Status:

COMPLETED

A Pilot Study of Varying Doses of Tamoxifen in the Setting of Genetic Polymorphisms of CYP2D6

Lead Sponsor:

Icahn School of Medicine at Mount Sinai

Conditions:

Breast Cancer

Eligibility:

All Genders

18+ years

Brief Summary

The investigators plan to examine endoxifen and 4-OH-Tam as a function of the tamoxifen dose in patients with a genetic CYP2D6 polymorphism. The investigators also plan to investigate other genetic va...

Detailed Description

Endocrine therapy has proven to be an extremely effective therapy in breast cancer. For women with hormone-receptor-positive tumors, tamoxifen given for as little as two years results in a statistical...

Eligibility Criteria

Inclusion

  • Women taking tamoxifen 20mg a day
  • Tamoxifen use for \> 90 days.
  • Use an accepted barrier form of contraception.

Exclusion

  • Patients are excluded if they are pregnant or lactating; if pre- menopausal, the patient will have a documented negative pregnancy test and use an accepted barrier form of contraception.
  • Patients are excluded if they have a medical history of Hepatitis B. Hepatitis C or HIV
  • Patients are excluded if they use Tobacco
  • Patients are excluded if they have a medical history of hereditary hemochromatosis
  • Patients are excluded if they have elevated AST (SGOT), ALT (SGPT), Bilirubin or Alkaline Phosphate
  • o Defined as greater than 2 1/2 times the upper limit of normal
  • Patients are excluded if they are being treated with chemotherapy
  • Patients are excluded if they are taking any of the following oral medications, as they are potent CYP2D6 inhibitors:
  • Fluoxetine (Prozac)
  • Miconazole (Monistat)
  • Paroxetine (Paxil)
  • Quinidine
  • Ritonavir (Norvir)
  • Atorvastatin (Lipitor)
  • Carvedilol (Coreg)
  • Clarithromycin (Biaxin)
  • Dipyridamole (Persantine)
  • Erythromycin
  • Grapefruit Juice
  • Itraconazole (Sporanox)
  • Ketoconazole
  • Mefloquine
  • Nelfinavir (Viracept)
  • Nicardipine (Cardene)
  • Nilotinib
  • Propranolol (Inderal)
  • Ranolazine (Ranexa)
  • Saquinavir ( Invirase)
  • Verapamil Covera-HS
  • Warfarin (Coumadin)
  • Chlorpromazine (Thorazine)
  • Cinacalcet (Sensipar)
  • Delavirdine (Rescriptor)

Key Trial Info

Start Date :

January 1 2009

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

January 1 2012

Estimated Enrollment :

121 Patients enrolled

Trial Details

Trial ID

NCT00900744

Start Date

January 1 2009

End Date

January 1 2012

Last Update

August 25 2017

Active Locations (1)

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Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029