OTT 17-01: The EMPOwER Study Evaluating Multiparameter Gene Testing as a Predictor of Short Term Endocrine Therapy Response in Hormone Receptor Positive Breast Cancers
Study Details
Study Description
Brief Summary
Evaluating Multiparameter Gene Testing as a Predictor of Short Term Endocrine Therapy Response in Hormone Receptor Positive Breast Cancers
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
The clinical trial will be a prospective, two strata, non-blinded, single institution, Health Canada approved, Window of Opportunity trial with 2 weeks of pre-surgical endocrine therapy using either anastrozole or tamoxifen. Tissue from the initial biopsy and from surgery will be sent for Ki67 analysis using the NanoString® Assay.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Endocrine Therapy Anastrozole 1 mg (postmenopausal) or tamoxifen 20mg (premenopausal) are to be taken orally each evening and would be started exactly 2 weeks prior to their surgery. |
Drug: Tamoxifen
Participants will take endocrine therapy for 2 weeks prior to surgery.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Endocrine Therapy response [at one year]
Introduction and validation of the use of NanoString® technology and a development of a custom gene codeset predictive of endocrine therapy response into the window setting as a more robust and reliable method of biomarker assessment as compared to Ki67.
Secondary Outcome Measures
- Biomarker Predictive value [at one year]
Window of Opportunity clinical trial design as a means to evaluate the predictive value of potential biomarkers or biomarker-based tools.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Any patient with histologically confirmed newly diagnosed operable ER+, Her2 negative invasive carcinoma on diagnostic core biopsy that has a radiographic size ≥ 1.5 cm
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Histology has to be ductal, lobular or mixed
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Surgery date planned in the next 2-6 weeks
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Negative pregnancy test if of child baring potential
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Post-menopausal status verified by FSH and Estradiol (with 6 months of amenorrhea)
Exclusion Criteria:
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Previous treatment with endocrine therapy, chemotherapy or chest wall radiation within last 6 months
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Known metastatic or recurrent breast cancer.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Ottawa Hospital Research Institute
Investigators
- Principal Investigator: Angel Arnaout, Dr., The Ottawa Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 20170345-01h