Trial Outcomes & Findings for Acolbifene in Preventing Cancer in Premenopausal Women at High Risk of Breast Cancer (NCT NCT00853996)

NCT ID: NCT00853996

Last Updated: 2018-01-17

Results Overview

Change in proliferation as measured by Ki-67 immunocytochemical expression in breast epithelial cells obtained by random periareolar fine needle aspiration at baseline and at 6 months.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

25 participants

Primary outcome timeframe

Baseline to 6 months

Results posted on

2018-01-17

Participant Flow

Participant milestones

Participant milestones
Measure
Prevention (Acolbifene Hydrochloride)
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Overall Study
STARTED
25
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Acolbifene in Preventing Cancer in Premenopausal Women at High Risk of Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Age, Continuous
42.8 years
STANDARD_DEVIATION 5.2 • n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
Height
65 inches
STANDARD_DEVIATION 2 • n=5 Participants
Weight
155 pounds
STANDARD_DEVIATION 29 • n=5 Participants
BMI
25.8 kg/m^2
STANDARD_DEVIATION 4.8 • n=5 Participants
5-Year Gail Risk
3.6 Percent risk of developing breast cancer
STANDARD_DEVIATION 4.4 • n=5 Participants
Age First Live Birth
28 years
STANDARD_DEVIATION 4 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 6 months

Change in proliferation as measured by Ki-67 immunocytochemical expression in breast epithelial cells obtained by random periareolar fine needle aspiration at baseline and at 6 months.

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Change in the Percentage of Breast Epithelial Cells Expressing Ki-67, From Baseline to 6 Months
-3.0 percentage of positive cells
Interval -20.2 to 2.8

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: One subject was without a digital file due to technical reasons. Thus, only 24 subjects were evaluated.

Change in mammographic density from baseline to 6 months, The Percent Breast Density is estimated using the Cumulus computer-assisted program to define a region that is at greater density than the remainder of the breast.

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=24 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Change in Mammographic Breast Density
-3.9 percentage of area at increased density
Interval -31.4 to 16.2

SECONDARY outcome

Timeframe: Baseline to 6 months

Change in serum concentration of estradiol from baseline to 6 months

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Change in Serum Estradiol Concentration
64.6 ng/ml
Standard Deviation 138

SECONDARY outcome

Timeframe: Baseline to 6 months

Change in serum concentration of bioavailable estradiol (adjusted for concentration of Sex Hormone Binding Globulin), from baseline to 6 months

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Change in Serum Concentration of Bioavailable Estradiol
2.6 pM
Standard Deviation 7.0

SECONDARY outcome

Timeframe: Baseline to 6 months

Change in serum concentration of Testosterone from baseline to 6 months

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Change in Serum Concentration of Testosterone
0.22 ng/ml
Standard Deviation 0.48

SECONDARY outcome

Timeframe: Baseline to up to 2 weeks post-treatment

Problems with hot flashes were assessed by average number per day and intensity.

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Reports of Hot Flashes as Assessed by the Loprinzi Hot Flash Scoring System
Increase in hot flash frequency and/or severity
6 Participants
Reports of Hot Flashes as Assessed by the Loprinzi Hot Flash Scoring System
No change in hot flash frequency and/or severity
14 Participants
Reports of Hot Flashes as Assessed by the Loprinzi Hot Flash Scoring System
Decrease in hot flash frequency and/or severity
5 Participants

SECONDARY outcome

Timeframe: Baseline to up to 2 weeks post-treatment

The Health Assessment Questionnaire II (HAQ-II) measures interference in daily activities from arthralgias and joint pain. Range 0 - 4. A higher score indicates greater (i.e., "worse") interference.

Outcome measures

Outcome measures
Measure
Prevention (Acolbifene Hydrochloride)
n=25 Participants
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Reports of Muscle/Joint Complaints as Assessed by the Validated HAQ II Questionnaire
Increase in HAQ score
1 Participants
Reports of Muscle/Joint Complaints as Assessed by the Validated HAQ II Questionnaire
No Change in HAQ score
24 Participants
Reports of Muscle/Joint Complaints as Assessed by the Validated HAQ II Questionnaire
Decrease in HAQ score
0 Participants

Adverse Events

Prevention (Acolbifene Hydrochloride)

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Prevention (Acolbifene Hydrochloride)
n=25 participants at risk
Patients receive oral acolbifene hydrochloride once daily for 6 months in the absence of unacceptable toxicity. acolbifene hydrochloride: Given orally
Musculoskeletal and connective tissue disorders
Bilateral knee pain
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Bilateral leg cramps
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Breast tenderness
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Infections and infestations
Bronchitis
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Skin and subcutaneous tissue disorders
Bruising
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Cervical laceration
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Chest pain
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Decreased libido
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
General disorders
Diaphoresis
4.0%
1/25 • Number of events 2 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Gastrointestinal disorders
Diarrhea
12.0%
3/25 • Number of events 5 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Finger joint stiffness
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Respiratory, thoracic and mediastinal disorders
Heavy bleeding with menses
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Endocrine disorders
Hot Flashes
20.0%
5/25 • Number of events 7 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Irregular menses
12.0%
3/25 • Number of events 4 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Irregular prolonged menses
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Bilateral ankle pain
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Leg cramps
12.0%
3/25 • Number of events 4 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Muscle cramp
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Muscle soreness
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Endocrine disorders
Night Sweats
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Intercourse pain
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Right ovarian cyst
8.0%
2/25 • Number of events 2 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Skin and subcutaneous tissue disorders
Palpable right breast mass
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Skin and subcutaneous tissue disorders
Acne (scalp and neck)
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Nervous system disorders
Severe mood swings
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Infections and infestations
Shingles (left flank)
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Infections and infestations
Sinus infection
8.0%
2/25 • Number of events 2 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Respiratory, thoracic and mediastinal disorders
Sneezing
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Respiratory, thoracic and mediastinal disorders
Sore throat
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Musculoskeletal and connective tissue disorders
Stiffness in left foot
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Infections and infestations
Urinary tract infection
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Vaginal dryness
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Infections and infestations
Viral sinusitis
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Gastrointestinal disorders
Vomiting
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Respiratory, thoracic and mediastinal disorders
Wheezing
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
General disorders
Worsening Fatigue
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Immune system disorders
Cold or allergies
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Infections and infestations
Cold sores
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Respiratory, thoracic and mediastinal disorders
Cough
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Nervous system disorders
Dizziness
4.0%
1/25 • Number of events 2 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
General disorders
Fatigue
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Nervous system disorders
Headache
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Gastrointestinal disorders
Intermittent diarrhea
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Nervous system disorders
Migraine
4.0%
1/25 • Number of events 1 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Abnormal PAP smear
8.0%
2/25 • Number of events 2 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.
Reproductive system and breast disorders
Amenorrhea
16.0%
4/25 • Number of events 4 • From first administration of study agent, through 2 weeks following the planned 6 month duration of study agent.

Additional Information

Bruce F. Kimler Ph.D

University of Kansas Mecical Center

Phone: 913-588-4523

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place