Raloxifene in Preventing Breast Cancer in Premenopausal Women

• Status: Completed
• Trial end date: 2005-06-01
• Target enrollment: 0
• Participant gender: Female

Summary

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of raloxifene may be an effective way to prevent breast cancer in premenopausal women.

PURPOSE: Phase II trial to study the effectiveness of raloxifene in preventing invasive breast cancer in premenopausal women.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: National Cancer Institute (NCI)
• Treatments: Raloxifene Hydrochloride

Criteria

DISEASE CHARACTERISTICS:

• At risk for developing invasive breast cancer by virtue of 1 of the following criteria:

• Gail model risk equal to that of an average 60 year old woman as determined using the Gail risk assessment model

• Lobular neoplasia

• Atypical ductal hyperplasia with a positive family history of breast cancer

• Ductal carcinoma in situ previously treated with mastectomy or lumpectomy and radiation

• BRCA1 or BRCA2 mutation-positive genotyping

• Family history consistent with hereditary cancer syndrome of increased breast cancer risk defined as 1 of the following:

• Family with more than 2 breast cancer cases and one or more cases of ovarian cancer diagnosed at any age

• Family with more than 3 breast cancer cases diagnosed before age 50

• Sister pairs with 2 breast cancers, 2 ovarian cancers, or 1 breast and 1 ovarian cancer diagnosed before age 50

• Premenopausal

• Menstrual cycle of 26-35 days

• No change in menstrual pattern within the past 6 months (no irregularities)

• FSH level less than 20 mIU/mL

• Hormone receptor status:

• Not specified

PATIENT CHARACTERISTICS:

Age

• 23 to 47

Sex

• Female

Menopausal status

• Premenopausal

Performance status

• Not specified

Life expectancy

• Not specified

Hematopoietic

• No history of bleeding disorder

Hepatic

• No history of cirrhosis of the liver

• SGOT/SGPT no greater than 3 times upper limit of normal (ULN)

Renal

• Creatinine no greater than 1.7 mg/dL

Cardiovascular

• No history of pulmonary embolism or deep venous thrombosis

Other

• Not pregnant or nursing

• Negative pregnancy test

• Fertile participants must use effective non-hormonal contraception (e.g. barrier methods, spermicides, or surgical methods) during and for 3 months after study

• No history of infertility with a suspected ovarian etiology or recurrent ovarian cysts

• No allergy to raloxifene

• No dysfunctional uterine bleeding

• No menorrhagia

• No cervical dysplasia or significant uterine pathology requiring concurrent surgery

• No medical or psychiatric disorder that would preclude study participation

• Normal CA 125 levels

PRIOR CONCURRENT THERAPY:

Biologic therapy

• Not specified

Chemotherapy

• Not specified

Endocrine therapy

• At least 6 months since prior steroid therapy (e.g., tamoxifen, estrogen, DHEA, anabolic steroids, or oral contraceptives)

Radiotherapy

• See Disease Characteristics

Surgery

• See Disease Characteristics

• No prior hysterectomy