Study Stopped
Terminated for lack of patient samples and funding
Vitamin D Supplementation in Women With DCIS and/or LCIS
An Exploratory Pilot Study of Vitamin D Supplementation in Women With DCIS and/or LCIS
1 other identifier
interventional
8
1 country
1
Brief Summary
The purpose of this study is to determine the safety and usefulness of oral Vitamin D supplementation in subjects with in situ carcinoma. More specifically, this study is being done to (1) understand the effect of Vitamin D supplementation on behavior of breast cancer cells and (2) the development of invasive breast cancer disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for early_phase_1 breast-cancer
Started Aug 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2016
CompletedFirst Submitted
Initial submission to the registry
October 11, 2016
CompletedFirst Posted
Study publicly available on registry
October 18, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2019
CompletedResults Posted
Study results publicly available
December 16, 2020
CompletedDecember 16, 2020
October 1, 2020
2.4 years
October 11, 2016
October 20, 2020
November 20, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Ki 67 Measured
The proliferation index measured by Ki67 will be described for both baseline (pre) and surgical (post) vitamin D supplementation. A paired t-test or the non-parametric Wilcoxon signed-rank test will be used when appropriate to compare patients' outcome between baseline and after-treatment.
28 days +/- 3 days from Day 1 of treatment
Secondary Outcomes (4)
Levels of Proteins of the Autophagy Pathway, LC3B
28 days +/- 3 days from Day 1 of treatment
Levels of Proteins of the Autophagy Pathway, ATG7
28 days +/- 3 days from Day 1 of treatment
Levels of the Calcium Transport Proteins, PMCA2
28 days +/- 3 days from Day 1 of treatment
HER2 Localization
28 days +/- 3 days from Day 1 of treatment
Study Arms (1)
Vitamin D3
EXPERIMENTALPatients will be dispensed cholecalciferol, 32 capsules/bottle of 1cap/4000 IU PO QD on Day 1 visit to take home. Bottle must be labeled with instructions on how to take the drug and the assigned patient ID number. Patients will be instructed to take 1 capsule per day, with water, for 29 days using the dispensed study bottle. They will be instructed to stop taking their daily vitamin D3 dose after 30 days of treatment. A study drug diary will be provided at Day 1 visit and patients will be instructed to complete the study drug diary daily from Day 2 to Day 30. Patient's report of vitamin-D3 intake from the diary must be reconciled against the number of capsules returned at Day 30 visit.
Interventions
Cholecalciferol 100,000 IU followed by 4000 IU orally once daily for 30 days.
Eligibility Criteria
You may qualify if:
- Subjects must have a tissue diagnosis of lobular carcinoma in situ or ductal carcinoma in situ and being scheduled to undergo excision of their cancer
- Subjects must be female at least 18 years of age
- Subjects must have a signed consent
- Normal liver function based on (total bilirubin and AST \<1.5 x Upper Limit of Normal)
- Serum creatinine \< 2.0 mg/dL
- Serum 25 (OH) D levels \< 50 ng/ml
- Calcium within the normal range (8.5-10.2 mg/dL)
- ECOG performance status 0-2
- Are able to swallow and retain oral medication
- Subjects should be willing to abstain from use of hormonal therapies (e.g. hormone replacement therapy, oral contraceptive pills, hormone-containing IUDs, and E-string)
You may not qualify if:
- Patient desires not to participate in the study
- Inability to give consent
- Current use of hormone-containing forms of birth control such as implants (i.e. Norplants, or injectables (i.e. depo-provera)
- Currently lactating
- Patients with history of renal or hepatic insufficiency
- Used an investigational drug within 30 days or 5 half-lives, whichever is longer, preceding the first dose of study medication
- History of granulomatous disease such as tuberculosis or sarcoidosis
- History of Vitamin D supplementation \> 2000 IU/day within the last 2 months
- History of hypoparathyroidism
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Inova Schar Cancer Institute
Fairfax, Virginia, 22031, United States
Related Publications (32)
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PMID: 24528013BACKGROUNDHird RB, Chang A, Cimmino V, Diehl K, Sabel M, Kleer C, Helvie M, Schott A, Young J, Hayes D, Newman L. Impact of estrogen receptor expression and other clinicopathologic features on tamoxifen use in ductal carcinoma in situ. Cancer. 2006 May 15;106(10):2113-8. doi: 10.1002/cncr.21873.
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PMID: 25934710BACKGROUNDKaur P, Mishra SK, Mithal A. Vitamin D toxicity resulting from overzealous correction of vitamin D deficiency. Clin Endocrinol (Oxf). 2015 Sep;83(3):327-31. doi: 10.1111/cen.12836. Epub 2015 Jul 14.
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PMID: 23495139BACKGROUNDSanders KM, Stuart AL, Williamson EJ, Simpson JA, Kotowicz MA, Young D, Nicholson GC. Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial. JAMA. 2010 May 12;303(18):1815-22. doi: 10.1001/jama.2010.594.
PMID: 20460620BACKGROUNDSchleck ML, Souberbielle JC, Jandrain B, Da Silva S, De Niet S, Vanderbist F, Scheen A, Cavalier E. A Randomized, Double-Blind, Parallel Study to Evaluate the Dose-Response of Three Different Vitamin D Treatment Schemes on the 25-Hydroxyvitamin D Serum Concentration in Patients with Vitamin D Deficiency. Nutrients. 2015 Jul 3;7(7):5413-22. doi: 10.3390/nu7075227.
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PMID: 24691501BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Regulatory Research Coordinator
- Organization
- Inova Health Services
Study Officials
- PRINCIPAL INVESTIGATOR
Mary Wilkinson, MD
Inova Schar Cancer Institute
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 11, 2016
First Posted
October 18, 2016
Study Start
August 1, 2016
Primary Completion
January 1, 2019
Study Completion
January 1, 2019
Last Updated
December 16, 2020
Results First Posted
December 16, 2020
Record last verified: 2020-10