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The Anti-tumor Effect of Metformin And Atorvastatin in Breast Cancer

Primary Purpose

Breast Cancer Female

Status
Not yet recruiting
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Placebo, metformin and atorvastatin
Sponsored by
Tanta University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer Female

Eligibility Criteria

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

Inclusion Criteria:

  • Patients with radiologically and histologically (biopsy) confirmed diagnosis of breast cancer and with stage I, II, and stage III breast cancer according to the American Joint Committee on Cancer (TNM staging system of breast cancer).
  • Patients with no contraindication for chemotherapy, metformin, or statins
  • Females aged ≥ 18 years old
  • Performance status < 2 according to the Eastern Cooperative Oncology Group (ECOG) score

Exclusion Criteria:

  • Patients with metastatic breast cancer (stage IV)
  • Pregnant or lactating women.
  • Patients with hepatic or renal impairment.
  • Patients with myopathy.
  • Patients with any condition predispose to acidosis (COPD, heart failure, ….)
  • Patients who had dementia, mental retarded, and any psychiatric condition that would prohibit the understanding or signing of informed consent.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Placebo Comparator

    Active Comparator

    Active Comparator

    Arm Label

    control group

    metformin group

    atorvastatin group

    Arm Description

    30 patients who will serve as a control group and will receive placebo tablets

    30 patients who will receive metformin 1000 mg/day.

    30 patients who will receive atorvastatin 20 mg/day.

    Outcomes

    Primary Outcome Measures

    Improvement in the overall response rate
    The improvement in the overall response rate (ORR) will be assessed in 3 arms at the end of the study using the RECIST criteria and Miller-Payne grading system respectively
    Improvement in the pathological response
    The improvement in the pathological response will be assessed in 3 arms at the end of the study using the RECIST criteria and Miller-Payne grading system respectively

    Secondary Outcome Measures

    Full Information

    First Posted
    August 14, 2022
    Last Updated
    October 28, 2022
    Sponsor
    Tanta University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05507398
    Brief Title
    The Anti-tumor Effect of Metformin And Atorvastatin in Breast Cancer
    Official Title
    Comparative Clinical Study Evaluating the Anti-tumor Effect of Metformin Versus Atorvastatin as an Adjuvant Therapy With Chemotherapy in Patients With Non-metastatic Breast Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 2022 (Anticipated)
    Primary Completion Date
    July 2023 (Anticipated)
    Study Completion Date
    September 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Tanta University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No

    5. Study Description

    Brief Summary
    This study aims at evaluating and comparing the anti-tumor effects of metformin and statins (hydroxyl-methyl-glutaryl-CoA reductase inhibitors) in patients with non-metastatic breast cancer (stage I, II, & III).
    Detailed Description
    Worldwide, BC is the most frequently diagnosed life-threatening cancer in women. In EGYPT, breast cancer is the foremost oncologic problem, contributing to 20% of all cancers and 43% of female cancers. Metformin and atorvastatin have anti-tumor effects. To date, there are limited data to investigate and compare the anti-tumor effect between metformin and statins in patients with breast cancer.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    control group
    Arm Type
    Placebo Comparator
    Arm Description
    30 patients who will serve as a control group and will receive placebo tablets
    Arm Title
    metformin group
    Arm Type
    Active Comparator
    Arm Description
    30 patients who will receive metformin 1000 mg/day.
    Arm Title
    atorvastatin group
    Arm Type
    Active Comparator
    Arm Description
    30 patients who will receive atorvastatin 20 mg/day.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo, metformin and atorvastatin
    Other Intervention Name(s)
    Cidophage 1000 mg, Ator 20 mg
    Intervention Description
    comparing the anti-tumor effects of metformin and atorvastatin
    Primary Outcome Measure Information:
    Title
    Improvement in the overall response rate
    Description
    The improvement in the overall response rate (ORR) will be assessed in 3 arms at the end of the study using the RECIST criteria and Miller-Payne grading system respectively
    Time Frame
    6 months
    Title
    Improvement in the pathological response
    Description
    The improvement in the pathological response will be assessed in 3 arms at the end of the study using the RECIST criteria and Miller-Payne grading system respectively
    Time Frame
    6 monthes

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients with radiologically and histologically (biopsy) confirmed diagnosis of breast cancer and with stage I, II, and stage III breast cancer according to the American Joint Committee on Cancer (TNM staging system of breast cancer). Patients with no contraindication for chemotherapy, metformin, or statins Females aged ≥ 18 years old Performance status < 2 according to the Eastern Cooperative Oncology Group (ECOG) score Exclusion Criteria: Patients with metastatic breast cancer (stage IV) Pregnant or lactating women. Patients with hepatic or renal impairment. Patients with myopathy. Patients with any condition predispose to acidosis (COPD, heart failure, ….) Patients who had dementia, mental retarded, and any psychiatric condition that would prohibit the understanding or signing of informed consent.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    ahmed elabd, doctor
    Phone
    01004862455
    Email
    drahmedh.elabd12@gmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    ahmed elabd, doctor
    Organizational Affiliation
    Tanta university, faculty of pharmacy
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    The Anti-tumor Effect of Metformin And Atorvastatin in Breast Cancer

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