RANKL Inhibition and Breast Tissue Biomarkers

NCT ID: NCT03629717

Last Updated: 2024-10-16

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-01

Study Completion Date

2018-12-03

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

A robust knowledge of how to reduce breast density could play a key role in breast cancer prevention in premenopausal women, but viable preventative targets to reduce breast density-associated breast cancer risk are yet to be developed. The investigators propose to investigate the effect of RANKL inhibition with denosumab on breast tissue markers in high-risk premenopausal women with dense breasts. Study findings could provide robust evidence to move forward with a clinical trial targeting RANKL inhibition in premenopausal breast cancer prevention.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Breast Cancer Prevention Mammographic Density

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Denosumab

An ultrasound-guided core needle breast biopsy will be performed on day 1 prior to the intervention. A single dose of subcutaneous denosumab 60mg will be administered immediately after the core biopsy on day 1. This will take place on an outpatient basis. Repeat core-needle biopsy will take place on Day 60 (+/-10 days). Blood samples will also be collected at the time of core-needle biopsy to allow for biomarker assay. Gene expression analyses will be done using NanoString nCounter gene expression system.

Group Type EXPERIMENTAL

Ultrasound-guided core needle biopsy

Intervention Type PROCEDURE

Tissue collection for this research proposal will be used for research purposes only and will not inform participant care

Denosumab

Intervention Type DRUG

Denosumab is a human IgG2 monoclonal antibody with affinity and specificity for human RANKL

Blood draw

Intervention Type PROCEDURE

20 mL of fasting whole blood will be collected before denosumab (Day 1) and one month after denosumab administration (day 60 +/- 10 days)

Calcium

Intervention Type DRUG

1200mg daily

Vitamin D

Intervention Type DRUG

800 IU daily

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Ultrasound-guided core needle biopsy

Tissue collection for this research proposal will be used for research purposes only and will not inform participant care

Intervention Type PROCEDURE

Denosumab

Denosumab is a human IgG2 monoclonal antibody with affinity and specificity for human RANKL

Intervention Type DRUG

Blood draw

20 mL of fasting whole blood will be collected before denosumab (Day 1) and one month after denosumab administration (day 60 +/- 10 days)

Intervention Type PROCEDURE

Calcium

1200mg daily

Intervention Type DRUG

Vitamin D

800 IU daily

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Xgeva Prolia

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Female.
* Premenopausal.
* At least 35 years of age.
* Dense breasts on routine mammogram.
* Willing to take calcium (1,200mg) and vitamin D (800 IU) daily.
* At increased risk for breast cancer using any of the following:

* Positive family history of breast cancer
* Breast cancer risk prediction models
* Able and willing to return for repeat biopsy.
* Able to understand and willing to sign an IRB-approved written informed consent document.

Exclusion Criteria

* Current use of tamoxifen, aromatase inhibitors, or bisphosphonates.
* Concurrently participating in another cancer chemoprevention trial (unless no longer receiving the intervention).
* Pregnant or lactating.
* Recent tooth extraction or dental procedure.
* Unhealed and/or planned dental/oral surgery.
* History of osteonecrosis/osteomyelitis of the jaw.
* History of osteoporosis or severe osteopenia.
* Unable/unwilling to return for repeat biopsy.
Minimum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Adetunji T Toriola, M.D., Ph.D., MPH

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Related Links

Access external resources that provide additional context or updates about the study.

http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

201801105

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.