NCT01292408

Brief Summary

Hydroxychloroquine is a drug that has been used to treat malaria and rheumatism. It is recently discovered that Hydroxychloroquine increases 'autophagy'. Autophagy is a process whereby cells eat a part themselves giving them extra energy. Cancer cells use autophagy to survive chemotherapy or hormonal therapy. Also, cancer cells use autophagy to survive in areas of a tumor where there is a low oxygen level. The purpose of this study is to determine whether treatment with the drug Hydroxychloroquine leads to a decrease of autophagy in breast cancer tissue.

Trial Health

55
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for phase_2 breast-cancer

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 15, 2010

Completed
17 days until next milestone

Study Start

First participant enrolled

January 1, 2011

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 9, 2011

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2012

Completed
Last Updated

January 20, 2012

Status Verified

January 1, 2012

Enrollment Period

1 year

First QC Date

December 15, 2010

Last Update Submit

January 19, 2012

Conditions

Keywords

autophagyhydroxychloroquinehypoxiaproven invasive adenocarcinoma of the breast: tumors are found to be ER negative (<10% ER pos cells)

Outcome Measures

Primary Outcomes (1)

  • hypoxia markers

    differences in endogenous hypoxia markers (CA9, PAI-1, VEGF \[Rademakers et al. 2008\]) and autophagy (LC3b \[Rouschop et al. 2010\]) before and after treatment with HCQ. These parameters will be quantified by immunohistochemistry on formalin fixed paraffin embedded tissue from both pretreatment biopsy, and posttreatment surgically obtained material.

    before and after short-term pre-surgical treatment with HCQ

Secondary Outcomes (1)

  • autophagy pathway mediators

    before and after short-term pre-surgical treatment with HCQ

Study Arms (1)

Daily HCQ

EXPERIMENTAL

Between tumor biopsy and surgery, during 2-3 weeks, breast cancer patients will take daily HCQ, an anti-malaria and anti-rheumatic drug that precludes tumor cells from surviving hypoxia by inhibiting the process of autophagy in these cells

Drug: Hydrochloroquine

Interventions

800 mg per os once, and then 400 mg per day

Also known as: Plaquenil
Daily HCQ

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with core-biopsy proven invasive adenocarcinoma of the breast
  • Any tumor with a size ≥ 1cm (NOT inflammatory breast cancer)
  • WHO-performance score 0 or 1
  • Written informed consent

You may not qualify if:

  • Any psychological, familial, sociological or geographical condition potentially hampering adequate informed consent or compliance with the study protocol
  • Hampered liver or kidney function
  • Serious gastro-intestinal disease
  • Neurological disease (including epilepsy)
  • Hematological disease
  • Psoriasis
  • Porphyry
  • G6PD deficiency
  • Hypersensitivity for quinine
  • Use of gold containing drugs, oxyphenbutazone, phenylbutazon, digoxin

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Medical Centre Nijmegen

Nijmegen, Gelderland, 6500 HB, Netherlands

RECRUITING

MeSH Terms

Conditions

Breast NeoplasmsHypoxia

Interventions

Hydroxychloroquine

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesSigns and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

ChloroquineAminoquinolinesQuinolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • P. Span, Md

    University Medical Centre Nijmegen

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 15, 2010

First Posted

February 9, 2011

Study Start

January 1, 2011

Primary Completion

January 1, 2012

Last Updated

January 20, 2012

Record last verified: 2012-01

Locations