Doxorubicin Hydrochloride Liposome in Treating Women With Ductal Carcinoma in Situ Undergoing Surgery

NCT ID: NCT00671476

Last Updated: 2014-01-10

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

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as doxorubicin hydrochloride liposome, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed.

PURPOSE: This clinical trial is studying the side effects of doxorubicin hydrochloride liposome and to see how well it works in treating women with ductal carcinoma in situ undergoing surgery.

Detailed Description

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OBJECTIVES:

* To demonstrate the efficacy and safety of neoadjuvant intraductal pegylated liposomal doxorubicin hydrochloride in women with ductal breast carcinoma in situ undergoing surgery.
* To demonstrate the ability to identify and cannulate the duct demonstrating precancerous disease in these women.
* To integrate the Humboldt Community Breast Health Project into the planning and execution of this study.

OUTLINE: Patients undergo identification of the intraductal lesions via cannulization. Patients receive pegylated liposomal doxorubicin hydrochloride (PLD) intraductally through the inserted cannula. Some patients are randomized to receive saline instead of PLD. Within 4-6 weeks, all patients undergo surgery.

Patients undergo tissue and ductal fluid sample collection at baseline and at surgery for correlative laboratory studies. Tissue samples are assessed for histomorphology, proliferation (Ki67), cell death (apoptosis index), genetic markers, necrosis, inflammation, and loss of heterozygosity by HE stain, IHC, TUNEL, and PCR. Nipple aspirate and ductal lavage fluid samples are analyzed for cytomorphology (cellular atypia), proliferation (Ki67), cell death (TUNEL), differentiation (G-actin), and genetic markers (FISH) by quantitative fluorescence image analysis. Samples are also analyzed for bFGF and CEA by ELISA, and methylation by PCR.

After completion of study therapy, patients are followed every 6 months for at least 2 years.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Interventions

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pegylated liposomal doxorubicin hydrochloride

Intervention Type DRUG

DNA methylation analysis

Intervention Type GENETIC

TdT-mediated dUTP nick end labeling assay

Intervention Type GENETIC

fluorescence in situ hybridization

Intervention Type GENETIC

loss of heterozygosity analysis

Intervention Type GENETIC

polymerase chain reaction

Intervention Type GENETIC

immunoenzyme technique

Intervention Type OTHER

immunohistochemistry staining method

Intervention Type OTHER

laboratory biomarker analysis

Intervention Type OTHER

breast duct lavage

Intervention Type PROCEDURE

neoadjuvant therapy

Intervention Type PROCEDURE

therapeutic conventional surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosis of ductal breast carcinoma in situ by core needle biopsy

* No pathological invasive or microinvasive disease in the affected breast
* Mammographic microcalcifications are limited to one ductal system or one quadrant of breast
* Hormone receptor status not specified

PATIENT CHARACTERISTICS:

* Menopausal status not specified
* Must be able to undergo necessary surgery
* Not pregnant

PRIOR CONCURRENT THERAPY:

* No prior surgery or radiotherapy to the recently diagnosed breast
* More than 12 months since prior chemotherapy
* No prior subareolar breast surgery to the affected breast
* Not concurrently involved in a research protocol for unapproved new drug evaluation
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Dr. Susan Love Research Foundation

OTHER

Sponsor Role lead

Principal Investigators

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Susan Love, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

Dr. Susan Love Research Foundation

Locations

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St. Joseph Hospital

Eureka, California, United States

Site Status RECRUITING

Doctor Susan Love Research Foundation

Santa Monica, California, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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M. Ellen Mahoney, MD

Role: primary

707-445-8121

Susan Love, MD, MBA

Role: primary

866-569-0388

Other Identifiers

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DSLRF-SJHCA-00003154

Identifier Type: -

Identifier Source: secondary_id

SJHCA-00003154

Identifier Type: -

Identifier Source: secondary_id

CDR0000594671

Identifier Type: -

Identifier Source: org_study_id

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