Efficacy and Safety of Adjuvant Metformin for Operable Breast Cancer Patients
Recruitment status was Recruiting
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Purpose
The investigators hypothesize that adjuvant metformin use in breast cancer patients with overweight or pre-diabetes mellitus (DM) may improve their body condition including weight loss.
In this study, the investigators aim to test the efficacy and safety of adjuvant metformin for operable breast cancer patients with overweight or pre-DM.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: Placebo Drug: Metformin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention |
- Weight loss [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 105 |
| Study Start Date: | June 2009 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Placebo
Placebo
|
Drug: Placebo
Control: Receive placebo pill once every evening on 1~2 weeks. Receive placebo pill in every morning and evening on 3~24 weeks (twice a day). |
|
Active Comparator: Metformin 500 mg/d
Metformin 500 mg/d
|
Drug: Metformin
Metformin 500 mg/d: Receive oral metformin 500 mg dose once daily on 1~2 weeks. Receive placebo pill in every morning and oral metformin 500 mg in every evening on 3~24 weeks. |
|
Active Comparator: Metformin 1000 mg/d
Metformin 1000 mg/d
|
Drug: Metformin
Metformin 1000 mg/d : Receive oral metformin 500 mg dose once daily on 1~2 weeks. (Dose-escalate) Receive oral metformin 500 mg in every morning and evening on 3~24 weeks (metformin 500 mg * twice a day = 1000 mg per day). |
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Operable Breast cancer patients with BMI ≥ 23 or 100 ≤ FBS < 126
- From 6 month to 2 years since breast cancer operation and at least 4 weeks since chemotherapy or radiotherapy
- No drug use except Tamoxifen
- Normal OTPT & Serum creatinine (<=ULN)
- ECOG performance status 0-2 or Karnofsky PS 60-100%
- Life expectancy > 12
- Absolute neutrophil count ≥ 1.5 x 10^9/L
- Platelets ≥ 100 x 10^9/L
- Pregnancy(-) & without plan for pregnancy
- Sign a written informed consent form
Exclusion Criteria:
- Type I or II DM or concurrent use of DM control agents
- Prior use of Metformin
- Hypoglycemia (FBS< 70 with clinical symptom)
- Concurrent investigational or commercial agents
- Other diet or drug intervention for weight loss
- Concurrent use of steroid
- Abnormal liver and/or renal function
- Symptomatic congestive heart failure / Cardiac arrhythmia / Angina pectoris
- Ongoing or active infection
- lactic acidosis
- Pregnancy or ongoing breast feeding
- Anorexia, bulimia, nausea due to other disease for longer than 1 month
- Allergies or allergic reactions attributed to oral medications
- Inability to swallow or digest oral medications
- Physical or psychiatric illness that would limit compliance with study protocol
- Participants in other clinical trial
Contacts and Locations| Contact: Wonshik Han, M.D., Ph.D. | 82-2-2072-1958 | hanw@snu.ac.kr |
| Contact: Sue K. Park, M.D., Ph.D. | 82-2-740-8338 | suepark@snu.ac.kr |
| Korea, Republic of | |
| Seoul National University Hospital | Recruiting |
| Seoul, Korea, Republic of, 110-744 | |
| Contact: Wonshik Han, M.D., Ph.D. 82-2-2072-1958 hanw@snu.ac.kr | |
| Principal Investigator: | Wonshik Han, M.D., Ph.D. | Department of General Surgery, Seoul National University College of Medicine & Seoul National University Hospital |
More Information
No publications provided
| Responsible Party: | Wonshik Han, Seoul National University Hospital |
| ClinicalTrials.gov Identifier: | NCT00909506 History of Changes |
| Other Study ID Numbers: | adjuvant metformin for BC |
| Study First Received: | May 27, 2009 |
| Last Updated: | September 17, 2010 |
| Health Authority: | Korea: Food and Drug Administration |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
Metformin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013