Fingernails in Evaluating Bone Health in Postmenopausal Women With Breast Cancer Undergoing Hormone Therapy on Clinical Trial IBCSG-1-98

NCT ID: NCT00899288

Last Updated: 2012-07-27

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

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2007-07-31

Brief Summary

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RATIONALE: Studying samples of fingernails in the laboratory from patients with breast cancer may help in evaluating bone health in postmenopausal women undergoing hormone therapy for breast cancer.

PURPOSE: This laboratory study is examining fingernails as a way of evaluating bone health in postmenopausal women with breast cancer undergoing hormone therapy on clinical trial IBCSG-1-98.

Detailed Description

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OBJECTIVES:

Primary

* Compare the effects of tamoxifen vs letrozole on the chemical properties of fingernails by Raman spectroscopy in postmenopausal women with breast cancer undergoing adjuvant hormonal therapy on protocol IBCSG-1-98.
* Determine the efficacy of nail structure for evaluating bone fragility.

Secondary

* Compare fingernail assessments in patients who have had a bone fracture vs those who have not.
* Determine the natural variation in chemical (Raman spectroscopy) properties of 2 fingernails sourced at 1 appointment from the same donor.
* Evaluate the effect of further drug treatment (after 6 months) on the chemical properties of fingernails.

OUTLINE: This is a single-blind, multicenter, pilot study. Patients are stratified according to treatment on protocol IBCSG-1-98 (tamoxifen vs letrozole) and bone fracture (yes vs no).

Fingernail clippings are collected at baseline and 6 months later. Fingernail clippings are examined by Raman spectroscopy.

PROJECTED ACCRUAL: A total of 60 patients will be accrued for this study.

Conditions

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Breast Cancer Osteoporosis

Keywords

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osteoporosis stage I breast cancer stage II breast cancer stage IIIA breast cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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tamoxifen and no bone fracture

Patients randomized to Arm A of Study BIG 1-98 (tamoxifen for 5 years) who have not had a bone fracture.

Group Type EXPERIMENTAL

spectroscopy

Intervention Type PROCEDURE

Nails will be chemically characterized using Raman spectroscopy.

Letrozole and no bone fracture

Patients randomized to Arm B of Study BIG 1-98 (letrozole for 5 years) who have not had a bone fracture.

Group Type EXPERIMENTAL

spectroscopy

Intervention Type PROCEDURE

Nails will be chemically characterized using Raman spectroscopy.

Tamoxifen and bone fracture

Patients randomized to Arm A of Study BIG 1-98 (tamoxifen for 5 years) who have had a bone fracture.

Group Type EXPERIMENTAL

spectroscopy

Intervention Type PROCEDURE

Nails will be chemically characterized using Raman spectroscopy.

Letrozole and bone fracture

Patients randomized to Arm B of Study BIG 1-98 (letrozole for 5 years) who have had a bone fracture.

Group Type EXPERIMENTAL

spectroscopy

Intervention Type PROCEDURE

Nails will be chemically characterized using Raman spectroscopy.

Interventions

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spectroscopy

Nails will be chemically characterized using Raman spectroscopy.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Enrolled on protocol IBCSG-1-98

* Currently receiving (i.e., have not yet completed) 5 years of treatment with tamoxifen or letrozole and expected to receive ≥ 6 months of additional treatment on protocol IBCSG-1-98
* No recurrent breast cancer or second primary cancer
* No known bone disease (including osteomalacia or osteogenesis imperfecta)
* Hormone receptor status

* Estrogen and/or progesterone receptor positive tumor

PATIENT CHARACTERISTICS:

* Female
* Postmenopausal
* No uncontrolled thyroid or parathyroid disease, Cushing's disease, or other pituitary diseases
* No malabsorption syndrome or clinically relevant vitamin D deficiency

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* More than 1 year since prior and no concurrent anticonvulsants
* More than 6 months since prior and no concurrent corticosteroids at doses \> the equivalent of 5 mg/day of prednisone for \> 2 weeks total
* No prior or concurrent sodium fluoride at daily doses ≥ 5 mg/day for \> 1 month
* More than 12 months since prior and no concurrent anabolic steroids
* More than 6 months since any prior drug for the prevention of osteoporosis (excluding calcium or cholecalciferol \[vitamin D\])
* Concurrent warfarin allowed provided duration of treatment is no more than 4 weeks
Minimum Eligible Age

30 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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ETOP IBCSG Partners Foundation

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mark Towler, MD

Role: STUDY_CHAIR

Materials & Surface Science Institute at the University of Limerick

Other Identifiers

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IBCSG-18-98-FPS

Identifier Type: OTHER

Identifier Source: secondary_id

IBCSG-1-98-FPS

Identifier Type: OTHER

Identifier Source: secondary_id

EU-20625

Identifier Type: -

Identifier Source: secondary_id

CDR0000482403

Identifier Type: -

Identifier Source: org_study_id