search
Back to results

Survival Benefits of Statins in Breast Cancer Patients (SBSBC)

Primary Purpose

Breast Cancer Female

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
statins
Dietary intervention group (control group)
Sponsored by
Peking Union Medical College Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer Female focused on measuring breast cancer, statins, abnormal lipid metabolism

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Diagnosed as invasive breast cancer, it has been treated surgically, confirmed by histology, cytology or imaging.
  2. Female patients (35-75 years old);
  3. The low-risk patients with ASCVD are detailed in Annex 1.
  4. Signed written informed consent approved by IRB or IEC

Exclusion Criteria:

  1. The subjects were pregnant or lactating.
  2. Pregnancy test positive (urine or serum) in women with potential pregnancy within 7 days before administration.
  3. Other invasive tumors (including the second primary breast cancer) may affect the evaluation of outcomes and the compliance of schemes, but subjects who have been cured and survived disease-free for at least five years can be selected.
  4. Patients with chronic underlying liver diseases who have abnormal liver function and/or clinical manifestations:

    Serum total bilirubin > 2.5 *ULN; or INR > 1.5 although there was no increase in bilirubin Serum ALT or AST > 3 *ULN; Alkaline phosphatase > 2.5 *ULN; Elevated ALT or AST may gradually recover, but with progressively increased fatigue, nausea and vomiting, fever, right upper abdominal pain or tenderness.

  5. Extremely high risk ASCVD patients Including acute coronary syndrome (ACS), stable coronary heart disease, revascularization, ischemic cardiomyopathy, ischemic stroke, transient ischemic attack, peripheral atherosclerosis, etc.
  6. High-risk ASCVD patients (in accordance with one of the following circumstances):

    LDL-C>4.9 mmol/L or TC>7.2 mmol/L Diabetic patients with 1.8 mmol/L < LDL-C < 4.9 mmol/L (or) 3.1 mmol/L < TC < 7.2 mmol/L and age < 40 years

    The 10-year risk of ASCVD was moderate and younger than 55 years old. The remaining life risk was assessed. Those with any of the following two or more risk factors are defined as high risk:

    Systolic or diastolic blood pressure (> 160 mmHg) or (> 100 mmHg)

    • Non-HDL-C>5.2 mmol/L (200 mg/dl)
    • HDL-C < 1.0 mmol/L (40 mg/dl)
    • BMI>28 kg/m2 Smoking
  7. In the abnormal group of simple TG (triglyceride), TG (> 5.7 mmol/L)
  8. Other serious diseases, including:

    Congestive heart failure (NYHA grade II, III, IV); dyspnea at rest or requiring oxygen therapy; severe infection; uncontrolled diabetes mellitus;

  9. If there are serious mental or mental disorders, it is estimated that the subjects'compliance to participate in this study is not strong.
  10. Drug allergies to research drugs are known.
  11. Participated in other drug clinical trials in the past 30 days.
  12. Failure to complete at least one cycle of clinical trials based on this protocol, and failure to evaluate safety and effectiveness.
  13. Serious violation of this study program, not in accordance with the prescribed dose, method and course of treatment.

Sites / Locations

  • PUMCHRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

Statin therapy (experimental group)

Dietary intervention group (control group)

Arm Description

On the basis of guiding patients to control their diet and improve their lifestyle, etc. Simvastatin 20mg/d QN Po (dosage can be adjusted according to the blood lipid level of each reexamination) Atorvastatin 10mg/d QN Po (patients who cannot tolerate the side effects of simvastatin may consider replacing this drug)

Guiding patients to control diet, improve lifestyle, etc.

Outcomes

Primary Outcome Measures

DFS
Disease free survival

Secondary Outcome Measures

OS
Overall survival

Full Information

First Posted
March 30, 2019
Last Updated
August 11, 2019
Sponsor
Peking Union Medical College Hospital
search

1. Study Identification

Unique Protocol Identification Number
NCT03971019
Brief Title
Survival Benefits of Statins in Breast Cancer Patients
Acronym
SBSBC
Official Title
Survival Benefits of Statins in Breast Cancer Patients With Abnormal Lipid Metabolism
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Recruiting
Study Start Date
March 28, 2019 (Actual)
Primary Completion Date
May 28, 2024 (Anticipated)
Study Completion Date
June 28, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Peking Union Medical College Hospital

4. Oversight

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

5. Study Description

Brief Summary
In this study, we compared the survival benefit of breast cancer patients with dyslipidemia (low and medium risk of ASCVD). The control group used dietary intervention instead of statins intervention. The main endpoint was 5 years DFS. The subjects were breast cancer patients.
Detailed Description
A randomized, open, blank controlled, single-center clinical trial was conducted to compare the survival benefits of statins in breast cancer patients with dyslipidemia (low and medium risk of ASCVD). The control group used dietary intervention instead of statins. The main endpoint was 3 and 5 years DFS. The subjects were breast cancer patients. In this study, 348 patients were randomly divided into two groups according to patients' wishes and written informed consent. The experimental group: control group = 1:1. Subjects were screened and administered continuously until the disease progressed and the toxicity was intolerable. Informed consent was withdrawn or the researcher decided that the drug must be discontinued.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer Female
Keywords
breast cancer, statins, abnormal lipid metabolism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
A randomized, open, blank controlled, single-center clinical trial. The control group used dietary intervention instead of statins.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
314 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Statin therapy (experimental group)
Arm Type
Experimental
Arm Description
On the basis of guiding patients to control their diet and improve their lifestyle, etc. Simvastatin 20mg/d QN Po (dosage can be adjusted according to the blood lipid level of each reexamination) Atorvastatin 10mg/d QN Po (patients who cannot tolerate the side effects of simvastatin may consider replacing this drug)
Arm Title
Dietary intervention group (control group)
Arm Type
Other
Arm Description
Guiding patients to control diet, improve lifestyle, etc.
Intervention Type
Drug
Intervention Name(s)
statins
Other Intervention Name(s)
Simvastatin Shu Jiangzhi is manufactured by Merchant Company20mg*14 tablets Dose group: 20 mg once a day before bed, Atorvastatin Lipitor, commonly known as Atorvastatin Calcium Tablets, 20mg*7 tablets Dose group: 10 mg once a day before bed, Atorvastatin Ale Beijing Jialin Pharmaceutical Co., Ltd. Alatorvastatin Calcium Tablets Specification and packing: 10mg*7 tablets Dose group: 10 mg once a day before bed
Intervention Description
On the basis of dietary intervention. Simvastatin 20mg/d QN Po (half an hour before bedtime) (dosage can be adjusted according to other indicators of blood lipid level in each review), atorvastatin 10mg/d QN Po (half an hour before bedtime) (patients who can not tolerate the side effects of simvastatin can consider replacing this drug).
Intervention Type
Behavioral
Intervention Name(s)
Dietary intervention group (control group)
Other Intervention Name(s)
Dietary and motor regulation
Intervention Description
Restriction of dietary components that increase LDL-C Saturated Fatty Acids Less than 7% of total energy Dietary cholesterol < 300 mg/d Increasing Dietary Ingredients for Reducing LDL-C Phytosterol 2~3 g/d Water soluble dietary fiber 10~25 g/d total energy Adjusted to maintain ideal weight or lose weight Physical activity Maintain moderate intensity exercise and consume at least 200 kcal of calories per day
Primary Outcome Measure Information:
Title
DFS
Description
Disease free survival
Time Frame
5 years
Secondary Outcome Measure Information:
Title
OS
Description
Overall survival
Time Frame
5 years

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
female breast cancer patients
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosed as invasive breast cancer, it has been treated surgically, confirmed by histology, cytology or imaging. Female patients (35-75 years old); The low-risk patients with ASCVD are detailed in Annex 1. Signed written informed consent approved by IRB or IEC Exclusion Criteria: The subjects were pregnant or lactating. Pregnancy test positive (urine or serum) in women with potential pregnancy within 7 days before administration. Other invasive tumors (including the second primary breast cancer) may affect the evaluation of outcomes and the compliance of schemes, but subjects who have been cured and survived disease-free for at least five years can be selected. Patients with chronic underlying liver diseases who have abnormal liver function and/or clinical manifestations: Serum total bilirubin > 2.5 *ULN; or INR > 1.5 although there was no increase in bilirubin Serum ALT or AST > 3 *ULN; Alkaline phosphatase > 2.5 *ULN; Elevated ALT or AST may gradually recover, but with progressively increased fatigue, nausea and vomiting, fever, right upper abdominal pain or tenderness. Extremely high risk ASCVD patients Including acute coronary syndrome (ACS), stable coronary heart disease, revascularization, ischemic cardiomyopathy, ischemic stroke, transient ischemic attack, peripheral atherosclerosis, etc. High-risk ASCVD patients (in accordance with one of the following circumstances): LDL-C>4.9 mmol/L or TC>7.2 mmol/L Diabetic patients with 1.8 mmol/L < LDL-C < 4.9 mmol/L (or) 3.1 mmol/L < TC < 7.2 mmol/L and age < 40 years The 10-year risk of ASCVD was moderate and younger than 55 years old. The remaining life risk was assessed. Those with any of the following two or more risk factors are defined as high risk: Systolic or diastolic blood pressure (> 160 mmHg) or (> 100 mmHg) Non-HDL-C>5.2 mmol/L (200 mg/dl) HDL-C < 1.0 mmol/L (40 mg/dl) BMI>28 kg/m2 Smoking In the abnormal group of simple TG (triglyceride), TG (> 5.7 mmol/L) Other serious diseases, including: Congestive heart failure (NYHA grade II, III, IV); dyspnea at rest or requiring oxygen therapy; severe infection; uncontrolled diabetes mellitus; If there are serious mental or mental disorders, it is estimated that the subjects'compliance to participate in this study is not strong. Drug allergies to research drugs are known. Participated in other drug clinical trials in the past 30 days. Failure to complete at least one cycle of clinical trials based on this protocol, and failure to evaluate safety and effectiveness. Serious violation of this study program, not in accordance with the prescribed dose, method and course of treatment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xuefei Wang, M.D.
Phone
008613001289600
Email
1210548954@qq.com
First Name & Middle Initial & Last Name or Official Title & Degree
Qiang Sun, M.D.
Phone
008618801038718
Email
799692578@qq.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xuefei Wang, M.D.
Organizational Affiliation
PUMCH
Official's Role
Principal Investigator
Facility Information:
Facility Name
PUMCH
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xu Hui, M.D.
Phone
0086-13810399955
Email
pumchkyc@126.com
First Name & Middle Initial & Last Name & Degree
Xuefei Wang, M.D.

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
The results of this study can be shared
Citations:
PubMed Identifier
19013720
Citation
Filippatos TD, Liberopoulos EN, Pavlidis N, Elisaf MS, Mikhailidis DP. Effects of hormonal treatment on lipids in patients with cancer. Cancer Treat Rev. 2009 Apr;35(2):175-84. doi: 10.1016/j.ctrv.2008.09.007. Epub 2008 Nov 14.
Results Reference
background
PubMed Identifier
21689398
Citation
Patnaik JL, Byers T, DiGuiseppi C, Dabelea D, Denberg TD. Cardiovascular disease competes with breast cancer as the leading cause of death for older females diagnosed with breast cancer: a retrospective cohort study. Breast Cancer Res. 2011 Jun 20;13(3):R64. doi: 10.1186/bcr2901.
Results Reference
result
PubMed Identifier
30458856
Citation
Beckwitt CH, Brufsky A, Oltvai ZN, Wells A. Statin drugs to reduce breast cancer recurrence and mortality. Breast Cancer Res. 2018 Nov 20;20(1):144. doi: 10.1186/s13058-018-1066-z.
Results Reference
result
PubMed Identifier
28432513
Citation
Liu B, Yi Z, Guan X, Zeng YX, Ma F. The relationship between statins and breast cancer prognosis varies by statin type and exposure time: a meta-analysis. Breast Cancer Res Treat. 2017 Jul;164(1):1-11. doi: 10.1007/s10549-017-4246-0. Epub 2017 Apr 21.
Results Reference
result

Learn more about this trial

Survival Benefits of Statins in Breast Cancer Patients

We'll reach out to this number within 24 hrs