Leuprolide versus goserelin to stop ovarian estrogen production in pre- or peri-menopausal women with breast cancer
Official title: Phase 2 Interventional Trial of Ovarian Function Suppression for Breast Cancer (OFS)
Run by University of Michigan Rogel Cancer Center · NCT07158021 · Data updated 2026-11-12
This study tests whether two doses of leuprolide or goserelin better stops the ovaries from making estrogen in pre- or peri-menopausal women with breast cancer.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 75 (estimated) |
| Sponsor | University of Michigan Rogel Cancer Center Academic / other |
| Drugs / interventions | trastuzumab, pertuzumab, chemotherapy |
| Locations | 1 site (Ann Arbor, Michigan) |
| Status | Recruiting |
| Started | January 22, 2026 |
| Main results expected | January 1, 2028 |
| Study ends | January 1, 2028 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT07158021 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women aged 18 or older who are pre- or peri-menopausal with stage I–III adjuvant or metastatic breast cancer planning to receive GnRHa therapy plus oral endocrine therapy and who are not having bilateral salpingo-oophorectomy during the six-month study period are appropriate candidates.
✕Probably not a fit
Postmenopausal women, patients not planning GnRHa plus oral endocrine therapy, or those planning bilateral oophorectomy during the study period are unlikely to receive benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase II clinical comparison of two doses of leuprolide versus standard-dose goserelin for ovarian function suppression in pre- or peri-menopausal women with breast cancer. Participants receive one of the leuprolide doses or goserelin alongside oral endocrine therapy and are followed for six months. The study measures estrogen suppression using blood tests, collects biospecimens, reviews electronic health records, and uses questionnaires to track tolerability and safety. The goal is to determine whether lower or higher dose leuprolide provides comparable ovarian suppression and side-effect profile to goserelin.
Why it matters
Potential benefit: If successful, the study could identify an effective ovarian suppression option with similar safety that might allow use of a lower leuprolide dose to reduce side effects or cost.
How similar studies have gone: GnRHa agents such as goserelin and leuprolide are well established to suppress ovarian function, but direct dose-comparison trials of leuprolide versus goserelin are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female subject aged ≥ 18 years * Pre- or peri-menopausal patient, who had (1) menses either within the 12 months prior to or since breast cancer diagnosis or (2) estradiol concentration above the postmenopausal range per institutional laboratory guidance either within the 12 months prior to or since breast cancer diagnosis. * Planning to take GnRHa therapy in combination with oral endocrine therapy (tamoxifen, anastrozole, exemestane, or letrozole) for adjuvant treatment of stage 1-3 breast cancer or for treatment of metastatic breast cancer. Prior treatment with GnRHa therapy for treatment of non-oncologic conditions or during chemotherapy is permitted. * Not planning bilateral salpingo-oophorectomy during the 6-month study duration * Completion of chemotherapy, if given. Concurrent use of trastuzumab, pertuzumab, bisphosphonate therapy, poly adenosine diphosphate-ribose polymerase (PARP) inhibitor therapy, cyclin D kinase 4/6 (CDK4/6) inhibitor, and/or phosphoinositide 3-kinase (PI3K) inhibitor therapy is permitted * Able to provide informed consent and willing to sign an approved consent form that conforms to federal and institutional guidelines Exclusion Criteria: * Prior bilateral salpingo-oophorectomy * Known to be pregnant or breastfeeding (negative pregnancy test will be confirmed prior to study treatment initiation) * Concomitant use of systemic or transdermal estrogen products * Known allergy or hypersensitivity to goserelin or leuprolide, or any of the excipients in the medications * Unable to take oral medications * Any medical condition that would interfere with the absorption of endocrine therapy. Prior gastric bypass is permitted * Patients with a prior or concurrent malignancy whose natural history or treatment, in the opinion of the treating investigator, has the potential to interfere with the safety or efficacy assessment of the investigational regimen
Where it's running
-
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, United States Recruiting
Study contacts
- Principal investigator: Norah L Henry — University of Michigan Rogel Cancer Center
- Study coordinator: Cancer AnswerLine
- Email: CancerAnswerLine@med.umich.edu
- Phone: 1-800-865-1125
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.