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Trial Title: Protocol for Women at Increased Risk of Developing Breast Cancer

NCT ID: NCT00291096

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
breast atypia
fine needle aspiration
high risk for breast cancer
breast epithelial hyperplasia

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: The overall goal of this project is to develop an integrative system of breast cancer risk assessment based on epidemiologic and biologic risk variables, as well as to develop or refine risk biomarkers which may be useful in predicting and monitoring response to prevention interventions.

Detailed description: 1. To correlate established risk biomarkers such as cytomorphology obtained from random periareolar fine needle aspiration ( RPFNA), mammographic breast density, serum bioavailable estradiol and IGF-1/IGFBP-3 with each other and with 5-10 year Gail risk estimates. Where available, and with appropriate safe guards to maintain status for breast cancer susceptibility genes may be included. 2. To determine the relative predictive value of established risk biomarkers for the development of DCIS and/or invasive cancer. 3. To evaluate potential new breast tissue-based biomarkers including Ki-67, PCNA, ER, COX-2, aromatase, methylation of key tumor suppressor genes (i.e., RAR, p16, etc), proteomic patterns in RPFNA and nipple aspirate fluid (NAF), as well as NAF hormone levels, and correlate them with other risk biomarkers listed in 1. 4. To determine the prevalence of polymorphisms of a panel of genes important in hormone and xenobiotic metabolism as well as DNA repair and correlate these polymorphisms with established risk biomarkers listed in 1, as well as with development of DCIS and invasive cancer. 5. To maintain contact with this initially identified cohort of high risk women, acquire demographic data, biologic specimens and data and follow them prospectively for the development.

Criteria for eligibility:

Study pop:
Self-identified women at high risk for development of breast cancer

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - women with at least 2 times the normal risk of developing breast cancer - between the ages of 30-65 (or within 10 years of youngest age at diagnosis in first degree relative) - greater than six months from ingestion of antihormonal therapy - greater than 1 year from pregnancy, lactation, or chemotherapy - willing to have a mammogram within six months prior to RPFNA - willing to discontinue NSAIDS or herbal supplements - willing to have blood drawn Exclusion Criteria: - no metastatic malignancy of any kind - no breast implants or tram flap reconstructions - no radiation to both breasts - no women who have a current mammogram or clinical breast exam suspicious for cancer

Gender: Female

Minimum age: 30 Years

Maximum age: 65 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: University of Kansas Medical Center

Address:
City: Kansas City
Zip: 66160
Country: United States

Status: Recruiting

Investigator:
Last name: Carol J Fabian, MD
Email: Principal Investigator

Investigator:
Last name: Bruce Kimler, PhD
Email: Principal Investigator

Start date: August 1989

Completion date: December 2026

Lead sponsor:
Agency: Carol Fabian, MD
Agency class: Other

Source: University of Kansas Medical Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT00291096

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