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TerminatedNCT00700778Updated Jan 25, 2021Results posted

Recombinant Human Chorionic Gonadotropin in Preventing Breast Cancer in Premenopausal Women With BRCA1 Mutations

An interventional study of recombinant human chorionic gonadotropin and microarray analysis in BRCA1 Mutation and Breast Cancer, sponsored by Fox Chase Cancer Center. Terminated at 3 sites in 2 countries. Open to female participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2021-01-25.

Sponsored by Fox Chase Cancer Center · Not applicable, Interventional, and Prevention

Why this study was terminated
Unable to recruit volunteers
Phase
Not applicable
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
20 Years to 40 Years
Sex
Female
01

Study summary

RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming. The use of recombinant human chorionic gonadotropin may prevent breast cancer in premenopausal women with BRCA1 mutations.

PURPOSE: This clinical trial is studying recombinant human chorionic gonadotropin in preventing breast cancer in premenopausal women with BRCA1 mutations.

Read the detailed description

OBJECTIVES:

Primary

  • Determine whether the genomic profiles of breast epithelial cells of high-breast cancer-risk women, as defined by their positive BRCA1 status and nulliparous condition, express a signature indicative of high-risk.

Secondary

  • Determine whether women identified to express a "high-breast cancer-risk" signature will revert it to a "low-risk" signature after a 90-day treatment with r-hCG, which should have induced breast differentiation and genomic changes that would serve as biomarkers indicative of decreased breast cancer risk.

OUTLINE: Patients receive recombinant human chorionic gonadotropin subcutaneously three times weekly. Treatment continues weekly for 90 days in the absence of unacceptable toxicity.

Benign breast tissue specimens are collected by core needle biopsy at baseline, day 90, and day 270. Tissue samples are analyzed by cytopathology for epithelial normality, Ki67 immunohistochemical staining for cell proliferation, cDNA microarray for gene expression, and serum studies for hormone levels and biomarker determinations.

After completion of study treatment, patients are followed for 24 weeks.

02

Conditions studied

  • BRCA1 Mutation
  • Breast Cancer

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Keywords

  • breast cancer
  • BRCA1 mutation carrier
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 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Fox Chase Cancer Center is the lead sponsor of 211 studies on the registry; 30 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 8 (53%) have results posted.

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

04

Who can participate

Ages eligible
20 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Asymptomatic women who have a deleterious mutation on the BRCA1 gene
  • Normal, no complaints, no evidence of disease
  • Nulliparous, never pregnant (G0P0)
  • No previous diagnosis of breast or ovarian cancer
  • No known brain metastases
  • Hormone receptor status not specified

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-1 OR Karnofsky PS 90-100%
  • Premenopausal with normal menstrual cycles and intact ovaries
  • Normal ovarian size report from pelvic ultrasound
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to human chorionic gonadotropin preparations or one of its excipients
  • No uncontrolled intercurrent illness including any of the following:

    • Ovarian enlargement of undetermined origin
    • Ovarian cysts > 2 cm
    • Microcystic ovaries, which might predispose to the development of ovarian hyperstimulation syndrome
    • History of prior cancer other than non-melanoma skin cancer
    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Severe cognitive deficit or psychiatric illness/social situations that would make her unable to give informed consent or would limit compliance with study requirements

PRIOR CONCURRENT THERAPY:

  • At least 6 weeks since prior and no concurrent oral contraceptives or hormone-replacement therapy
  • No concurrent tamoxifen for chemoprevention
  • No concurrent participation in another chemopreventive trial for breast cancer
  • No concurrent medication that could interfere with this study including any of the following:

    • Hormonal contraceptives
    • Androgens
    • Prednisone
    • Thyroid hormones
    • Insulin
  • No other concurrent investigational agents
  • No recent treatment with follicle-stimulating hormone for assisted reproduction
  • No HIV-positive patients on concurrent combination antiretroviral therapy
05

Study design

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

Study arms

  • Experimental
    Recombinant human chorionic gonadotropin

    Patients receive recombinant human chorionic gonadotropin subcutaneously three times weekly. Treatment continues weekly for 90 days in the absence of unacceptable toxicity.

    Biological: recombinant human chorionic gonadotropin · Genetic: microarray analysis · Other: immunohistochemistry staining method · Other: laboratory biomarker analysis · Procedure: needle biopsy

Interventions

  • Biologicalrecombinant human chorionic gonadotropin
  • Geneticmicroarray analysis
  • Otherimmunohistochemistry staining method
  • Otherlaboratory biomarker analysis
  • Procedureneedle biopsy
06

What researchers measure

Primary outcomes

  1. Measurement of Gene Expression in Breast Epithelial Cells Obtained for Asymptomatic High Breast Cancer Risk Nulliparous Premenopausal Women at Baseline, After Treatment With r-hCG at 90 Days, and at 270 Days From Baseline

    Time frame: 90 days and 270 days from baseline

07

Results

Posted Jan 25, 2021

Participant flow

Participant flow — Overall Study
MilestoneRecombinant Human Chorionic Gonadotropin
Started2
Completed0
Not completed2
Withdrew: Inconclusive data due to inadequate sample collection2

Outcome measures

PrimaryMeasurement of Gene Expression in Breast Epithelial Cells Obtained for Asymptomatic High Breast Cancer Risk Nulliparous Premenopausal Women at Baseline, After Treatment With r-hCG at 90 Days, and at 270 Days From Baseline
Time frame:
90 days and 270 days from baseline

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Recombinant Human Chorionic Gonadotropin0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

No results were obtained

Age, Categorical
Age, Categorical(Participants)Recombinant Human Chorionic Gonadotropin
<=18 years0
Between 18 and 65 years2
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Recombinant Human Chorionic Gonadotropin
Female1
Male1
Region of Enrollment
Region of Enrollment(participants)Recombinant Human Chorionic Gonadotropin
Austria1
08

Study locations

3 sites
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Fox Chase Cancer Center - Philadelphia
    Philadelphia, Pennsylvania 19111-2497, United States
  • Universitaetsklinik fuer Frauenheilkunde
    Vienna, A-1090, Austria
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 25, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00700778
Lead sponsor
Fox Chase Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jun 19, 2008
Start date
Jul 2008
Primary completion
Mar 2014
Completion
Mar 2014
Results posted
Jan 25, 2021
Last update
Jan 25, 2021

Study contacts

Jose Russo, MD, FCAP
principal investigator · Fox Chase Cancer Center

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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