ENDO-BRAIN: Effects of Endocrine Adjuvant Therapy with Aromatase Inhibitors on the Cognitive Function of Breast Cancer Patients

NCT ID: NCT06606535

Last Updated: 2024-09-23

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

RECRUITING

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-06-13

Study Completion Date

2025-06-01

Brief Summary

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The principal aim of this prospective observational study is to investigate the cognitive function of breast cancer patients that use AI, comparing it with age-matched healthy controls, utilizing cognitive assessments and functional magnetic resonance imaging (fMRI). Additionally, the project seeks to establish correlations between cognitive function and other estrogen deprivation symptoms, including vasomotor symptoms, and to evaluate a possible correlation with endothelial damage studied through Angio Optical Coherent Tomography (angio OCT).

Patients will be recruited during follow up visits at the iatrogenic menopause outpatient clinic. After informed consent, the will be asked for detailed demographic data, medical, oncological and gynecological history. Hypoestrogenism symptoms will be collected through validated questionnaires. The cognitive assessment will be performed on the same day, by trained staff. The fMRI and angioOCT will be booked and performed depending on patient and clinic availability.

Detailed Description

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Conditions

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Cognitive Side Effects of Cancer Therapy Hypoestrogenism

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Cases

Breast cancer patients undergoing endocrine adjuvant therapy with Aromatase Inhibitors (+ GnRH analogues if they are premenopausal)

validated questionnaires

Intervention Type DIAGNOSTIC_TEST

Validated questionnaires for climacteric symptoms

functional MRI

Intervention Type DIAGNOSTIC_TEST

functional MRI

Optical Coherent Tomography Angiography

Intervention Type DIAGNOSTIC_TEST

OCT angiography, macular and peripapillary scans

Controls

Healthy age-matched women who are not using hormonal contraception or hormonal replacement therapy at the time of the study.

validated questionnaires

Intervention Type DIAGNOSTIC_TEST

Validated questionnaires for climacteric symptoms

functional MRI

Intervention Type DIAGNOSTIC_TEST

functional MRI

Optical Coherent Tomography Angiography

Intervention Type DIAGNOSTIC_TEST

OCT angiography, macular and peripapillary scans

Interventions

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validated questionnaires

Validated questionnaires for climacteric symptoms

Intervention Type DIAGNOSTIC_TEST

functional MRI

functional MRI

Intervention Type DIAGNOSTIC_TEST

Optical Coherent Tomography Angiography

OCT angiography, macular and peripapillary scans

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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OCT angiography

Eligibility Criteria

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Inclusion Criteria

* Breast cancer patients undergoing endocrine adjuvant therapy with AI, with or without GnRH agonists, depending on menopause status at diagnosis (cases only)
* At least 18 years old
* Good comprehension of oral and written Italian language

Exclusion Criteria

* incomplete ovarian suppression (cases)
* previous neoplastic diseases other than the presently treated breast cancer for cases
* known neurological or psychiatric disorders
* use of hormonal contraception or hormonal replacement therapy (controls)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Genova

OTHER

Sponsor Role collaborator

Ospedale Policlinico San Martino

OTHER

Sponsor Role lead

Responsible Party

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Claudia Massarotti

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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IRCCS Ospedale Policlinico San Martino

Genova, GE, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Claudia Massarotti, Dr

Role: CONTACT

0039 + 0105555845

Facility Contacts

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Claudia Massarotti, Dr

Role: primary

0039 + 0105555845

Claudia Massarotti, Dr

Role: backup

References

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Menning S, de Ruiter MB, Veltman DJ, Boogerd W, Oldenburg HS, Reneman L, Schagen SB. Changes in brain activation in breast cancer patients depend on cognitive domain and treatment type. PLoS One. 2017 Mar 7;12(3):e0171724. doi: 10.1371/journal.pone.0171724. eCollection 2017.

Reference Type BACKGROUND
PMID: 28267750 (View on PubMed)

Chen X, He X, Tao L, Li J, Wu J, Zhu C, Yu F, Zhang L, Zhang J, Qiu B, Yu Y, Wang K. The Working Memory and Dorsolateral Prefrontal-Hippocampal Functional Connectivity Changes in Long-Term Survival Breast Cancer Patients Treated with Tamoxifen. Int J Neuropsychopharmacol. 2017 May 1;20(5):374-382. doi: 10.1093/ijnp/pyx008.

Reference Type BACKGROUND
PMID: 28177081 (View on PubMed)

Other Identifiers

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DB id 13624

Identifier Type: OTHER

Identifier Source: secondary_id

ENDO-BRAIN

Identifier Type: -

Identifier Source: org_study_id

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