Dietary Phytoestrogens, Complementary and Alternative Medicine, and Lifestyle in Predicting Survival of Women With Breast Cancer
Recruitment status was Recruiting
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Purpose
RATIONALE: Eating a diet rich in phytoestrogens may slow the growth of breast cancer cells and prevent further tumor progression. Learning about the lifestyles of women with breast cancer, their intake of phytoestrogens derived from food and supplements, and their use of complementary or alternative medicine (CAM) practices may help doctors learn more about breast cancer.
PURPOSE: This clinical trial is studying the effect of dietary and supplemental phytoestrogens and CAM therapies in preventing progression and improving survival of women with breast cancer.
| Condition | Intervention |
|---|---|
|
Breast Cancer |
Genetic: gene expression analysis Genetic: polymorphism analysis Other: high performance liquid chromatography Other: laboratory biomarker analysis Other: mass spectrometry Other: questionnaire administration |
| Study Type: | Observational |
| Official Title: | The Role of Diet, Complementary Treatment and Lifestyle in Breast Cancer Survival |
- Relapse-free survival [ Designated as safety issue: No ]
| Estimated Enrollment: | 2300 |
| Study Start Date: | January 2005 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- To determine if phytoestrogen intake affects breast cancer progression and survival in women with breast cancer.
- To consider the influence of other phytochemicals on breast cancer progression in these patients, using samples of patient blood and urine and patient-derived data.
- To develop a database of food, dietary supplements, and phytoestrogens based on data derived from these patients.
- To consider influences of diet and dietary supplements on quality of life of these patients.
- To measure 17 phytoestrogens in blood and urine samples from these patients.
OUTLINE: This is a multicenter study.
Patients undergo blood and urine sample collection once a year for 5 years during routine clinical follow-up after breast cancer diagnosis and treatment. Blood samples are frozen for future analysis of body hormones, tumor markers, and immune reactions, as well as vitamins and plant chemicals reflecting patient diet and supplements. Blood samples are also analyzed for genetic studies of cancer risk factors and polymorphisms. Urine samples are analyzed for the presence of phytoestrogens and their metabolites by immunoassays, high performance liquid chromatography (HPLC), and mass spectrometry. Some samples are analyzed for estrogenic potency by the estrogen receptor-mediated chemical activated luciferase gene expression test to assess total plasma levels of estrogen-mimics not previously detected by the other tests. Phytochemicals are also assessed.
Patients also complete a series of questionnaires once each year for 5 years and an EPIC 7-day Food Diary in years 2 and 4 to assess the role of diet and lifestyle in breast cancer survival. The questionnaires include the EORTC Quality of Life-30 to assess lifestyle; the General Health Questionnaire 12 to assess general health and levels of anxiety; and up to two Food Frequency questionnaires to assess habitual dietary intake of phytoestrogens. Patients are also asked about their use of dietary supplements and complementary and alternative medicine.
Eligibility| Ages Eligible for Study: | up to 75 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed invasive primary breast cancer
- Grade I to III disease
- No bilateral disease
- Completed active treatment for primary breast cancer within 9 months to 15 months after diagnosis
- Hormone receptor status not specified
PATIENT CHARACTERISTICS:
- Menopausal status not specified
- No prior cancer except basal cell carcinoma
- No other concurrent primary cancer
- No cognitive impairment
- No psychological problems (e.g., severe endogenous depression)
- Able to understand English well
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
Contacts and Locations| United Kingdom | |
| University College Hospital | Recruiting |
| London, England, United Kingdom, NW1 2BU | |
| Contact: Contact Person 44-207-679-9396 a.leathem@ucl.ac.uk | |
| Principal Investigator: | Anthony Leathem, MD | University College London Hospitals |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00691509 History of Changes |
| Other Study ID Numbers: | CDR0000589004, UCLH-BCRG-DIETCOMPLYF-1456, EU-20823 |
| Study First Received: | June 4, 2008 |
| Last Updated: | May 9, 2009 |
| Health Authority: | Unspecified |
Keywords provided by National Cancer Institute (NCI):
|
breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Phytoestrogens |
Estrogens, Non-Steroidal Estrogens Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013