Could adding chemo help older breast cancer patients live longer? a major trial investigates.
NCT ID NCT01564056
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This phase 3 trial compares two treatment approaches for women aged 70 and older with estrogen-receptor-positive, HER2-negative breast cancer. Participants receive either hormone therapy alone for five years or chemotherapy followed by hormone therapy. The study aims to see if adding chemotherapy improves overall survival, especially in those with a high genomic grade indicating greater risk of relapse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- chemotherapy (docetaxel, cyclophosphamide, or doxorubicin) plus hormone therapy (tamoxifen or aromatase inhibitor)
- What this could lead to
- If successful, this could show that adding chemotherapy to hormone therapy helps older women with high-risk breast cancer live longer.
- What could go wrong
- This is a large trial, but the benefit of chemotherapy in older adults is uncertain and may come with significant side effects. The results may not apply to all older patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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1,989 people
The number who actually took part.
- Started
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Apr 2012
- Finished
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Apr 2026
- 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.
- Ages
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70 years and older
- Sex
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Female participants only
- 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: * Women aged ≥ 70 yo, * Histologically proven invasive breast cancer (regardless of the type), * Complete surgery performed before enrolment: radical modified mastectomy or breast conservative surgery, with either a sentinel lymph node procedure or axillary lymph node dissection, * Any N status (pN+ or pN0), * No clinically or radiologically detectable metastases (M0), * Oestrogen receptor (ER)-positive, as defined by a ≥ 10% tumor stained cells by immunohistochemistry (IHC), * HER2 negative status (i.e. IHC score 0 or 1+, or IHC score 2+ and FISH/SISH/CISH negative), * Normal haematological function: ANC ≥ 1,500/mm3; platelets count ≥ 100,000/mm3; haemoglobin \> 9 g/dl, * Normal hepatic function: total bilirubin ≤ 1.25 ULN; ASAT and ALAT ≤ 1.5 ULN; alkaline phosphatases ≤ 3 ULN, * Creatinine clearance (MDRD formula) ≥ 40 mL/min, * PS (ECOG) ≤ 2, * Patient able to comply with the protocol, * Patients must have signed a written informed consent form prior to any study specific procedures, including the agreement for the use of archived tumoral material for genomic screening and data collection, * Patients must be affiliated to a Social Health Insurance. Exclusion Criteria: * Any metastatic impairment, including homolateral sub-clavicular node involvement, regardless of its type, * Any tumor ≥ T4a (UICC1987) (cutaneous invasion, deep adherence, inflammatory breast cancer), * ER-negative breast cancer (i.e. \<10% tumor stained cells by IHC), * HER2 overexpression, defined as IHC score 3+ or score 2+ and FISH/SISH/CISH positive, * Any chemotherapy, hormonal therapy or radiotherapy for breast cancer before surgery, * PS (ECOG) ≥ 3, * Any specific contra-indication to the study drugs (including but not limited to hypersensitivity to the study drugs or their components), * Patient deprived of freedom or under tutelage, * Patient unable to comply with the required medical follow-up for geographic, social or psychological reasons.
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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.
Contacts and locations
Locations
-
CH Bretagne Atlantique
Vannes, 56017, France
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CH Jean Monnet
Épinal, France
-
CH Layné
Mont-de-Marsan, France
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CH d'Ardèche méridionale
Aubenas, France
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CH de Cholet
Cholet, France
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CH de Dax
Dax, France
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CH de Lagny sur Marne
Lagny-sur-Marne, France
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CH de Mâcon - Les Chanaux
Mâcon, France
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CH de Rodez
Rodez, France
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CH de Senlis
Senlis, France
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CH de la Région d'Annecy
Pringy, France
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CH du Mans
Le Mans, 72000, France
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CHC - Les Cliniques Saint-Joseph
Liège, Belgium
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CHD de Vendée
La Roche-sur-Yon, 85000, France
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CHI Poissy Saint Germain
Saint-Germain-en-Laye, France
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CHI de Créteil
Créteil, 94010, France
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CHI de Toulon - Hopital Sainte Musse
Toulon, France
-
CHP Saint Grégoire
Saint-Grégoire, France
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CHPLT Verviers
Verviers, Belgium
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CHR d'Orléans
Orléans, 45100, France
-
CHU Ambroise Paré
Mons, Belgium
-
CHU Mont-Godinne
Yvoir, Belgium
-
CHU de Brest
Brest, France
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CHU de Limoges
Limoges, 87042, France
-
CHU de Poitiers
Poitiers, 86021, France
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Centre Alexis Vautrin
Vandœuvre-lès-Nancy, France
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Centre Antoine Lacassagne
Nice, France
-
Centre Eugène Marquis
Rennes, France
-
Centre François Baclesse
Caen, France
-
Centre Georges-François Leclerc
Dijon, France
-
Centre Henri Becquerel
Rouen, France
-
Centre Hospitalier Alpes Léman
Contamine-sur-Arve, 74130, France
-
Centre Hospitalier Intercommunal de Meulan - Les Mureaux
Meulan-en-Yvelines, France
-
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69310, France
-
Centre Hospitalier René Dubos
Cergy-Pontoise, France
-
Centre Hospitalier de Bretagne Sud
Lorient, France
-
Centre Hospitalier de l'Ardenne
Libramont, Belgium
-
Centre Hôspitalier de Wallonie Picarde (CHWAPI)
Tournai, Belgium
-
Centre Jean Perrin
Clermont-Ferrand, 63011, France
-
Centre Léon Bérard
Lyon, France
-
Centre Oscar Lambret
Lille, France
-
Centre Paul Papin
Angers, France
-
Centre Paul Strauss
Strasbourg, France
-
Centre Saint Yves
Vannes, 56001, France
-
Centre Val d'Aurelle - Paul Lamarque
Montpellier, France
-
Centre d'oncologie et de radiothérapie du Parc
Dijon, France
-
Clinique Claude Bernard
Albi, France
-
Clinique Hartmann
Levallois-Perret, France
-
Clinique Mathilde
Rouen, France
-
Clinique Mutualiste de l'Estuaire
Saint-Nazaire, France
-
Clinique Pasteur
Toulouse, France
-
Clinique Saint Jean du Languedoc
Toulouse, France
-
Clinique Sainte Marguerite
Hyères, France
-
Clinique Victor Hugo
Le Mans, France
-
Clinique du Pont de Chaume
Montauban, 82017, France
-
Clinique du Sud Luxembourg
Arlon, Belgium
-
Clinique et Maternité Sainte-Elisabeth
Namur, Belgium
-
Cliniques Saint-Pierre Ottignies
Ottignies, Belgium
-
Cliniques universitaires Saint-Luc - UCL
Brussels, Belgium
-
Grand Hopital de Charleroi (GHdC)
Charleroi, Belgium
-
Groupe Hospitalier Paris St Joseph
Paris, 75014, France
-
Groupe Hospitalier des Diaconesses - Croix Saint Simon
Paris, France
-
Groupement Hospitalier Public du Sud de l'Oise - site de Creil
Creil, France
-
Hopitaux du Léman
Thonon-les-Bains, France
-
Hôpital Antoine Béclère
Clamart, France
-
Hôpital Avicenne
Bobigny, France
-
Hôpital Henri Mondor
Créteil, France
-
Hôpital INDC entité Jolimontoise
Haine-Saint-Paul, Belgium
-
Hôpitaux Universitaires de Strasbourg
Strasbourg, France
-
ICO -Centre René Gauducheau
Saint-Herblain, France
-
Institut Bergonié
Bordeaux, France
-
Institut Claudius Regaud
Toulouse, France
-
Institut Curie - Hôpital Claudius Regaud
Paris, France
-
Institut Curie - Hôpital René Huguenin
Saint-Cloud, France
-
Institut Gustave Roussy
Villejuif, France
-
Institut Jean Godinot
Reims, France
-
Institut Paoli-Calmettes
Marseille, France
-
Institut Sainte Catherine
Avignon, France
-
Institut de Cancérologie de la Loire
Saint-Priest-en-Jarez, France
-
Institut du Cancer Courlancy
Reims, France
-
Polyclinique Urbain V
Avignon, France
-
Polyclinique de Francheville
Périgueux, 24000, France
-
RISSA Sarcelles (GCS Recherche & Innovation Santé Sarcelles)
Sarcelles, France
-
Strasbourg Oncologie Libérale
Strasbourg, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Retrospective analysis of pyrotinib in the treatment of HER2-Positive advanced breast cancer previously treated with trastuzumab and pertuzumab
- Mind and body: does resilience leave a molecular mark in breast cancer?
- Which pain block works better for breast surgery?
- Can a Triple-Drug combo erase HER2-Positive breast tumors before surgery?
- Bacteria inside tumors may hold the key to breast cancer treatment
- Can a newer drug ease the bone pain of chemotherapy support?