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Green Tea and Reduction of Breast Cancer Risk

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EstadoTerminado
Patrocinadores
University of Minnesota
Colaboradores
National Cancer Institute (NCI)

Palabras clave

Abstracto

RATIONALE: Green tea extract contains ingredients (catechins) that may lower the risk of breast cancer.
PURPOSE: This phase II trial is studying how well green tea extract works in preventing breast cancer compared to a placebo in postmenopausal women with high breast density.
The investigators have hypothesized that green tea consumption reduces breast cancer risk, and this effect is seen primarily in women who have the low-activity COMT genotype. The investigators will test this by evaluating the effects of green tea extract on breast cancer biomarkers including mammographic density, plasma insulin-like growth factor 1 (IGF-1), IGF binding protein 3 (IGFBP-3), estrone, estradiol, androstenedione, sex hormone binding globulin (SHBG), urinary estrogen metabolites and plasma F2-isoprostanes.

Descripción

OBJECTIVES:

1. Primary:

1.1 To determine the effects of green tea extract consumption (containing 800 mg EGCG per day) for 12 months on the following recognized biomarkers of breast cancer risk:

1. Mammographic density

2. Circulating concentrations of insulin-like growth factor 1 (IGF-1) and IGF binding protein 3 (IGFBP-3)

3. Circulating concentrations of reproductive hormones (estrone, estradiol, androstenedione) and sex hormone binding globulin (SHBG)

1.2 To determine the effects of COMT genotype on the green tea extract effects described above.

2. Secondary:

2.1 To determine the effects of green tea extract consumption (containing 800 mg EGCG per day) for 12 months on the following hypothesized biomarkers of breast cancer risk:

1. Urinary estrogen metabolites (estrone, estradiol, and their 2-hydroxy, 4-hydroxy, 2-methoxy, and 4-methoxy metabolites, estriol, and 16- hydroxyestrone)

2. Circulating concentrations of F-2 isoprostanes, a recognized biomarker of systemic oxidative stress

2.2 To determine the effects of COMT genotype on the green tea extract effects described above.

2.3 To determine the effects of COMT genotype on catechin metabolism and excretion, as measured by circulating and urinary concentrations.

fechas

Verificado por última vez: 12/31/2015
Primero enviado: 06/07/2009
Inscripción estimada enviada: 06/08/2009
Publicado por primera vez: 06/09/2009
Última actualización enviada: 01/24/2016
Última actualización publicada: 02/21/2016
Fecha de los primeros resultados enviados: 07/28/2015
Fecha de los primeros resultados de CC enviados: 01/24/2016
Fecha de los primeros resultados publicados: 02/21/2016
Fecha de inicio real del estudio: 06/30/2009
Fecha estimada de finalización primaria: 05/31/2014
Fecha estimada de finalización del estudio: 05/31/2014

Condición o enfermedad

Breast Cancer

Intervención / tratamiento

Drug: Green tea extract

Other: Sugar pill

Fase

Fase 2

Grupos de brazos

BrazoIntervención / tratamiento
Experimental: Green tea extract
Green tea extract capsules containing 80.7 % total catechins (51.7 % EGCG)
Drug: Green tea extract
Two green tea extract capsules twice daily after breakfast and dinner for one year
Placebo Comparator: Sugar pill
Placebo capsules containing 50% maltodextrin, 49.5 % cellulose, and 0.5 % magnesium stearate
Other: Sugar pill
Two placebo capsules twice daily after breakfast and dinner for one year

Criterio de elegibilidad

Edades elegibles para estudiar 50 Years A 50 Years
Sexos elegibles para estudiarFemale
Acepta voluntarios saludablessi
Criterios

Inclusion Criteria:

- Signed informed consent

- Healthy postmenopausal women aged 50-70 years

- "Heterogeneously dense" (51-75% glandular) or "extremely dense" (>75%glandular) breasts

- Willing to avoid consumption of green tea for 1 year

Exclusion Criteria:

- Positive serological markers of hepatitis B or hepatitis C infections

- Elevated levels of liver enzymes

- Recent (within 6 mo) or current hormone or hormone modification therapy, including systemic hormone replacement therapy, SERMS and aromatase inhibitors

- Current smoker of cigarettes or other tobacco products

- BMI <19 or >40 kg/m2

- Weight change > 10 lbs during the previous year

- History of breast cancer or proliferative breast disease

- Regular consumption of > 7 alcoholic drinks/wk

- Regular consumption of green tea (>1 cup/wk)

- Recent (within 6 mo) or current use of chemopreventive agents such as tamoxifen, raloxifene or aromatase inhibitors

- Participation in any weight loss or weight gain studies

- Currently taking Methotrexate or Enbrel

- History of ovarian cancer

- Any form of cancer in the last 5 years

- Presence of implants

Salir

Medidas de resultado primarias

1. Mammographic Density [Baseline and month 12]

Percent mammographic density was measured on digital images using a computer-assisted and quantitative method.

2. Circulating Concentrations of Reproductive Hormones Including Estrone, Estradiol, Androstenedione, Testosterone, and Sex Hormone Binding Globulin (SHBG) [Baseline and month 12]

Circulating levels of reproductive hormones including estrone, estradiol, androstenedione, testosterone and SHBG were measured in fasting blood samples by liquid chromatography/tandem mass spectrometry method.

3. Circulating Concentrations of IGF Axis Proteins Including IGF-1 and IGFBP-3 [Baseline and month 12]

Circulating levels of IGF-1 and IGFBP-3 were measured in fasting blood samples by ELISA method.

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