Androgen Therapy for Management of Estrogen/Progesterone Receptor Negative ER(-)PR(-) Metastatic Breast Cancer
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Purpose
This study is for patients with breast cancer that has spread to other tissues and organs. The purpose of this study is to identify patients who may respond favorably to certain types of hormonal therapy. Researchers will study your tumor, which was removed during your breast surgery. They will look for the presence or absence of Androgen (AR) receptors. These tests are for research purposes only. They will not affect the treatment of your breast cancer. The presence or absence of Androgen receptors on the tumor does not alter the therapy that is offered to patients. Recent evidence suggests that AR+ tumors are more likely to be destroyed when treated with androgen drugs. We will ask about 35 ER-/PR- breast cancer patients from Legacy Health System to be in this study. All tests and procedures are done as an outpatient in the doctor's office, a clinic, or at the hospital. The study drug that will be used in this trial is Androxy®, a synthetic androgen hormone. Androgens have been shown to inhibit the growth of some breast cancer cells. Arimidex is an aromatase inhibitor that will be used in conjunction with Androxy to inhibit the in vivo production of estrogen. It is hoped that the combination of these two drugs will inhibit the growth of your tumor and possibly cause it to shrink.
| Condition | Intervention | Phase |
|---|---|---|
|
Metastatic Breast Cancer |
Drug: Fluoxymesterone 10 mg Drug: Anastrozole 1 mg |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Androgen Therapy for Management of Estrogen/Progesterone Receptor Negative ER(-)PR(-) Metastatic Breast Cancer, Phase II Study |
- Time to disease progression
- Response of metastatic ER(-)PR(-) breast cancer to treatment with testosterone
- Measure quality of life: improvement of fatigue in metastatic breast cancer patients
- Measure degree of morbidity of treatment with testosterone in this setting
| Enrollment: | 5 |
| Study Start Date: | June 2005 |
| Study Completion Date: | July 2007 |
| Estimated Primary Completion Date: | June 2007 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Over 18 years of age
- ER Negative and PR Negative
- Progression of disease in the metastatic setting despite taxane or other chemotherapeutic therapies including Herceptin (patients on Herceptin may continue this therapy while on study)
- Maximized chemotherapy in the metastatic setting or patient experienced side effects contributing to decreased quality of life and elects to defer chemotherapy
Evaluable disease by either:
- CT Scan with or without contrast (lesions must be greater than 2 mm)
- PET Scan, or Bone Scan, or Plain skeletal films
- Chest wall or skin recurrence (digital photo to capture evaluable disease)
- Evaluable symptoms (pain, shortness of breath, fatigue, anorexia)
- Performance Status of 0, 1, or 2
- Bilateral mammogram performed within one year before registration
Exclusion Criteria:
- Uncontrolled hypercalcemia greater than 11
- Uncontrolled congestive heart failure greater than 2 NYHA class
- Central Nervous System metastasis
- Concomitant steroid use
- Performance Status of greater than 2
- Bilirubin greater than 5.5
Contacts and Locations| United States, Oregon | |
| Legacy Good Samaritan Hospital and Medical Center | |
| Portland, Oregon, United States, 97210 | |
| Principal Investigator: | Nathalie Johnson, MD | Good Samaritan Foundation |
More Information
No publications provided
| Responsible Party: | Nathalie Johnson, MD, Legacy Health System |
| ClinicalTrials.gov Identifier: | NCT00303615 History of Changes |
| Other Study ID Numbers: | 200.3540 |
| Study First Received: | March 16, 2006 |
| Last Updated: | October 17, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Legacy Health System:
|
ER (-) and PR (-) |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Androgens Estrogens Fluoxymesterone Progesterone Anastrozole Hormones |
Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Anabolic Agents Progestins Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Aromatase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 17, 2013