Tamoxifen Citrate in Patients With Breast Cancer

NCT ID: NCT00963209

Last Updated: 2013-08-02

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2013-12-31

Brief Summary

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RATIONALE: Estrogen can promote growth of endocrine sensitive breast cancer cells. Endocrine therapy with tamoxifen citrate may fight breast cancer by blocking the use of estrogen by the tumor cells. Pharmacokinetics and -genomics can have an impact on the efficacy of the treatment.

PURPOSE: This phase III trial is studying blood samples to see if the level of active metabolites of tamoxifen can be improved in patients with breast cancer.

Detailed Description

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OBJECTIVES:

Primary

* To determine how the increase of tamoxifen citrate dose influences the level of its major metabolites in patients with hormone-sensitive breast cancer.

Secondary

* To characterize the population pharmacokinetic profile
* To investigate the role of the other CYPs
* To assess the relation between clinical symptoms and CYP2D6 genotypes and/or active metabolites levels
* To explore the correlation between genotypes/metabolites levels and clinical outcomes in terms of tumor relapse.
* To assess the feasibility, efficacy, and safety of concentration-guided adjustment of tamoxifen citrate dosage.
* To conduct other exploratory analysis based on the eventual new data coming up in the future.

OUTLINE: Patients receive oral tamoxifen citrate (at a dose of 40 mg/day) daily for 4 months in the absence of disease progression or unacceptable toxicity.

Blood samples are collected for PK, genotyping, phenotyping, and further analysis.

Conditions

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Breast Cancer

Keywords

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endocrine sensitive breast cancer tamoxifen genotyping phenotyping Pharmacokinetics Endoxifen

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Tamoxifen

Group Type EXPERIMENTAL

tamoxifen citrate

Intervention Type DRUG

laboratory biomarker analysis

Intervention Type OTHER

pharmacological study

Intervention Type OTHER

Interventions

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tamoxifen citrate

Intervention Type DRUG

laboratory biomarker analysis

Intervention Type OTHER

pharmacological study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

PATIENT CHARACTERISTICS:

* No history of deep venous thrombosis or pulmonary embolism
* No history of endometrial carcinoma
* No known history of vaginal bleeding, endometriosis, endometrial hyperplasia, endometrial hypertrophy, and/or polyps
* Not pregnant or nursing
* No contraindication to tamoxifen citrate treatment
* No known allergy to midazolam or dextromethorphan

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role lead

Responsible Party

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Dr K. Zaman

Médecin associé

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Khalil Zaman, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire Vaudois

Locations

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Hôpitaux Universitaire de Genève

Geneva, , Switzerland

Site Status RECRUITING

Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Facility Contacts

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Alexandre Bodmer, MD

Role: primary

Khalil Zaman, MD

Role: primary

Other Identifiers

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CHUV-CEPO-TM

Identifier Type: -

Identifier Source: secondary_id

EU-20973

Identifier Type: -

Identifier Source: secondary_id

CDR0000650376

Identifier Type: -

Identifier Source: org_study_id