Efficacy of Statin Addition to Neoadjuvant Chemotherapy Protocols for Breast Cancer

NCT ID: NCT04705909

Last Updated: 2021-01-12

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

Clinical Phase

PHASE2/PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-15

Study Completion Date

2021-12-15

Brief Summary

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Different modalities for breast cancer treatments have exhausting and distressing side effects and toxicities leading to decreased compliance. Thus, repurposing drugs with accepted safety profile and possible antitumor activity becomes an eminent constraint.

Statins have been reported to have possible advantages as anticancer, and control of cancer progression. Moreover, they can sensitize cancer cells for radiotherapy. Therefore, the investigators aim to investigate the effect of (pitavastatin) added to conventional chemotherapy protocols for breast cancer patients.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Pitavastatin group

For the intended neoadjuvant treatment period, participants will receive -in addition to standard chemotherapy protocol - Pitavastatin tablets 2 mg once daily.

Group Type EXPERIMENTAL

Pitavastatin

Intervention Type DRUG

Pitavastatin 2 mg oral tablets daily will be given to the patients concomitantly with the intended chemotherapy protocol for the treatment period prior to surgery.

Placebo group

For the intended neoadjuvant treatment period, participants will receive -in addition to standard chemotherapy protocol - Placebo tablets matching pitavastatin orally once daily.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

patients in this group will receive placebo tablets concomitantly with the intended chemotherapy for the treatment period prior to surgery.

Interventions

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Pitavastatin

Pitavastatin 2 mg oral tablets daily will be given to the patients concomitantly with the intended chemotherapy protocol for the treatment period prior to surgery.

Intervention Type DRUG

placebo

patients in this group will receive placebo tablets concomitantly with the intended chemotherapy for the treatment period prior to surgery.

Intervention Type DRUG

Other Intervention Names

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HMG CoA reductase inhibitor " Lipovastatin"

Eligibility Criteria

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Inclusion Criteria

* Provision of informed consent before any study-specific procedures.
* Histologic confirmation of invasive breast cancer.
* Plans for the administration of neoadjuvant chemotherapy.
* Not currently pregnant during the study

Exclusion Criteria

* Severe gastrointestinal disorder
* Current use of statins or fibrates for any time during the 3 months before the study
* Proven hypersensitivity to statins
* Currently on medication for hypercholesterolemia
* Strong Cytochrome P450 3A4 (abbreviated CYP3A4) (e.g., clarithromycin, HIV protease inhibitors, and itraconazole), given potential interactions with statins
* Renal impairment with a creatinine \> 1.4 mg/dl
* Hepatic impairment: Aspartate transaminase (AST)/(SGOT), Alanine Transaminase (ALT)/(SGPT) ≥ 2.5 x upper limit of the normal range (ULN), OR Total bilirubin ≥ 1.5 x ULN (subjects with Gilbert's syndrome can have bilirubin of up to 1.5 x ULN), OR Alkaline phosphatase \> 2.5 x ULN
* Central nervous system (CNS) diseases and major psychiatric diseases or inability to comply with the protocol procedures
* Active infections
* Cardiac failure, class I-IV
* Current anticoagulant or antiplatelet aggregation therapy
* Current lactation
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Omar Hamdy

Lecturer of Surgical oncology, Principal Investigator, Surgery department.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of pharmacy, Mansoura university

Al Mansurah, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Samar A Dewidar, bachelor

Role: CONTACT

01558333468 ext. 002

Omar H Abdelaleem, PHD

Role: CONTACT

01003526752 ext. 002

Facility Contacts

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Amal M. Elgayar, professor

Role: primary

01005157096 ext. 002

References

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Dewidar SA, Hamdy O, Eltantawy A, El-Mesery M, El Gayar AM, Soliman MM. Effect of concomitant use of pitavastatin with neoadjuvant chemotherapy protocols in breast cancer patients: A randomized controlled clinical trial. Saudi Pharm J. 2022 Oct;30(10):1486-1496. doi: 10.1016/j.jsps.2022.07.011. Epub 2022 Jul 25.

Reference Type DERIVED
PMID: 36387337 (View on PubMed)

Other Identifiers

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2020 - 176

Identifier Type: -

Identifier Source: org_study_id

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