Prospective Observational Study of Antitumor Activity Correlation Between Hormonal Therapy and Expression miRNA100

NCT ID: NCT02950207

Last Updated: 2016-11-03

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

Total Enrollment

180 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-01-31

Study Completion Date

2019-01-31

Brief Summary

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Mono-centric, observational, prospective study, designed for pts with diagnosis of hormone-positive breast cancer to evaluate the correlation between the response to hormonal treatment indicated by the reduction of the level of Ki67 and miRNA100 in two groups of patients

Detailed Description

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The potential role of miRNAs will be studied as a predictor of hormone sensitivity in hormone-positive breast carcinomas. The miRNA100 obtained on biopsy will be compared with the expression levels of those obtained from the surgically removed tumor, in order to assess the possible modulation of miRNA100 following hormonal treatment.

Conditions

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Breast Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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miRNA

miRNA extraction

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* Ability to provide written informed consent
* Age greater than 18 years
* histological diagnosis of invasive carcinoma of the breast
* X-ray evidence (mammography and / or ultrasound) strongly suggestive for the presence of invasive breast cancer (BIRADS 4c or BIRADS 5) of greater than 15mm diameter.
* Carcinoma stage I (if diameter\> 15 mm) or II, unresectable, or
* Carcinoma in stage II or III, operable as a result of presurgical therapy, or
* Carcinoma in IV debut stage, asymptomatic, with primary operable breast cancer, or as a result of presurgical therapy
* Positivity for the estrogen receptor and / or to the progestin defined as the expression of one or both hormone receptors in ≥10% of tumor cells
* Negativity for HER2
* Cell proliferation, defined as the percentage of Ki67 positive tumor cells,\> 5% (corresponding to a value of 1.79 after log-normal transformation)
* Postmenopausal status
* Ability to take an oral therapy, in the absence of malabsorption syndrome known, previous stomach surgery or the small intestine
* Ability to perform the staging examinations and screening provided for in the
* Protocol
* Eastern Cooperative Oncology Group (ECOG) = 0
* The patients will have a normal bone marrow function, liver and kidney

Exclusion Criteria

* Previous treatment for breast cancer with chemotherapy, lapatinib, trastuzumab, letrozole, anastrozole, exemestane or tamoxifen.
* Other cancers diagnosed in the last five years, with the exception of basal cell or squamous cell carcinoma of the skin, melanoma in situ or cervical cancer in situ.
* Premenopausal
* Known hypersensitivity to letrozole or to any of its excipients (for example: women with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or mal absorption of glucose / galactose).
* Evidence of a severe and poorly controlled systemic disease affecting the lung, heart, liver, kidney that may compromise adherence to treatment or an extended follow-up.
* Inflammatory bowel disease not controlled (eg Crohn's disease, ulcerative colitis).
* Active infection and / or inadequately controlled.
* Alteration of mental status, dementia, or any psychiatric condition that might impair the ability to consciously sign the informed consent.
* Breast cancer triple negative, or negative for both HER2 overexpression for the expression of hormone receptors.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fondazione del Piemonte per l'Oncologia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Filippo Montemurro, MD

Role: PRINCIPAL_INVESTIGATOR

FPO-IRCCS

Locations

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Fondazione del Piemonte per l'Oncologia-IRCCS Candiolo

Candiolo, Turin, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Annamaria Nuzzo, PhD

Role: CONTACT

Phone: +390119933398

Email: [email protected]

Filippo Montemurro, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Annamaria Nuzzo, PhD

Role: primary

Other Identifiers

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BC-P1-2013

Identifier Type: -

Identifier Source: org_study_id