Could hormone therapy replace chemo for young breast cancer patients?
NCT ID NCT07311122
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at 4,000 women aged 50 or younger with a common type of early breast cancer. Researchers want to see if hormone therapy plus ovarian function suppression works as well as chemotherapy for those with certain genetic test scores. The goal is to find out who can safely skip chemo and use hormone treatment instead.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 4,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This study included the patients aged ≤ 50 years with hormone receptor-positive, HER2-negative breast cancer and pathologic nodal stage pN0-1 and those with an Oncotype DX® Recurrence Score (RS) of 11-25 for pN0 and ≤25 for pN1.
- Ages
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20 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Histologically confirmed breast cancer. 2. Age ≤50 years at initial diagnosis. 3. Premenopausal at diagnosis, defined as any of the following: A. History of menstruation within 6 months prior to diagnosis. B. Serum FSH \< 30 mIU/mL. C. If criteria A or B are unavailable, women aged ≤50 years are considered premenopausal. 4. Underwent curative-intent breast cancer surgery between January 2012 and December 2021. 5. Pathologic tumor stage pT1-pT3 after surgery. 6. Pathologic nodal stage pN0-pN1 after surgery. 7. Hormone receptor-positive disease by immunohistochemistry (IHC): estrogen receptor (ER) and/or progesterone receptor (PR) positive (≥1% positive cells or Allred score ≥3). 8. HER2-negative disease per ASCO/CAP guidelines: IHC 0 or 1+; if IHC 2+, in situ hybridization (FISH or SISH) negative. 9. Oncotype DX® performed, meeting one of the following Recurrence Score (RS) ranges: A. pN0: RS 11-25. B. pN1: RS ≤25. Exclusion Criteria: 1. Evidence of distant (systemic) metastasis at diagnosis. 2. Postmenopausal status at diagnosis, defined as any of the following: A. Prior bilateral oophorectomy before the breast cancer diagnosis (considered postmenopausal). B. Prior unilateral oophorectomy alone is not considered postmenopausal (classified as premenopausal). C. Bilateral oophorectomy performed after breast cancer surgery for therapeutic purposes is not an exclusion; such patients will be categorized as having received ovarian function suppression (OFS). D. Serum FSH ≥ 30 mIU/mL. 3. Hormone receptor-negative or HER2-positive disease. 4. Insufficient or unclear data regarding the type of adjuvant therapy received. 5. History of another malignancy treated before the breast cancer diagnosis, except for thyroid cancer and non-melanoma skin cancer. 6. Bilateral breast cancer. 7. Receipt of neoadjuvant systemic therapy prior to surgery.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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