NCT02936999

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

57
Monitor

Trial Health Score

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

Enrollment
8

participants targeted

Target at below P25 for early_phase_1 breast-cancer

Timeline
Completed

Started Aug 2016

Geographic Reach
1 country

1 active site

Status
terminated

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

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 11, 2016

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 18, 2016

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2019

Completed
2 years until next milestone

Results Posted

Study results publicly available

December 16, 2020

Completed
Last Updated

December 16, 2020

Status Verified

October 1, 2020

Enrollment Period

2.4 years

First QC Date

October 11, 2016

Results QC Date

October 20, 2020

Last Update Submit

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

EXPERIMENTAL

Patients 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.

Drug: Cholecalciferol

Interventions

Cholecalciferol 100,000 IU followed by 4000 IU orally once daily for 30 days.

Also known as: Vitamin D3
Vitamin D3

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

Related Publications (32)

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    PMID: 17214797BACKGROUND
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    PMID: 17209171BACKGROUND
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    PMID: 24528013BACKGROUND
  • Hird 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.

    PMID: 16596655BACKGROUND
  • Hwang ES, Esserman L. Neoadjuvant hormonal therapy for ductal carcinoma in situ: trial design and preliminary results. Ann Surg Oncol. 2004 Jan;11(1 Suppl):37S-43S. doi: 10.1007/BF02524794.

    PMID: 15015708BACKGROUND
  • Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ. Cancer statistics, 2009. CA Cancer J Clin. 2009 Jul-Aug;59(4):225-49. doi: 10.3322/caac.20006. Epub 2009 May 27.

    PMID: 19474385BACKGROUND
  • Jeong Y, Swami S, Krishnan AV, Williams JD, Martin S, Horst RL, Albertelli MA, Feldman BJ, Feldman D, Diehn M. Inhibition of Mouse Breast Tumor-Initiating Cells by Calcitriol and Dietary Vitamin D. Mol Cancer Ther. 2015 Aug;14(8):1951-61. doi: 10.1158/1535-7163.MCT-15-0066. Epub 2015 May 1.

    PMID: 25934710BACKGROUND
  • Kaur 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.

    PMID: 26053339BACKGROUND
  • Kumar AS, Bhatia V, Henderson IC. Overdiagnosis and overtreatment of breast cancer: rates of ductal carcinoma in situ: a US perspective. Breast Cancer Res. 2005;7(6):271-5. doi: 10.1186/bcr1346. Epub 2005 Nov 11.

    PMID: 16457703BACKGROUND
  • Giammanco M, Di Majo D, La Guardia M, Aiello S, Crescimannno M, Flandina C, Tumminello FM, Leto G. Vitamin D in cancer chemoprevention. Pharm Biol. 2015;53(10):1399-434. doi: 10.3109/13880209.2014.988274. Epub 2015 Apr 9.

    PMID: 25856702BACKGROUND
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    PMID: 25028506BACKGROUND
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    PMID: 15199110BACKGROUND
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    PMID: 15824180BACKGROUND
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    PMID: 20831823BACKGROUND
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  • Martin-Herranz A, Salinas-Hernandez P. Vitamin D supplementation review and recommendations for women diagnosed with breast or ovary cancer in the context of bone health and cancer prognosis/risk. Crit Rev Oncol Hematol. 2015 Oct;96(1):91-9. doi: 10.1016/j.critrevonc.2015.05.006. Epub 2015 May 19.

    PMID: 26068240BACKGROUND
  • Pan H, Cai N, Li M, Liu GH, Izpisua Belmonte JC. Autophagic control of cell 'stemness'. EMBO Mol Med. 2013 Mar;5(3):327-31. doi: 10.1002/emmm.201201999.

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  • Sanders 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.

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  • Schleck 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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MeSH Terms

Conditions

Breast Neoplasms

Interventions

Cholecalciferol

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

CholestenesCholestanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSterolsVitamin DSecosteroidsMembrane LipidsLipids

Results Point of Contact

Title
Regulatory Research Coordinator
Organization
Inova Health Services

Study Officials

  • Mary Wilkinson, MD

    Inova Schar Cancer Institute

    PRINCIPAL INVESTIGATOR

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

Locations