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Breast CancerOpen to EnrollmentPhase 3

BREAST: ADJUVANT: ER+:HER2-:PREMENOPAUSAL: ONCOTYPE <25: OFSET

A Phase III Adjuvant Trial Evaluating the Addition of Adjuvant Chemotherapy to Ovarian Function Suppression Plus Endocrine Therapy in Premenopausal Patients With pN0-1, ER-Positive/HER2-Negative Breast Cancer and an Oncotype Recurrence Score Less Than or Equal to 25 (OFSET)

Study snapshot

Title
NRG Breast adjuvant ER+ low oncotype
Malignancy
Breast cancer, ER positive breast cancer
Stage
Stage 2
Disease setting
Adjuvant/Post-surgical
Line of therapy
Adjuvant
Investigational agent
chemotherapy, ovarian suppression, and endocrine therapy
Drug class
chemotherapy, ovarian suppression, and endocrine therapy
Principal investigator
Greg Vidal, MD, PhD
Sponsor
NRG Oncology
Path
adenocarcinoma
Randomized
Yes
ClinicalTrials.gov ID
NCT05879926

Eligibility and objectives

Key eligibility criteria details

  • Premenopausal
    • Age 40 years or under with spontaneous menses within 12 months
    • Age 50-60 years with spontaneous menses within 12 months plus FSH and estrodiol measurements within premenopausal range
    • Amenorrhea due to IUD or uterine ablation or hysterectomy must have FSH and estrodiol ranges in premenopausal range
  • ECOG PS 0-2
  • Multicentric or multifocal breast cancer is allowed
  • Must have had definitive breast surgery (+radiation if indicated)
  • Primary tumor must be T1-3
  • Nodes must be N0 or N1
  • Oncotype score must be,
    • if node negative: 21-25 or high clinical risk (with oncotype 16-20)
    • If 1-3 nodes, must be <26
  • Must be ER/PR positive
  • Must be HER2 negative
  • No metastatic disease

Objective

  • Primary
    • Invasive breast cancer free survival
  • Secondary
    • IDFS
    • OS
    • Distant recurrence free survival
    • breast cancer-free interval
    • QOL
    • Pain

Treatment details