Isoflavones in Treating Women Who Have Breast Cancer and Are Planning to Undergo Mastectomy or Lumpectomy

NCT ID: NCT00036686

Last Updated: 2012-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-12-31

Study Completion Date

2003-03-31

Brief Summary

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RATIONALE: Eating a diet rich in soy foods may slow the progression of some types of cancer. Isoflavones are compounds found in soy food that may slow the growth of breast cancer cells and prevent further development of breast cancer.

PURPOSE: Randomized pilot trial to study the effectiveness of isoflavones in preventing further development of breast cancer in women who are planning to undergo mastectomy or lumpectomy.

Detailed Description

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OBJECTIVES:

* Determine the effect of soy protein isolate (isoflavones) on modulation of intermediate endpoint biomarkers (such as cell proliferation, apoptosis, and steroid hormones) in women planning to undergo mastectomy or lumpectomy for breast cancer.
* Determine the effect of soy protein isolate on serum isoflavone levels in these patients.
* Correlate changes in serum isoflavones with changes in cell proliferation, apoptosis, and hormonal levels in patients treated with this therapy.
* Correlate the changes in cell proliferation and apoptosis with hormonal markers in patients treated with this therapy.

OUTLINE: This is a randomized, placebo-controlled, double-blind study. Patients are stratified according to the phase of the menstrual cycle at time of biopsy and time of surgery (follicular phase \[i.e., during first 7 days of menstrual cycle\] vs luteal phase \[i.e., after day 7 of the menstrual cycle\]). Patients are randomized to one of two treatment arms.

* Arm I: Patients receive oral soy protein isolate twice daily and oral multivitamins once daily.
* Arm II:Patients receive oral placebo twice daily and oral multivitamins once daily.

In both arms, treatment continues for 2-4 weeks depending on time from study entry to planned surgical procedure.

PROJECTED ACCRUAL: A total of 106 patients (53 per treatment arm) will be accrued for this study within 18 months.

Conditions

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Breast Cancer

Keywords

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stage I breast cancer stage II breast cancer stage IIIA breast cancer stage IIIB breast cancer stage IIIC breast cancer recurrent breast cancer stage IV breast cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

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Soy protein isolate

Administration Prior to Mastectomy or Lumpectomy.

Patients receive oral soy protein isolate twice daily and oral multivitamins once daily.

Treatment continues for 2-4 weeks depending on time from study entry to planned surgical procedure.

Group Type EXPERIMENTAL

Soy protein isolate

Intervention Type DIETARY_SUPPLEMENT

Arm I: Patients receive oral soy protein isolate twice daily and oral multivitamins once daily.

Placebo

Administration Prior to Mastectomy or Lumpectomy.

Patients receive oral placebo twice daily and oral multivitamins once daily.

Treatment continues for 2-4 weeks depending on time from study entry to planned surgical procedure.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Arm II: Patients receive oral placebo twice daily and oral multivitamins once daily.

Interventions

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Soy protein isolate

Arm I: Patients receive oral soy protein isolate twice daily and oral multivitamins once daily.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Arm II: Patients receive oral placebo twice daily and oral multivitamins once daily.

Intervention Type OTHER

Other Intervention Names

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isoflavones

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Undergoing breast biopsy for any stage breast cancer

* No excisional biopsy
* At least one core biopsy block must contain carcinoma
* Definitive surgery (mastectomy or lumpectomy) planned for 2-4 weeks after registration to this study
* Hormone receptor status:

* Not specified

PATIENT CHARACTERISTICS:

Age:

* 18 and over

Sex:

* Female

Menopausal status:

* Premenopausal

Performance status:

* Not specified

Life expectancy:

* Not specified

Hematopoietic:

* Not specified

Hepatic:

* No known prior hepatic disease

Renal:

* No known prior renal disease

Other:

* Not pregnant or nursing
* Fertile patients must use effective non-hormonal contraception
* No other prior malignancy except nonmelanoma skin cancer
* No known prior thyroid disease
* No adherence to vegan diet or other special dietary requirements that would preclude study participation
* No allergy to study agent
* No obesity (body mass index greater than 32)

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* Not specified

Chemotherapy:

* Not specified

Endocrine therapy:

* No concurrent birth control pills or other hormonal therapy
* No concurrent thyroid hormone replacement medications

Radiotherapy:

* Not specified

Surgery:

* See Disease Characteristics

Other:

* More than 30 days since prior antibiotics
* More than 4 weeks since prior soy products
* No routine consumption of greater than 40 mg of soy/day
* No other concurrent nutritional supplements, including modular supplements of other isoflavones
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

H. Lee Moffitt Cancer Center and Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nagi B. Kumar, PhD, RD, FADA

Role: STUDY_CHAIR

H. Lee Moffitt Cancer Center and Research Institute

Locations

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CCOP - Western Regional, Arizona

Phoenix, Arizona, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Coastal Hematology and Oncology, P.C. - Savannah

Savannah, Georgia, United States

Site Status

St. John's Regional Health Center

Springfield, Missouri, United States

Site Status

Hulston Cancer Center at Cox Medical Center South

Springfield, Missouri, United States

Site Status

Comprehensive Cancer Center at Our Lady of Mercy Medical Center

The Bronx, New York, United States

Site Status

CCOP - Merit Care Hospital

Fargo, North Dakota, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-5348

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-P02-0214

Identifier Type: OTHER

Identifier Source: secondary_id

0104

Identifier Type: OTHER

Identifier Source: secondary_id

MCC-13021

Identifier Type: -

Identifier Source: org_study_id