Could thousands of women skip hormone therapy after breast cancer?
NCT ID NCT07661927
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This trial investigates whether women aged 60 and older with a very small, low-risk type of breast cancer can safely avoid hormone therapy after surgery. Participants will not receive standard drugs like tamoxifen or letrozole, and researchers will track cancer recurrence for up to five years. The goal is to see if skipping treatment maintains a low relapse rate while improving quality of life and reducing side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- no endocrine therapy (omission of tamoxifen, letrozole, anastrozole, or exemestane)
- What this could lead to
- If successful, this could spare many older women the side effects of hormone therapy while maintaining a low risk of cancer returning.
- What could go wrong
- This is a single-arm Phase 2 trial, so results are compared to historical data. It may show that skipping therapy increases relapse risk or that the selected population is not as low-risk as assumed.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 700 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Jul 2033
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.
- Ages
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60 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: * Postmenopausal (underwent bilateral oophorectomy or non-chemo induced amenorrhea for 12 or more months) female participant ≥60 years of age. * New diagnosis of invasive carcinoma of the breast (ductal, tubular or mucinous) with primary tumor ≤1 cm on microscopic exam with no evidence of nodal or distant metastatic disease. * Contralateral breast described as BI-RADS (Breast Imaging-Reporting And Data System) 1 or 2 in diagnostic imaging. * Negative axillary node involvement by sentinel node biopsy or axillary node dissection (pN0) or Clinically negative axillary node involvement (cN0) after mandatory ultrasound exploration without surgical exploration of the axilla if Breast Conservative Surgery (BCS) was performed. * Estrogen Receptor (ER) positive (≥ 50%) and Progesterone Receptor(PR) positive (\> 20%), Ki67 low (≤15%) and HER2 negative (IHC or In Situ Hybridization approach) according to ASCO (American Society of Clinical Oncology) criteria. * Histological grade scored on the invasive component, 1 or 2 if pT1a or grade 1 if pT1b. * Treated by mastectomy or BCS with microscopically clear resection margins defined as "no-ink on tumor" or ≥1 mm for invasive and non-invasive disease or no residual disease on re-excision. * If BCS was performed, participants must have received or have scheduled adjuvant local radiotherapy (RT) within 3 months after surgery * No indication of adjuvant chemotherapy. * The participant is willing and able to comply with the protocol for the duration of the study, including scheduled visits, treatment strategy, laboratory tests and other study procedures. * Participants must be affiliated with a Social Security System (or equivalent). * The participant must have signed a written informed consent form before any trial-specific procedures. When the participant is physically unable to give written consent, an impartial witness of her choice, independent from the investigator or the sponsor, can confirm the participant's consent in writing. Exclusion Criteria: * Have received any neo-adjuvant treatment, including hormone therapy and chemotherapy. * Have received or are eligible for adjuvant chemotherapy. * Absolute contraindication for RT in case of BCS or patients who were treated with partial breast irradiation. * Have been treated with mastectomy and with adjuvant radiotherapy received or scheduled. * Invasive lobular breast cancer. * Bilateral breast cancer or history of other invasive ipsi- or contralateral breast cancer. * Multifocal or multicentric disease. * Disease limited to microinvasion only (\< 1 mm). * Evidence of lymphovascular invasion. * History of non-breast cancer malignancies if not disease-free for \> 5 years and considered low risk of recurrence except for treated carcinoma in situ of the cervix, endometrium or colon, melanoma in situ and basal or squamous cell carcinoma of the skin. * Non-malignant severe disease associated with a life expectancy \< 10 years. * Women with BRCA1, BRCA2 or other high-risk breast cancer predisposing deleterious germline mutations. * Enrolled in another therapeutic study within 30 days prior to inclusion. * Unwilling or unable to comply with the medical follow-up required by the trial because of geographic, familial, social, or psychological reasons. * Persons deprived of their liberty or under protective custody or guardianship.
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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 places running it
35 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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CH Annecy Genevois
ACTIVE_NOT_RECRUITINGÉpagny, France
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CH Aunay-Bayeux
NOT_YET_RECRUITINGBayeux, France
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CH Boulogne sur mer
NOT_YET_RECRUITINGBoulogne-sur-Mer, France
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CH de Bligny
NOT_YET_RECRUITINGBriis-sous-Forges, France
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CHCB
NOT_YET_RECRUITINGBayonne, France
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CHD Vendée
NOT_YET_RECRUITINGLa Roche-sur-Yon, France
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CHI de Mont-de-Marsan
ACTIVE_NOT_RECRUITINGMont-de-Marsan, France
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CHP Sainte Marie
NOT_YET_RECRUITINGOsny, France
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CHU Orleans
NOT_YET_RECRUITINGOrléans, France
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CHU Tours
NOT_YET_RECRUITINGTours, France
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CHU de Limoges
NOT_YET_RECRUITINGLimoges, France
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CHU de Saint Etienne
NOT_YET_RECRUITINGSaint-Priest-en-Jarez, France
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Centre Antoine Lacassagne
NOT_YET_RECRUITINGNice, France
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Centre Eugène Marquis
NOT_YET_RECRUITINGRennes, France
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Centre Francois Baclesse
NOT_YET_RECRUITINGCaen, France
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Centre Georges François Leclerc
NOT_YET_RECRUITINGDijon, France
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Centre Guillaume le Conquérant
ACTIVE_NOT_RECRUITINGLe Havre, France
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Centre Henri Becquerel
NOT_YET_RECRUITINGRouen, France
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Centre Jean Perrin
NOT_YET_RECRUITINGClermont-Ferrand, France
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Centre Leonard de Vinci
NOT_YET_RECRUITINGDechy, France
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Centre Léon Bérard
ACTIVE_NOT_RECRUITINGLyon, France
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Centre Oscar Lambret
ACTIVE_NOT_RECRUITINGLille, France
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Centre de lutte contre le cancer - Paul Strauss
NOT_YET_RECRUITINGStrasbourg, France
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Clinique Pasteur Lanroze
NOT_YET_RECRUITINGBrest, France
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Clinique Tivoli
NOT_YET_RECRUITINGBordeaux, France
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Groupe Hospitalier Bretagne Sud
RECRUITINGLorient, France
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Groupe Hospitalier Paris Saint Joseph
NOT_YET_RECRUITINGParis, France
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Groupe UNEOS-Hôpital Robert Schuman
NOT_YET_RECRUITINGVantoux, France
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Hôpital Privé Clairval
NOT_YET_RECRUITINGMarseille, France
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Hôpital privé Jean Mermoz
NOT_YET_RECRUITINGLyon, France
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Hôpitaux du Léman
NOT_YET_RECRUITINGThonon-les-Bains, France
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IUCT-Oncopole
NOT_YET_RECRUITINGToulouse, France
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Ico Angers
NOT_YET_RECRUITINGAngers, France
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Ico Saint Herblain
NOT_YET_RECRUITINGSaint-Herblain, France
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Institut Bergonié
NOT_YET_RECRUITINGBordeaux, France
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Institut Curie
ACTIVE_NOT_RECRUITINGParis, France
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Institut Curie
NOT_YET_RECRUITINGSaint-Cloud, France
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Institut Paoli-Calmettes
NOT_YET_RECRUITINGMarseille, France
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Institut de Cancérologie de Lorraine
NOT_YET_RECRUITINGVandœuvre-lès-Nancy, France
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Pole Sante Leonard de Vinci- Roc37
NOT_YET_RECRUITINGChambray-lès-Tours, France
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Sainte Catherine, Institut du Cancer Avignon-Provence
NOT_YET_RECRUITINGAvignon, France
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