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CompletedNCT00291135Updated Jun 15, 2016Results posted

Protocol for Women at Increased Risk of Developing Breast Cancer

A Phase 2 interventional study of letrozole in Breast Cancer, sponsored by Carol Fabian, MD. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-06-15.

Sponsored by Carol Fabian, MD · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
42
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

A pilot study to assess the effects of six months of letrozole on breast tissue risk markers in postmenopausal women on hormone replacement therapy at high risk of developing breast cancer.

Read the detailed description

A pilot study of letrozole in postmenopausal women on hormone replacement therapy at high risk of developing breast cancer. Subjects will have hyperplasia with atypia (or borderline Epithelial Hyperplasia/Atypical Hyperplasia) and evidence of Estrogen Receptor expression by random periareolar fine needle aspiration and baseline serum estradiol levels less than or equal to 150 pg/ml. The feasibility of performing RT-qPCR on breast specimens for aromatase expression will also be done at baseline.

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Conditions studied

  • Breast Cancer

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Keywords

  • breast atypia
  • open label pilot study
  • letrozole
  • fine needle aspiration
  • high risk for breast cancer
  • breast epithelial hyperplasia
  • Ki-67
  • hormones plus chemoprevention
  • chemoprevention
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 42 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Carol Fabian, MD is the lead sponsor of 16 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • evidence of hyperplasia with/without atypia upon random periareolar fine needle aspiration of breast
  • on hormone replacement therapy
  • postmenopausal
  • increased risk of developing breast cancer based on personal or family history
  • never have taken aromatase inhibitors or selective estrogen receptor modulators in last six months
  • women who have a high risk of breast cancer
  • older than 18 years

Exclusion criteria

Exclusion Criteria:

  • anticoagulants
  • marked breast tenderness
  • pregnant or within twelve months of breast feeding/childbirth
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Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    1

    Oral Letrozole 2.5 mg daily for six months

    Drug: letrozole

Interventions

  • Drugletrozole

    Letrozole 2.5 mg daily

    Also known as: Femara

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What researchers measure

Primary outcomes

  1. Change in Proliferation of Breast Epithelial Cells Obtained by Random Periareolar Fine Needle Aspiration.

    Proliferation assessment by immunocytochemistry using Ki-67. Expressed as percent of cells staining positive for Ki-67.

    Time frame: Baseline, 6 months

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Results

Posted Feb 7, 2014

Participant flow

Participant flow — Overall Study
MilestoneLetrozole
Started42
Completed42
Not completed0

Outcome measures

PrimaryChange in Proliferation of Breast Epithelial Cells Obtained by Random Periareolar Fine Needle Aspiration.

Proliferation assessment by immunocytochemistry using Ki-67. Expressed as percent of cells staining positive for Ki-67.

Time frame:
Baseline, 6 months
Reported as:
Median · Change in % of cells positive for Ki-67
Change in Proliferation of Breast Epithelial Cells Obtained by Random Periareolar Fine Needle Aspiration.
Change in % of cells positive for Ki-67Letrozole
Change in Proliferation of Breast Epithelial Cells Obtained by Random Periareolar Fine Needle Aspiration.-2.3 (-21.0 to 7.8)

Adverse events

Collected over 6 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Letrozole—0/42 (0%)42/42 (100%)
Most frequent other events
Most frequent other events
EventLetrozole
Hot FlashReproductive system and breast disorders26/42
ArthralgiaMusculoskeletal and connective tissue disorders21/42
FatigueGeneral disorders20/42
alopeciaSkin and subcutaneous tissue disorders17/42

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Letrozole
<=18 years0
Between 18 and 65 years40
>=65 years2
Age, Continuous
Age, Continuous(years)Letrozole
Mean50 ± 7
Sex: Female, Male
Sex: Female, Male(Participants)Letrozole
Female42
Male0
Region of Enrollment
Region of Enrollment(participants)Letrozole
United States42
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Study locations

1 site
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
09

References and documents

Publications

  • Frank DH, Kimler BF, Fabian CJ, Ranger-Moore J, Yozwiak M, Bartels HG, Alberts DS, Bartels PH. Digital image analysis of breast epithelial cells collected by random periareolar fine-needle aspirates (RPFNA) from women at high risk for breast cancer taking hormone replacement and the aromatase inhibitor, letrozole, for six months. Breast Cancer Res Treat. 2009 Jun;115(3):661-8. doi: 10.1007/s10549-008-0274-0. Epub 2009 Jan 6. PubMed 19125322 ↗
  • Fabian CJ, Kimler BF, Zalles CM, Khan QJ, Mayo MS, Phillips TA, Simonsen M, Metheny T, Petroff BK. Reduction in proliferation with six months of letrozole in women on hormone replacement therapy. Breast Cancer Res Treat. 2007 Nov;106(1):75-84. doi: 10.1007/s10549-006-9476-5. Epub 2007 Jan 13. PubMed 17221152 ↗
  • Bartels PH, Fabian CJ, Kimler BF, Ranger-Moore JR, Frank DH, Yozwiak ML, Alberts DS. Karyometry of breast epithelial cells acquired by random periareolar fine needle aspiration in women at high risk for breast cancer. Anal Quant Cytol Histol. 2007 Apr;29(2):63-70. PubMed 17484269 ↗

Individual participant data

Plan to share: No — Global results will be published.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00291135
Lead sponsor
Carol Fabian, MD
Collaborators
Novartis
Responsible party
Carol Fabian, MD (Professor, Director Breast Cancer Prevention Unit, University of Kansas Medical Center) — Sponsor-investigator
First posted
Feb 13, 2006
Start date
Jan 2003
Primary completion
Oct 2008
Completion
Oct 2008
Results posted
Feb 7, 2014
Last update
Jun 15, 2016

Study contacts

Carol J Fabian, MD
principal investigator · University of Kansas Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.

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