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Home > "R" Clinical Trials Conditions > Risedronate in Preventing Bone Loss in Premenopausal Women Receiving Chemotherapy for Primary Breast Cancer

Risedronate in Preventing Bone Loss in Premenopausal Women Receiving Chemotherapy for Primary Breast Cancer



Risedronate in Preventing Bone Loss in Premenopausal Women Receiving Chemotherapy for Primary Breast Cancer

For Condition: stage 3A breast cancer,Osteoporosis,stage 2 breast cancer,stage 1 breast cancer
Status: Recruiting
Sponsor(s): North Central Cancer Treatment Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Preventing bone loss in patients who are receiving chemotherapy for breast cancer may decrease the risk of fractures and may help patients live more comfortably. It is not yet known whether calcium is more effective with or without risedronate in preventing bone loss. PURPOSE: Randomizedphase III trial to compare the effectiveness of two forms of calcium with or without risedronate in preventing bone loss in premenopausal women who are receiving chemotherapy for primarystage I, stage II, or stage IIIA breast cancer.
Details: OBJECTIVES: - Compare the effectiveness of risedronate vs placebo in the prevention of bone loss in premenopausal women undergoing adjuvant or neoadjuvant chemotherapy for primary breast cancer. - Compare the degree of bone loss over 1 year in these women according to menopausal status after 1 year of therapy. - Determine the relationship of current climacteric symptoms, menstrual and reproductive history, and chemotherapy regimen with ovarian failure (permanent cessation of menses) in these women. - Determine the relationship of baseline serum estradiol levels with ovarian failure in these women. OUTLINE: This is a randomized, placebo-controlled, double-blind study. Patients are stratified according to planned tamoxifen therapy (yes vs no vs undecided), planned taxane therapy (yes vs no vs undecided), time from last menses (1-3 months vs longer than 3 months to 6 months), and age (under 40 vs 40 to 49 vs 50 and over). Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive oral calcium and oral cholecalciferol daily and oral risedronate once weekly. - Arm II: Patients receive calcium and cholecalciferol as in arm I and oral placebo once weekly. In both arms, treatment begins during the first month of chemotherapy and continues for 1 year in the absence of unacceptable toxicity. Questionnaires about cessation of menses, ovarian failure, and menopausal symptoms are completed at baseline, monthly during chemotherapy, at 6 months, and then at 1 and 2 years. Patients are followed for 1 year. PROJECTED ACCRUAL: A total of 220 patients (110 per treatment arm) will be accrued for this study within 11 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Resected primary breast cancer - Stage I, II, or IIIA - Scheduled to undergo adjuvant or neoadjuvant chemotherapy - No hypercalcemia (calcium level greater than 1 mg/dL above upper limit of normal within the past 6 months) - No hypocalcemia (calcium level greater than 0.5 mg/dL below lower limit of normal within the past 6 months) - No diseases affecting bone metabolism (i.e., hyperparathyroidism, hyperthyroidism, and hypercortisolism) - Bone mineral density T score of -2.0 or greater at the hip or spine (T score of -2.1 or less is ineligible) PATIENT CHARACTERISTICS: Age - 18 and over Sex - Female Menopausal status - Premenopausal meeting the following criteria: - No more than 6 months since last menstrual period - No prior bilateral oophorectomy - Not on estrogen replacement therapy - If total abdominal hysterectomy performed, then must have at least 1 intact ovary - If more than 3 months since last menstrual period, then must have premenopausal estrogen levels within 1 month of study entry Performance status - ECOG 0-1 Life expectancy - Not specified Hematopoietic - Not specified Hepatic - Not specified Renal - Creatinine no greater than 2.0 mg/dL - No history of severe renal impairment Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective barrier contraception - Able to stand or sit upright for at least 30 minutes - No known swallowing disorder - No history of vertebral compression fracture - No malabsorption syndrome PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - See Disease Characteristics Endocrine therapy - No concurrent estrogen - No concurrent estrogen receptor modulators except tamoxifen - No corticosteroid dose of prednisone or equivalent greater than 5 mg daily for more than 2 weeks within the past 6 months - No concurrent estrogen replacement therapy - No concurrent oral contraceptives Radiotherapy - Not specified Surgery - See Disease Characteristics - No prior bilateral oophorectomy Other - No prior bisphosphonates - No other concurrent bisphosphonates
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
BettyMincey,  Study Chair,  Mayo Clinic Cancer Center

CCOP - Cedar Rapids Oncology Project *Recruiting*
Cedar Rapids,  Iowa,  52403-1206
United States
Recruiting Martin  Wiesenfeld 319-363-8303

CCOP - Michigan Cancer Research Consortium *Recruiting*
Ann Arbor,  Michigan,  48106
United States
Recruiting Philip  Stella 734-712-2000

CCOP - Dayton *Recruiting*
Dayton,  Ohio,  45429
United States
Recruiting Howard  Gross 937-395-8678

CCOP - Missouri Valley Cancer Consortium *Recruiting*
Omaha,  Nebraska,  68106
United States
Recruiting James  Mailliard 402-280-4364

CCOP - St. Vincent Hospital Cancer Center, Green Bay *Recruiting*
Green Bay,  Wisconsin,  54301
United States
Recruiting Anthony  Jaslowski 920-884-3135

Medcenter One Health System *Recruiting*
Bismark,  North Dakota,  58501-5505
United States
Recruiting Edward  Wos 701-323-5741

CCOP - Toledo Community Hospital *Recruiting*
Toledo,  Ohio,  43623-3456
United States
Recruiting Paul  Schaefer 419-843-6147

CCOP - Iowa Oncology Research Association *Recruiting*
Des Moines,  Iowa,  50309-1016
United States
Recruiting Roscoe  Morton 515-244-7586

Rapid City Regional Hospital *Recruiting*
Rapid City,  South Dakota,  57709
United States
Recruiting Larry  Ebbert 605-341-8704

CCOP - Oklahoma *Recruiting*
Tulsa,  Oklahoma,  74136
United States
Recruiting Mark  Olsen 918-499-2000

CCOP - Geisinger Clinic and Medical Center *Recruiting*
Danville,  Pennsylvania,  17822-2001
United States
Recruiting Suresh  Nair 570-271-6413

Allan Blair Cancer Centre *Recruiting*
Regina,  Saskatchewan,  S4T 7T1
Canada
Recruiting Muhammad  Salim 306-766-2203

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784

CCOP - Mayo Clinic Scottsdale Oncology Program *Recruiting*
Scottsdale,  Arizona,  85259-5404
United States
Recruiting Tom  Fitch 480-301-9875

MBCCOP - Hawaii *Recruiting*
Honolulu,  Hawaii,  96813
United States
Recruiting Brian  Issell 808-586-3013

CCOP - Illinois Oncology Research Association *Recruiting*
Peoria,  Illinois,  61602
United States
Recruiting John  Kugler 309-636-3605

CCOP - Upstate Carolina *Recruiting*
Spartanburg,  South Carolina,  29303
United States
Recruiting James  Bearden 864-560-7050

CCOP - Sioux Community Cancer Consortium *Recruiting*
Sioux Falls,  South Dakota,  57104
United States
Recruiting Loren  Tschetter 605-328-8044

Mayo Clinic Cancer Center *Recruiting*
Rochester,  Minnesota,  55905
United States
Recruiting Betty  Mincey 507-284-1623

CCOP - Ochsner *Recruiting*
New Orleans,  Louisiana,  70121
United States
Recruiting Carl  Kardinal 504-842-3910

CCOP - Merit Care Hospital *Recruiting*
Fargo,  North Dakota,  58122
United States
Recruiting Preston  Steen 701-234-6161

CCOP - Metro-Minnesota *Recruiting*
St. Louis Park,  Minnesota,  55416
United States
Recruiting Patrick  Flynn 952-993-15175

CCOP - Atlanta Regional *Recruiting*
Atlanta,  Georgia,  30342-1701
United States
Recruiting Thomas  Seay 404-851-2340

CCOP - Carle Cancer Center *Recruiting*
Urbana,  Illinois,  61801
United States
Recruiting Kendrith  Rowland 217-383-4083

Siouxland Hematology-Oncology *Recruiting*
Sioux City,  Iowa,  51101-1733
United States
Recruiting Donald  Wender 712-252-0088


Additional Information:
Study ID Numbers:
  CDR0000270449;  NCCTG-N02C1
Study Start Date: 
Record last reviewed: December 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00054418

Other Stage 2 Breast Cancer Studies:
1. Breast-Conserving Therapy Compared With Mastectomy Followed By Radiation Therapy in Treating Women With Locally Advanced Breast Cancer Previously Treated With Chemotherapy

2. Timing of Menstrual Cycle and Surgery in Treating Premenopausal Women With Stage I, Stage II, or Stage III Breast Cancer

3. Chemotherapy in Treating Women With Resected Breast Cancer Following Tamoxifen Therapy

4. Combination Chemotherapy, Surgery, and Radiation Therapy With or Without Dexrazoxane and Trastuzumab in Treating Women With Stage III or Stage IV Breast Cancer

5. Combination Chemotherapy in Treating Women With Stage I, Stage II, or Stage IIIA Breast Cancer and Positive Axillary Lymph Nodes

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