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CompletedNCT00445445Updated Feb 11, 2020

Changes in Breast Density and Breast Cancer Risk in Women With Breast Cancer and in Healthy Women

An observational study in Breast Cancer, sponsored by Case Comprehensive Cancer Center. Completed at 8 sites in United States. Open to female participants aged 40 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-11.

Sponsored by Case Comprehensive Cancer Center · Observational

Study type
Observational
Model
Case-control
Time perspective
Other
Enrollment
2,201
Ages
40 Years and older
Sex
Female
01

Study summary

RATIONALE: Studying mammograms for breast density changes over time may help doctors predict breast cancer risk.

PURPOSE: This natural history study is looking at changes in breast density and gathering health information over time to assess breast cancer risk in women with breast cancer and in healthy women.

Read the detailed description

OBJECTIVES:

  • Characterize each woman's individual mammographic density (MD) longitudinal change trajectory in women with breast cancer and in healthy female participants to assess within-individual MD longitudinal change and breast cancer risk.
  • Examine whether these patients or healthy participants manifest different patterns of within-individual change in MD and evaluate predictors of across-individual differences.
  • Determine whether the developmental profile of MD differs systematically between these patients and healthy participants.

OUTLINE: This is a prospective, retrospective, controlled study. Patients and healthy participants are frequency-matched by age (± 2 years) and ethnicity.

  • Questionnaire: Patients and healthy participants complete a self-administered questionnaire providing detailed information on breast cancer risk factors, including demographics, behavioral and lifestyle factors, reproductive history, family history of breast cancer, comorbidities, medication and hormone replacement therapy use, and breast cancer screening history. This information is then cross-validated with documented data abstracted from medical records to provide a longitudinal and historical framework for assessing individual risk.
  • Mammographic density (MD) assessment: Patients and healthy participants are evaluated for patterns of longitudinal change in MD and subsequent breast cancer risk by retrospective review of screening mammograms performed prior to breast cancer diagnosis.

PROJECTED ACCRUAL: A total of 1500 patients and 1500 healthy participants will be accrued for this study.

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Conditions studied

  • Breast Cancer

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Keywords

  • stage I breast cancer
  • stage II breast cancer
  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
  • stage IV breast cancer
  • recurrent breast cancer
  • breast cancer in situ
03

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 2,201 is above the median of 184 across 2,642 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Case Comprehensive Cancer Center is the lead sponsor of 484 studies on the registry; 59 are open to participants now.

Of its 74 completed or terminated interventional studies of FDA-regulated products, 45 (61%) have results posted.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Breast cancer cases diagnosed after 1994 and equal number of frequency-matched (by age within 2 years and ethnicity) controls. Cases and eligible controls with at least 3 screening mammograms since 1994 will be recruited through the University Hospitals Breast Center, and primary care clinics within the University Hospitals Health System (UHHS). The restriction of 3 or more screening mammograms will allow us to adequately model the longitudinal change patterns.

Inclusion criteria

  • Patient at the University Hospitals Breast Center and primary care clinics within the University Hospitals system
  • Have at least 3 screening mammograms since 1994
  • for cases, diagnosis with breast cancer between 2004-2006

Exclusion criteria

Exclusion criteria:

  • having had irregular screening (less than 3 mammorgrams since 1994)
  • Having breast implants
  • Known carriers of BRCA1/BRCA2 genes
  • Unable to give written consent
05

Study design

Observational model
Case-control
Time perspective
Other
Enrollment
2,201 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients

    Histologically confirmed breast cancer that was diagnosed between the years 2002-2004

    Other: physiologic testing · Other: screening questionnaire administration · Procedure: breast imaging study · Procedure: radiomammography · Procedure: study of high risk factors

  • Healthy participants

    Healthy participant who is receiving routine medical care (e.g., screening mammograms. Healthy participants are frequency-matched by age (± 2 years) and ethnicity.

    Other: physiologic testing · Other: screening questionnaire administration · Procedure: breast imaging study · Procedure: radiomammography · Procedure: study of high risk factors

Interventions

  • Otherphysiologic testing

    Urine samples will be assessed for levels of bisphenol-A

  • Otherscreening questionnaire administration

    Patients and healthy participants complete a self-administered questionnaire providing detailed information on breast cancer risk factors, including demographics, behavioral and lifestyle factors, reproductive history, family history of breast cancer, comorbidities, medication and hormone replacement therapy use, and breast cancer screening history. This information is then cross-validated with documented data abstracted from medical records to provide a longitudinal and historical framework for assessing individual risk.

  • Procedurebreast imaging study

    Mammographic density (MD) assessment: Patients and healthy participants are evaluated for patterns of longitudinal change in MD and subsequent breast cancer risk by retrospective review of screening mammograms performed prior to breast cancer diagnosis.

  • Procedureradiomammography

    Mammographic density (MD) assessment: Patients and healthy participants are evaluated for patterns of longitudinal change in MD and subsequent breast cancer risk by retrospective review of screening mammograms performed prior to breast cancer diagnosis.

  • Procedurestudy of high risk factors

    * Questionnaire: Patients and healthy participants complete a self-administered questionnaire providing detailed information on breast cancer risk factors, including demographics, behavioral and lifestyle factors, reproductive history, family history of breast cancer, comorbidities, medication and hormone replacement therapy use, and breast cancer screening history. This information is then cross-validated with documented data abstracted from medical records to provide a longitudinal and historical framework for assessing individual risk. * Mammographic density (MD) assessment: Patients and healthy participants are evaluated for patterns of longitudinal change in MD and subsequent breast cancer risk by retrospective review of screening mammograms performed prior to breast cancer diagnosis.

06

What researchers measure

Primary outcomes

  1. Within-individual mammographic density (MD) longitudinal change and breast cancer risk

    Time frame: cancer cases diagnosed within the last 3 years (2004-2006).

  2. Patterns of within-individual longitudinal change in MD

    Time frame: cancer cases diagnosed within the last 3 years (2004-2006)

  3. Predictors of across-individual differences in MD change

    Time frame: cancer cases diagnosed within the last 3 years (2004-2006)

07

Study locations

8 sites
  • University Hospitals Cleveland Medical Center, Seidman Cancer Center, Case Comprehensive Cancer Center
    Cleveland, Ohio 44106-5065, United States
  • UH-Monarch
    Mayfield Heights, Ohio 44124, United States
  • UH-LUICC
    Mentor, Ohio 44060, United States
  • UH-Southwest
    Middleburg Heights, Ohio 44130, United States
  • UH-Chagrin Highlands Orange Village Ohio 44122
    Orange Village, Ohio 44122, United States
  • UH-Firelands
    Sandusky, Ohio 44870, United States
  • UH-Green Road
    South Euclid, Ohio 44121, United States
  • UH-Westlake
    Westlake, Ohio 44145, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00445445
Lead sponsor
Case Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Mar 9, 2007
Start date
Jan 10, 2007
Primary completion
Jul 21, 2014
Completion
Jul 21, 2014
Last update
Feb 11, 2020

Study contacts

Cheryl Thompson, PhD
principal investigator · University Hospitals Cleveland Medical Center, Seidman Cancer Center, Case Comprehensive Cancer Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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