

    Registry description

    Maximum plasma concentration, Cmax (ng/mL), derived from analysis of pharmacokinetic (PK) outcomes samples provided only by participants in the PK subgroup set (all of whom received ZOLADEX 10.8 mg)

  4. Time to Maximum Plasma Concentration, Tmax (Hours)

    Time frame · Blood samples taken at Days 1, 2 and 3, Weeks 4, 12 and 24. Derived from the individual goserelin plasma concentration-time profiles following the first dose of study drug for patients in the pharmacokinetic (PK) subgroup

    Registry description

    Time to maximum plasma concentration, Tmax (hours), derived from analysis of pharmacokinetic (PK) outcomes samples provided only by participants in the PK subgroup set (all of whom received ZOLADEX 10.8 mg)

  5. Area Under the Plasma Concentration Curve (0-12 Weeks)

    Time frame · Blood samples taken at Days 1, 2 and 3, Weeks 4, 12 and 24. Derived from the individual goserelin plasma concentration-time profiles following the first dose of study drug for patients in the pharmacokinetic (PK) subgroup

    Registry description

    Area under the plasma concentration curve (0-12 weeks) derived from analysis of pharmacokinetic (PK) outcomes samples provided only by participants in the PK subgroup set (all of whom received ZOLADEX 10.8 mg)

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeNumber· Objective tumour assessments carried out every 12 weeks (+/- 7 days) until Week 24, and then every 24 weeks (+/- 14 days) until Week 96 or objective progression is confirmed according to Response Evaluation Criteria in Solid Tumours (RECIST).

Percentage of Participants With Progression Free Survival (PFS) at Week 24

GroupValue (Percentage of participants)
ZOLADEX 10.8 mg69.4
ZOLADEX 3.6 mg73.5
Secondary and other outcome results(5)
Secondary outcomeNumber· Response Evaluation Criteria in Solid Tumours (RECIST) tumour assessments carried out every 12 weeks from randomisation until Week 24 in those patients with measurable disease at baseline.

Objective Response Rate (ORR) at Week 24

GroupValue (Percentage of participants)
ZOLADEX 10.8 mg28.9
ZOLADEX 3.6 mg25.6
Secondary outcomeLog mean· Blood samples for measurement of E2 concentrations collected from all patients at scheduled visits of screening, Day 1 and Weeks 12 and 24 (+/- 7 days). Week 24 data is presented

Oestradiol (E2) Serum Concentrations at Week 24

GroupValue (pmol/L)Spread
ZOLADEX 10.8 mg1.420.99
ZOLADEX 3.6 mg1.490.99
Secondary outcomeGeometric mean· Blood samples taken at Days 1, 2 and 3, Weeks 4, 12 and 24. Derived from the individual goserelin plasma concentration-time profiles following the first dose of study drug for patients in the pharmacokinetic (PK) subgroup

Maximum Plasma Concentration, Cmax (ng/mL)

GroupValue (ng/mL)
ZOLADEX 10.8 mg4.565
ZOLADEX 3.6 mgnot posted
Secondary outcomeGeometric mean· Blood samples taken at Days 1, 2 and 3, Weeks 4, 12 and 24. Derived from the individual goserelin plasma concentration-time profiles following the first dose of study drug for patients in the pharmacokinetic (PK) subgroup

Time to Maximum Plasma Concentration, Tmax (Hours)

GroupValue (hours)
ZOLADEX 10.8 mg1.9
ZOLADEX 3.6 mgnot posted
Secondary outcomeGeometric mean· Blood samples taken at Days 1, 2 and 3, Weeks 4, 12 and 24. Derived from the individual goserelin plasma concentration-time profiles following the first dose of study drug for patients in the pharmacokinetic (PK) subgroup

Area Under the Plasma Concentration Curve (0-12 Weeks)

GroupValue (ng/mL)
ZOLADEX 10.8 mg33.021
ZOLADEX 3.6 mgnot posted

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
ZOLADEX 10.8 mgZOLADEX (goserelin acetate) 10.8 mg intramuscular depot for injection every 12 weeks–2 / 5039 / 50
ZOLADEX 3.6 mgZOLADEX (goserelin acetate) 3.6 mg intramuscular depot for injection every 4 weeks–3 / 4837 / 48

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
Female
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Pre-menopausal women aged 18 years or over with histologically/cytologically-confirmed oestrogen receptor positive (ER +ve) breast cancer * World Health Organization (WHO) performance status of 0, 1, or 2 * Provided written informed consent Exclusion Criteria: * Treatment with tamoxifen or other hormonal therapies as early breast cancer (EBC) adjuvant in the previous 24 weeks * Received radiotherapy within the past 4 weeks * History of systemic malignancy other than breast cancer within the previous 3 years * Estimated survival less than 24 weeks

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