Study of Blood Markers to Understand How Treatment Affects Ovarian Health in Premenopausal Women With Early Breast Cancer or BRCA Mutations
Led by Memorial Sloan Kettering Cancer Center · Updated on 2025-10-14
609
Participants Needed
8
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying how BRCA gene mutations affect the ovaries in premenopausal women, especially those with early-stage breast cancer or at high genetic risk. The study aims to understand how these mutations may influence fertility and the timing of early menopause by measuring hormone levels and collecting health information over time.
Participants will have blood samples taken to measure hormones such as anti-Mullerian hormone AMH, estradiol, and follicle stimulating hormone FSH before, during, and after cancer treatment or observation. They will also complete questionnaires about their menstrual cycles, reproductive health, and sexual function. Follow-ups include monthly menstrual calendars and annual questionnaires for up to three years.
During the study, women will attend multiple visits for blood draws and to provide health information. Researchers will monitor changes in hormone levels and menstrual patterns to assess ovarian reserve and reproductive health. The main outcome is to track changes in AMH levels from the start to one year after chemotherapy or hormonal therapy. Safety and health status will be observed throughout, with total participation lasting up to two years or more depending on follow-up.
CONDITIONS
Brief Title
Serum Biomarkers to Characterize the Effects of Therapy on Ovarian Reserve in Premenopausal Women With Early-stage Breast Cancer or BRCA Mutations
Research Team
S
Shari Goldfarb, MD
M
Minna Lee, MD
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Known diagnosis of AJCC Stage 0-III breast cancer before planned chemotherapy or hormonal therapy, or known BRCA mutation
Regular menstrual cycles with no more than one irregular cycle in the past year or at least 10 spontaneous cycles
Chemotherapy regimen limited to CMF, anthracycline-containing, or taxane-containing; hormonal therapy limited to tamoxifen
No prior chemotherapy, hormonal therapy, or immunotherapy
No prior ovarian surgery or ovarian disease
No hormonal contraception within the prior 4 weeks
Mutation testing according to NCCN Guidelines for relevant genes
Non-smokers and BMI between 18.5 and 40
You will not qualify if you...
Prior cancer therapy such as chemotherapy, hormonal therapy, or immunotherapy
Ovarian resection, oophorectomy, hysterectomy, or pelvic radiation
Plans for risk-reducing bilateral oophorectomy within one year of chemotherapy completion
Known infertility defined as one year of inability to conceive or need for fertility treatments
Family history of first-degree relative with menopause before age 40
Current pregnancy
Smoking history defined as smoking 100 cigarettes lifetime and currently smoking
Age over 42 years for certain mutation carriers
Use of rare non-AC-based chemotherapy protocols
Presence of polycystic ovary syndrome (PCOS)
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Baseline Evaluation
Duration - 1 day
Participants undergo baseline blood draws and complete reproductive and sexual health questionnaires along with menstrual calendar tracking before starting planned therapy or observation.
1 baseline visit (in-person)
Follow-up During and After Therapy
Duration - Up to 1 year
Participants provide blood samples and complete monthly menstrual calendars and follow-up questionnaires at the completion of chemotherapy or one year into hormonal therapy if no chemotherapy was given.
Monthly menstrual calendar submissions and 1 visit at therapy completion or 1 year
Annual Follow-up
Duration - Up to 3 years
Participants continue annual blood draws and complete monthly menstrual calendars and questionnaires for up to 3 years post therapy or observation to monitor ovarian reserve and reproductive health.
Annual visits plus monthly menstrual calendar submissions
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Published Research Related To This Trial
Increased chemotherapy-induced ovarian reserve loss in women with germline BRCA mutations due to oocyte deoxyribonucleic acid double strand break repair deficiency.
Kutluk H Oktay, Giuliano Bedoschi, Shari B Goldfarb...