Status:
COMPLETED
Arzoxifene or Tamoxifen in Preventing Breast Cancer in Premenopausal Women at High Risk for Breast Cancer
Lead Sponsor:
The Cleveland Clinic
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Breast Cancer
Hereditary Breast/Ovarian Cancer (brca1, brca2)
Eligibility:
FEMALE
18+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming, growing, or coming back. Estrogen can cause the growth of breast cancer cells. Hormone therapy using arzoxifene or t...
Detailed Description
OBJECTIVES: * Compare the effect of arzoxifene vs tamoxifen vs placebo on surrogate endpoints biomarkers, especially systemic insulin-like growth factor levels, in women at high risk for breast cance...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Estimated probability of carrying a BRCA1 or BRCA2 mutation ≥ 10% AND meets one of the following criteria:
- Participants must have first-degree relatives (FDRs)\* or second-degree relatives (SDRs)\* (with an intervening male relative) with breast or ovarian cancer who satisfy one of the following criteria:
- High-risk breast/ovarian cancer (non-Jewish families)
- One FDR ≤ 40 years old\*\* diagnosed with breast cancer
- At least two FDRs or SDRs diagnosed with breast cancer at ≤ 50 years old OR had bilateral breast cancer
- One FDR or one SDR diagnosed with breast cancer at ≤ 50 years old OR had bilateral breast cancer AND one FDR or SDR diagnosed with ovarian cancer
- Three FDRs and/or SDRs diagnosed with breast or ovarian cancer (at least one in case of ovarian cancer)
- Two FDRs and/or SDRs diagnosed with ovarian cancer
- One male FDR or SDR diagnosed with breast cancer and one FDR or SDR (male or female) diagnosed with breast or ovarian cancer
- Moderate-risk breast /ovarian cancer (non-Jewish families)
- Two FDRs diagnosed with breast cancer with one ≤ 50 years old and/or both \< 60 years old
- One FDR and one SDR (mother or sister and maternal aunt or maternal grandmother) diagnosed with breast cancer if the sum of their ages is ≥ 118 years
- One FDR and one SDR (mother or sister and paternal aunt or paternal grandmother) diagnosed with breast cancer if the sum of their ages is ≥ 78 years
- Two SDRs (both maternal or both paternal) diagnosed with breast cancer if the sum of their ages is ≤ 98 years
- One FDR with ovarian cancer
- High-risk breast/ovarian cancer (Jewish families )
- At least one FDR or SDR diagnosed with breast cancer at ≤ 50 years old
- At least one FDR or SDR diagnosed with ovarian cancer
- At least one FDR or SDR diagnosed with breast cancer at any age AND one FDR or SDR diagnosed with breast and/or ovarian cancer
- At least one male FDR or SDR diagnosed with breast cancer NOTE: \*FDRs are parents, siblings, and children of the participant; SDRs are aunts, uncles, grandparents, grandchildren, nieces, nephews, or half siblings of the participant
- NOTE: \*\*Age is approximated to the earliest age possible (e.g., a relative diagnosed in their 40's should be considered 40)
- Patterns of cancer cases must all be on the maternal or paternal side of the family
- Participants not meeting any of the above FDR or SDR criteria may provide medical documentation stating that they, a FDR, or a SDR carry BRCA1 or BRCA2 mutations
- Participants with a prior history of breast cancer are eligible provided they have a remaining breast that has not been irradiated, all therapy for breast cancer was completed more than 2 years ago, and they are premenopausal
- No ovarian cyst during screening
- No more than 12 months since prior Pap smear with normal cytological results OR human papilloma virus negative if atypical squamous cells of uncertain significance (ASCUS) present
- No higher degrees of atypia beyond ASCUS on Pap smear
- No known history of osteoporosis (bone mineral density \> 1.5 standard deviations below young adult norms)
- Hormone receptor status
- Not specified
- PATIENT CHARACTERISTICS:
- Menopausal status
- Premenopausal, as defined by 1 of the following:
- Last menstrual period \< 6 months ago
- Less than 45 years old AND underwent partial hysterectomy OR follicle-stimulating hormone within institutional pre-menopausal range within the past 3 months
- Sex
- Female
- Performance status
- ECOG 0-1
- Life expectancy
- More than 2 years
- Hematopoietic
- WBC ≥ 3,000/mm\^3
- Platelet count ≥ 125,000/mm\^3
- Hemoglobin ≥ 10 g/dL
- Hepatic
- Bilirubin ≤ 1.5 mg/dL
- AST \< 2 times upper limit of normal (ULN)
- Albumin ≥ 3.0 g/dL
- PT/PTT ≤ 1.25 times ULN
- Renal
- Creatinine ≤ 1.5 mg/dL OR
- Creatinine clearance ≥ 60 mL/min
- Cardiovascular
- No history of deep venous thrombosis
- Pulmonary
- No history of pulmonary embolism
- Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile participants must use effective barrier-method contraception during and for 3 months after completion of study treatment
- No other malignancy within the past 2 years except curatively treated basal cell or squamous cell skin cancer or cervical cancer ≤ stage I
- No known addiction
- Not undergoing treatment for an illicit drug addiction
- Willing and able to undergo required study procedures (e.g., research-related breast biopsies)
- PRIOR CONCURRENT THERAPY:
- Chemotherapy
- More than 2 years since prior chemotherapy
- Endocrine Therapy
- At least 3 months since prior oral contraceptives or intramuscular progestational agent
- At least 3 months since prior luteinizing-hormone releasing hormone (LHRH) agonists or antagonists if agent was administered daily or monthly
- At least 6 months since prior LHRH agonists or antagonists if agent was administered every 3 months
- At least 6 months since prior antiestrogens (e.g., tamoxifen, toremifene, and raloxifene)
- No concurrent progestational or contraceptive agents
- Radiotherapy
- See Disease Characteristics
- More than 2 years since prior radiotherapy
- Surgery
- No prior prophylactic bilateral mastectomy
- Other
- No concurrent cholestyramine
- No concurrent routine warfarin, bromocriptine, or phenobarbital
- No other concurrent investigational agents
Exclusion
Key Trial Info
Start Date :
January 1 2002
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
April 1 2005
Estimated Enrollment :
3 Patients enrolled
Trial Details
Trial ID
NCT00253539
Start Date
January 1 2002
End Date
April 1 2005
Last Update
April 13 2011
Active Locations (0)
Enter a location and click search to find clinical trials sorted by distance.
No Results Found
We couldn’t find results for the location/zipcode entered or within the selected range. Please check your input or adjust your search.