Prevention of Breast Cancer: As Simple as hCG-A Randomized Clinical Trial in High Risk Women

NCT ID: NCT00808522

Last Updated: 2008-12-16

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2009-12-31

Brief Summary

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The purpose of the study is to evaluate whether hCG will result in a decrease in breast density.

High breast density has been associated with an increased risk in breast cancer. It has also been shown that decreasing density with a drug called tamoxifen has resulted in a decreased risk in breast cancer. The investigators are looking at the effect of hCG on breast density in people who are at increased risk of developing breast cancer and our theory postulates that through the hormonal actions of hCG and tamoxifen there would be a greater reduction in breast density in patients who are treated with hCG and tamoxifen versus patients treated with tamoxifen alone. Using this data the investigators will be able to hypothesize that the treatment of hCG will result in a reduction in breast cancer rates in the population and thus make available another drug which can be used to decrease the rates of breast cancer in the population

Detailed Description

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Pregnancy has been associated with a decreased risk of breast cancer. This has been reproduced in multiple studies and has been seen in multiple races.

People have been evaluating different hormones and practices associated with pregnancy to determine what factors reduce the risk of developing breast cancer in these patients. These pronounced findings have been evaluated in great detail by multiple scientists and one of the hormones which we think might be associated with a reduction in breast cancer is hCG. This statement has been backed by multiple studies which have looked at the direct effect of hCG on the growth and death of breast cancer cells in the lab and in animal models of breast cancer.

We want to determine if hCG is given to patients who are at increased risk of breast cancer will result in an accentuated decrease in breast cancer risk above and beyond the effect received by conventional breast cancer reducing protocols. Our final outcome in this study will be breast density on mammographic evaluation which is considered a marker for breast cancer. So our study will evaluate whether or not hCG will have an effect on the mammographic breast density.

After recruitment there will be two groups in our study an intervention group and non intervention group. In the intervention group patients would undergo a period of hCG injections which would last a total of 60 days and consist of 30 subcutaneous injections. The non intervention group will continue their conventional chemoprevention medication. Both groups will be followed for teo years and the images, cytology and blood samples will be sent to our labs for evaluation.

Conditions

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Breast Cancer

Keywords

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Breast Cancer Chemoprevention Tamoxifen Breast density Hcg

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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hCG

Patients at high risk for breast cancer will be treated with hCG

Group Type EXPERIMENTAL

hCG

Intervention Type DRUG

recombinant hCG subcutaneous injections x 30 doses every other day lasting 60 days total.

routine care

Patients receiving routine care will be followed

Group Type NO_INTERVENTION

hCG

Intervention Type DRUG

recombinant hCG subcutaneous injections x 30 doses every other day lasting 60 days total.

Interventions

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hCG

recombinant hCG subcutaneous injections x 30 doses every other day lasting 60 days total.

Intervention Type DRUG

Other Intervention Names

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Ovidril

Eligibility Criteria

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Inclusion Criteria

* On tamoxifen therapy for the treatment or prevention of breast cancer.
* Must have at least one remaining breast.

Exclusion Criteria

* Pregnant or nursing.
* No history of allergic reactions to hCG.
* Patients who have had bilateral mastectomies.
* Uncontrolled thyroid disease.
* Cognitively impaired and unable to consent for the trial.
Minimum Eligible Age

30 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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New York Presbyterian Hospital

OTHER

Sponsor Role lead

Responsible Party

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New Downtown Hospital

Locations

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New York Downtown Hospital

New York, New York, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Giuseppe Del Priore, MD, MPH

Role: primary

Other Identifiers

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GD-10-08

Identifier Type: -

Identifier Source: org_study_id