Trial Outcomes & Findings for Alternative Dosing of Exemestane Before Surgery in Treating Postmenopausal Patients With Stage 0-II Estrogen Positive Breast Cancer (NCT NCT02598557)

NCT ID: NCT02598557

Last Updated: 2023-08-22

Results Overview

LS means of percent change

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

180 participants

Primary outcome timeframe

baseline and 4-6 weeks

Results posted on

2023-08-22

Participant Flow

50 participants were not randomized (25 not eligible, 20 withdrew consent, 5 other reasons)

Participant milestones

Participant milestones
Measure
Exemestane 25 mg QD
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Overall Study
STARTED
59
58
63
Overall Study
COMPLETED
55
56
60
Overall Study
NOT COMPLETED
4
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Exemestane 25 mg QD
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Overall Study
Withdrawal by Subject
1
0
1
Overall Study
Participant did not start treatment
2
1
1
Overall Study
Unavailable specimen for endpoint evaluations
0
0
1
Overall Study
Adverse Event
1
1
0

Baseline Characteristics

The numbers are lower because there were no specimen available for analysis.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exemestane 25 mg QD
n=57 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=57 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=62 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Total
n=176 Participants
Total of all reporting groups
Circulating levels of leptin
35.1 ng/mL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
41.7 ng/mL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
38.5 ng/mL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
36.6 ng/mL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Tissue biopsy estrogen receptor level (centralized evaluation)
99 Percentage of positive tumor cells
n=52 Participants • The numbers are lower because there were no specimen available for analysis.
99 Percentage of positive tumor cells
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
99 Percentage of positive tumor cells
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
99 Percentage of positive tumor cells
n=160 Participants • The numbers are lower because there were no specimen available for analysis.
Age, Categorical
<=18 years
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=62 Participants
0 Participants
n=176 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=57 Participants
32 Participants
n=57 Participants
29 Participants
n=62 Participants
86 Participants
n=176 Participants
Age, Categorical
>=65 years
32 Participants
n=57 Participants
25 Participants
n=57 Participants
33 Participants
n=62 Participants
90 Participants
n=176 Participants
Age, Continuous
66 years
n=57 Participants
63 years
n=57 Participants
65 years
n=62 Participants
64 years
n=176 Participants
Sex: Female, Male
Female
57 Participants
n=57 Participants
57 Participants
n=57 Participants
62 Participants
n=62 Participants
176 Participants
n=176 Participants
Sex: Female, Male
Male
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=62 Participants
0 Participants
n=176 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=57 Participants
7 Participants
n=57 Participants
10 Participants
n=62 Participants
20 Participants
n=176 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
52 Participants
n=57 Participants
49 Participants
n=57 Participants
51 Participants
n=62 Participants
152 Participants
n=176 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=57 Participants
1 Participants
n=57 Participants
1 Participants
n=62 Participants
4 Participants
n=176 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=62 Participants
0 Participants
n=176 Participants
Race (NIH/OMB)
Asian
3 Participants
n=57 Participants
1 Participants
n=57 Participants
2 Participants
n=62 Participants
6 Participants
n=176 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=62 Participants
0 Participants
n=176 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=57 Participants
2 Participants
n=57 Participants
3 Participants
n=62 Participants
8 Participants
n=176 Participants
Race (NIH/OMB)
White
49 Participants
n=57 Participants
51 Participants
n=57 Participants
55 Participants
n=62 Participants
155 Participants
n=176 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=57 Participants
0 Participants
n=57 Participants
1 Participants
n=62 Participants
2 Participants
n=176 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=57 Participants
3 Participants
n=57 Participants
1 Participants
n=62 Participants
5 Participants
n=176 Participants
Region of Enrollment
United States
28 participants
n=57 Participants
31 participants
n=57 Participants
34 participants
n=62 Participants
93 participants
n=176 Participants
Region of Enrollment
Italy
29 participants
n=57 Participants
26 participants
n=57 Participants
28 participants
n=62 Participants
83 participants
n=176 Participants
Circulating levels of unconjugated estradiol SPE (Solid phase extraction)
21.6 pmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
22.4 pmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
20.6 pmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
21.3 pmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of unconjugated estradiol LLE (Liquid liquid extraction)
21.2 pmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
20.9 pmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
19.7 pmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
20.5 pmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of unconjugated estrone SPE(Solid phase extraction)
104.3 pmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
99.4 pmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
92.2 pmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
98.7 pmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of unconjugated estrone LLE (Liquid liquid extraction)
101.0 pmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
96.2 pmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
93.4 pmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
98.3 pmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of total estrone
294.7 pmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
302.2 pmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
246.1 pmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
279.9 pmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of estrone sulfate
581.9 pmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
625.8 pmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
452.3 pmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
560.4 pmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of androstenedione
1.5 nmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
1.7 nmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
1.4 nmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
1.5 nmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of testosterone
0.6 nmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
0.7 nmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
0.6 nmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
0.6 nmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of testosterone CLIA (Chemiluminescent immunoassay)
0.447 nmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
0.512 nmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
0.425 nmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
0.477 nmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of SHBG (Sex Hormone-Binding Globulin)
53.4 nmol/L
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
47.9 nmol/L
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
50.1 nmol/L
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
50.6 nmol/L
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of total cholesterol
205 mg/dL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
208 mg/dL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
220 mg/dL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
213 mg/dL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of High density lipoprotein (HDL) cholesterol
62 mg/dL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
59 mg/dL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
57 mg/dL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
59 mg/dL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of Low density lipoprotein (LDL) cholesterol
122.7 mg/dL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
120.4 mg/dL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
132.3 mg/dL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
123.6 mg/dL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of triglycerides
104 mg/dL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
92 mg/dL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
119 mg/dL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
108 mg/dL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of insulin
7.6 uU/mL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
8.1 uU/mL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
7.9 uU/mL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
8.0 uU/mL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Baseline levels of serum glucose
96 mg/dL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
98 mg/dL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
95 mg/dL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
97 mg/dL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
HOMA IR
1.76 HOMA IR Index
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
1.99 HOMA IR Index
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
1.96 HOMA IR Index
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
1.94 HOMA IR Index
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Circulating levels of adiponectin
10.99 µg/mL
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
8.82 µg/mL
n=56 Participants • The numbers are lower because there were no specimen available for analysis.
8.99 µg/mL
n=60 Participants • The numbers are lower because there were no specimen available for analysis.
9.5 µg/mL
n=171 Participants • The numbers are lower because there were no specimen available for analysis.
Tissue biopsy progesteron receptor level (centralized evaluation)
65 Percentage of positive tumor cells
n=52 Participants • The numbers are lower because there were no specimen available for analysis.
70 Percentage of positive tumor cells
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
70 Percentage of positive tumor cells
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
70 Percentage of positive tumor cells
n=160 Participants • The numbers are lower because there were no specimen available for analysis.
Tissue biopsy Ki-67 cancer tissue (centralized evaluation)
13 Percentage of positive tumor cells
n=52 Participants • The numbers are lower because there were no specimen available for analysis.
13 Percentage of positive tumor cells
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
12 Percentage of positive tumor cells
n=55 Participants • The numbers are lower because there were no specimen available for analysis.
12 Percentage of positive tumor cells
n=160 Participants • The numbers are lower because there were no specimen available for analysis.
Tissue biopsy Ki-67 adjacent non cancer tissue (centralized evaluation)
1 Percentage of positive tumor cells
n=28 Participants • The numbers are lower because there were no specimen available for analysis.
1 Percentage of positive tumor cells
n=22 Participants • The numbers are lower because there were no specimen available for analysis.
1 Percentage of positive tumor cells
n=27 Participants • The numbers are lower because there were no specimen available for analysis.
1 Percentage of positive tumor cells
n=77 Participants • The numbers are lower because there were no specimen available for analysis.
UGT2B17 Copy number variation distribution by arm
2
22 count
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
23 count
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
19 count
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
64 count
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
UGT2B17 Copy number variation distribution by arm
1
22 count
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
26 count
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
30 count
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
78 count
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
UGT2B17 Copy number variation distribution by arm
0
9 count
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
5 count
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
8 count
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
22 count
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP19A1 rs10046 distribution by arm
wt/wt
11 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
15 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
12 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
38 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP19A1 rs10046 distribution by arm
wt/v
31 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
31 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
33 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
95 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP19A1 rs10046 distribution by arm
v/v
11 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
8 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
12 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
31 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP19A1 rs4646 distribution by arm
wt/wt
29 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
25 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
35 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
89 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP19A1 rs4646 distribution by arm
wt/v
18 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
25 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
17 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
60 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP19A1 rs4646 distribution by arm
v/v
6 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
4 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
5 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
15 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP3A4*22 rs35599367 distribution by arm
wt/wt
49 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
51 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
56 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
156 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP3A4*22 rs35599367 distribution by arm
wt/v
4 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
3 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
1 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
8 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
CYP3A4*22 rs35599367 distribution by arm
v/v
0 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
0 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
0 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
0 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
SLCO1B1 rs4149056 distribution by arm
wt/wt
37 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
38 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
41 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
116 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
SLCO1B1 rs4149056 distribution by arm
wt/v
13 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
13 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
16 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
42 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
SLCO1B1 rs4149056 distribution by arm
v/v
3 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
3 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
0 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
6 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
SLCO1B1 rs10841753 distribution by arm
wt/wt
38 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
36 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
38 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
112 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
SLCO1B1 rs10841753 distribution by arm
wt/v
13 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
16 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
17 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
46 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
SLCO1B1 rs10841753 distribution by arm
v/v
2 Participants
n=53 Participants • The numbers are lower because there were no specimen available for analysis.
2 Participants
n=54 Participants • The numbers are lower because there were no specimen available for analysis.
2 Participants
n=57 Participants • The numbers are lower because there were no specimen available for analysis.
6 Participants
n=164 Participants • The numbers are lower because there were no specimen available for analysis.
Menopause specific quality of life questionnaire mean score
Vasomotor domain
2.2 score on a scale
STANDARD_DEVIATION 1.9 • n=48 Participants • The numbers are lower because there were no specimen available for analysis.
2.5 score on a scale
STANDARD_DEVIATION 1.9 • n=54 Participants • The numbers are lower because there were no specimen available for analysis.
2.6 score on a scale
STANDARD_DEVIATION 1.9 • n=57 Participants • The numbers are lower because there were no specimen available for analysis.
2.4 score on a scale
STANDARD_DEVIATION 1.8 • n=159 Participants • The numbers are lower because there were no specimen available for analysis.
Menopause specific quality of life questionnaire mean score
Psychosocial domain
2.5 score on a scale
STANDARD_DEVIATION 1.3 • n=48 Participants • The numbers are lower because there were no specimen available for analysis.
2.3 score on a scale
STANDARD_DEVIATION 1.2 • n=54 Participants • The numbers are lower because there were no specimen available for analysis.
2.6 score on a scale
STANDARD_DEVIATION 1.5 • n=57 Participants • The numbers are lower because there were no specimen available for analysis.
2.5 score on a scale
STANDARD_DEVIATION 1.4 • n=159 Participants • The numbers are lower because there were no specimen available for analysis.
Menopause specific quality of life questionnaire mean score
Physical domain
2.5 score on a scale
STANDARD_DEVIATION 1.1 • n=48 Participants • The numbers are lower because there were no specimen available for analysis.
2.3 score on a scale
STANDARD_DEVIATION 0.9 • n=54 Participants • The numbers are lower because there were no specimen available for analysis.
2.6 score on a scale
STANDARD_DEVIATION 1.4 • n=57 Participants • The numbers are lower because there were no specimen available for analysis.
2.5 score on a scale
STANDARD_DEVIATION 1.2 • n=159 Participants • The numbers are lower because there were no specimen available for analysis.
Menopause specific quality of life questionnaire mean score
Sexual domain
2.0 score on a scale
STANDARD_DEVIATION 1.4 • n=48 Participants • The numbers are lower because there were no specimen available for analysis.
1.9 score on a scale
STANDARD_DEVIATION 1.9 • n=54 Participants • The numbers are lower because there were no specimen available for analysis.
2.2 score on a scale
STANDARD_DEVIATION 1.8 • n=57 Participants • The numbers are lower because there were no specimen available for analysis.
2.1 score on a scale
STANDARD_DEVIATION 1.6 • n=159 Participants • The numbers are lower because there were no specimen available for analysis.
Menopause specific quality of life questionnaire mean score
Overall
2.3 score on a scale
STANDARD_DEVIATION 0.9 • n=48 Participants • The numbers are lower because there were no specimen available for analysis.
2.2 score on a scale
STANDARD_DEVIATION 1.0 • n=54 Participants • The numbers are lower because there were no specimen available for analysis.
2.5 score on a scale
STANDARD_DEVIATION 1.1 • n=57 Participants • The numbers are lower because there were no specimen available for analysis.
2.4 score on a scale
STANDARD_DEVIATION 1.0 • n=159 Participants • The numbers are lower because there were no specimen available for analysis.

PRIMARY outcome

Timeframe: baseline and 4-6 weeks

LS means of percent change

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change in Time of Circulating Estradiol SPE in Each Arm
-89 percent change
Interval -95.0 to -83.0
-85 percent change
Interval -98.0 to -73.0
-60 percent change
Interval -78.0 to -42.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

LS means of percent change

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change in Time of Circulating Estradiol LLE in Each Arm
-96 percent change
Interval -97.0 to -95.0
-91 percent change
Interval -95.0 to -88.0
-72 percent change
Interval -77.0 to -67.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=53 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=59 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Estrone SPE
-93 percent change
Interval -98.0 to -88.0
-89 percent change
Interval -96.0 to -83.0
-73 percent change
Interval -81.0 to -52.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Estrone LLE
-99 percent change
Interval -99.0 to -98.0
-96 percent change
Interval -97.0 to -93.0
-78 percent change
Interval -85.0 to -62.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Total Estrone
-95 percent change
Interval -97.0 to -91.0
-94 percent change
Interval -96.0 to -90.0
-76 percent change
Interval -85.0 to -63.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Estrone Sulfate
-96 percent change
Interval -98.0 to -94.0
-95 percent change
Interval -97.0 to -92.0
-75 percent change
Interval -83.0 to -64.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=59 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Androstenedione
0 percent change
Interval -18.0 to 18.0
11 percent change
Interval -20.0 to 30.0
11 percent change
Interval -14.0 to 43.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=59 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Testosterone
-19 percent change
Interval -33.0 to 0.0
0 percent change
Interval -25.0 to 0.0
0 percent change
Interval -20.0 to 18.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=53 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Testosterone CLIA
10 percent change
Interval -12.0 to 46.0
0 percent change
Interval -26.0 to 29.0
6 percent change
Interval -18.0 to 53.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating SHBG
-29 percent change
Interval -36.0 to -17.0
-15 percent change
Interval -23.0 to -7.0
-5.5 percent change
Interval -17.0 to 1.2

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=54 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=55 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=58 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Total Cholesterol
-4 percent change
Interval -17.0 to 4.0
-5 percent change
Interval -9.0 to 5.0
-1 percent change
Interval -9.0 to 6.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=54 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=58 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating HDL Cholesterol
-14 percent change
Interval -21.0 to -3.0
-3 percent change
Interval -13.0 to 4.0
-2 percent change
Interval -10.0 to 4.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=54 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=55 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=58 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating LDL Cholesterol
-1 percent change
Interval -18.0 to 13.0
0 percent change
Interval -13.0 to 10.0
0 percent change
Interval -13.0 to 9.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=54 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=55 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=58 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Triglycerides
-7 percent change
Interval -22.0 to 25.0
-1 percent change
Interval -19.0 to 17.0
5 percent change
Interval -17.0 to 23.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Insulin
3 percent change
Interval -15.0 to 46.0
9 percent change
Interval -19.0 to 47.0
4 percent change
Interval -22.0 to 33.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Serum Glucose
-1 percent change
Interval -7.0 to 9.0
1 percent change
Interval -9.0 to 9.0
-2 percent change
Interval -5.0 to 6.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

Insulin Resistance Index (HOMA-IR) measures insulin resistance, calculated by fasting insulin (mU/L) multiplied by fasting glucose (mmol/L), and divided by a constant (22.5). A higher score indicates higher insulin resistance.

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=59 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of HOMA IR
8 percent change
Interval -18.0 to 55.0
15 percent change
Interval -19.0 to 53.0
6 percent change
Interval -26.0 to 39.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Adiponectin
-12 percent change
Interval -19.0 to 4.0
-3 percent change
Interval -11.0 to 10.0
-1 percent change
Interval -9.0 to 6.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

\[(Final levels-baseline levels)/baseline levels\]\*100

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=55 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=56 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=60 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Percent Change of Circulating Leptin
-16 percent change
Interval -33.0 to -3.0
-5 percent change
Interval -22.0 to 8.0
-4 percent change
Interval -17.0 to 20.0

SECONDARY outcome

Timeframe: at surgery

Final drug concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=54 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=55 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=58 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Exemestane Blood Concentration at Surgery
3217 pmol/L
Interval 2320.0 to 4567.0
513 pmol/L
Interval 341.0 to 727.0
24 pmol/L
Interval 17.0 to 46.0

SECONDARY outcome

Timeframe: at surgery

Final drug concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=54 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=55 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=58 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
17-OH Exemestane Blood Concentration at Surgery
1069 pmol/L
Interval 644.0 to 1657.0
196 pmol/L
Interval 119.0 to 363.0
4 pmol/L
Interval 4.0 to 22.0

SECONDARY outcome

Timeframe: 4-6 weeks

Surgery level-biopsy level.

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=50 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=53 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=55 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Change of ER Expression (Cancer Tissue), Central Review
0 Abs change of % of positive tumor cells
Interval 0.0 to 0.0
0 Abs change of % of positive tumor cells
Interval -4.0 to 4.0
0 Abs change of % of positive tumor cells
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: 4-6 weeks

Surgery level-biopsy level.

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=52 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=53 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=55 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Change of PgR Expression (Cancer Tissue), Central Review
-17 Abs change of % of positive tumor cells
Interval -67.0 to -4.0
-9 Abs change of % of positive tumor cells
Interval -50.0 to 0.0
-7 Abs change of % of positive tumor cells
Interval -25.0 to 0.0

SECONDARY outcome

Timeframe: 4-6 weeks

Surgery level-biopsy level.

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=52 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=53 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=55 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Change of Ki67% Expression (Cancer Tissue), Central Review
-7.5 Abs change of % of positive tumor cells
Interval -11.0 to -3.0
-5 Abs change of % of positive tumor cells
Interval -10.0 to -1.0
-4 Abs change of % of positive tumor cells
Interval -8.0 to -1.0

SECONDARY outcome

Timeframe: 4-6 weeks

Surgery level-biopsy level.

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=28 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=22 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=27 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Change of Ki67% Expression (Adjacent Non Cancer Tissue), Central Review
0 Absolute change of % of positive cells
Interval 0.0 to 1.0
0 Absolute change of % of positive cells
Interval -0.5 to 0.5
0 Absolute change of % of positive cells
Interval -1.0 to 1.0

SECONDARY outcome

Timeframe: 4-6 weeks

Final biomarker concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=43 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=37 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=40 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Estradiol Tissue Concentration at Surgery
cancer tissue
15.5 fmol/g wet weight
Interval 15.5 to 52.2
17.1 fmol/g wet weight
Interval 15.5 to 125.3
128.8 fmol/g wet weight
Interval 15.5 to 224.8
Estradiol Tissue Concentration at Surgery
non cancer adjacent tissue
15.5 fmol/g wet weight
Interval 15.5 to 15.5
15.5 fmol/g wet weight
Interval 15.5 to 15.5
15.5 fmol/g wet weight
Interval 15.5 to 25.5

SECONDARY outcome

Timeframe: 4-6 weeks

Final biomarker concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=43 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=37 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=40 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Estrone Tissue Concentration at Surgery
cancer tissue
8.7 fmol/g wet weight
Interval 4.5 to 21.7
28.1 fmol/g wet weight
Interval 17.8 to 41.6
138.9 fmol/g wet weight
Interval 53.2 to 246.7
Estrone Tissue Concentration at Surgery
non cancer adjacent tissue
17.4 fmol/g wet weight
Interval 4.8 to 33.0
37.8 fmol/g wet weight
Interval 21.7 to 67.5
140.5 fmol/g wet weight
Interval 68.2 to 233.3

SECONDARY outcome

Timeframe: 4-6 weeks

Final biomarker concentration.

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=43 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=37 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=40 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Androstenedione Tissue Concentration at Surgery
cancer tissue
6864 fmol/g wet weight
Interval 3324.0 to 8890.0
5314 fmol/g wet weight
Interval 3692.0 to 6642.0
5564 fmol/g wet weight
Interval 3194.0 to 8116.0
Androstenedione Tissue Concentration at Surgery
non cancer adjacent tissue
10251 fmol/g wet weight
Interval 6541.0 to 16103.0
12366 fmol/g wet weight
Interval 8702.0 to 18654.0
10580 fmol/g wet weight
Interval 5403.0 to 15003.0

SECONDARY outcome

Timeframe: 4-6 weeks

Final biomarker concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=43 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=37 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=40 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Testosterone Tissue Concentration at Surgery
cancer tissue
395 fmol/g wet weight
Interval 273.0 to 567.0
396 fmol/g wet weight
Interval 346.0 to 790.0
453 fmol/g wet weight
Interval 314.0 to 700.0
Testosterone Tissue Concentration at Surgery
non cancer adjacent tissue
436 fmol/g wet weight
Interval 273.0 to 654.0
464 fmol/g wet weight
Interval 341.0 to 787.0
399 fmol/g wet weight
Interval 299.0 to 570.0

SECONDARY outcome

Timeframe: 4-6 weeks

Final drug concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=43 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=37 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=40 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Exemestane Tissue Concentration at Surgery
cancer tissue
3807 fmol/g wet weight
Interval 1663.0 to 7194.0
44 fmol/g wet weight
Interval 44.0 to 291.0
44 fmol/g wet weight
Interval 44.0 to 44.0
Exemestane Tissue Concentration at Surgery
non cancer adjacent tissue
17485 fmol/g wet weight
Interval 6791.0 to 31985.0
435 fmol/g wet weight
Interval 44.0 to 791.0
44 fmol/g wet weight
Interval 44.0 to 44.0

SECONDARY outcome

Timeframe: 4-6 weeks

Final drug concentration

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=43 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=37 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=40 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
17 OH Exemestane Tissue Concentration at Surgery
cancer tissue
338 fmol/g wet weight
Interval 64.0 to 1360.0
65 fmol/g wet weight
Interval 65.0 to 65.0
65 fmol/g wet weight
Interval 65.0 to 65.0
17 OH Exemestane Tissue Concentration at Surgery
non cancer adjacent tissue
1343 fmol/g wet weight
Interval 262.0 to 2758.0
65 fmol/g wet weight
Interval 65.0 to 65.0
65 fmol/g wet weight
Interval 65.0 to 65.0

SECONDARY outcome

Timeframe: baseline and 4-6 weeks

MenQOL questionnaire assessed how bothered participants were with 31 symptoms. It contains domains: vasomotor (items 1-3); psychosocial (items 4-10); physical (items 11-26); sexual (items 27-29); in addition to nausea and indigestion. 31 individual symptoms are rated on a scale of 0 (not at all bothered) to 6 (extremely bothered). Total possible score ranged from 0 to 186. MenQOL summary score was calculated as mean of four domain scores (Physical function, Psychosocial function, Sexual function and Vasomotor function) ranging from 1 to 8, with higher scores indicating worse quality of life. Final score-baseline score

Outcome measures

Outcome measures
Measure
Exemestane 25 mg QD
n=47 Participants
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=53 Participants
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=56 Participants
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Change in MenQoL Questionnaire Score
Vasomotor domain
0.41 score on a scale
Standard Deviation 1.2
0.28 score on a scale
Standard Deviation 1.4
0.51 score on a scale
Standard Deviation 1.5
Change in MenQoL Questionnaire Score
Psychosocial domain
-0.19 score on a scale
Standard Deviation 0.98
0.06 score on a scale
Standard Deviation 1.2
-0.06 score on a scale
Standard Deviation 1.1
Change in MenQoL Questionnaire Score
Physical domain
-0.37 score on a scale
Standard Deviation 0.77
0.07 score on a scale
Standard Deviation 0.86
-0.09 score on a scale
Standard Deviation 0.67
Change in MenQoL Questionnaire Score
Sexual domain
-0.45 score on a scale
Standard Deviation 1.0
-0.2 score on a scale
Standard Deviation 1.7
-0.52 score on a scale
Standard Deviation 1.7
Change in MenQoL Questionnaire Score
Overall
-0.15 score on a scale
Standard Deviation 0.58
0.05 score on a scale
Standard Deviation 0.79
-0.06 score on a scale
Standard Deviation 0.71

OTHER_PRE_SPECIFIED outcome

Timeframe: 4-6 weeks

The Proteomic Analysis was not performed.

Outcome measures

Outcome data not reported

Adverse Events

Exemestane 25 mg QD

Serious events: 1 serious events
Other events: 36 other events
Deaths: 0 deaths

Exemestane 25 mg TIW

Serious events: 0 serious events
Other events: 40 other events
Deaths: 0 deaths

Exemestane 25 mg QW

Serious events: 0 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Exemestane 25 mg QD
n=57 participants at risk
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=57 participants at risk
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=62 participants at risk
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Infections and infestations
Bone Infection
1.8%
1/57 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/57 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery

Other adverse events

Other adverse events
Measure
Exemestane 25 mg QD
n=57 participants at risk
1 tablet of exemestane 25 mg a day for up to 6 weeks
Exemestane 25 mg TIW
n=57 participants at risk
1 tablet of exemestane 25 mg a day (on days 1, 3, 5) and 1 tablet of placebo on days 2, 4, 6, 7 for up to 6 weeks
Exemestane 25 mg QW
n=62 participants at risk
1 tablet of exemestane 25 mg a day (on day 1) and 1 tablet of placebo on days 2 to 7 for up to 6 weeks
Gastrointestinal disorders
Dyspepsia
3.5%
2/57 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
5.3%
3/57 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
3.2%
2/62 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
Gastrointestinal disorders
Nausea
14.0%
8/57 • Number of events 8 • From the first dose of exemestane through 30 days after the surgery
19.3%
11/57 • Number of events 14 • From the first dose of exemestane through 30 days after the surgery
1.6%
1/62 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
General disorders
Fatigue
5.3%
3/57 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
12.3%
7/57 • Number of events 9 • From the first dose of exemestane through 30 days after the surgery
4.8%
3/62 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
General disorders
Irritability
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
8.8%
5/57 • Number of events 5 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery
Infections and infestations
Upper respiratory infection
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/57 • From the first dose of exemestane through 30 days after the surgery
1.6%
1/62 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
Infections and infestations
Urinary tract infection
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery
Investigations
Alanine aminotransferase increased
7.0%
4/57 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
3.2%
2/62 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
Investigations
Aspartate aminotransferase increased
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
3.2%
2/62 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
Investigations
GGT increased
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
3.5%
2/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery
Musculoskeletal and connective tissue disorders
Arthralgia
12.3%
7/57 • Number of events 7 • From the first dose of exemestane through 30 days after the surgery
12.3%
7/57 • Number of events 7 • From the first dose of exemestane through 30 days after the surgery
11.3%
7/62 • Number of events 8 • From the first dose of exemestane through 30 days after the surgery
Gastrointestinal disorders
Diarrhea
8.8%
5/57 • Number of events 6 • From the first dose of exemestane through 30 days after the surgery
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
3.2%
2/62 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
Gastrointestinal disorders
Dry mouth
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery
Musculoskeletal and connective tissue disorders
Pain in extremity
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
3.5%
2/57 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
6.5%
4/62 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
Nervous system disorders
Dizziness
3.5%
2/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
1.6%
1/62 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
Nervous system disorders
Headache
10.5%
6/57 • Number of events 8 • From the first dose of exemestane through 30 days after the surgery
14.0%
8/57 • Number of events 11 • From the first dose of exemestane through 30 days after the surgery
6.5%
4/62 • Number of events 6 • From the first dose of exemestane through 30 days after the surgery
Psychiatric disorders
Anxiety
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/57 • From the first dose of exemestane through 30 days after the surgery
4.8%
3/62 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
Psychiatric disorders
Insomnia
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
10.5%
6/57 • Number of events 6 • From the first dose of exemestane through 30 days after the surgery
11.3%
7/62 • Number of events 7 • From the first dose of exemestane through 30 days after the surgery
Reproductive system and breast disorders
Breast pain
3.5%
2/57 • Number of events 2 • From the first dose of exemestane through 30 days after the surgery
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
6.5%
4/62 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
Respiratory, thoracic and mediastinal disorders
Cough
7.0%
4/57 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/57 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/57 • From the first dose of exemestane through 30 days after the surgery
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
6.5%
4/62 • Number of events 4 • From the first dose of exemestane through 30 days after the surgery
Skin and subcutaneous tissue disorders
Pruritus
1.8%
1/57 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
8.8%
5/57 • Number of events 5 • From the first dose of exemestane through 30 days after the surgery
1.6%
1/62 • Number of events 1 • From the first dose of exemestane through 30 days after the surgery
Vascular disorders
Hot Flashes
21.1%
12/57 • Number of events 12 • From the first dose of exemestane through 30 days after the surgery
19.3%
11/57 • Number of events 12 • From the first dose of exemestane through 30 days after the surgery
25.8%
16/62 • Number of events 16 • From the first dose of exemestane through 30 days after the surgery
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/57 • From the first dose of exemestane through 30 days after the surgery
5.3%
3/57 • Number of events 3 • From the first dose of exemestane through 30 days after the surgery
0.00%
0/62 • From the first dose of exemestane through 30 days after the surgery

Additional Information

Parijatham S. Thomas, MD., Associate Professor, Clinical Cancer Prevention

UT MD Anderson Cancer Center

Phone: (713) 745-1075

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60