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A "Window Trial" on Curcumin for Invasive Breast Cancer Primary Tumors

Primary Purpose

Breast Cancer

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Curcumin
Sponsored by
Medical University of South Carolina
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Histologically confirmed invasive breast cancer (stages I, II, or III) with primary tumor(s) ≥ 1.0 cm on mammogram, ultrasound, MRI, or physical exam
  2. 18 years of age or older
  3. Subject must understand risks and benefits of the protocol and be able to give informed consent
  4. Women of childbearing potential (WOCBP) must agree to use an approved form of birth control and to have a negative pregnancy test result within 14 days of registration. WOCBP is defined as any female who has experienced menarche and who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy) or who is not postmenopausal. Menopause is defined clinically as 12 consecutive months of amenorrhea in a woman over 45 in the absence of other biological or physiological causes

    Approved forms of birth control:

    • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intra-vaginal, or transdermal)
    • progestogen only hormonal contraception associated with inhibition of ovulation (oral, injectable, or implantable)
    • intrauterine device, intrauterine hormone-releasing system
    • bilateral tubal occlusion/ligation
    • vasectomized partner
    • barrier contraception
    • sexual abstinence
  5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  6. Adequate hematologic and end organ function
  7. Ability and capacity to comply with the study and follow-up procedures
  8. Subjects must be scheduled for surgery at MUSC no less than 5 days from the planned start of day 1 and no more than 56 days from the planned start of day 1
  9. At least 6 sections of unstained slides should be obtained. If sufficient slides or tissue is unavailable, the patient will be excluded from the trial

Exclusion Criteria:

  1. Subjects undergoing neoadjuvant chemotherapy or neoadjuvant endocrine therapy
  2. Subjects with end-stage kidney disease and/or grade II liver dysfunction
  3. Subjects who are pregnant or are lactating.
  4. Subjects with bile duct obstruction, gallstones, predisposition to kidney stones(39), or gastrointestinal disorders such as stomach ulcers and hyperacidity disorders(40)
  5. Subjects taking anti-coagulants or platelet inhibitors
  6. Subjects taking drugs metabolized by CYP3A4, CYP1A2, and CYP2A6 enzymes
  7. Subjects taking drugs that interact with P-glycoprotein (P-gp)
  8. Subjects taking any of the medications listed under Other Herb-Drug interactions according to the Memorial Sloan Kettering Cancer Center in section 5.

Sites / Locations

  • Medical University of South Carolina

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Curcumin

Arm Description

Curcumin will be given at 500mg by mouth twice a day, immediately after each meal. Curcumin will be given from the time surgical resection is scheduled until the night before surgical resection.

Outcomes

Primary Outcome Measures

Change in tumor proliferation rate
Change in tumor proliferation rate will be based on apoptosis (DNA fragmentation) and cell proliferation (Ki67) assays in biopsies pre and post treatment with curcumin

Secondary Outcome Measures

Number of adverse events reported
Safety data will be tabulated by type and grade of adverse event and will use CTCAE v. 4.0

Full Information

First Posted
June 6, 2019
Last Updated
July 1, 2023
Sponsor
Medical University of South Carolina
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1. Study Identification

Unique Protocol Identification Number
NCT03980509
Brief Title
A "Window Trial" on Curcumin for Invasive Breast Cancer Primary Tumors
Official Title
A "Window Trial" on Curcumin, the Active Compound in Turmeric, for Invasive Breast Cancer Primary Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
January 29, 2020 (Actual)
Primary Completion Date
October 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medical University of South Carolina

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether oral administration of curcumin causes biological changes in primary tumors of breast cancer patients.
Detailed Description
The purpose of this study is to determine whether oral administration of Curcuma longa extract causes biological changes related to apoptosis (DNA fragmentation) and cell proliferation (Ki67) in primary tumors of breast cancer patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Curcumin
Arm Type
Experimental
Arm Description
Curcumin will be given at 500mg by mouth twice a day, immediately after each meal. Curcumin will be given from the time surgical resection is scheduled until the night before surgical resection.
Intervention Type
Drug
Intervention Name(s)
Curcumin
Intervention Description
Curcumin is an extract from turmeric
Primary Outcome Measure Information:
Title
Change in tumor proliferation rate
Description
Change in tumor proliferation rate will be based on apoptosis (DNA fragmentation) and cell proliferation (Ki67) assays in biopsies pre and post treatment with curcumin
Time Frame
Up to 56 days
Secondary Outcome Measure Information:
Title
Number of adverse events reported
Description
Safety data will be tabulated by type and grade of adverse event and will use CTCAE v. 4.0
Time Frame
up to 84 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed invasive breast cancer (stages I, II, or III) with primary tumor(s) ≥ 1.0 cm on mammogram, ultrasound, MRI, or physical exam 18 years of age or older Subject must understand risks and benefits of the protocol and be able to give informed consent Women of childbearing potential (WOCBP) must agree to use an approved form of birth control and to have a negative pregnancy test result within 14 days of registration. WOCBP is defined as any female who has experienced menarche and who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy) or who is not postmenopausal. Menopause is defined clinically as 12 consecutive months of amenorrhea in a woman over 45 in the absence of other biological or physiological causes Approved forms of birth control: combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intra-vaginal, or transdermal) progestogen only hormonal contraception associated with inhibition of ovulation (oral, injectable, or implantable) intrauterine device, intrauterine hormone-releasing system bilateral tubal occlusion/ligation vasectomized partner barrier contraception sexual abstinence Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Adequate hematologic and end organ function Ability and capacity to comply with the study and follow-up procedures Subjects must be scheduled for surgery at MUSC no less than 5 days from the planned start of day 1 and no more than 56 days from the planned start of day 1 At least 6 sections of unstained slides should be obtained. If sufficient slides or tissue is unavailable, the patient will be excluded from the trial Exclusion Criteria: Subjects undergoing neoadjuvant chemotherapy or neoadjuvant endocrine therapy Subjects with end-stage kidney disease and/or grade II liver dysfunction Subjects who are pregnant or are lactating. Subjects with bile duct obstruction, gallstones, predisposition to kidney stones(39), or gastrointestinal disorders such as stomach ulcers and hyperacidity disorders(40) Subjects taking anti-coagulants or platelet inhibitors Subjects taking drugs metabolized by CYP3A4, CYP1A2, and CYP2A6 enzymes Subjects taking drugs that interact with P-glycoprotein (P-gp) Subjects taking any of the medications listed under Other Herb-Drug interactions according to the Memorial Sloan Kettering Cancer Center in section 5.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nancy DeMore, MD, FACS
Organizational Affiliation
Medical University of South Carolina
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A "Window Trial" on Curcumin for Invasive Breast Cancer Primary Tumors

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