Trial Outcomes & Findings for Analyzing a New Mechanism in Response to Tamoxifen Therapy in Breast Cancer Patients (NCT NCT01027416)

NCT ID: NCT01027416

Last Updated: 2017-12-13

Results Overview

Status of estrogen receptor alpha (ERά) and tumor protein (p53) interaction in p53-wild type breast tumors in untreated patients verses patients treated with tamoxifen. Mean percent positive polylactide (PLA) of all p53-wild type breast tumors in participants by treatment arm

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

59 participants

Primary outcome timeframe

2 years

Results posted on

2017-12-13

Participant Flow

Participant milestones

Participant milestones
Measure
No Intervention
No Intervention: Standard of care
Tamoxifen
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Overall Study
STARTED
31
28
Overall Study
COMPLETED
30
23
Overall Study
NOT COMPLETED
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
No Intervention
No Intervention: Standard of care
Tamoxifen
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Overall Study
Withdrawal by Subject
0
1
Overall Study
Physician Decision
1
4

Baseline Characteristics

Analyzing a New Mechanism in Response to Tamoxifen Therapy in Breast Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
No Intervention
n=31 Participants
No Intervention: Standard of care
Tamoxifen
n=28 Participants
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Total
n=59 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
19 Participants
n=7 Participants
44 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
9 Participants
n=7 Participants
15 Participants
n=5 Participants
Age, Continuous
55.7 years
STANDARD_DEVIATION 11.1 • n=5 Participants
58.5 years
STANDARD_DEVIATION 12.4 • n=7 Participants
57.0 years
STANDARD_DEVIATION 11.7 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
28 Participants
n=7 Participants
59 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
27 Participants
n=5 Participants
23 Participants
n=7 Participants
50 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Population: All patients with p53-wild type breast tumors

Status of estrogen receptor alpha (ERά) and tumor protein (p53) interaction in p53-wild type breast tumors in untreated patients verses patients treated with tamoxifen. Mean percent positive polylactide (PLA) of all p53-wild type breast tumors in participants by treatment arm

Outcome measures

Outcome measures
Measure
No Intervention
n=23 Participants
No Intervention: Standard of care
Tamoxifen
n=12 Participants
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Mean Percent Positive Proximity Ligation Assays of All Tumor Protein p53-wild Type Breast Tumors in Participants by Treatment Arm
27.0 percentage of positive PLA
Standard Deviation 34.4
4.4 percentage of positive PLA
Standard Deviation 4.4

SECONDARY outcome

Timeframe: 2 years

Population: All patients with p53-wild type breast tumors that had RNA samples available

Total number of over-expressed genes, across all participants with tumor protein p53-wild type breast tumors that had ribonucleic acid (RNA) samples available.

Outcome measures

Outcome measures
Measure
No Intervention
n=20 Participants
No Intervention: Standard of care
Tamoxifen
n=15 Participants
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Total Number of Over-expressed Genes, Across All Participants With Tumor Protein p53-wild Type Breast Tumors That Had RNA Samples Available.
196 genes
256 genes

Adverse Events

No Intervention

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Tamoxifen

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
No Intervention
n=31 participants at risk
No Intervention: Standard of care
Tamoxifen
n=28 participants at risk
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Gastrointestinal disorders
Abdominal pain
3.2%
1/31 • Number of events 1
0.00%
0/28

Other adverse events

Other adverse events
Measure
No Intervention
n=31 participants at risk
No Intervention: Standard of care
Tamoxifen
n=28 participants at risk
Tamoxifen 20 mg orally 1x/day for 4 weeks Tamoxifen: Drug: Tamoxifen 20 mg orally 1x/day for 4 weeks
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/31
3.6%
1/28 • Number of events 1
Cardiac disorders
Palpitations
0.00%
0/31
14.3%
4/28 • Number of events 6
Ear and labyrinth disorders
Tinnitus
0.00%
0/31
17.9%
5/28 • Number of events 5
Eye disorders
Lacrimation increased
0.00%
0/31
3.6%
1/28 • Number of events 1
Eye disorders
Ocular hyperaemia
0.00%
0/31
3.6%
1/28 • Number of events 1
Eye disorders
Visual acuity reduced
0.00%
0/31
3.6%
1/28 • Number of events 1
Eye disorders
Visual impairment
0.00%
0/31
7.1%
2/28 • Number of events 2
Gastrointestinal disorders
Abdominal distension
0.00%
0/31
17.9%
5/28 • Number of events 7
Gastrointestinal disorders
Abdominal pain
0.00%
0/31
3.6%
1/28 • Number of events 2
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/31
3.6%
1/28 • Number of events 1
Gastrointestinal disorders
Constipation
0.00%
0/31
21.4%
6/28 • Number of events 8
Gastrointestinal disorders
Diarrhoea
0.00%
0/31
10.7%
3/28 • Number of events 5
Gastrointestinal disorders
Dry mouth
0.00%
0/31
25.0%
7/28 • Number of events 10
Gastrointestinal disorders
Dyspepsia
0.00%
0/31
17.9%
5/28 • Number of events 5
Gastrointestinal disorders
Flatulence
0.00%
0/31
3.6%
1/28 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/31
17.9%
5/28 • Number of events 9
Gastrointestinal disorders
Vomiting
0.00%
0/31
7.1%
2/28 • Number of events 2
General disorders
Chest pain
0.00%
0/31
3.6%
1/28 • Number of events 1
General disorders
Chills
0.00%
0/31
21.4%
6/28 • Number of events 8
General disorders
Fatigue
0.00%
0/31
10.7%
3/28 • Number of events 4
General disorders
Irritability
0.00%
0/31
28.6%
8/28 • Number of events 10
General disorders
Oedema peripheral
0.00%
0/31
3.6%
1/28 • Number of events 1
General disorders
Pain
0.00%
0/31
14.3%
4/28 • Number of events 5
General disorders
Sensation of pressure
0.00%
0/31
3.6%
1/28 • Number of events 1
General disorders
Surgical failure
0.00%
0/31
3.6%
1/28 • Number of events 1
General disorders
Swelling
0.00%
0/31
3.6%
1/28 • Number of events 3
Infections and infestations
Sinusitis
0.00%
0/31
3.6%
1/28 • Number of events 1
Injury, poisoning and procedural complications
Contusion
0.00%
0/31
3.6%
1/28 • Number of events 1
Investigations
Weight decreased
0.00%
0/31
3.6%
1/28 • Number of events 1
Investigations
Weight increased
0.00%
0/31
7.1%
2/28 • Number of events 2
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/31
17.9%
5/28 • Number of events 7
Metabolism and nutrition disorders
Hypernatraemia
0.00%
0/31
3.6%
1/28 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/31
14.3%
4/28 • Number of events 4
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/31
3.6%
1/28 • Number of events 3
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/31
14.3%
4/28 • Number of events 4
Musculoskeletal and connective tissue disorders
Muscle tightness
0.00%
0/31
7.1%
2/28 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/31
14.3%
4/28 • Number of events 4
Musculoskeletal and connective tissue disorders
Musculoskeletal discomfort
0.00%
0/31
3.6%
1/28 • Number of events 2
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/31
17.9%
5/28 • Number of events 6
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/31
3.6%
1/28 • Number of events 2
Nervous system disorders
Disturbance in attention
0.00%
0/31
21.4%
6/28 • Number of events 6
Nervous system disorders
Dizziness
0.00%
0/31
10.7%
3/28 • Number of events 3
Nervous system disorders
Headache
0.00%
0/31
32.1%
9/28 • Number of events 14
Nervous system disorders
Hypoaesthesia
0.00%
0/31
3.6%
1/28 • Number of events 1
Nervous system disorders
Memory impairment
0.00%
0/31
25.0%
7/28 • Number of events 8
Nervous system disorders
Migraine
0.00%
0/31
3.6%
1/28 • Number of events 1
Nervous system disorders
Neurological symptom
0.00%
0/31
3.6%
1/28 • Number of events 1
Nervous system disorders
Paraesthesia
0.00%
0/31
3.6%
1/28 • Number of events 1
Psychiatric disorders
Anxiety
0.00%
0/31
7.1%
2/28 • Number of events 2
Psychiatric disorders
Insomnia
0.00%
0/31
3.6%
1/28 • Number of events 1
Renal and urinary disorders
Bladder discomfort
0.00%
0/31
3.6%
1/28 • Number of events 1
Renal and urinary disorders
Micturition urgency
0.00%
0/31
3.6%
1/28 • Number of events 1
Renal and urinary disorders
Pollakiuria
0.00%
0/31
3.6%
1/28 • Number of events 1
Renal and urinary disorders
Urinary incontinence
0.00%
0/31
7.1%
2/28 • Number of events 2
Reproductive system and breast disorders
Breast pain
0.00%
0/31
7.1%
2/28 • Number of events 2
Reproductive system and breast disorders
Breast tenderness
0.00%
0/31
3.6%
1/28 • Number of events 2
Reproductive system and breast disorders
Menstruation irregular
0.00%
0/31
7.1%
2/28 • Number of events 3
Reproductive system and breast disorders
Vaginal discharge
0.00%
0/31
10.7%
3/28 • Number of events 4
Reproductive system and breast disorders
Vaginal haemorrhage
0.00%
0/31
3.6%
1/28 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/31
17.9%
5/28 • Number of events 8
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/31
3.6%
1/28 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/31
3.6%
1/28 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/31
3.6%
1/28 • Number of events 1
Skin and subcutaneous tissue disorders
Acne
0.00%
0/31
3.6%
1/28 • Number of events 1
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/31
3.6%
1/28 • Number of events 1
Skin and subcutaneous tissue disorders
Night sweats
0.00%
0/31
32.1%
9/28 • Number of events 10
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/31
7.1%
2/28 • Number of events 2
Skin and subcutaneous tissue disorders
Rash
0.00%
0/31
10.7%
3/28 • Number of events 3
Vascular disorders
Hot flush
0.00%
0/31
25.0%
7/28 • Number of events 8

Additional Information

Senior Administrator, Compliance - Clinical Research Services

Roswell Park Cancer Institute

Phone: 716-845-2300

Results disclosure agreements

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