Endocrine Therapy for Breast Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests neoadjuvant endocrine therapy (a hormone therapy) to determine if it can reduce the chance of leaving cancer cells behind during surgery in women with invasive lobular carcinoma (ILC). The focus is on those undergoing breast-conserving surgery. Eligible participants are postmenopausal women with a specific type of breast cancer (ER+/HER2-) who plan to have breast-conserving surgery. The goal is to assess whether this treatment can enhance surgical success by reducing cancer in the tissue edges. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group of participants.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
Is there any evidence suggesting that neoadjuvant endocrine therapy is likely to be safe for humans?
Research has shown that neoadjuvant endocrine therapy (NET) is generally safe for patients with hormone receptor-positive, HER2-negative breast cancer. Real-world data indicates that NET is effective and safe for postmenopausal women with this type of breast cancer.
Studies have found that NET performs as well as chemotherapy but with significantly fewer side effects. Many patients tolerate NET well, experiencing fewer negative effects compared to more aggressive treatments like chemotherapy. However, any treatment can have side effects, which may vary from person to person.
Overall, existing evidence suggests that NET is a well-tolerated option for many patients with this type of breast cancer.12345Why do researchers think this study treatment might be promising for breast cancer?
Most treatments for ER+/HER2- breast cancer, such as surgery, chemotherapy, and radiation, focus on directly removing or destroying cancer cells. However, neoadjuvant endocrine therapy is unique because it targets hormone receptors to slow or stop the growth of cancer cells before surgery. This approach is particularly exciting for researchers because it can shrink tumors, making surgery less invasive and more effective. Additionally, by focusing on hormone pathways, this therapy may offer fewer side effects compared to traditional chemotherapy, improving the overall quality of life for patients.
What evidence suggests that neoadjuvant endocrine therapy might be an effective treatment for invasive lobular carcinoma?
Research has shown that neoadjuvant endocrine therapy (NET) can be as effective as chemotherapy for treating hormone receptor-positive, HER2-negative breast cancer. In this trial, participants with ER+/HER2- breast cancer will receive NET. Studies have found that using NET before surgery can be more effective than immediate surgery. NET helps by shrinking tumors and reducing the risk of leaving cancer cells behind after surgery. This treatment is popular because it targets hormone receptors, which are common in many breast cancers. Overall, NET has shown promising results in managing early-stage breast cancer before surgery.24678
Who Is on the Research Team?
Anita SKCCSC(P Mamtani, MD
Principal Investigator
Memorial Sloan Kettering Cancer Center
Are You a Good Fit for This Trial?
This trial is for postmenopausal women aged 50 or older with a specific type of breast cancer (invasive lobular carcinoma) who are planning to have breast-conserving surgery. Their tumors must be estrogen receptor positive and HER2 negative.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Neoadjuvant Endocrine Therapy
Participants receive neoadjuvant endocrine therapy before surgery to evaluate its effectiveness in reducing positive surgical margins
Surgery
Participants undergo breast-conserving surgery to remove cancerous tissue
Follow-up
Participants are monitored for safety and effectiveness after surgery
What Are the Treatments Tested in This Trial?
Interventions
- Neoadjuvant Endocrine Therapy
Trial Overview
The study tests if giving hormone therapy before surgery (neoadjuvant endocrine therapy) helps reduce the chance of leftover cancer cells at the edges after breast-conserving surgery in these patients.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Participants will be postmenopausal women aged ≥50 years with biopsy-proven cT2-T3 N0-1 ILC, ER+/HER2- subtype
Find a Clinic Near You
Who Is Running the Clinical Trial?
Memorial Sloan Kettering Cancer Center
Lead Sponsor
Citations
Favorable outcome of neoadjuvant endocrine treatment than ...
NET may be a more effective treatment procedure than surgery‐first in female HR‐positive/HER2‐negative, non‐metastatic breast cancer patients.
Evaluating the efficacy of neoadjuvant endocrine therapy in ...
Conclusions: Our study offers a real-world estimate of outcomes associated with NET in localized BC. HER2 low tumors had greater significant ...
Neoadjuvant therapy in hormone Receptor-Positive/HER2- ...
Neoadjuvant endocrine therapy (NET) can be used for HR-positive HER2-negative early breast cancer. Clinical evidence suggests equipoise of NET and neoadjuvant ...
Neoadjuvant endocrine therapy for strongly hormone ...
For estrogen receptor (ER)-positive breast cancer, neoadjuvant endocrine therapy (NET) has been shown to be as effective as neoadjuvant chemotherapy (NACT).
5.
uptodate.com
uptodate.com/contents/neoadjuvant-management-of-newly-diagnosed-hormone-receptor-positive-her2-negative-breast-cancerNeoadjuvant management of newly diagnosed hormone ...
Hormone receptor (HR)-positive breast cancer is the most common subtype of breast cancer, comprising 70 to 80 percent of all breast cancers.
Neoadjuvant Endocrine Therapy for Estrogen Receptor ... - PMC
Neoadjuvant endocrine therapy, even as monotherapy, is associated with similar response rates as neoadjuvant combination chemotherapy but with significantly ...
Neoadjuvant Chemotherapy and Immunotherapy for ...
The ASCO practice guidelines recommend neoadjuvant chemotherapy as the preferred treatment for stage II-III, triple-negative or HER2+ breast ...
Real-world data on neoadjuvant endocrine therapy in ER ...
Conclusions: Our real-world data shows that NET is effective and safe in postmenopausal patients with ER-positive/HER2-negative breast cancer.
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