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TerminatedNCT02596867NPBCUpdated Mar 1, 2018Results posted

Neoadjuvant Propanolol in Breast Cancer

A Phase 2 interventional study of propanolol in Breast Cancer, sponsored by Texas Tech University Health Sciences Center, El Paso. Terminated at 1 site in United States. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-03-01.

Sponsored by Texas Tech University Health Sciences Center, El Paso · Phase 2, Interventional, and Treatment

Why this study was terminated
poor accrual
Phase
Phase 2
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

This trial is a Phase II study using the "window-of-opportunity" design in which the treatment-free window between breast cancer diagnosis and surgical tumor resection is used to study the biological effects of the beta blocker propranolol .

Read the detailed description
  • Patients will be recruited from the Garbar Breast Care Center and University Medical Center following diagnosis of invasive breast cancer by breast biopsy.
  • The sympatholytic nonselective beta blocker propranolol will be administered to all participants in a non-randomized manner at an equal dose of 1.5 mg/kg/day.
  • Following surgical resection of the tumor , the primary endpoint of this study is quantified by comparing the proliferative index of the tumor before propranolol administration (quantified using the initial tumor biopsy) and after 3 weeks of propranolol (quantified using the surgically resected tumor).
  • Additional molecular analyses and evaluation of safety and toxicity will also be performed to better understand the effects of this treatment on breast cancers and patient adherence to the drug.
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Conditions studied

  • Breast Cancer

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Keywords

  • B adrenergic pathway
  • B Blocker
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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 2 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Texas Tech University Health Sciences Center, El Paso is the lead sponsor of 43 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Ages 18- 65
  • diagnosis of stage I-III breast cancer , confirmed by a core biopsy
  • Planning to undergo definitive surgery including mastectomy or breast conserving surgery
  • Systolic blood pressure must be >100 mmHg but no more than 140 mmHg and/or diastolic > 60 mmHg and no more than 95 mmHg.
  • normal baseline EKG

Exclusion criteria

Exclusion criteria:

  • Pregnancy; potential subjects of female bearing age will have to complete a pregnancy test during screening to ensure that they are not pregnant. Potential patients who are post-menopausal must have confirmed one year without menstrual cycle.
  • Free of major medical illnesses including:
  • Uncontrolled Diabetes (HbA1c of ≤ 8 if previously tested)
  • Uncontrolled hypertension: BP >systolic 140/ diastolic > 95
  • Cardiac diseases (history of cardiac valve disease, coronary artery disease, congestive heart failure, A-V block, peripheral vascular disease, any cardiac arrhythmia/bradycardia) with the exception of the diagnosed cancer.
  • Histories of asthma, bronchospastic disease, or obstructive pulmonary disease
  • Previously diagnosed thyrotoxicosis
  • Severe allergic reactions to medications which are included in the beta blocker family
  • Previously or currently treated with a beta adrenergic receptor antagonist
  • Patients with locally advanced or inflammatory breast cancer not amenable to surgical resection
  • Patients taking any of the following medications will be excluded:

    • Drugs that are categorized as digitalis glycosides, beta-blockers and calcium channel blockers, ACE inhibitors and alpha blockers
    • Amiodarone
    • Cimetidine
    • Ciprofloxacin
    • Delavudin
    • Dobutamine
    • Ethanol
    • Fluconazole
    • Fluoxetine
    • Fluvoxamine
    • Haloperidol
    • Imipramine
    • Isoniazid
    • Isoproterenol
    • Luvoxamine
    • Paroxetine
    • Phenytoin
    • Phenobarbital.
    • Propafenone.
    • Quinidine
    • Reserpine
    • Rifampin
    • Ritonavir
    • Rizatriptan.
    • Tenioposide
    • Theophylline
    • Thyroxine
    • Tolbutamide.
    • Warfarin
    • Zileuton
    • Zolmitriptan
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Study design

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

Study arms

  • Experimental
    open label single arm, drug propanolol

    all subjects will receive the experimental drug

    Drug: propanolol

Interventions

  • Drugpropanolol

    Participants will take 1.5 mg/kg/day propranolol, twice daily for 3 weeks until surgical resection of the breast tumor is performed

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What researchers measure

Primary outcomes

  1. Evaluate the Effect of the Beta Blocker Propranolol on Reducing the Tumor Proliferative Index Using Ki-67.

    to evaluate effect of beta adrenergic blockades on breast cancer at by Ki67 percentage change- we are looking at at least 10% mean change in the tumor proliferative index following propranolol treatment

    Time frame: 3 weeks

Secondary outcomes

  1. Assess the Safety, Toxicity and Adherence to Propranolol.

    Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.(Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4)

    Time frame: 3 weeks

07

Results

Posted Feb 1, 2018
Limitations and caveats
slow accrual was noted , mostly due to scheduling of surgery

Participant flow

Prospective - two breast cancer patients enrolled over 6 months perios from clinic .

Participant flow — Overall Study
MilestoneOpen Label Single Arm, Drug Propanolol
Started2
2 patients prospectively recruited2
Completed2
Not completed0

Outcome measures

PrimaryEvaluate the Effect of the Beta Blocker Propranolol on Reducing the Tumor Proliferative Index Using Ki-67.

to evaluate effect of beta adrenergic blockades on breast cancer at by Ki67 percentage change- we are looking at at least 10% mean change in the tumor proliferative index following propranolol treatment

Time frame:
3 weeks
Reported as:
Number · % mean difference of Ki67
Evaluate the Effect of the Beta Blocker Propranolol on Reducing the Tumor Proliferative Index Using Ki-67.
% mean difference of Ki67Open Label Single Arm, Drug Propanolol
Stage I Patient 123
Stage III Patient 266
SecondaryAssess the Safety, Toxicity and Adherence to Propranolol.

Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.(Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4)

Time frame:
3 weeks
Reported as:
Count of participants · Participants
Assess the Safety, Toxicity and Adherence to Propranolol.
ParticipantsOpen Label Single Arm, Drug Propanolol
Assess the Safety, Toxicity and Adherence to Propranolol.0

Adverse events

Collected over AEs were monitored during and at the end of treatment (a total of 3 weeks). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Open Label Single Arm, Drug Propanolol0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Open Label Single Arm, Drug Propanolol
<=18 years0
Between 18 and 65 years2
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Open Label Single Arm, Drug Propanolol
Female2
Male0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Open Label Single Arm, Drug Propanolol
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White2
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Open Label Single Arm, Drug Propanolol
United States2
Tumor response by Ki 67
Tumor response by Ki 67(Participants)Open Label Single Arm, Drug Propanolol
Count of participants2
08

Study locations

1 site
  • Texas Tech University HSC
    El Paso, Texas 79905, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 26, 2016

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided — if the study is completed, yes

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2018, 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
NCT02596867
Lead sponsor
Texas Tech University Health Sciences Center, El Paso
Responsible party
Zeina Nahleh (Professor, Texas Tech University Health Sciences Center, El Paso) — Principal investigator
First posted
Nov 4, 2015
Start date
Sep 1, 2015
Primary completion
May 1, 2017
Completion
May 1, 2017
Results posted
Feb 1, 2018
Last update
Mar 1, 2018

Study contacts

Zeina Nahleh, MD
principal investigator · Texas Tech University Health Sciences Center, El Paso

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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