letrozole has been researched along with Bone Neoplasms in 18 studies
Bone Neoplasms: Tumors or cancer located in bone tissue or specific BONES.
Excerpt | Relevance | Reference |
---|---|---|
"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." | 7.83 | Prognostic 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." | 5.43 | Effects 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." | 3.83 | Prognostic 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." | 1.43 | 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. ( 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." | 1.43 | Effects 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." | 1.42 | 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. ( 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) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 5 (27.78) | 29.6817 |
2010's | 11 (61.11) | 24.3611 |
2020's | 2 (11.11) | 2.80 |
Authors | Studies |
---|---|
Carmona-Sarabia, L | 1 |
Quiñones Vélez, G | 1 |
Mojica-Vázquez, D | 1 |
Escalera-Joy, AM | 1 |
Esteves-Vega, S | 1 |
Peterson-Peguero, EA | 1 |
López-Mejías, V | 1 |
Meynard, L | 1 |
Grellety, T | 1 |
Martin-Romano, P | 1 |
Jurado, M | 1 |
Idoate, MA | 1 |
Arbea, L | 1 |
Hernandez-Lizoain, JL | 1 |
Cano, D | 1 |
Paramo, JA | 1 |
Martin-Algarra, S | 1 |
Martín, M | 1 |
Loibl, S | 1 |
Hyslop, T | 1 |
De la Haba-Rodríguez, J | 1 |
Aktas, B | 1 |
Cirrincione, CT | 1 |
Mehta, K | 1 |
Barry, WT | 1 |
Morales, S | 1 |
Carey, LA | 1 |
Garcia-Saenz, JA | 1 |
Partridge, A | 1 |
Martinez-Jañez, N | 1 |
Hahn, O | 1 |
Winer, E | 1 |
Guerrero-Zotano, A | 1 |
Hudis, C | 1 |
Casas, M | 1 |
Rodriguez-Martin, C | 1 |
Furlanetto, J | 1 |
Carrasco, E | 1 |
Dickler, MN | 1 |
Nie, D | 1 |
You, QS | 1 |
Luan, JW | 1 |
Li, Y | 1 |
Li, XL | 1 |
Guo, RT | 1 |
Zhang, LP | 1 |
Wu, J | 1 |
Mukhopadhyay, KD | 1 |
Liu, Z | 1 |
Bandyopadhyay, A | 1 |
Kirma, NB | 1 |
Tekmal, RR | 1 |
Wang, S | 1 |
Sun, LZ | 1 |
O'Brien, EE | 2 |
Smeester, BA | 2 |
Michlitsch, KS | 2 |
Lee, JH | 2 |
Beitz, AJ | 2 |
Sansone, P | 1 |
Ceccarelli, C | 1 |
Berishaj, M | 1 |
Chang, Q | 1 |
Rajasekhar, VK | 1 |
Perna, F | 1 |
Bowman, RL | 1 |
Vidone, M | 1 |
Daly, L | 1 |
Nnoli, J | 1 |
Santini, D | 1 |
Taffurelli, M | 1 |
Shih, NN | 1 |
Feldman, M | 1 |
Mao, JJ | 1 |
Colameco, C | 1 |
Chen, J | 1 |
DeMichele, A | 1 |
Fabbri, N | 1 |
Healey, JH | 1 |
Cricca, M | 1 |
Gasparre, G | 1 |
Lyden, D | 1 |
Bonafé, M | 1 |
Bromberg, J | 1 |
Wang, W | 1 |
Belosay, A | 1 |
Yang, X | 1 |
Hartman, JA | 1 |
Song, H | 1 |
Iwaniec, UT | 1 |
Turner, RT | 1 |
Churchwell, MI | 1 |
Doerge, DR | 1 |
Helferich, WG | 1 |
Prat, A | 1 |
Cheang, MC | 1 |
Galván, P | 1 |
Nuciforo, P | 1 |
Paré, L | 1 |
Adamo, B | 1 |
Muñoz, M | 1 |
Viladot, M | 1 |
Press, MF | 1 |
Gagnon, R | 1 |
Ellis, C | 1 |
Johnston, S | 1 |
Wright, LE | 1 |
Harhash, AA | 1 |
Kozlow, WM | 1 |
Waning, DL | 1 |
Regan, JN | 1 |
She, Y | 1 |
John, SK | 1 |
Murthy, S | 1 |
Niewolna, M | 1 |
Marks, AR | 1 |
Mohammad, KS | 1 |
Guise, TA | 1 |
Garcia, JR | 1 |
Pérez, C | 1 |
Bassa, P | 1 |
Capdevila, L | 1 |
Ramos, F | 1 |
Valenti, V | 1 |
Wong, AL | 1 |
Chou, N | 1 |
Lee, KM | 1 |
Ang, BW | 1 |
Cheng, CL | 1 |
Lee, SC | 1 |
Montemurro, F | 1 |
Russo, F | 1 |
Martincich, L | 1 |
Cirillo, S | 1 |
Gatti, M | 1 |
Aglietta, M | 1 |
Regge, D | 1 |
Harvey, HA | 1 |
Giordano, SH | 1 |
Hortobagyi, GN | 1 |
Stebbing, J | 1 |
Crane, J | 1 |
Gaya, A | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
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 3 | 380 participants (Actual) | Interventional | 2007-11-06 | Completed | ||
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 3 | 394 participants (Actual) | Interventional | 2008-05-15 | Active, 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 2 | 257 participants (Actual) | Interventional | 2017-10-05 | Active, 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 3 | 1,286 participants (Actual) | Interventional | 2003-12-09 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | Participants (Count of Participants) |
---|---|
Arm A: Endocrine Therapy (ET) | 124 |
Arm B: ET With Bevacizumab (ET-B) | 146 |
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
Intervention | Participants (Count of Participants) |
---|---|
Arm A: Endocrine Therapy (ET) | 32 |
Arm B: ET With Bevacizumab (ET-B) | 58 |
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
Intervention | Months (Median) |
---|---|
Arm A: Endocrine Therapy (ET) | 51.8 |
Arm B: ET With Bevacizumab (ET-B) | 52.1 |
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
Intervention | Months (Median) |
---|---|
Arm A: Endocrine Therapy (ET) | 14.4 |
Arm B: ET With Bevacizumab (ET-B) | 19.3 |
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
Intervention | Months (Median) |
---|---|
Arm A: Endocrine Therapy (ET) | 13.32 |
Arm B: ET With Bevacizumab (ET-B) | 17.59 |
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
Intervention | Months (Median) |
---|---|
Arm A: Endocrine Therapy (ET) | 14.4 |
Arm B: ET With Bevacizumab (ET-B) | 15.1 |
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
Intervention | percentage of participants (Number) |
---|---|
Arm I (Endocrine Therapy With Monoclonal Antibody) | 73 |
Arm II (Endocrine Therapy) | 61 |
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
Intervention | percentage of participants (Number) |
---|---|
Arm I (Endocrine Therapy With Monoclonal Antibody) | 87 |
Arm II (Endocrine Therapy) | 77 |
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
Intervention | months (Median) |
---|---|
Arm I (Endocrine Therapy With Monoclonal Antibody) | 47.2 |
Arm II (Endocrine Therapy) | 43.9 |
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
Intervention | months (Median) |
---|---|
Arm I (Endocrine Therapy With Monoclonal Antibody) | 20.2 |
Arm II (Endocrine Therapy) | 15.6 |
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
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | |
Arm I (Endocrine Therapy With Monoclonal Antibody) | 4 | 65 | 22 |
Arm II (Endocrine Therapy) | 7 | 42 | 34 |
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
Intervention | Months (Number) |
---|---|
Placebo + Letrozole 2.5 mg | 28.7 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 47.7 |
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
Intervention | percentage of participants (Number) |
---|---|
Placebo + Letrozole 2.5 mg | 50.6 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 55.8 |
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
Intervention | weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 84.4 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 47.4 |
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
Intervention | weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 72.6 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 60.1 |
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
Intervention | participants (Number) |
---|---|
Placebo + Letrozole 2.5 mg | 4 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 6 |
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
Intervention | participants (Number) |
---|---|
Placebo + Letrozole 2.5 mg | 2 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 1 |
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
Intervention | Participants (Count of Participants) |
---|---|
Placebo + Letrozole 2.5 mg | 476 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 413 |
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
Intervention | Participants (Count of Participants) |
---|---|
Placebo + Letrozole 2.5 mg | 89 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 88 |
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
Intervention | Weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 140.3 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 144.7 |
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
Intervention | weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 176.3 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 170.9 |
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
Intervention | Percent response rate (Number) |
---|---|
Placebo + Letrozole 2.5 mg | 14.8 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 27.9 |
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
Intervention | percentage of participants (Number) |
---|---|
Placebo + Letrozole 2.5 mg | 27.8 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 30.5 |
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
Intervention | Weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 47.0 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 51.7 |
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
Intervention | Weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 13.0 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 35.4 |
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
Intervention | weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 13.0 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 35.4 |
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
Intervention | Weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | NA |
Lapatinib 1500 mg + Letrozole 2.5 mg | 36.1 |
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
Intervention | weeks (Median) |
---|---|
Placebo + Letrozole 2.5 mg | 47.0 |
Lapatinib 1500 mg + Letrozole 2.5 mg | 51.7 |
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
Intervention | Adjusted mean change (Number) | ||||
---|---|---|---|---|---|
Week 12 | Week 24 | Week 36 | Week 48 | Conclusion/WD | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 3.3 | 1.9 | 1.4 | 0.3 | -9.0 |
Placebo + Letrozole 2.5 mg | 1.5 | 3.8 | 3.3 | 2.9 | -9.4 |
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
Intervention | Adjusted mean change (Number) | ||||
---|---|---|---|---|---|
Week 12 | Week 24 | Week 36 | Week 48 | Conclusion/WD | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 1.5 | 0.6 | 0.9 | -0.9 | -8.5 |
Placebo + Letrozole 2.5 mg | 1.6 | 2.2 | 2.6 | 2.0 | -7.8 |
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
Intervention | Adjusted mean change (Number) | ||||
---|---|---|---|---|---|
Week 12 | Week 24 | Week 36 | Week 48 | Conclusion/WD | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 2.7 | 2.0 | 0.8 | -0.7 | -6.4 |
Placebo + Letrozole 2.5 mg | -0.3 | 3.9 | 3.3 | 2.2 | -6.2 |
"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)
Intervention | Participants (Count of Participants) | |
---|---|---|
On-treatment deaths | All deaths | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 18 | 488 |
Placebo + Letrozole 2.5 mg | 23 | 484 |
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
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Seroconversion, No | Seroconversion, Yes | Missing | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 140 | 219 | 119 |
Placebo + Letrozole 2.5 mg | 323 | 52 | 99 |
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
Intervention | Participants (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 mg | 33 | 38 | 33 |
Placebo + Letrozole 2.5 mg | 29 | 29 | 29 |
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
Intervention | Participants (Count of Participants) | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Day 1, baseline | Week 12 | Week 24 | Week 36 | Week 48 | Week 60 | Week 72 | Week 84 | Week 96 | Week 108 | Week 120 | Week 132 | Week 144 | Week 156 | Week 168 | Week 180 | Week 192 | Conclusion/withdrawal | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 605 | 476 | 382 | 294 | 243 | 183 | 153 | 119 | 98 | 62 | 56 | 43 | 33 | 21 | 11 | 5 | 1 | 359 |
Placebo + Letrozole 2.5 mg | 605 | 460 | 350 | 291 | 254 | 199 | 181 | 144 | 117 | 80 | 59 | 43 | 33 | 22 | 15 | 11 | 6 | 327 |
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
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
FISH status, Positive | FISH status, Negative | FISH status, missing | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 49 | 245 | 64 |
Placebo + Letrozole 2.5 mg | 28 | 237 | 61 |
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
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
IHC Intensity 0 | IHC Intensity 1 | IHC Intensity 2 | IHC Intensity 3 | IHC Intensity Missing | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 106 | 106 | 85 | 26 | 35 |
Placebo + Letrozole 2.5 mg | 74 | 108 | 94 | 16 | 34 |
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
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
SDS, Soft tissue or visceral | SDS, Bone-only disease | PAET, DI =>6 months | PAET, DI <6 months | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 31 | 0 | 24 | 7 |
Placebo + Letrozole 2.5 mg | 14 | 0 | 12 | 2 |
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
Intervention | participants (Number) | ||
---|---|---|---|
SDS, Soft tissue or visceral | PAET, DI =>6 months | PAET, DI <6 months | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 190 | 168 | 22 |
Placebo + Letrozole 2.5 mg | 170 | 151 | 19 |
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
Intervention | Participants (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 mg | 9 | 13 | 12 | 17 | 30 | 23 |
Placebo + Letrozole 2.5 mg | 3 | 11 | 39 | 12 | 23 | 16 |
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
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
CR | PR | SD | PD | Unknown | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 5 | 26 | 44 | 30 | 6 |
Placebo + Letrozole 2.5 mg | 4 | 12 | 35 | 49 | 8 |
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
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
CR | PR | SD | PD | Unknown | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 28 | 168 | 280 | 113 | 53 |
Placebo + Letrozole 2.5 mg | 26 | 153 | 243 | 174 | 48 |
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
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
EGFR, 0 | EGFR, 1+ | EGFR, 2+ | EGFR, 3+ | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 522 | 45 | 12 | 1 |
Placebo + Letrozole 2.5 mg | 513 | 43 | 17 | 3 |
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
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Week 12 | Week 16 | Week 24 or longer | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 23 | 3 | 5 |
Placebo + Letrozole 2.5 mg | 11 | 1 | 4 |
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
Intervention | participants (Number) | ||||
---|---|---|---|---|---|
Week 12 | Week 16 | Week 24 | Week 28 | Week 36 or longer | |
Lapatinib 1500 mg + Letrozole 2.5 mg | 94 | 18 | 28 | 14 | 42 |
Placebo + Letrozole 2.5 mg | 76 | 21 | 28 | 17 | 37 |
2 reviews available for letrozole and Bone Neoplasms
Article | Year |
---|---|
Optimizing bisphosphonate therapy in patients with breast cancer on endocrine therapy.
Topics: Antineoplastic Agents; Aromatase Inhibitors; Bone Neoplasms; Bone Resorption; Breast Neoplasms; Clin | 2004 |
Breast cancer (metastatic).
Topics: Antibodies, Monoclonal; Antineoplastic Agents, Hormonal; Antineoplastic Combined Chemotherapy Protoc | 2006 |
1 trial available for letrozole and Bone Neoplasms
15 other studies available for letrozole and Bone Neoplasms
Article | Year |
---|---|
High-Affinity Extended Bisphosphonate-Based Coordination Polymers as Promising Candidates for Bone-Targeted Drug Delivery.
Topics: Antineoplastic Agents; Bone Neoplasms; Breast Neoplasms; Diphosphonates; Drug Delivery Systems; Fema | 2023 |
CDK 4/6 inhibitor successful rechallenge after limiting hepatic toxicity.
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.
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].
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Topics: Adult; Aged; Anastrozole; Bone Neoplasms; Breast Neoplasms; Diphosphonates; Female; Goserelin; Human | 2004 |
Leuprolide acetate plus aromatase inhibition for male breast cancer.
Topics: Anastrozole; Androstadienes; Antineoplastic Agents, Hormonal; Antineoplastic Combined Chemotherapy P | 2006 |