Impact of Low-dose Tamoxifen on BPU
Low-Dose Tamoxifen to Reduce High Background Parenchymal Uptake on Molecular Breast Imaging
1 other identifier
interventional
22
1 country
1
Brief Summary
The study will examine whether changes in background parenchymal uptake (BPU) on molecular breast imaging (MBI) can be induced by short-term use of low-dose tamoxifen. Women who have previously had high BPU on MBI will be recruited. Participants will take low-dose tamoxifen for a 30-day period, with post-tamoxifen MBI in order to investigate the impact of tamoxifen on BPU.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Mar 2017
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
November 29, 2016
CompletedFirst Posted
Study publicly available on registry
December 1, 2016
CompletedStudy Start
First participant enrolled
March 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 25, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2018
CompletedResults Posted
Study results publicly available
July 16, 2019
CompletedJuly 16, 2019
April 1, 2019
12 months
November 29, 2016
April 29, 2019
April 29, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Background Parenchymal Uptake (BPU) on Molecular Breast Imaging (MBI)
An image analysis tool to obtain a quantitative measure of background parenchymal uptake (BPU) was applied to pre-tamoxifen and post-tamoxifen MBI exams. The percent change in BPU from pre-tamoxifen to post-tamoxifen MBI was determined.
30 days
Study Arms (2)
Tamoxifen 5 mg/day
EXPERIMENTALWomen with high background uptake on MBI take 5 mg tam per day for 30 days.
Tamoxifen 10 mg/day
EXPERIMENTALWomen with high background uptake on MBI take 10 mg tam per day for 30 days.
Interventions
Eligibility Criteria
You may qualify if:
- Female, age 40 or older at the time of enrollment
- Most recent MBI examination, performed within 3 years of enrollment, showed moderate or marked background parenchymal uptake
- Mammogram performed within 12 months prior to enrollment that is available for comparison
- Willing and able to return for MBI following 30 days of low-dose tamoxifen
- If able to become pregnant
- Negative pregnancy test within 48 hours prior to study MBI exam(s)
- Agrees to avoid pregnancy during the study and for at least 2 months after study participation ends, by abstinence, barrier method, or nonhormonal contraception.
- Understands and signs the consent form
You may not qualify if:
- \) Evidence of suspected breast disease as defined by positive findings or recommendation for short-interval follow-up on most recent breast imaging (including mammography, MBI, MRI, ultrasound, etc.) not yet resolved prior to enrollment 2) Breast biopsy or breast surgery performed 6 months prior to enrollment 3) Bilateral breast implants or status post-bilateral prophylactic mastectomy 4) Pregnant or lactating 5) Current or recent use (within 6 months prior to enrollment) of any of the following drugs:
- Systemic hormonal therapy (oral or transdermal patch formulations)
- Hormonal contraception (oral, transdermal, implanted, or injected formulations)
- Selective estrogen receptor modulators (tamoxifen, raloxifene, or toremifene)
- Aromatase inhibitors (anastrazole, letrozole, or exemestane)
- GnRH analogs
- Prolactin inhibitors
- Androgens or antiandrogens
- Anticoagulants or "blood thinners" (warfarin, heparin, rivaroxaban and other novel anticoagulants)
- Drugs known to be strong inhibitors of CYP2D6, the major P450 enzyme that metabolizes tamoxifen, including:
- bupropion (Wellbutrin)
- fluoxetine (Prozac)
- paroxetine (Paxil)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (1)
Mayo Clinic
Rochester, Minnesota, 55905, United States
Related Publications (1)
Hruska CB, Hunt KN, Conners AL, Geske JR, Brandt KR, Degnim AC, Vachon CM, O'Connor MK, Rhodes DJ. Impact of short-term low-dose tamoxifen on molecular breast imaging background parenchymal uptake: a pilot study. Breast Cancer Res. 2019 Mar 8;21(1):38. doi: 10.1186/s13058-019-1120-5.
PMID: 30850011DERIVED
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Carrie Hruska
- Organization
- Mayo Clinic
Study Officials
- PRINCIPAL INVESTIGATOR
Carrie Hruska, PhD R-D
Mayo Clinic
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 29, 2016
First Posted
December 1, 2016
Study Start
March 1, 2017
Primary Completion
February 25, 2018
Study Completion
November 1, 2018
Last Updated
July 16, 2019
Results First Posted
July 16, 2019
Record last verified: 2019-04