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TerminatedNCT00972023Updated Sep 17, 2019Results posted

DHEA in Treating Women Undergoing Surgery for Stage I, Stage II, or Stage III Breast Cancer

A Phase 1 interventional study of DHEA and Surgical resection in Breast Cancer, sponsored by Barbara Ann Karmanos Cancer Institute. Terminated at 1 site in United States. Open to female participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2019-09-17.

Sponsored by Barbara Ann Karmanos Cancer Institute · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years to 120 Years
Sex
Female
01

Study summary

RATIONALE: Dehydroepiandrosterone (DHEA) may slow the growth of tumor cells and be an effective treatment for women with breast cancer.

PURPOSE: This phase I trial is studying how well DHEA works in treating women undergoing surgery for stage I, stage II, or stage III breast cancer.

Read the detailed description

OBJECTIVES:

Primary

  • To identify the effect of the adrenal steroid, dehydroepiandrosterone (DHEA), on tumor proliferation in women with estrogen receptor-negative, progesterone receptor-negative, HER2/neu-negative, and androgen receptor (AR)-positive stage I-III adenocarcinoma of the breast.

Secondary

  • To study the effect of DHEA on expression of AR in these patients.
  • To assess the effect of DHEA on changes in serum estrogen and androgen hormone levels (e.g., estrone, estradiol, testosterone, dihydrotestosterone, DHEA, and DHEA-sulfate) in these patients.
  • To assess the toxicity of DHEA in these patients.
  • To follow the clinical course of these patients.

OUTLINE: Patients receive oral dehydroepiandrosterone (DHEA) twice daily on days -14 to 0. Patients then undergo surgery on day 1.

Tissue samples are collected at baseline and at the time of surgery for biomarker analysis (androgen receptor, estrogen receptor, progesterone receptor, HER2/neu, Ki-67, and p53) by IHC. Blood samples are collected at baseline and after completion of treatment with DHEA for analysis of serum hormone (e.g., estrone, estradiol, testosterone, dihydrotestosterone, DHEA, and DHEA-sulfate) and cytokine levels.

After completion of study therapy, patients are followed up at 1 week and then every 6 months for 3 years.

02

Conditions studied

  • Breast Cancer

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Keywords

  • triple-negative breast cancer
  • stage I breast cancer
  • stage II breast cancer
  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
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 1 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Barbara Ann Karmanos Cancer Institute is the lead sponsor of 158 studies on the registry; 19 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 6 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed invasive adenocarcinoma of the breast

    • Stage I (T1c), II, or III disease (AJCC staging system)

      • Lesion ≥ 1 cm on breast imaging studies (mammogram, ultrasound, or MRI)
  • HER2/neu-negative tumor
  • Planning to receive dehydroepiandrosterone (DHEA) prior to surgery
  • Disease amenable to surgery with curative intent

    • Scheduled to undergo surgery immediately after completion of DHEA
  • No locally advanced or metastatic disease not amenable to surgery
  • Hormone receptor status:

    • Estrogen receptor- and progesterone receptor-negative tumor
    • Androgen receptor-positive tumor

PATIENT CHARACTERISTICS:

  • Menopausal status not specified
  • ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%
  • ANC ≥ 1,000/mm\^3
  • Platelet count ≥ 75,000/mm\^3
  • AST and ALT ≤ 2.5 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 2.5 times ULN
  • Bilirubin ≤ 2 times ULN
  • Hemoglobin > 9 g/dL
  • Creatinine normal OR creatinine clearance ≥ 60 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for ≥ 1 week after completion of study therapy
  • No history of allergic reactions attributed to compounds of similar chemical or biological composition to DHEA or anastrozole
  • No concurrent uncontrolled illness, including but not limited to, any of the following:

    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness or social situation that would limit compliance with study requirements

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • More than 5 years since prior surgery, radiotherapy, biological therapy, hormone therapy, and/or chemotherapy for invasive breast cancer
  • No other concurrent antineoplastic or antitumor agents
  • No other concurrent investigational agents
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    DHEA, surgical resection

    Day-14 (approx. 2 wks prior to surgery): begin a 2 week course of DHEA; Day-7 (approx. 1 wk after starting treatment): answer question about pill diary; Day 0 (approx. 2 wks after starting treatment, within 48 hours prior to surgery;

    Drug: DHEA · Procedure: Surgical resection

Interventions

  • DrugDHEA

    DHEA administration will begin approxiately 14 days prior to surgery.

    Also known as: therapeutic dehydroepiandrosterone

  • ProcedureSurgical resection

    Surgical procedure of the invasive breast cancer

06

What researchers measure

Primary outcomes

  1. Tumor Proliferation (Percentage of Ki-67 Positive Cells)

    Time frame: Baseline, prior to DHEA treatment, within 48 hours prior to surgery and after 14 days of DHEA treatment.

Secondary outcomes

  1. Effect of Dehydroepiandrosterone (DHEA) on Androgen Receptor Expression

    Time frame: Baseline, prior to DHEA treatment, within 48 hours prior to surgery and after 14 days of DHEA treatment.

  2. Effect of DHEA on Changes in Serum Estrogen and Androgen Hormone Levels (e.g., Estrone, Estradiol, Testosterone, Dihydrotestosterone, DHEA, and DHEA-sulfate)

    Time frame: Baseline, prior to DHEA treatment, within 48 hours prior to surgery and after 14 days of DHEA treatment.

  3. Toxicity

    Time frame: Within 48 hours prior to surgery and after 14 days of DHEA treatment.

07

Results

Posted Jul 10, 2013

Participant flow

Cancer center clinic

Participant flow — Overall Study
MilestoneDHEA, Surgical Resection
Started1
Completed0
Not completed1
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryTumor Proliferation (Percentage of Ki-67 Positive Cells)
Time frame:
Baseline, prior to DHEA treatment, within 48 hours prior to surgery and after 14 days of DHEA treatment.

No measurements were reported for this outcome.

SecondaryEffect of Dehydroepiandrosterone (DHEA) on Androgen Receptor Expression
Time frame:
Baseline, prior to DHEA treatment, within 48 hours prior to surgery and after 14 days of DHEA treatment.

No measurements were reported for this outcome.

SecondaryEffect of DHEA on Changes in Serum Estrogen and Androgen Hormone Levels (e.g., Estrone, Estradiol, Testosterone, Dihydrotestosterone, DHEA, and DHEA-sulfate)
Time frame:
Baseline, prior to DHEA treatment, within 48 hours prior to surgery and after 14 days of DHEA treatment.

No measurements were reported for this outcome.

SecondaryToxicity
Time frame:
Within 48 hours prior to surgery and after 14 days of DHEA treatment.

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
DHEA, Surgical Resection—0/1 (0%)0/1 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)DHEA, Surgical Resection
Mean52 ± 0
Sex: Female, Male
Sex: Female, Male(Participants)DHEA, Surgical Resection
Female1
Male0
Region of Enrollment
Region of Enrollment(participants)DHEA, Surgical Resection
United States1
08

Study locations

1 site
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201-1379, United States
09

References and documents

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00972023
Lead sponsor
Barbara Ann Karmanos Cancer Institute
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Sep 4, 2009
Start date
Feb 2010
Primary completion
Mar 2010
Completion
Aug 22, 2010
Results posted
Jul 10, 2013
Last update
Sep 17, 2019

Study contacts

Zeina Nahleh, MD
principal investigator · Barbara Ann Karmanos Cancer Institute
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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