Page last updated: 2024-10-30

letrozole and Bone Neoplasms

letrozole has been researched along with Bone Neoplasms in 18 studies

Bone Neoplasms: Tumors or cancer located in bone tissue or specific BONES.

Research Excerpts

ExcerptRelevanceReference
"3% metastatic) from the EGF30008 phase 3 clinical trial (NCT00073528), in which postmenopausal women with HR-positive invasive breast cancer and no prior therapy for advanced or metastatic disease were randomized to letrozole with or without lapatinib, an epidermal growth factor receptor (EGFR)/HER2 tyrosine kinase inhibitor."7.83Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib. ( Adamo, B; Cheang, MC; Ellis, C; Gagnon, R; Galván, P; Johnston, S; Muñoz, M; Nuciforo, P; Paré, L; Prat, A; Press, MF; Viladot, M, 2016)
"Letrozole was subcutaneously injected daily for 23 days at a dose of 1."5.43Effects of letrozole on breast cancer micro-metastatic tumor growth in bone and lung in mice inoculated with murine 4T1 cells. ( Belosay, A; Churchwell, MI; Doerge, DR; Hartman, JA; Helferich, WG; Iwaniec, UT; Song, H; Turner, RT; Wang, W; Yang, X, 2016)
"3% metastatic) from the EGF30008 phase 3 clinical trial (NCT00073528), in which postmenopausal women with HR-positive invasive breast cancer and no prior therapy for advanced or metastatic disease were randomized to letrozole with or without lapatinib, an epidermal growth factor receptor (EGFR)/HER2 tyrosine kinase inhibitor."3.83Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib. ( Adamo, B; Cheang, MC; Ellis, C; Gagnon, R; Galván, P; Johnston, S; Muñoz, M; Nuciforo, P; Paré, L; Prat, A; Press, MF; Viladot, M, 2016)
"The decrease in mechanical hyperalgesia in OVX females was mirrored by significant decreases in spinal astrocyte activity in laminae I-II, III-IV, V-VI and X and aromatase expression in laminae V-VI and X in the dorsal horn of tumor-bearing animals."1.43The relationship of bone-tumor-induced spinal cord astrocyte activation and aromatase expression to mechanical hyperalgesia and cold hypersensitivity in intact female and ovariectomized mice. ( Beitz, AJ; Lee, JH; Michlitsch, KS; O'Brien, EE; Smeester, BA, 2016)
"Letrozole was subcutaneously injected daily for 23 days at a dose of 1."1.43Effects of letrozole on breast cancer micro-metastatic tumor growth in bone and lung in mice inoculated with murine 4T1 cells. ( Belosay, A; Churchwell, MI; Doerge, DR; Hartman, JA; Helferich, WG; Iwaniec, UT; Song, H; Turner, RT; Wang, W; Yang, X, 2016)
"Here, we examined tumor-induced mechanical hyperalgesia and cold allodynia, and changes in Glial fibrillary acid protein (GFAP) and aromatase expression in murine models of painful and non-painful bone cancer."1.42Colocalization of aromatase in spinal cord astrocytes: differences in expression and relationship to mechanical and thermal hyperalgesia in murine models of a painful and a non-painful bone tumor. ( Beitz, AJ; Lee, JH; Michlitsch, KS; O'Brien, EE; Smeester, BA, 2015)
"Seventy-two patients with breast cancer who failed chemotherapy were treated at the Tumor Hospital of Harbin Medical University from January 2001 to January 2012."1.39[Long-term results of personalized treatment in 72 breast cancer patients who failed chemotherapy]. ( Guo, RT; Li, XL; Li, Y; Luan, JW; Nie, D; Wu, J; You, QS; Zhang, LP, 2013)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (27.78)29.6817
2010's11 (61.11)24.3611
2020's2 (11.11)2.80

Authors

AuthorsStudies
Carmona-Sarabia, L1
Quiñones Vélez, G1
Mojica-Vázquez, D1
Escalera-Joy, AM1
Esteves-Vega, S1
Peterson-Peguero, EA1
López-Mejías, V1
Meynard, L1
Grellety, T1
Martin-Romano, P1
Jurado, M1
Idoate, MA1
Arbea, L1
Hernandez-Lizoain, JL1
Cano, D1
Paramo, JA1
Martin-Algarra, S1
Martín, M1
Loibl, S1
Hyslop, T1
De la Haba-Rodríguez, J1
Aktas, B1
Cirrincione, CT1
Mehta, K1
Barry, WT1
Morales, S1
Carey, LA1
Garcia-Saenz, JA1
Partridge, A1
Martinez-Jañez, N1
Hahn, O1
Winer, E1
Guerrero-Zotano, A1
Hudis, C1
Casas, M1
Rodriguez-Martin, C1
Furlanetto, J1
Carrasco, E1
Dickler, MN1
Nie, D1
You, QS1
Luan, JW1
Li, Y1
Li, XL1
Guo, RT1
Zhang, LP1
Wu, J1
Mukhopadhyay, KD1
Liu, Z1
Bandyopadhyay, A1
Kirma, NB1
Tekmal, RR1
Wang, S1
Sun, LZ1
O'Brien, EE2
Smeester, BA2
Michlitsch, KS2
Lee, JH2
Beitz, AJ2
Sansone, P1
Ceccarelli, C1
Berishaj, M1
Chang, Q1
Rajasekhar, VK1
Perna, F1
Bowman, RL1
Vidone, M1
Daly, L1
Nnoli, J1
Santini, D1
Taffurelli, M1
Shih, NN1
Feldman, M1
Mao, JJ1
Colameco, C1
Chen, J1
DeMichele, A1
Fabbri, N1
Healey, JH1
Cricca, M1
Gasparre, G1
Lyden, D1
Bonafé, M1
Bromberg, J1
Wang, W1
Belosay, A1
Yang, X1
Hartman, JA1
Song, H1
Iwaniec, UT1
Turner, RT1
Churchwell, MI1
Doerge, DR1
Helferich, WG1
Prat, A1
Cheang, MC1
Galván, P1
Nuciforo, P1
Paré, L1
Adamo, B1
Muñoz, M1
Viladot, M1
Press, MF1
Gagnon, R1
Ellis, C1
Johnston, S1
Wright, LE1
Harhash, AA1
Kozlow, WM1
Waning, DL1
Regan, JN1
She, Y1
John, SK1
Murthy, S1
Niewolna, M1
Marks, AR1
Mohammad, KS1
Guise, TA1
Garcia, JR1
Pérez, C1
Bassa, P1
Capdevila, L1
Ramos, F1
Valenti, V1
Wong, AL1
Chou, N1
Lee, KM1
Ang, BW1
Cheng, CL1
Lee, SC1
Montemurro, F1
Russo, F1
Martincich, L1
Cirillo, S1
Gatti, M1
Aglietta, M1
Regge, D1
Harvey, HA1
Giordano, SH1
Hortobagyi, GN1
Stebbing, J1
Crane, J1
Gaya, A1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multicenter, Randomized Trial to Evaluate Efficacy and Safety of Bevacizumab in Combination With Endocrine Treatment vs Endocrine Alone, in Postmenopausal With Advanced or Metastatic Cancer With Indication of Hormonotherapy as First-line[NCT00545077]Phase 3380 participants (Actual)Interventional2007-11-06Completed
Endocrine Therapy With or Without Anti-VEGF Therapy: A Randomized, Phase III Trial of Endocrine Therapy Alone or Endocrine Therapy Plus Bevacizumab (NSC 704865) for Women With Hormone Receptor-Positive Advanced Breast Cancer[NCT00601900]Phase 3394 participants (Actual)Interventional2008-05-15Active, not recruiting
A Prospective, Randomized, Multicenter, Open-label Comparison of Pre-surgical Combination of Trastuzumab and Pertuzumab With Concurrent Taxane Chemotherapy or Endocrine Therapy Given for Twelve Weeks With a Quality of Life Assessment of Trastuzumab, Pertu[NCT03272477]Phase 2257 participants (Actual)Interventional2017-10-05Active, not recruiting
A Randomized, Double-Blind, Placebo-Controlled, Multicenter Phase III Study Comparing GW572016 and Letrozole Versus Letrozole in Subjects With Estrogen/Progesterone Receptor- Positive Advanced or Metastatic Breast Cancer[NCT00073528]Phase 31,286 participants (Actual)Interventional2003-12-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinical Benefit Rate (CBR)

CBR was defined as the percentage of patients achieving a Complete Response (CR), a Partial Response (PR) or a stabilization of the disease (SD) > 6 months: the response will be evaluated according to the RECIST criteria. In the patients without measurable disease at the baseline time, the clinical benefit will be defined as the absence of progression > 6 months. (NCT00545077)
Timeframe: Up to 2 years

InterventionParticipants (Count of Participants)
Arm A: Endocrine Therapy (ET)124
Arm B: ET With Bevacizumab (ET-B)146

Overall Response Rate (ORR)

ORR to treatment is reflected by a frequency table containing the data of the best overall response (Complete Response, Partial Response,Stable Disease or Progressive Disease) experienced for each patient during treatment (recorded from the start of the treatment until disease progression) per arm. (NCT00545077)
Timeframe: 2 years

InterventionParticipants (Count of Participants)
Arm A: Endocrine Therapy (ET)32
Arm B: ET With Bevacizumab (ET-B)58

Overall Survival (OS)

OS was defined as the time elapsed since randomization, until the time in which death occurs for any reason. The patients lost in the follow-up will be censured at the date of the last follow-up. (NCT00545077)
Timeframe: Up to 2 years

InterventionMonths (Median)
Arm A: Endocrine Therapy (ET)51.8
Arm B: ET With Bevacizumab (ET-B)52.1

Progression-free Survival (PFS)

PFS was defined as the time elapsed from randomization until the date in which the progression of the disease or the death for any reason (whichever occurs first) is documented. (NCT00545077)
Timeframe: Up to 2 years

InterventionMonths (Median)
Arm A: Endocrine Therapy (ET)14.4
Arm B: ET With Bevacizumab (ET-B)19.3

Response Duration (RD)

RD was defined as the time elapsed from when a partial or complete response is verified until the time in which progression or death occurs. (NCT00545077)
Timeframe: Up to 2 years

InterventionMonths (Median)
Arm A: Endocrine Therapy (ET)13.32
Arm B: ET With Bevacizumab (ET-B)17.59

Time to Treatment Failure (TTF)

TTF was defined as the time elapsed since randomization until the date the treatment is discontinued for any reason (progression disease, treatment toxicity or death). (NCT00545077)
Timeframe: Up to 2 years

InterventionMonths (Median)
Arm A: Endocrine Therapy (ET)14.4
Arm B: ET With Bevacizumab (ET-B)15.1

12 Month Progression Free Survival Rate

The 12 month progression-free survival rate was defined as the proportion of patients who were alive progression-free 12 months after registration into the study. (NCT00601900)
Timeframe: At 12 months

Interventionpercentage of participants (Number)
Arm I (Endocrine Therapy With Monoclonal Antibody)73
Arm II (Endocrine Therapy)61

6 Month Progression-Free Survival Rate

The 6 month progression-free survival rate was defined as the proportion of patients who were alive progression-free 6 months after registration into the study. (NCT00601900)
Timeframe: At 6 months

Interventionpercentage of participants (Number)
Arm I (Endocrine Therapy With Monoclonal Antibody)87
Arm II (Endocrine Therapy)77

Overall Survival (OS)

OS is defined as the time from study entry to death from any cause. The median OS was estimated using the Kaplan-Meier method. (NCT00601900)
Timeframe: Assessed up to 5 years

Interventionmonths (Median)
Arm I (Endocrine Therapy With Monoclonal Antibody)47.2
Arm II (Endocrine Therapy)43.9

Progression-free Survival

The Primary Endpoint for this study was to compare the progression-free survival of letrozole therapy alone with the combination of letrozole therapy plus bevacizumab as first-line treatment in women with estrogen- and/or progesterone-receptor-positive advanced breast cancer. Progression-free survival (PFS) was defined as the time from randomization until disease progression or death, whichever occurs first. The median PFS was estimated using the Kaplan-Meier method. Progression was assessed per RECIST criteria, and defined as at least a 20% increase in the sum of the longest diameters of target lesions from baseline or the appearance of new lesions. (NCT00601900)
Timeframe: From randomization until disease progression or death whichever occurs first, assessed up to 5 years

Interventionmonths (Median)
Arm I (Endocrine Therapy With Monoclonal Antibody)20.2
Arm II (Endocrine Therapy)15.6

Objective Response Rate

Response was defined using RECIST criteria: Complete Response (CR): disappearance of all target lesions; Partial Response (PR) 30% decrease in sum of longest diameter of target lesions. (NCT00601900)
Timeframe: Assessed up to 5 years

,
Interventionpercentage of participants (Number)
Complete Response (CR)Partial Response (PR)Stable Disease (SD)
Arm I (Endocrine Therapy With Monoclonal Antibody)46522
Arm II (Endocrine Therapy)74234

Clinical Benefit (CB) in the HER2-Positive Population as Assessed by the Investigator

CB is defined as the percentage of participants with evidence of confirmed CR, PR, or stable disease (SD) for at least 6 months. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the baseline measurement. (NCT00073528)
Timeframe: Up to 46 months

InterventionMonths (Number)
Placebo + Letrozole 2.5 mg28.7
Lapatinib 1500 mg + Letrozole 2.5 mg47.7

Clinical Benefit (CB) in the ITT Population as Assessed by the Investigator

CB is defined as the percentage of participants with evidence of confirmed CR, PR, or stable disease (SD) for at least 6 months. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the baseline measurement. (NCT00073528)
Timeframe: Up to 46 months

Interventionpercentage of participants (Number)
Placebo + Letrozole 2.5 mg50.6
Lapatinib 1500 mg + Letrozole 2.5 mg55.8

Duration of Response for the Participants With CR or PR in the HER2-Positive Population as Assessed by the Investigator

Duration of response is defined as the time from the first documented evidence of CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD) until the first documented sign of disease progression or death due to any cause. The assessments of CR or PR required confirmation using bone scans. (NCT00073528)
Timeframe: Up to 46 months

Interventionweeks (Median)
Placebo + Letrozole 2.5 mg84.4
Lapatinib 1500 mg + Letrozole 2.5 mg47.4

Duration of Response for the Participants With CR or PR in the ITT Population as Assessed by the Investigator

Duration of response is defined as the time from the first documented evidence of CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD) until the first documented sign of disease progression or death due to any cause. The assessments of CR or PR required confirmation using bone scans. (NCT00073528)
Timeframe: Up to 46 months

Interventionweeks (Median)
Placebo + Letrozole 2.5 mg72.6
Lapatinib 1500 mg + Letrozole 2.5 mg60.1

Number of Participants With Evidence of Brain Metastases From the ITT Population

The confirmation criteria for the evidence of brain metastases was the incidence of lesions occurring within any part of the central nervous system (CNS) as evidenced by radiological scans. Metastases are defined as the spread of cancer from one part of the body to another. (NCT00073528)
Timeframe: Up to 46 months

Interventionparticipants (Number)
Placebo + Letrozole 2.5 mg4
Lapatinib 1500 mg + Letrozole 2.5 mg6

Number of Participants With Evidence of Brain Metastases in the HER2-Positive Population

The confirmation criteria for the evidence of brain metastases was the incidence of lesions occurring within any part of the central nervous system (CNS) as evidenced by radiological scans. Metastases are defined as the spread of cancer from one part of the body to another. (NCT00073528)
Timeframe: Up to 46 months

Interventionparticipants (Number)
Placebo + Letrozole 2.5 mg2
Lapatinib 1500 mg + Letrozole 2.5 mg1

Number of Participants With PFS in the Intent-To-Treat (ITT) Population as Assessed by the Investigator

PFS is defined as the time from randomization until the earliest date of disease progression or death due to any cause, if sooner. The date of documented disease progression is defined as the date of radiological disease progression as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per RECIST 1.0, disease progression is defined as a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions. (NCT00073528)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months

InterventionParticipants (Count of Participants)
Placebo + Letrozole 2.5 mg476
Lapatinib 1500 mg + Letrozole 2.5 mg413

Number of Participants With Progression Free Survival (PFS) in the Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced or Metastatic Breast Cancer as Assessed by the Investigator

PFS is defined as the time from randomization until the earliest date of disease progression (PD) or death due to any cause, if sooner. The date of documented PD is defined as the date of radiological PD as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per Response Evaluation Criteria in Solid Tumors (RECIST 1.0), PD is defined as a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions. (NCT00073528)
Timeframe: From the date of randomization until the date of the first documented progression or date of death from any cause, whichever came first, assessed for up to 46 months

InterventionParticipants (Count of Participants)
Placebo + Letrozole 2.5 mg89
Lapatinib 1500 mg + Letrozole 2.5 mg88

Overall Survival in the HER2-Positive Population

Overall survival was defined as the time from randomization until death due to any cause. (NCT00073528)
Timeframe: From date of randomization until date of death due to any cause, assessed up to 46 months

InterventionWeeks (Median)
Placebo + Letrozole 2.5 mg140.3
Lapatinib 1500 mg + Letrozole 2.5 mg144.7

Overall Survival in the ITT Population

Overall survival was defined as the time from randomization until death due to any cause. (NCT00073528)
Timeframe: From date of randomization until date of death due to any cause, assessed up to 46 months

Interventionweeks (Median)
Placebo + Letrozole 2.5 mg176.3
Lapatinib 1500 mg + Letrozole 2.5 mg170.9

Overall Tumor Response (OR) for Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the Investigator

OR is defined as the percentage of participants achieving either a confirmed complete response (CR) or partial response (PR). Response was assessed via Response Evaluation criteria in Solid Tumors (RECIST). The percentage of participants with response was calculated by using the formula: 100 * (number of participants with CR + number of participants with PR)/total number of participants. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as a reference the baseline sum LD. (NCT00073528)
Timeframe: Up to 46 months

InterventionPercent response rate (Number)
Placebo + Letrozole 2.5 mg14.8
Lapatinib 1500 mg + Letrozole 2.5 mg27.9

Overall Tumor Response (OR) for Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the ITT Population as Assessed by the Investigator

OR is defined as the percentage of participants achieving either a confirmed complete response (CR) or partial response (PR). Response was assessed via Response Evaluation criteria in Solid Tumors (RECIST). The percentage of participants with response was calculated by using the formula: 100 * (number of participants with CR + number of participants with PR)/total number of participants. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as a reference the baseline sum LD. (NCT00073528)
Timeframe: Up to 46 months

Interventionpercentage of participants (Number)
Placebo + Letrozole 2.5 mg27.8
Lapatinib 1500 mg + Letrozole 2.5 mg30.5

PFS in Participants in the ITT Population as Assessed by the Investigator

PFS is defined as the time from randomization until the earliest date of disease progression or death due to any cause, if sooner. The date of documented disease progression is defined as the date of radiological disease progression as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per RECIST 1.0, disease progression is defined as a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions. (NCT00073528)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months

InterventionWeeks (Median)
Placebo + Letrozole 2.5 mg47.0
Lapatinib 1500 mg + Letrozole 2.5 mg51.7

Progression Free Survival (PFS) of Participants in the HER2-Positive Population as Assessed by the Investigator

PFS is defined as the time from randomization until the earliest date of disease progression or death due to any cause, if sooner. The date of documented disease progression is defined as the date of radiological disease progression as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per RECIST 1.0, disease progression is defined as a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions. (NCT00073528)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months

InterventionWeeks (Median)
Placebo + Letrozole 2.5 mg13.0
Lapatinib 1500 mg + Letrozole 2.5 mg35.4

Time to Progression (TTP) for the HER2-Positive Population as Assessed by the Investigator

TTP is defined as the interval between the date of randomization and the earliest date of disease progression or death due to breast cancer. Disease progression was based on the assessments by the Investigator. (NCT00073528)
Timeframe: Up to 46 months

Interventionweeks (Median)
Placebo + Letrozole 2.5 mg13.0
Lapatinib 1500 mg + Letrozole 2.5 mg35.4

Time to Seroconversion for Participants Who Were HER2 Negative at Baseline But Became HER2 Positive

Time to seroconversion was defined as the time from the date of randomization until the first instance of serum HER2 (>15 ng/mL) on two consecutive occasions. (NCT00073528)
Timeframe: Up to 46 months

InterventionWeeks (Median)
Placebo + Letrozole 2.5 mgNA
Lapatinib 1500 mg + Letrozole 2.5 mg36.1

TTP for Participants From the ITT Population as Assessed by the Investigator

TTP is defined as the interval between the date of randomization and the earliest date of disease progression or death due to breast cancer. Disease progression was based on the assessments by the Investigator. (NCT00073528)
Timeframe: Up to 46 months

Interventionweeks (Median)
Placebo + Letrozole 2.5 mg47.0
Lapatinib 1500 mg + Letrozole 2.5 mg51.7

Adjusted Mean Change From Baseline for the FACT-B Total Score Using Observed Data

Quality of Life (QOL) was assessed using the FACT-B questionnaire, which is a 37-item (27 general and 10 breast cancer-specific questions) self-reporting instrument consisting of 5 dimensions: physical-, social/family-, emotional-, functional-well being, and a breast cancer subscale. Higher scores on the FACT-B scales indicate a higher QOL; each ranging from 0 (not at all) to 4 (very much). The score is transformed for FACT-B and results in a total score ranging from 0 to 144. The FACT-B is designed to measure multidimensional QOL in participants with breast cancer. (NCT00073528)
Timeframe: Week 12, 24, 36, and 48 visits; conclusion/withdrawal visit

,
InterventionAdjusted mean change (Number)
Week 12Week 24Week 36Week 48Conclusion/WD
Lapatinib 1500 mg + Letrozole 2.5 mg3.31.91.40.3-9.0
Placebo + Letrozole 2.5 mg1.53.83.32.9-9.4

Adjusted Mean Change From Baseline for the Functional Assessment of Cancer Therapy-General (FACT-G) Score Using Observed Data

FACT-G is a subscale of the FACT-B QOL questionnaire and consists of 27 questions grouped into 4 domains that measure a participant's physical, functional, social and family, and emotional well-being. FACT-G is assessed on a five-point Likert-type scale, with scores ranging from 0 to 4 (0=not at all, 1=a little bit, 2=somewhat, 3=quite a bit, 4=very much). The total score is calculated as the sum of the item scores on the subscale; the total ranges from 0 to 108, with higher score indicating a better quality of life. (NCT00073528)
Timeframe: Week 12, 24, 36, and 48 visits; conclusion/withdrawal visit

,
InterventionAdjusted mean change (Number)
Week 12Week 24Week 36Week 48Conclusion/WD
Lapatinib 1500 mg + Letrozole 2.5 mg1.50.60.9-0.9-8.5
Placebo + Letrozole 2.5 mg1.62.22.62.0-7.8

Adjusted Mean Change From Baseline for the Trial Outcome Index (TOI) Score Using Observed Data

The TOI score is the sum of the physical well-being, functional well-being, and breast cancer unweighted subscale scores. The total TOI score ranges from 0 to 92, with higher scores representing a better quality of life. (NCT00073528)
Timeframe: Week 12, 24, 36, and 48 visits; conclusion/withdrawal visit

,
InterventionAdjusted mean change (Number)
Week 12Week 24Week 36Week 48Conclusion/WD
Lapatinib 1500 mg + Letrozole 2.5 mg2.72.00.8-0.7-6.4
Placebo + Letrozole 2.5 mg-0.33.93.32.2-6.2

All Collected Deaths

"On treatment deaths were collected from FPFT up to 30 days after study drug discontinuation, for a maximum duration of 663.9 weeks (treatment duration ranged from 0.1 to 659.9 weeks).~Deaths post treatment survival follow up were collected after the on- treatment period, up to approximately 14 years. Patients who didn't die during the on-treatment period and had not stopped study participation at the time of data cut-off (end of study) were censored." (NCT00073528)
Timeframe: up to 663 weeks (on-treatment), up to approximately 14 years (study duration)

,
InterventionParticipants (Count of Participants)
On-treatment deathsAll deaths
Lapatinib 1500 mg + Letrozole 2.5 mg18488
Placebo + Letrozole 2.5 mg23484

Number of HER2-Negative Participants at Baseline With and Without Seroconversion to a Status of HER2 Positive

Participants who had a HER2-negative tumor status based on baseline tissue with baseline serum HER2 ECD values =<15 ng/mL but later had at least two consecutive serum HER2 ECD values >15 ng/mL experienced seroconversion. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
Seroconversion, NoSeroconversion, YesMissing
Lapatinib 1500 mg + Letrozole 2.5 mg140219119
Placebo + Letrozole 2.5 mg3235299

Number of Participants Classified as QOL Responders Based on the FACT-B, FACT-G, and TOI Total Scores

A minimally important difference (MID) is the smallest difference in a score for a measure of QOL that corresponds to a difference in function or clinical course. Responders are defined as participants with an MID => 8 for the FACT-B score, and an MID =>6 for the FACT-G and TOI scores. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
FACT-B total, =>8 (MID upper bound)FACT-G, =>6 (MID upper bound)TOI, =>6 (MID upper bound)
Lapatinib 1500 mg + Letrozole 2.5 mg333833
Placebo + Letrozole 2.5 mg292929

Number of Participants Completing the Functional Assessment of Cancer Therapy-breast (FACT-B) Questionnaire at the Scheduled Visits

Quality of Life (QOL) was assessed using the FACT-B questionnaire, which was a 37-item (27 general and 10 breast cancer-specific questions) self-reporting instrument consisting of 5 dimensions: physical-, social/family-, emotional-, functional-well being, and a breast cancer subscale. Higher scores on the FACT-B scales (each ranging from 0 [not at all] to 4 [very much]) indicate a higher QOL. The score is transformed for FACT-B and results in a total score ranging from 0 to 144. Complete: completing at least 1 question from FACT-B. (NCT00073528)
Timeframe: Day 1 (baseline) visit; Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, and 192 visits; conclusion/withdrawal visit

,
InterventionParticipants (Count of Participants)
Day 1, baselineWeek 12Week 24Week 36Week 48Week 60Week 72Week 84Week 96Week 108Week 120Week 132Week 144Week 156Week 168Week 180Week 192Conclusion/withdrawal
Lapatinib 1500 mg + Letrozole 2.5 mg6054763822942431831531199862564333211151359
Placebo + Letrozole 2.5 mg605460350291254199181144117805943332215116327

Number of Participants With Clinical Benefit Categorized by HER2 Fluorescence in Situ Hybridization (FISH) Status

Clinical benefit: participants with CR, PR, or SD for =>6-month period. FISH testing measures the amount of the HER2 gene in each cell. This gene is responsible for the overproduction of the HER2 protein. FISH-positive: excessive amounts of the gene are present; FISH-negative: normal levels of the gene are present. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
FISH status, PositiveFISH status, NegativeFISH status, missing
Lapatinib 1500 mg + Letrozole 2.5 mg4924564
Placebo + Letrozole 2.5 mg2823761

Number of Participants With Clinical Benefit Categorized by HER2 ImmunoHistoChemistry (IHC) Intensity

IHC is a commonly used test to assess the amount of the HER2 receptor protein on the surface of the cancer cells. The IHC test results in a score of 0 to 3+, which indicates the amount of HER2 receptor protein on the cells in a sample of breast cancer tissue. Tissue scores of 0 to 1+ indicate HER2 negativity; scores of 2+ and 3+ indicate HER2 positivity. Clinical benefit is defined as participants with CR, PR, or SD for =>6-month period. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
IHC Intensity 0IHC Intensity 1IHC Intensity 2IHC Intensity 3IHC Intensity Missing
Lapatinib 1500 mg + Letrozole 2.5 mg106106852635
Placebo + Letrozole 2.5 mg74108941634

Number of Participants With Overall Tumor Response (OR) by Stratification Factors With Measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the Investigator

Participants were stratified based on site of disease at screening (SDS) (soft tissue or visceral or bone-only disease) and prior adjuvant endocrine therapy (PAET) (discontinuation interval [DI] =>6 months or DI <6 months). OR is defined as the number of participants achieving either a confirmed CR or PR. Response was assessed via RECIST. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD. DI is defined as the time period from stopping the PEAT to the randomization date. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
SDS, Soft tissue or visceralSDS, Bone-only diseasePAET, DI =>6 monthsPAET, DI <6 months
Lapatinib 1500 mg + Letrozole 2.5 mg310247
Placebo + Letrozole 2.5 mg140122

Number of Participants With Overall Tumor Response (OR) by Stratification Factors With Measurable Disease, Including Bone Scans, in the ITT Population as Assessed by the Investigator

Participants were stratified based on site of disease at screening (SDS) (soft tissue or visceral or bone-only disease) and prior adjuvant endocrine therapy (PAET) (discontinuation interval [DI] =>6 months or DI <6 months). OR is defined as the number of participants achieving either a confirmed CR or PR. Response was assessed via RECIST. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD. DI is defined as the time period from stopping the PEAT and the randomization date. (NCT00073528)
Timeframe: Up to 46 months

,
Interventionparticipants (Number)
SDS, Soft tissue or visceralPAET, DI =>6 monthsPAET, DI <6 months
Lapatinib 1500 mg + Letrozole 2.5 mg19016822
Placebo + Letrozole 2.5 mg17015119

Number of Participants With Response in Participants With Baseline Serum HER2 Extracellular Domain (ECD) Baseline Values Greater Than 15 Nanograms Per Milliliter (ng/mL) and 15 ng/mL or Lower

The HER2 ECD is a glycoprotein that can be shed from the cell surface into the blood of normal individuals and can be elevated in different pathologic conditions. The serum HER2 ECD level generally reflects the tissue HER2 status. The HER2 ECD is quantified in serum with an enzyme-linked immunosorbent assay (ELISA). Non-Evaluable (NE): any participant who could not be classified as CR, PR, SD, or PD. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
>15 ng/mL, CR/PR>15 ng/mL, SD>15 ng/mL, PD/NE=<15 ng/mL, CR/PR=<15 ng/mL, SD=<15 ng/mL, PD/NE
Lapatinib 1500 mg + Letrozole 2.5 mg91312173023
Placebo + Letrozole 2.5 mg31139122316

Number of Participants With the Indicated Best Response From the Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the Investigator.

CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as a reference the smallest sum LD since the baseline measurement. The best overall response is defined as the best response recorded from the start of treatment until disease progression/recurrence. PD: presence of target lesions, non-target lesions, and/or new lesions. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
CRPRSDPDUnknown
Lapatinib 1500 mg + Letrozole 2.5 mg52644306
Placebo + Letrozole 2.5 mg41235498

Number of Participants With the Indicated Best Response From the Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the ITT Population as Assessed by the Investigator.

CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as a reference the smallest sum LD since the baseline measurement. The best overall response is defined as the best response recorded from the start of treatment until disease progression/recurrence. PD: presence of target lesions, non-target lesions, and/or new lesions. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
CRPRSDPDUnknown
Lapatinib 1500 mg + Letrozole 2.5 mg2816828011353
Placebo + Letrozole 2.5 mg2615324317448

Number of Participants With the Indicated Expression of Tumor by Epidermal Growth Factor Receptor (ErbB1/HER1/EGFR) at Baseline

EGFR is a cell surface receptor tyrosine kinase expressed in certain types of tumors. Depending upon the staining intensity, EGFR was graded as follows: 0=absence of membrane staining above background in all tumor cells; EGFR-positive=staining is defined as any IHC staining of tumor cell membranes above background level, whether it is complete or incomplete circumferential staining (1+, 2+, 3+). (NCT00073528)
Timeframe: Baseline

,
InterventionParticipants (Count of Participants)
EGFR, 0EGFR, 1+EGFR, 2+EGFR, 3+
Lapatinib 1500 mg + Letrozole 2.5 mg52245121
Placebo + Letrozole 2.5 mg51343173

Number of Participants With the Indicated Time to Response for CR or PR in the HER2-Positive Population as Assessed by the Investigator

Time to response is defined as the time from randomization until the first documented evidence of CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sume of the LD of target lesions, taking as reference the baseline sum LD) (whichever status was recorded first). The assessments of CR or PR required confirmation using bone scans. (NCT00073528)
Timeframe: Up to 46 months

,
InterventionParticipants (Count of Participants)
Week 12Week 16Week 24 or longer
Lapatinib 1500 mg + Letrozole 2.5 mg2335
Placebo + Letrozole 2.5 mg1114

Number of Participants With the Indicated Time to Response for CR or PR in the ITT Population as Assessed by the Investigator

Time to response is defined as the time from randomization until the first documented evidence of CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sume of the LD of target lesions, taking as reference the baseline sum LD) (whichever status was recorded first). The assessments of CR or PR required confirmation using bone scans. (NCT00073528)
Timeframe: Up to 46 months

,
Interventionparticipants (Number)
Week 12Week 16Week 24Week 28Week 36 or longer
Lapatinib 1500 mg + Letrozole 2.5 mg9418281442
Placebo + Letrozole 2.5 mg7621281737

Reviews

2 reviews available for letrozole and Bone Neoplasms

ArticleYear
Optimizing bisphosphonate therapy in patients with breast cancer on endocrine therapy.
    Seminars in oncology, 2004, Volume: 31, Issue:6 Suppl 12

    Topics: Antineoplastic Agents; Aromatase Inhibitors; Bone Neoplasms; Bone Resorption; Breast Neoplasms; Clin

2004
Breast cancer (metastatic).
    Clinical evidence, 2006, Issue:15

    Topics: Antibodies, Monoclonal; Antineoplastic Agents, Hormonal; Antineoplastic Combined Chemotherapy Protoc

2006

Trials

1 trial available for letrozole and Bone Neoplasms

ArticleYear
Evaluating the addition of bevacizumab to endocrine therapy as first-line treatment for hormone receptor-positive metastatic breast cancer: a pooled analysis from the LEA (GEICAM/2006-11_GBG51) and CALGB 40503 (Alliance) trials.
    European journal of cancer (Oxford, England : 1990), 2019, Volume: 117

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Bevacizumab; Bone Ne

2019
Evaluating the addition of bevacizumab to endocrine therapy as first-line treatment for hormone receptor-positive metastatic breast cancer: a pooled analysis from the LEA (GEICAM/2006-11_GBG51) and CALGB 40503 (Alliance) trials.
    European journal of cancer (Oxford, England : 1990), 2019, Volume: 117

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Bevacizumab; Bone Ne

2019
Evaluating the addition of bevacizumab to endocrine therapy as first-line treatment for hormone receptor-positive metastatic breast cancer: a pooled analysis from the LEA (GEICAM/2006-11_GBG51) and CALGB 40503 (Alliance) trials.
    European journal of cancer (Oxford, England : 1990), 2019, Volume: 117

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Bevacizumab; Bone Ne

2019
Evaluating the addition of bevacizumab to endocrine therapy as first-line treatment for hormone receptor-positive metastatic breast cancer: a pooled analysis from the LEA (GEICAM/2006-11_GBG51) and CALGB 40503 (Alliance) trials.
    European journal of cancer (Oxford, England : 1990), 2019, Volume: 117

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Bevacizumab; Bone Ne

2019

Other Studies

15 other studies available for letrozole and Bone Neoplasms

ArticleYear
High-Affinity Extended Bisphosphonate-Based Coordination Polymers as Promising Candidates for Bone-Targeted Drug Delivery.
    ACS applied materials & interfaces, 2023, Jul-19, Volume: 15, Issue:28

    Topics: Antineoplastic Agents; Bone Neoplasms; Breast Neoplasms; Diphosphonates; Drug Delivery Systems; Fema

2023
CDK 4/6 inhibitor successful rechallenge after limiting hepatic toxicity.
    The breast journal, 2020, Volume: 26, Issue:2

    Topics: Alanine Transaminase; Aminopyridines; Aromatase Inhibitors; Aspartate Aminotransferases; Bone Neopla

2020
Durable complete remission with aromatase inhibitor therapy in a patient with metastatic uterine carcinosarcoma with poor performance status and coagulation disorders: a case report.
    Journal of medical case reports, 2017, Apr-19, Volume: 11, Issue:1

    Topics: Aromatase Inhibitors; Blood Coagulation Disorders; Bone Neoplasms; Carcinosarcoma; Female; Humans; L

2017
[Long-term results of personalized treatment in 72 breast cancer patients who failed chemotherapy].
    Zhonghua zhong liu za zhi [Chinese journal of oncology], 2013, Volume: 35, Issue:12

    Topics: Adult; Aged; Aromatase Inhibitors; Bone Density Conservation Agents; Bone Neoplasms; Brain Neoplasms

2013
Aromatase expression increases the survival and malignancy of estrogen receptor positive breast cancer cells.
    PloS one, 2015, Volume: 10, Issue:4

    Topics: Animals; Anoikis; Aromatase; Aromatase Inhibitors; Bone Neoplasms; Breast Neoplasms; Carcinoma, Duct

2015
Colocalization of aromatase in spinal cord astrocytes: differences in expression and relationship to mechanical and thermal hyperalgesia in murine models of a painful and a non-painful bone tumor.
    Neuroscience, 2015, Aug-20, Volume: 301

    Topics: Analysis of Variance; Animals; Antineoplastic Agents; Aromatase; Bone Neoplasms; Cell Line, Tumor; D

2015
Self-renewal of CD133(hi) cells by IL6/Notch3 signalling regulates endocrine resistance in metastatic breast cancer.
    Nature communications, 2016, Feb-09, Volume: 7

    Topics: AC133 Antigen; Anastrozole; Androstadienes; Animals; Antigens, CD; Antineoplastic Agents, Hormonal;

2016
The relationship of bone-tumor-induced spinal cord astrocyte activation and aromatase expression to mechanical hyperalgesia and cold hypersensitivity in intact female and ovariectomized mice.
    Neuroscience, 2016, Jun-02, Volume: 324

    Topics: Animals; Aromatase; Aromatase Inhibitors; Astrocytes; Bone Neoplasms; Cancer Pain; Cold Temperature;

2016
Effects of letrozole on breast cancer micro-metastatic tumor growth in bone and lung in mice inoculated with murine 4T1 cells.
    Clinical & experimental metastasis, 2016, Volume: 33, Issue:5

    Topics: Animals; Aromatase Inhibitors; Bone Neoplasms; Breast Neoplasms; Cell Line, Tumor; Female; Humans; L

2016
Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib.
    JAMA oncology, 2016, Oct-01, Volume: 2, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Biomarkers, Tumor; B

2016
Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib.
    JAMA oncology, 2016, Oct-01, Volume: 2, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Biomarkers, Tumor; B

2016
Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib.
    JAMA oncology, 2016, Oct-01, Volume: 2, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Biomarkers, Tumor; B

2016
Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib.
    JAMA oncology, 2016, Oct-01, Volume: 2, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Biomarkers, Tumor; B

2016
Aromatase inhibitor-induced bone loss increases the progression of estrogen receptor-negative breast cancer in bone and exacerbates muscle weakness in vivo.
    Oncotarget, 2017, Jan-31, Volume: 8, Issue:5

    Topics: Animals; Antineoplastic Agents, Hormonal; Aromatase Inhibitors; Bone Density; Bone Density Conservat

2017
18F-FDG PET/CT in the Staging and Management of Breast Cancer: Value in Disease Outcome and Planning Therapy.
    Clinical nuclear medicine, 2017, Volume: 42, Issue:3

    Topics: Adult; Antineoplastic Combined Chemotherapy Protocols; Aromatase Inhibitors; Axilla; Bone Density Co

2017
Subdural collections arising from calvarial metastases following discontinuation of anti-angiogenic therapy.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2009, Volume: 20, Issue:9

    Topics: Angiogenesis Inhibitors; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antineoplastic C

2009
Dynamic contrast enhanced magnetic resonance imaging in monitoring bone metastases in breast cancer patients receiving bisphosphonates and endocrine therapy.
    Acta radiologica (Stockholm, Sweden : 1987), 2004, Volume: 45, Issue:1

    Topics: Adult; Aged; Anastrozole; Bone Neoplasms; Breast Neoplasms; Diphosphonates; Female; Goserelin; Human

2004
Leuprolide acetate plus aromatase inhibition for male breast cancer.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2006, Jul-20, Volume: 24, Issue:21

    Topics: Anastrozole; Androstadienes; Antineoplastic Agents, Hormonal; Antineoplastic Combined Chemotherapy P

2006