Implication of Metformin Plus Aromatase Inhibitor in Obese Postmenopausal Breast Cancer Women
NCT ID: NCT05053841
Last Updated: 2021-09-23
Study Results
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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COMPLETED
PHASE2
45 participants
INTERVENTIONAL
2014-02-28
2015-06-30
Brief Summary
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Detailed Description
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Patients and methods: From February 2014 to June 2015, 75 Post-menopausal breast cancer females' patients were recruited, 53 patients underwent randomization and 45 patients completed six months, treatment. Aromatase inhibitor (letrozole) was administered as once daily in accordance to one of the three groups. Control group: fifteen obese females who received letrozole only; metformin group: fifteen obese females who received the same dose of letrozole plus metformin (2000 ± 500) mg daily, and lean group: fifteen non- obese breast cancer females who received letozole for six months, treatment period. Blood samples were collected at baseline and after six months of aromatase inhibitors treatment for analysis of serum estradiol, osteocalcin, insulin, leptin, lactate and glucose.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Control group
fifteen obese females who received letrozole only
No interventions assigned to this group
metformin group
fifteen obese females who received the same dose of letrozole plus metformin (2000 ± 500) mg daily
Metformin
lean group
fifteen non- obese breast cancer females who received letozole for six months, treatment period
No interventions assigned to this group
Interventions
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Metformin
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
A. Age ≥ 55 years and one year or more of amenorrhea. B. Age \< 55 years and one year or more of amenorrhea, with an estradiol assay \< 20 pg/ml.
• Patients with breast cancer indicated for hormonal treatment with aromatase inhibitors (overweight 30 \> BMI ≥ 25, obese BMI ≥ 30 kg/m2 and non obese BMI between 18 and 25 kg/m2).
Exclusion Criteria
* Patients with metabolic syndrome.
* Patients with last menstrual cycle less than one year ago.
* Patient with conditions predispose to acidosis (heart failure, renal failure).
* Ovarian radiation treatment with luteinizing hormone-releasing hormone (LH-RH) agonist (goserelin acetate or leuprolide acetate) is not permitted for induction of ovarian suppression.
40 Years
FEMALE
No
Sponsors
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Tanta University
OTHER
Responsible Party
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Aya Ahmed El Attar
Dr Aya Ahmed El Attar
References
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El-Attar AA, Ibrahim OM, Alhassanin SA, Essa ES, Mostafa TM. Effect of metformin as an adjuvant therapy to letrozole on estradiol and other biomarkers involved in the pathogenesis of breast cancer in overweight and obese postmenopausal women: a pilot study. Eur J Clin Pharmacol. 2023 Feb;79(2):299-309. doi: 10.1007/s00228-022-03444-6. Epub 2022 Dec 23.
Other Identifiers
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22014
Identifier Type: -
Identifier Source: org_study_id
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