Study for Treatment of Moderate or Severe, Periodic, "Cyclic", Breast Pain

NCT ID: NCT00237523

Last Updated: 2007-06-18

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-07-31

Study Completion Date

2008-03-31

Brief Summary

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* History of clinical breast pain for at least the last six months.
* At least six days of moderate or severe breast pain per cycle.
* Fibrosis, cysts, nodules involving at least 25% of the surface of one breast.
* Euthyroid with no prior history of thyroid disease.
* Six months of daily therapy with molecular iodine.
* Placebo controlled vs active (1:1).

Detailed Description

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Primary efficacy parameters will be measured by patient self-assessment of pain/tenderness using a categorical daily pain diary. Clinical pain is defined as a patient assessment of moderate or severe pain for any given day. Total clinical pain per menstrual cycle is calculated based upon the categorical ratings recorded in a patient's daily pain diary over the course of a complete menstrual cycle.

A directed breast examination will be used as a secondary efficacy endpoint. Changes in the brest examination will be determined by the physician after consideration of both the nature of the examination findings and the surface area of breast involvement. Changes as noted after six months of therapy, relative to the screening visit (baseline) will be used to evaluate this endpoint.

Conditions

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Fibrocystic Disease of Breast Fibrocystic Changes of Breast Fibrocystic Mastopathy Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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IoGen (molecular iodine)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* History of clinical breast pain.
* Documentation of 6 or more sequential days of moderate or severe pain by patient daily diary.
* Conservative measures such as local heat, non-prescription analgesics, and properly fitted garments are not effective for the treatment of symptoms
* Euthyroid with no prior history of thyroid disease.
* Premenopausal female between the ages of 18 and 50.
* The presence of at least one palpable structure (nodules, cysts) and involvement (diffuse nodularity or breast thickening) of at least 25% of at least one breast surface.

Exclusion Criteria

* History of thyroid disease
* Non-cyclic breast pain
* Treatment with gonadotropin releasing hormone (GnRH) agonist, Danocrine, tamoxifen, raloxifene, or bromocriptine within three months of starting the trial
* Initiation or change of any hormonal therapy within 6 months of enrollment; including birth control pills, hormone replacement therapy, any progestin including Norplant or Depo-Provera;
* Current treatment with iodine or iodine-containing medications or diagnostics
* Known hypersensitivity to iodine-containing products
* Breast implants;
* Oophorectomy (complete or partial)
* Uncontrolled hypertension;
* Breast biopsy breast biopsy within two months of screening; or expectation of a breast biopsy during the study for a suspicious mass present at baseline;
* Pregnant women or nursing mothers
* History of malignancy within the previous 5 years other than basal cell or squamous cell carcinoma of the skin
* History of breast cancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Symbollon Pharmaceuticals

INDUSTRY

Sponsor Role lead

Principal Investigators

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Julia Kazakhin, M.D.

Role: STUDY_DIRECTOR

Symbollon Pharmaceuticals, Inc.

Locations

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Medical Affiliated Research Center, Inc.

Huntsville, Alabama, United States

Site Status

Women's Health Research

Phoenix, Arizona, United States

Site Status

Visions Clinical Research

Tucson, Arizona, United States

Site Status

Expresscare Clinical Research

Colorado Springs, Colorado, United States

Site Status

Downtown Women's Heath Care

Denver, Colorado, United States

Site Status

University of Colorado

Denver, Colorado, United States

Site Status

S.H.E. Medical Associates

Hartford, Connecticut, United States

Site Status

The GYN's Center for Women's Health

Waterbury, Connecticut, United States

Site Status

Greater Hartford Women's Health Associates

West Hartford, Connecticut, United States

Site Status

Visions Clinical Research

Boynton Beach, Florida, United States

Site Status

Women's Medical Research Group, LLC

Clearwater, Florida, United States

Site Status

Miami Research Associates, Inc.

Miami, Florida, United States

Site Status

Palm Beach Research Center

West Palm Beach, Florida, United States

Site Status

Soapstone Center for Clinical Research

Decatur, Georgia, United States

Site Status

Fellows Research Alliance, Inc.

Savannah, Georgia, United States

Site Status

Women's Health Practice

Champaign, Illinois, United States

Site Status

Physicians Research Group

Indianapolis, Indiana, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

Kentucky Medical Research Center

Lexington, Kentucky, United States

Site Status

York Clinical Consulting

Marrero, Louisiana, United States

Site Status

MedVadis Research

Wellesley, Massachusetts, United States

Site Status

Fallon Clinic

Worcester, Massachusetts, United States

Site Status

University of Missouri

Kansas City, Missouri, United States

Site Status

Department of Ob/Gyn - Women's Health University of Saint Louis

St Louis, Missouri, United States

Site Status

The Medical Group of Northern Nevada

Reno, Nevada, United States

Site Status

Women's Health Research Center, LLC

Lawrenceville, New Jersey, United States

Site Status

Laurel Creek Research Associates

Moorestown, New Jersey, United States

Site Status

Montefiore Medical Center/Albert Einstein College of Medicine

The Bronx, New York, United States

Site Status

Wake Research Associates, LLC

Raleigh, North Carolina, United States

Site Status

Radiant Research

Cincinnati, Ohio, United States

Site Status

HWC Women's Research Center

Miamisburg, Ohio, United States

Site Status

LION Research

Norman, Oklahoma, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Penn State The Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Drexel University College of Medicine

Philadelphia, Pennsylvania, United States

Site Status

Memorial Hospital of Rhode Island

Pawtucket, Rhode Island, United States

Site Status

Fellows Research Alliance, Inc.

Hilton Head Island, South Carolina, United States

Site Status

Women's Clinical Research Center/North Seattle Women's Group

Seattle, Washington, United States

Site Status

Tacoma Women's Specialists

Tacoma, Washington, United States

Site Status

Countries

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United States

References

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Aceves C, Anguiano B, Delgado G. Is iodine a gatekeeper of the integrity of the mammary gland? J Mammary Gland Biol Neoplasia. 2005 Apr;10(2):189-96. doi: 10.1007/s10911-005-5401-5.

Reference Type BACKGROUND
PMID: 16025225 (View on PubMed)

Cann SA, van Netten JP, van Netten C. Hypothesis: iodine, selenium and the development of breast cancer. Cancer Causes Control. 2000 Feb;11(2):121-7. doi: 10.1023/a:1008925301459.

Reference Type BACKGROUND
PMID: 10710195 (View on PubMed)

Kessler JH. The effect of supraphysiologic levels of iodine on patients with cyclic mastalgia. Breast J. 2004 Jul-Aug;10(4):328-36. doi: 10.1111/j.1075-122X.2004.21341.x.

Reference Type BACKGROUND
PMID: 15239792 (View on PubMed)

Ghent WR, Eskin BA, Low DA, Hill LP. Iodine replacement in fibrocystic disease of the breast. Can J Surg. 1993 Oct;36(5):453-60.

Reference Type BACKGROUND
PMID: 8221402 (View on PubMed)

Garcia-Solis P, Alfaro Y, Anguiano B, Delgado G, Guzman RC, Nandi S, Diaz-Munoz M, Vazquez-Martinez O, Aceves C. Inhibition of N-methyl-N-nitrosourea-induced mammary carcinogenesis by molecular iodine (I2) but not by iodide (I-) treatment Evidence that I2 prevents cancer promotion. Mol Cell Endocrinol. 2005 May 31;236(1-2):49-57. doi: 10.1016/j.mce.2005.03.001. Epub 2005 Apr 13.

Reference Type BACKGROUND
PMID: 15922087 (View on PubMed)

Eskin BA, Grotkowski CE, Connolly CP, Ghent WR. Different tissue responses for iodine and iodide in rat thyroid and mammary glands. Biol Trace Elem Res. 1995 Jul;49(1):9-19. doi: 10.1007/BF02788999.

Reference Type BACKGROUND
PMID: 7577324 (View on PubMed)

Thrall KD, Bull RJ, Sauer RL. Distribution of iodine into blood components of the Sprague-Dawley rat differs with the chemical form administered. J Toxicol Environ Health. 1992 Nov;37(3):443-9. doi: 10.1080/15287399209531682.

Reference Type BACKGROUND
PMID: 1433379 (View on PubMed)

Venturi S. Is there a role for iodine in breast diseases? Breast. 2001 Oct;10(5):379-82. doi: 10.1054/brst.2000.0267.

Reference Type BACKGROUND
PMID: 14965610 (View on PubMed)

Smyth PP. Role of iodine in antioxidant defence in thyroid and breast disease. Biofactors. 2003;19(3-4):121-30. doi: 10.1002/biof.5520190304.

Reference Type BACKGROUND
PMID: 14757962 (View on PubMed)

Ader DN, South-Paul J, Adera T, Deuster PA. Cyclical mastalgia: prevalence and associated health and behavioral factors. J Psychosom Obstet Gynaecol. 2001 Jun;22(2):71-6. doi: 10.3109/01674820109049956.

Reference Type BACKGROUND
PMID: 11446156 (View on PubMed)

Ader DN, Shriver CD, Browne MW. Cyclical mastalgia: premenstrual syndrome or recurrent pain disorder? J Psychosom Obstet Gynaecol. 1999 Dec;20(4):198-202. doi: 10.3109/01674829909075596.

Reference Type BACKGROUND
PMID: 10656154 (View on PubMed)

Ader DN, Browne MW. Prevalence and impact of cyclic mastalgia in a United States clinic-based sample. Am J Obstet Gynecol. 1997 Jul;177(1):126-32. doi: 10.1016/s0002-9378(97)70450-2.

Reference Type BACKGROUND
PMID: 9240595 (View on PubMed)

Other Identifiers

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SYM1210

Identifier Type: -

Identifier Source: org_study_id