Investigating the effect of adding ovarian function suppression to tamoxifen in premenopausal women with breast cancer

Density Lowering Effect of Ovarian Function Suppression in Premenopausal Breast Cancer Patients Who Had no Density Change With One Year of Tamoxifen Treatment

Phase 3 Interventional Seoul National University Hospital · NCT03664895

This study is testing if adding ovarian function suppression to tamoxifen can help premenopausal women with breast cancer see better results in their treatment.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment224 (estimated)
Ages20 Years to 45 Years
SexFemale
SponsorSeoul National University Hospital Academic / other
Locations1 site (Seoul)
Trial IDNCT03664895 on ClinicalTrials.gov

What this trial studies

The DELFINO trial aims to evaluate the impact of adding ovarian function suppression (OFS) to tamoxifen (TMX) treatment in premenopausal women with invasive breast cancer. This phase III, randomized controlled trial will enroll 224 participants and assess mammography (MMG) density as a surrogate marker for hormone therapy effectiveness. Patients will be monitored for changes in MMG density after one year of TMX treatment, with those showing insufficient density reduction randomized to receive either TMX alone or TMX with OFS. The primary endpoint is the mammography density reduction after five years, alongside secondary endpoints of disease-free survival and overall survival.

Who should consider this trial

Good fit: Ideal candidates for this study are premenopausal women diagnosed with estrogen receptor-positive breast cancer who are planning to undergo tamoxifen treatment.

Not a fit: Patients who have undergone prior endocrine therapy or those who are postmenopausal will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could enhance treatment outcomes for premenopausal women with breast cancer by improving the effectiveness of hormone therapy.

How similar studies have performed: Previous studies have indicated that mammography density reduction is achievable with endocrine therapy, suggesting that this approach may yield positive results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Premenopausal women, ER+ breast cancer, stage I\~III, underwent standard treatment including surgery, Planned TMX
* available MMG density check via Volpara

Exclusion Criteria:

* Bilateral breast cancer
* Prior endocrine therapy
* Postmenopausal status
* unavailable MMG density check via volpara before and after TMX

Where this trial is running

Seoul

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Breast Cancer Invasivepremenopausal women, MMG density, Ovary function suppression
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.