Dehydroepiandrosterone (DHEA) and Letrozole in Treating Patients With Metastatic Breast Cancer

NCT ID: NCT00516542

Last Updated: 2012-07-24

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

PHASE1

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2010-12-31

Brief Summary

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RATIONALE: Androgens can cause the growth of breast cancer cells. Hormone therapy using dehydroepiandrosterone (DHEA) may fight breast cancer by blocking the use of androgen by the tumor cells. Letrozole may stop the adrenal glands from making androgens. Giving DHEA together with letrozole may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of DHEA when given together with letrozole in treating patients with metastatic breast cancer.

Detailed Description

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OBJECTIVES:

* To determine the maximum tolerable dose, dose-limiting toxicity, and pharmacokinetics of dehydroepiandrosterone (DHEA) when given together with letrozole in patients with androgen receptor-positive and estrogen receptor- and progesterone receptor-negative metastatic breast cancer.

OUTLINE: Patients receive oral dehydroepiandrosterone and oral letrozole once daily. Physical exams and blood collections are performed every two weeks. Tumor assessments are performed once every three months.

Conditions

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Breast Cancer

Keywords

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stage IV breast cancer recurrent breast cancer male breast cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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letrozole

A daily dose of 2.5 mg will be used throughout the study.

Intervention Type DRUG

DHEA

Will be dispensed in either 500mg or 1000mg tablets. Subjects will start at a dose of 500 mg and may increase up to 5000mg depending on the cohort.

Intervention Type DRUG

pharmacological study

PK draws will happen on day 1 and day 14, then every 2 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosis of breast cancer

* Metastatic disease
* Hormone receptor status

* Estrogen receptor- and progesterone receptor-negative
* Androgen receptor-positive

PATIENT CHARACTERISTICS:

* ECOG performance status 0-3
* Postmenopausal (\> 60 years of age)
* Leukocyte count \> 3,000/uL
* Absolute neutrophil count \> 1,500/uL
* Platelet count \> 100,000/uL
* Total bilirubin normal
* AST and ALT \< 2.5 times upper limit of normal
* Creatinine normal OR creatinine clearance \> 60 mL/min

PRIOR CONCURRENT THERAPY:

* At least 4 weeks since prior chemotherapy
* At least 4 weeks since prior biologic therapy
* At least 4 weeks since prior radiotherapy
* At least 30 days since prior investigational agents
* No concurrent dehydroepiandrosterone or androstenedione supplements
* No concurrent chemotherapy or radiotherapy
* No concurrent hormone therapy or immunotherapy (including trastuzumab \[Herceptin®\])
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

OHSU Knight Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rodney F. Pommier, MD

Role: STUDY_CHAIR

Oregon Health and Science University

Locations

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Knight Cancer Institute at Oregon Health and Science University

Portland, Oregon, United States

Site Status

Countries

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United States

Other Identifiers

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R21CA119598

Identifier Type: NIH

Identifier Source: secondary_id

View Link

P30CA069533

Identifier Type: NIH

Identifier Source: secondary_id

View Link

OHSU-e2109

Identifier Type: -

Identifier Source: secondary_id

OHSU-IRB00002109

Identifier Type: -

Identifier Source: secondary_id

SOL-06019-L

Identifier Type: -

Identifier Source: org_study_id