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CompletedNCT01501656Updated Jun 1, 2016

Epigenetic Testing for Breast Cancer Risk Stratification

An observational study in Breast Cancer, sponsored by University of Texas Southwestern Medical Center. Completed at 1 site in United States. Open to female participants aged 30 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-06-01.

Sponsored by University of Texas Southwestern Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
158
Ages
30 Years to 79 Years
Sex
Female
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Study summary

Promoter region hypermethylation of tumor suppressor genes is one the earliest molecular events in malignant transformation and is readily detectable in apparently normal benign breast epithelium adjacent to breast cancers. The investigators hypothesize that DNA methylation of certain genes occurs as a field change in benign breast tissue that is at high risk for malignant transformation, and as such, can be exploited for tissue-based breast cancer risk stratification. Additional work is required to identify new DNA methylation markers potentially useful for periareolar fine needle aspiration (RP-FNA)-based breast cancer risk stratification, to determine whether these markers are methylated more frequently in benign samples from women who develop breast cancer, to determine whether assessment of these markers is reproducible, to determine whether tamoxifen reduces DNA methylation, and to better understand the pattern of DNA methylation in benign samples from unselected healthy control populations. Each of these objectives contributes to advancement of a clinically useful RP-FNA-based breast cancer risk stratification test.

In addition, identification of genes that are preferentially methylated in estrogen receptor (ER) negative breast cancer will provide clues to the underlying biology responsible for this aggressive form of breast cancer. This knowledge may lead to the discovery of the causes of ER negative breast cancer, approaches for recognizing women at increased risk for this type of breast cancer, and approaches for reducing this risk.

This study seeks to identify patterns of DNA methylation in benign breast epithelial cells associated with an increased risk for breast cancer with a focus on ER negative breast cancer.

Read the detailed description

Promoter region hypermethylation of tumor suppressor genes is one the earliest molecular events in malignant transformation and is readily detectable in apparently normal benign breast epithelium adjacent to breast cancers. We hypothesize that DNA methylation of certain genes occurs as a field change in benign breast tissue that is at high risk for malignant transformation, and as such, can be exploited for tissue-based breast cancer risk stratification. Additional work is required to identify new DNA methylation markers potentially useful for periareolar fine needle aspiration (RP-FNA)-based breast cancer risk stratification, to determine whether these markers are methylated more frequently in benign samples from women who develop breast cancer, to determine whether assessment of these markers is reproducible, to determine whether tamoxifen reduces DNA methylation, and to better understand the pattern of DNA methylation in benign samples from unselected healthy control populations. Each of these objectives contributes to advancement of a clinically useful RP-FNA-based breast cancer risk stratification test.

In addition, identification of genes that are preferentially methylated in estrogen receptor (ER) negative breast cancer will provide clues to the underlying biology responsible for this aggressive form of breast cancer. This knowledge may lead to the discovery of the causes of ER negative breast cancer, approaches for recognizing women at increased risk for this type of breast cancer, and approaches for reducing this risk.

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Conditions studied

  • Breast Cancer

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03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's enrollment of 158 is below the median of 184 across 2,711 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

University of Texas Southwestern Medical Center is the lead sponsor of 1,009 studies on the registry; 201 are open to participants now.

Of its 138 completed or terminated interventional studies of FDA-regulated products, 105 (76%) have results posted.

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

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Who can participate

Ages eligible
30 Years to 79 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Archived tumor tissue, Newly diagnosed primary breast cancer patients and healthy women who have never been diagnosed with breast cancer

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women between the ages of 30 and 79.
  • Untreated stage 1 - 3 invasive breast cancer or a woman never diagnosed with breast cancer.
  • BI-RADS 1, 2, or 3 breast imaging within 12 months for women >40 years of age recruited into the control group.

Exclusion criteria

Exclusion Criteria:

  • \<30 or >80 years of age
  • Unable to provide informed consent
  • Presence of an undefined palpable or mammographic breast lesion suspicious for malignancy (BIRADS 4 or 5)
  • Breast implants
  • Bilateral prophylactic mastectomy
  • Any prior breasts irradiation
  • Any systemic chemotherapy in the past
  • Performance status that restricted normal activity for a significant portion of the day
  • Use of luteinizing-hormone-releasing-hormone (LHRH) analogs, prolactin inhibitors, antiandrogens, or systemic glucocorticoids within three months
  • Ever use of tamoxifen, raloxifene, or other SERMs
  • Ever use of aromatase inhibitors
  • Pregnancy or lactation within six months
  • Bleeding diathesis of any kind

    1. Inherited coagulation disorder
    2. Current coumadin use
    3. Use of drugs that inhibit platelet aggregation within 10 days
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
158 participants (actual)
Biospecimen retention
Samples with dna
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What researchers measure

Primary outcomes

  1. DNA methylation

    This objective assesses methylation of seven genes in 97 archival breast cancer samples.

    Time frame: 2 years

Secondary outcomes

  1. Frequency of methylation

    Measure the frequency of methylation of ER positive and ER negative breast cancer-associated genes in benign breast epithelial cells obtained by RP-FNA.

    Time frame: 2 years

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Study locations

1 site
  • UT Southwestern Medical Center
    Dallas, Texas 75204, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2012, a primary completion of Nov 2014 and a completion of Nov 2014. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 27, 2011
First posted
Dec 29, 2011
Start
May 2012
Primary completionActual
Nov 2014
CompletionActual
Nov 2014
Last update
Jun 1, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 1, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01501656
Collaborators
United States Department of Defense
Responsible party
Sponsor
First posted
Dec 29, 2011
Start date
May 2012
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Jun 1, 2016

Study contacts

Rolf Brekken, MD
principal investigator · UT Southwetstern Medical Center

Oversight

Data monitoring committee
Yes
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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