The Effects of Short-term Preoperative Treatment With Hormonal Therapy on Gene Profiles in Breast Cancer

NCT ID: NCT04129216

Last Updated: 2024-05-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-20

Study Completion Date

2022-11-10

Brief Summary

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The investigators would like to study the genetic and molecular outcomes that results after a short term neoadjuvant hormonal therapy on patients with breast cancer.

Detailed Description

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Breast cancer is among the most common malignancies in women in the United States. Over the years breast cancer management have dramatically developed from the extensive surgical approach toward the breast conservative approach. This was mainly due to the introduction of chemotherapy and hormonal therapy. Hormonal therapy in particular has been shown to improve the oncological outcomes of the breast cancer. However, while this is well documented in the clinical outcomes. Little is known in regards what happens on the genetic level. As such in this study the investigators would like to study the genetic and molecular outcomes that results after a short term neoadjuvant hormonal therapy on patients with breast cancer.

The hypothesis of this study is that short-term, preoperative hormonal treatment will induce genetic changes associated with reduced proliferation, including lower Ki67 expression, and changes in Estrogen Receptor (ER) and Progesterone Receptor (PR) expression. The data from such investigation will be very helpful in advancing the individualized care to women with breast cancer.

Conditions

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Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Patients will start the hormone therapy before surgery; the investigators look for the genomic profiles of the tumor before and after chemotherapy
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Tamoxifen arm

for premenopausal patients

Group Type EXPERIMENTAL

Tamoxifen Citrate

Intervention Type DRUG

10mg administered daily. Patients take this drug for 2-6 weeks

Blueprint

Intervention Type DIAGNOSTIC_TEST

studies the genomics of the tumor and tumor behavior

Mammaprint

Intervention Type DIAGNOSTIC_TEST

studies the genomics of the tumor

Letrozole arm

for postmenopausal patients

Group Type EXPERIMENTAL

Letrozole

Intervention Type DRUG

2.5mg is administered daily. Patients take this drug for 2-6 weeks

Blueprint

Intervention Type DIAGNOSTIC_TEST

studies the genomics of the tumor and tumor behavior

Mammaprint

Intervention Type DIAGNOSTIC_TEST

studies the genomics of the tumor

Exemestane arm

for postmenopausal patients

Group Type EXPERIMENTAL

Exemestane

Intervention Type DRUG

25mg is administered daily. Patients take this drug for 2-6 weeks.

Blueprint

Intervention Type DIAGNOSTIC_TEST

studies the genomics of the tumor and tumor behavior

Mammaprint

Intervention Type DIAGNOSTIC_TEST

studies the genomics of the tumor

Interventions

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Tamoxifen Citrate

10mg administered daily. Patients take this drug for 2-6 weeks

Intervention Type DRUG

Letrozole

2.5mg is administered daily. Patients take this drug for 2-6 weeks

Intervention Type DRUG

Exemestane

25mg is administered daily. Patients take this drug for 2-6 weeks.

Intervention Type DRUG

Blueprint

studies the genomics of the tumor and tumor behavior

Intervention Type DIAGNOSTIC_TEST

Mammaprint

studies the genomics of the tumor

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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Soltamox Femara Aromasin

Eligibility Criteria

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Inclusion Criteria

* Treatment-naïve, histologically confirmed invasive ductal breast cancer between stages 1 to 3.
* Co-enrollment in the FLEX Registry
* Estrogen Receptor Positive (ER+) Progesterone Receptor Positive (PR+) confirmed hormone receptor status measured by immunohistochemistry (IHC)
* Patients should understand patients' condition and be able to give informed consent to participate

Exclusion Criteria

* History of hormonal therapy, chemotherapy, radiation therapy, or novel therapy to treat the current breast cancer.
* Allergic reactions/hypersensitivity to tamoxifen, letrozole, or exemestane or any of the ingredients of these drugs.
* Any contraindication to hormonal therapy, such as history of thromboembolic disease or uterine cancer.
* Patients without invasive disease (stage 0)
* Patients with metastatic breast cancer(stageIV)
* Patients that are Human Epidermal Growth Factor 2+(HER2+) by IHC/Fluorescence in situ hybridization (FISH).
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Agendia

INDUSTRY

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mehran Habibi, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins Bayview

Locations

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Johns Hopkins Bayview Hospital

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Suman VJ, Ellis MJ, Ma CX. The ALTERNATE trial: assessing a biomarker driven strategy for the treatment of post-menopausal women with ER+/Her2- invasive breast cancer. Chin Clin Oncol. 2015 Sep;4(3):34. doi: 10.3978/j.issn.2304-3865.2015.09.01.

Reference Type BACKGROUND
PMID: 26408301 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IRB00130428

Identifier Type: -

Identifier Source: org_study_id

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