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Genistein in Preventing Breast or Endometrial Cancer in Healthy Postmenopausal Women

Primary Purpose

Breast Cancer, Endometrial Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Genistein
Placebo
Sponsored by
UNC Lineberger Comprehensive Cancer Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Breast Cancer focused on measuring breast cancer, endometrial cancer

Eligibility Criteria

45 Years - 70 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

DISEASE CHARACTERISTICS: Healthy participants Papanicolaou test (pap smear) normal within the past 13 months Mammogram normal within the past 13 months No history of breast cancer Not at high-risk (5-year risk < 1.9%) for breast cancer according to NCI's Breast Cancer Risk Assessment Tool Hormone receptor status: Not specified PATIENT CHARACTERISTICS: Age 45 to 70 Sex Female Menopausal status Postmenopausal Last spontaneous menstrual bleeding > 12 months ago Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic WBC ≥ 3,500/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic Bilirubin ≤ 2.0 mg/dL ALT and AST < 2 times normal No significant abnormality of the liver by physical exam Renal Creatinine < 2.0 mg/dL Cardiovascular No significant cardiac disease No New York Heart Association class III or IV heart disease No significant abnormality of the heart by physical exam Pulmonary No significant abnormality of the lung by physical exam Other Body mass index < 35 Follicle-stimulating hormone > 27 mIU/mL Thyroid or endocrine function test normal Alcohol intake ≤ 2 drinks/day or ≤14 drinks/week Not pregnant No intermediate equol values (≥10 ug/L to ≤ 20 ug/L) on soy challenge No history of seizures No significant abnormality of the spleen or other abdominal organs by physical exam No neurologic abnormality by physical exam No significant metabolic abnormality on the biochemical screen No history of substance abuse or addiction No tobacco use No diets containing > 20 mg of genistein/day or > 40 mg isoflavone/day No known intolerance to soy No other serious medical illness No active malignancy or malignancy initially diagnosed within the past 2 years except curatively treated nonmelanoma skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy More than 2 years since prior chemotherapy No concurrent chemotherapy Endocrine therapy More than 3 months since prior hormonal or estrogen therapy More than 3 months since prior tamoxifen or other selective estrogen-receptor modulators More than 1 month since prior supplements containing phytoestrogens or that have estrogenic side effects (soy isoflavones or PC-SPECS) No concurrent thyroid medication Other concurrent endocrine medication allowed provided medication was initiated ≥ 3 months before study entry AND participant has been on a stable regimen for the past 3 months Radiotherapy Not specified Surgery No prior hysterectomy or oophorectomy Other More than 3 months since prior antibiotics

Sites / Locations

  • Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Arm I

Arm II

Arm Description

Genistein

Placebo

Outcomes

Primary Outcome Measures

Efficacy of genistein on DNA and apoptosis
Compare the effects of genistein vs placebo on DNA damage and apoptosis by conducting COMET, TUNEL, Caspase-3, and AP site assays in healthy postmenopausal women.

Secondary Outcome Measures

Full Information

First Posted
December 8, 2004
Last Updated
May 17, 2013
Sponsor
UNC Lineberger Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00099008
Brief Title
Genistein in Preventing Breast or Endometrial Cancer in Healthy Postmenopausal Women
Official Title
Phase I Multiple Dose Clinical Study of Soy Isoflavones in Healthy, Post-Menopausal Women
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
March 2004 (undefined)
Primary Completion Date
July 2005 (Actual)
Study Completion Date
July 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UNC Lineberger Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of genistein may be effective in preventing breast or endometrial cancer. PURPOSE: This randomized phase I trial is studying the effectiveness of genistein in preventing breast or endometrial cancer in healthy postmenopausal women.
Detailed Description
OBJECTIVES: Compare the effects of genistein vs placebo on DNA damage and apoptosis by conducting COMET, TUNEL, Caspase-3, and AP site assays in healthy postmenopausal women. Compare the effects of these drugs on gene expression in an estrogen-sensitive tissue by oligoarray profiling in these participants. Determine the effect of genistein on estrogenic effects by self-reported side effects, measurement of sex hormone-binding globulin, follicle-stimulating hormone, luteinizing hormone, and estrogen levels, and expression of known estrogen-sensitive genes in these participants. OUTLINE: This is a randomized, double-blind, placebo-controlled study. Participants are stratified according to their study ID numbers. Participants are randomized to 1 of 2 treatment arms. Arm I: Participants receive oral genistein twice daily on days 1-84. Arm II: Participants receive oral placebo twice daily on days 1-84. In both arms, treatment continues in the absence of dysplasia, malignancy, unacceptable toxicity, or gross noncompliance. Participants are followed at days 7, 14, 28, 56, and 84 during study treatment and at day 28 after completion of study treatment. PROJECTED ACCRUAL: A total of 30 participants (20 for arm I and 10 for arm II) will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer, Endometrial Cancer
Keywords
breast cancer, endometrial cancer

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm I
Arm Type
Experimental
Arm Description
Genistein
Arm Title
Arm II
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Dietary Supplement
Intervention Name(s)
Genistein
Other Intervention Name(s)
PTI G-2535
Intervention Description
oral Genistein twice daily on days 1-84
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
oral Placebo twice daily on days 1-84
Primary Outcome Measure Information:
Title
Efficacy of genistein on DNA and apoptosis
Description
Compare the effects of genistein vs placebo on DNA damage and apoptosis by conducting COMET, TUNEL, Caspase-3, and AP site assays in healthy postmenopausal women.
Time Frame
112 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
DISEASE CHARACTERISTICS: Healthy participants Papanicolaou test (pap smear) normal within the past 13 months Mammogram normal within the past 13 months No history of breast cancer Not at high-risk (5-year risk < 1.9%) for breast cancer according to NCI's Breast Cancer Risk Assessment Tool Hormone receptor status: Not specified PATIENT CHARACTERISTICS: Age 45 to 70 Sex Female Menopausal status Postmenopausal Last spontaneous menstrual bleeding > 12 months ago Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic WBC ≥ 3,500/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic Bilirubin ≤ 2.0 mg/dL ALT and AST < 2 times normal No significant abnormality of the liver by physical exam Renal Creatinine < 2.0 mg/dL Cardiovascular No significant cardiac disease No New York Heart Association class III or IV heart disease No significant abnormality of the heart by physical exam Pulmonary No significant abnormality of the lung by physical exam Other Body mass index < 35 Follicle-stimulating hormone > 27 mIU/mL Thyroid or endocrine function test normal Alcohol intake ≤ 2 drinks/day or ≤14 drinks/week Not pregnant No intermediate equol values (≥10 ug/L to ≤ 20 ug/L) on soy challenge No history of seizures No significant abnormality of the spleen or other abdominal organs by physical exam No neurologic abnormality by physical exam No significant metabolic abnormality on the biochemical screen No history of substance abuse or addiction No tobacco use No diets containing > 20 mg of genistein/day or > 40 mg isoflavone/day No known intolerance to soy No other serious medical illness No active malignancy or malignancy initially diagnosed within the past 2 years except curatively treated nonmelanoma skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy More than 2 years since prior chemotherapy No concurrent chemotherapy Endocrine therapy More than 3 months since prior hormonal or estrogen therapy More than 3 months since prior tamoxifen or other selective estrogen-receptor modulators More than 1 month since prior supplements containing phytoestrogens or that have estrogenic side effects (soy isoflavones or PC-SPECS) No concurrent thyroid medication Other concurrent endocrine medication allowed provided medication was initiated ≥ 3 months before study entry AND participant has been on a stable regimen for the past 3 months Radiotherapy Not specified Surgery No prior hysterectomy or oophorectomy Other More than 3 months since prior antibiotics
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven H. Zeisel, MD, PhD
Organizational Affiliation
UNC Lineberger Comprehensive Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599-7295
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18446090
Citation
Pop EA, Fischer LM, Coan AD, Gitzinger M, Nakamura J, Zeisel SH. Effects of a high daily dose of soy isoflavones on DNA damage, apoptosis, and estrogenic outcomes in healthy postmenopausal women: a phase I clinical trial. Menopause. 2008 Jul-Aug;15(4 Pt 1):684-92. doi: 10.1097/gme.0b013e318167b8f2.
Results Reference
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Genistein in Preventing Breast or Endometrial Cancer in Healthy Postmenopausal Women

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