Evaluation of Blood/Imaging Based Biomarkers, Aromatase Inhibitor Induced Musculoskeletal Syndrome

NCT ID: NCT03665077

Last Updated: 2023-08-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-28

Study Completion Date

2022-06-15

Brief Summary

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This is a pilot trial to evaluate for blood and imaging biomarkers in patients with breast cancer scheduled to start adjuvant hormonal therapy.

Detailed Description

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This is a prospective single arm study enrolling patients (n = 25) with breast cancer scheduled to start adjuvant hormonal therapy. Patients would have completed all their primary treatments (surgery± radiation therapy) and are scheduled to start their adjuvant hormonal therapy. They get baseline blood drawn for oxylipins and sheer wave elastrography (SWE) ultrasound of their hands including wrists. They start adjuvant anastrozole and have blood drawn at 3mths and 6mths for measurement of oxylipins. SWE ultrasound is repeated at 6mths. This is a pilot trial to evaluate for blood and imaging biomarkers. Once pilot data is analyzed, goal is to apply for funding for a larger trial to further evaluate and validate these biomarkers

Conditions

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Aromatase Inhibitor Induced Musculoskeletal Syndrome (AIMSS) Breast Cancer

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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Participants

Patients with breast cancer who have completed all their primary treatments (surgery±radiation therapy) and are scheduled to start their adjuvant hormonal therapy.

Group Type EXPERIMENTAL

Initial blood draw

Intervention Type DIAGNOSTIC_TEST

At baseline, patients will undergo a blood draw.

Initial SWE ultrasound

Intervention Type DIAGNOSTIC_TEST

At baseline, patients will undergo a sheer wave elastrography (SWE) ultrasound of their hands including wrists.

Blood draw at three months

Intervention Type DIAGNOSTIC_TEST

Blood drawn at three months to evaluate oxylipins.

Blood draw at six months

Intervention Type DIAGNOSTIC_TEST

Blood drawn at six months to evaluate oxylipins.

SWE ultrasound at six months

Intervention Type DIAGNOSTIC_TEST

SWE ultrasound at six months to evaluate tendon stiffness.

Interventions

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Initial blood draw

At baseline, patients will undergo a blood draw.

Intervention Type DIAGNOSTIC_TEST

Initial SWE ultrasound

At baseline, patients will undergo a sheer wave elastrography (SWE) ultrasound of their hands including wrists.

Intervention Type DIAGNOSTIC_TEST

Blood draw at three months

Blood drawn at three months to evaluate oxylipins.

Intervention Type DIAGNOSTIC_TEST

Blood draw at six months

Blood drawn at six months to evaluate oxylipins.

Intervention Type DIAGNOSTIC_TEST

SWE ultrasound at six months

SWE ultrasound at six months to evaluate tendon stiffness.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Be capable of understanding the investigational nature of the study and all pertinent aspects of the study
2. Be capable of signing and providing written consent in accordance with institutional and federal guidelines
3. Have a histologically-confirmed diagnosis of breast cancer
4. Be willing and able to comply with scheduled visits, treatment plan, and SWE ultrasound imaging
5. Age ≥ 21 years
6. Post-menopausal women with 1st event of ER+ early stage breast cancer (0-3)
7. Completed definitive therapy (surgery ± radiation)
8. Candidates for adjuvant AI therapy

Exclusion Criteria

1. Have received adjuvant or neo-adjuvant chemotherapy
2. Prior endocrine therapy (AI or tamoxifen)
3. History of rheumatoid arthritis or other autoimmune arthritis
4. Daily non-steroidal anti-inflammatory drug (NSAID) use (except for daily aspirin use)
5. Current use of daily corticosteroids or immunosuppressive therapies
Minimum Eligible Age

21 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Arizona

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pavani Chalasani

Role: PRINCIPAL_INVESTIGATOR

University of Arizona

Locations

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University of Arizona Cancer Center

Tucson, Arizona, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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https://pubmed.ncbi.nlm.nih.gov/36984892/

Oxylipins as Biomarkers for Aromatase Inhibitor-Induced Arthralgia (AIA) in Breast Cancer Patients

https://pubmed.ncbi.nlm.nih.gov/35207339/

Feasibility Trial to Evaluate Tendon Stiffness Obtained from Shear Wave Elastography Imaging as a Biomarker of Aromatase Inhibitor-Induced Arthralgias

Other Identifiers

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NCI-2018-00099

Identifier Type: REGISTRY

Identifier Source: secondary_id

1712078374

Identifier Type: -

Identifier Source: org_study_id

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