Statins and Breast Cancer Biomarkers

NCT ID: NCT00914017

Last Updated: 2010-02-11

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

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Brief Summary

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There is laboratory evidence that cholesterol lowering medications (statins) inhibit the growth of breast cancer cells. Clinical studies are controversial but some show that women taking statins are less likely to get breast cancer. This ongoing randomized trial compares one-year of atorvastatin (Lipitorâ„¢) or placebo for lowering mammography-defined breast density and other surrogate markers associated with breast cancer risk.

Detailed Description

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This project was designed to evaluate the effect of a specific statin (atorvastatin) on several breast cancer biomarkers. One hundred women will be treated for one year with either 40 mg of atorvastatin or placebo. The primary aim of this project is to determine the effect of atorvastatin on breast density, a known risk factor for breast cancer. In addition, the affect of atorvastatin on serum biomarkers (IGF1) and tissue biomarkers (atypia and Ki67) associated with risk is being evaluated.

Because of their tolerability and safety, statins have a great potential as a breast cancer preventative agent. Should this pilot study show a significant decrease in breast density and/or change in serum and tissue biomarkers in statin treated patients these data would then be used to support a large randomized trial.

This is a multi-center, prospective, randomized placebo controlled clinical trial. Target enrollment is 100 women, with 50 receiving atorvastatin and 50 receiving a similar appearing placebo tablet. Eligible women must be at least 35 years old with regular menstrual cycles and a Gail Model risk of greater than 1.66% over 5 years.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Atorvastatin

40 mg of Lipitor (atorvastatin) daily for 1 year

Group Type EXPERIMENTAL

Atorvastatin

Intervention Type DRUG

Atorvastatin, 40 mg daily for 1 year

Sugar Pill

Sugar pill daily for 1 year

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

sugar pill daily for 1 year

Interventions

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Atorvastatin

Atorvastatin, 40 mg daily for 1 year

Intervention Type DRUG

Placebo

sugar pill daily for 1 year

Intervention Type DRUG

Other Intervention Names

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Lipitor statin

Eligibility Criteria

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Inclusion Criteria

* Women willing and able to give written informed consent
* Pre-menopausal women with regular menstrual cycles (4 cycles in the past 6 months)
* At least 35 years of age
* Women at increased risk of developing breast cancer, defined as at least one of the following four criteria:

* Having had a biopsy demonstrating atypical hyperplasia or lobular neoplasia/LCIS
* A germline mutation in BRCA1/2 in themselves or their family.
* A Gail Model Risk of \> 1.67% over 5 years
* A strong family history of breast and/or ovarian cancer which is defined as at least one of the following:

* One first-degree relative with breast cancer before the age of 50 years
* One first degree relative with bilateral breast cancer
* Two or more first-degree relatives with breast cancer
* One first degree relative and two or more second or third degree relatives with breast cancer
* One first-degree relative with breast cancer and one or more relatives with ovarian cancer
* Two second or third degree relatives with either breast cancer and one or more with ovarian cancer
* One second or third degree relative with breast cancer and two or more with ovarian cancer
* Three or more second or third degree relatives with breast cancer
* A prior history of breast cancer, including DCIS and stage 0-IIIb, and are at least one year off of all therapy (including radiation, biologic, hormonal and/or chemotherapy)

Exclusion Criteria

* Women with a prior history of stage IV breast cancer or ovarian cancer
* Women already taking statins. Women previously on statins may participate if they have not taken any statins in the six months prior to study entry
* Women concurrently participating in another breast cancer chemoprevention trial
* Women taking hormone replacement therapy (estrogen and progesterone; topical estrogen will be allowed)
* Women taking tamoxifen, raloxifene, or an aromatase inhibitor
* Women taking drugs that increase risk of statin induced myopathy or rhabdomyolysis (i.e., Niacin, protease inhibitors, verapamil, gemfibrozil, cyclosporine, clofibrate/fenofibrate or any CYP3A4 inhibitor)
* Women with underlying liver disease or abnormal liver studies including:

* alkaline phosphatase, ALT, AST and Bilirubin (greater than 1.5 times normal)
* Women who have had hypersensitivity to atorvastatin or any component of the formulation
* Women who are pregnant, planning pregnancy within the next year, or breastfeeding
Minimum Eligible Age

35 Years

Maximum Eligible Age

55 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Breast Cancer Research Foundation

OTHER

Sponsor Role collaborator

Cancer and Leukemia Group B

NETWORK

Sponsor Role collaborator

University of Vermont

OTHER

Sponsor Role lead

Responsible Party

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Vermont Cancer Center at University of Vermont and Fletcher Allen Health Care

Principal Investigators

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Marie E Wood, MD

Role: PRINCIPAL_INVESTIGATOR

University of Vermont

Locations

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University of California, San Francisco

San Francisco, California, United States

Site Status RECRUITING

Delaware Christiana Care CCOP, Helen F. Graham Cancer Center

Newark, Delaware, United States

Site Status RECRUITING

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Southern Nevada Cancer Research Foundation

Las Vegas, Nevada, United States

Site Status RECRUITING

Duke University

Durham, North Carolina, United States

Site Status RECRUITING

Southeastern Medical Oncology Center

Goldsboro, North Carolina, United States

Site Status RECRUITING

Vermont Cancer Center

Burlington, Vermont, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Fonda Kingsley, MHS

Role: CONTACT

802-656-8502

Facility Contacts

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Ono Nyseo

Role: primary

415-885-7638

Pam Eppes

Role: primary

302-623-4125

Carleen Gentry

Role: primary

617-632-5399

Jennifer Eccles

Role: primary

702-384-0013

Shelly Epps, MS

Role: primary

919-956-5644

Monica Brimberry

Role: primary

919-580-0000 ext. 138

Fonda Kingsley, MHS

Role: primary

802-656-8502

Related Links

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http://hrbp.vermontcancer.org/?page_id=4

High Risk Breast Program of Vermont, Research Studies

Other Identifiers

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CHRMS#: 05-059

Identifier Type: -

Identifier Source: secondary_id

V0407

Identifier Type: -

Identifier Source: org_study_id

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