Preoperative Window of Endocrine Therapy Provides Information to Increase Compliance
POWER PIINC
1 other identifier
interventional
52
1 country
1
Brief Summary
The purpose of the study is to see if tumors respond to endocrine therapy by taking a total of 21 doses of Tamoxifen before and after surgery. Tamoxifen is currently approved by the FDA (Food and Drug Administration) for use in the treatment of hormone positive breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Aug 2012
Typical duration for phase_2
1 active site
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
June 4, 2012
CompletedFirst Posted
Study publicly available on registry
June 7, 2012
CompletedStudy Start
First participant enrolled
August 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedResults Posted
Study results publicly available
December 13, 2017
CompletedAugust 1, 2018
July 1, 2018
4.3 years
June 4, 2012
July 28, 2017
July 5, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Ki67 Expression in Tumors
Demonstrate a significant change in Ki67 expression in tumors with 7 days of pre-surgical tamoxifen.
7 days
Secondary Outcomes (3)
Change in FACT-ES Symptom Scores
18 months
Number of Participants With Long Term Endocrine Therapy Adherence
18 months
Correlation Between Changes in Ki67 and Symptoms
7 days
Other Outcomes (1)
Change in FACT-ES Symptom Scores
7 days
Study Arms (1)
All patients
EXPERIMENTALAll patients enrolled in the study.
Interventions
All patients will take tamoxifen 20 mg po daily for 7 days prior to surgery and for 14 days after surgery.
Eligibility Criteria
You may qualify if:
- Age \> 18 years old
- Diagnosed with hormone receptor positive invasive breast cancer (estrogen receptor (ER) or progesterone receptor (PR) or both \>1%) by core needle biopsy
- Clinical American Joint Committee on Cancer (AJCC) 7th edition Stage 1 or 2
- Candidate for surgical therapy
- Eastern Cooperative Oncology Group (ECOG) performance status 0,1, or 2
- No chemotherapy or endocrine therapy for breast cancer in last 5 years
- Paraffin fixed core needle tissue block, or biopsy punch available for central analysis for proliferative markers
- Not pregnant or lactating and practicing adequate birth control if premenopausal
- Able and willing to provide informed consent
You may not qualify if:
- Prior personal history of uterine cancer
- Prior personal history of stroke or deep vein thrombosis (DVT)
- Current therapy with strong CYP2D6 inhibitors The following medications should not be administered with tamoxifen (21 day treatment period) and will need to be stopped for the designated period of time prior to starting the study tamoxifen.
- No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage 0, I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease-free for 5 years
- Fluoxetine - should be discontinued 30 days prior to starting tamoxifen Paroxetine - should be discontinued 5 days prior to starting tamoxifen Sertraline - should be discontinued 5 days prior to starting tamoxifen Bupropion - should be discontinued 5 days prior to starting tamoxifen
- Concurrent coumarin-type anticoagulation therapy
- Any other contraindications to tamoxifen therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Huntsman Cancer Institute
Salt Lake City, Utah, 84112, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Josiah Hawks
- Organization
- Huntsman Cancer Institute
Study Officials
- PRINCIPAL INVESTIGATOR
Leigh Neumayer, MD
Huntsman Cancer Institute
Publication Agreements
- PI is Sponsor Employee
- Yes
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
June 4, 2012
First Posted
June 7, 2012
Study Start
August 1, 2012
Primary Completion
November 1, 2016
Study Completion
November 1, 2016
Last Updated
August 1, 2018
Results First Posted
December 13, 2017
Record last verified: 2018-07