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Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal or resume menstruation after chemotherapy: the ASTRRA study Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

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Page 1: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal or resume menstruation after chemotherapy: the ASTRRA study

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 2: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Background

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 3: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Primary objective

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 4: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Inclusion and exclusion criteria

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 5: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Slide 5

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 6: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Sample size and statistics (Initial design)

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 7: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Trial progress

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 8: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Trial progress (protocol amendments)

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 9: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Trial progress

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 10: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Patient Characteristics I

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 11: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Patient Characteristics II

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 12: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Frequency and Pattern of OF recovery <br />:defined as FSH<30mIU/mL or menstruation history (N=1,369)

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 13: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Disease free survival (Primary Endpoint)

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 14: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Disease free survival (Primary Endpoint)

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 15: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Slide 15

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 16: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Overall Survival (Secondary Endpoint)

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 17: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Conclusion

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 18: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Supplementary Results

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 19: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Sites of distant metastasis

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 20: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Sites of other primary cancer

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 21: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Recurrence-free interval

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 22: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Breast cancer-free interval

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 23: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Disease free survival by randomized groups

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 24: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Discussion: SOFT vs. ASTRRA

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 25: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Acknowledgement

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 26: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Acknowledgement

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting

Page 27: Presented By Woo Chul Noh at 2018 ASCO Annual Meeting · Role of adding ovarian function suppression to tamoxifen in young women with hormone-sensitive breast cancer who remain premenopausal

Special Thanks to

Presented By Woo Chul Noh at 2018 ASCO Annual Meeting