Radiologic Evaluation and Breast Density (READ)

NCT ID: NCT00117663

Last Updated: 2024-04-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1704 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Study Completion Date

2007-11-30

Brief Summary

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The purpose of this study is to determine whether cessation of hormone replacement therapy for one or two months before a screening mammogram will improve its performance by decreasing breast density.

Detailed Description

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This randomized, controlled trial is designed to test whether short-term (1-2 months) HRT cessation will sufficiently lower breast density to decrease the proportion of women who receive a recommendation for additional evaluation following a screening mammogram, and to examine whether there is a trend by duration of cessation. The study is being conducted at Group Health Cooperative, a managed health care organization in western Washington State with an organized breast cancer screening program. We are recruiting 1,500 women and will randomize women to one of three HRT arms: 1) cessation two months before the screening mammogram; 2) cessation one month before; and 3) continued HRT use. We are using a computer-assisted method to measure mammographic breast density continuously. Mammography recall rates are being determined from an expert radiologist review of the mammograms, blinded to HRT status.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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No Hormone Suspension

No hormone suspension prior to screening mammogram

Group Type NO_INTERVENTION

No interventions assigned to this group

1 month hormone suspension

discontinuation of hormone therapy for 1 month prior to screening mammogram.

Group Type ACTIVE_COMPARATOR

temporary discontinuation of hormone therapy for 1 month

Intervention Type OTHER

temporary discontinuation of hormone replacement therapy for 1 month prior to screening mammogram.

2 month hormone suspension

discontinuation of hormone therapy for 2 months prior to screening mammogram.

Group Type ACTIVE_COMPARATOR

temporary discontinuation of hormone therapy for 2 months

Intervention Type OTHER

temporary discontinuation of hormone replacement therapy for 2 months prior to screening mammogram

Interventions

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temporary discontinuation of hormone therapy for 1 month

temporary discontinuation of hormone replacement therapy for 1 month prior to screening mammogram.

Intervention Type OTHER

temporary discontinuation of hormone therapy for 2 months

temporary discontinuation of hormone replacement therapy for 2 months prior to screening mammogram

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 1 or more prior screening mammograms at Group Health Cooperative within the past 2 years
* Currently taking HRT
* Taking HRT at prior screening mammogram
* Due for a screening mammogram

Exclusion Criteria

* BI-RADS breast density of 1 (entirely fat)
* Previous cardiovascular events (heart surgery, catheterization, stent bypass, angioplasty, stroke, DVT)
* Previous breast cancer
* History of breast implants
* Breast reduction since last mammogram
* Mastectomy
* History of using Tamoxifen or Raloxifene
* Declined contact or use of data for research
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Kaiser Permanente

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Diana SM Buist, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Kaiser Permanente

Locations

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Group Health Research Institute

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Lowry SJ, Aiello Bowles EJ, Anderson ML, Buist DS. Predictors of breast density change after hormone therapy cessation: results from a randomized trial. Cancer Epidemiol Biomarkers Prev. 2011 Oct;20(10):2309-12. doi: 10.1158/1055-9965.EPI-11-0629. Epub 2011 Aug 3.

Reference Type DERIVED
PMID: 21813728 (View on PubMed)

Newton KM, Anderson ML, Reed SD, Bowles EJ, Buist DS. Factors associated with non-compliance with hormone therapy cessation before screening mammography. Climacteric. 2011 Apr;14(2):268-74. doi: 10.3109/13697137.2010.520172. Epub 2010 Oct 27.

Reference Type DERIVED
PMID: 20979462 (View on PubMed)

Aiello Bowles EJ, Anderson ML, Reed SD, Newton KM, Fitzgibbons ED, Seger D, Buist DS. Mammographic breast density and tolerance for short-term postmenopausal hormone therapy suspension. J Womens Health (Larchmt). 2010 Aug;19(8):1467-74. doi: 10.1089/jwh.2009.1681.

Reference Type DERIVED
PMID: 20575711 (View on PubMed)

Reed SD, Buist DS, Anderson ML, Bowles EJ, Fitzgibbons D, Seger D, Newton KM. Short-term (1-2 mo) hormone therapy cessation before mammography. Menopause. 2009 Nov-Dec;16(6):1125-31. doi: 10.1097/gme.0b013e3181a5ce60.

Reference Type DERIVED
PMID: 19455069 (View on PubMed)

Related Links

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Other Identifiers

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DAMD17-03-1-0447

Identifier Type: -

Identifier Source: org_study_id

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