- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00237523
Study for Treatment of Moderate or Severe, Periodic, "Cyclic", Breast Pain
A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of IoGen™ for the Treatment of Moderate or Severe, Periodic Breast Pain Associated With Symptomatic Fibrocystic Breast Disease
- History of clinical breast pain for at least the last six months.
- At least six days of moderate or severe breast pain per cycle.
- Fibrosis, cysts, nodules involving at least 25% of the surface of one breast.
- Euthyroid with no prior history of thyroid disease.
- Six months of daily therapy with molecular iodine.
- Placebo controlled vs active (1:1).
Study Overview
Status
Intervention / Treatment
Detailed Description
Primary efficacy parameters will be measured by patient self-assessment of pain/tenderness using a categorical daily pain diary. Clinical pain is defined as a patient assessment of moderate or severe pain for any given day. Total clinical pain per menstrual cycle is calculated based upon the categorical ratings recorded in a patient's daily pain diary over the course of a complete menstrual cycle.
A directed breast examination will be used as a secondary efficacy endpoint. Changes in the brest examination will be determined by the physician after consideration of both the nature of the examination findings and the surface area of breast involvement. Changes as noted after six months of therapy, relative to the screening visit (baseline) will be used to evaluate this endpoint.
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Alabama
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Huntsville, Alabama, United States, 35801
- Medical Affiliated Research Center, Inc.
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Arizona
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Phoenix, Arizona, United States, 85015
- Women's Health Research
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Tucson, Arizona, United States, 85712
- Visions Clinical Research
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Colorado
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Colorado Springs, Colorado, United States, 80909-1691
- Expresscare Clinical Research
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Denver, Colorado, United States, 80262
- University of Colorado
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Denver, Colorado, United States, 80218
- Downtown Women's Heath Care
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Connecticut
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Hartford, Connecticut, United States, 06105
- S.H.E. Medical Associates
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Waterbury, Connecticut, United States, 06708
- The GYN's Center for Women's Health
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West Hartford, Connecticut, United States, 06117
- Greater Hartford Women's Health Associates
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Florida
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Boynton Beach, Florida, United States, 33437
- Visions Clinical Research
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Clearwater, Florida, United States, 33759
- Women's Medical Research Group, LLC
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Miami, Florida, United States, 33143
- Miami Research Associates, Inc.
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West Palm Beach, Florida, United States, 33409
- Palm Beach Research Center
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Georgia
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Decatur, Georgia, United States, 30034
- Soapstone Center for Clinical Research
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Savannah, Georgia, United States, 31406
- Fellows Research Alliance, Inc.
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Illinois
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Champaign, Illinois, United States, 61820
- Women's Health Practice
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Indiana
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Indianapolis, Indiana, United States, 46250
- Physicians Research Group
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa
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Kentucky
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Lexington, Kentucky, United States, 40504
- Kentucky Medical Research Center
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Louisiana
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Marrero, Louisiana, United States, 70072
- York Clinical Consulting
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Massachusetts
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Wellesley, Massachusetts, United States, 02481
- MedVadis Research
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Worcester, Massachusetts, United States, 01608
- Fallon Clinic
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Missouri
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Kansas City, Missouri, United States, 64108
- University of Missouri
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Saint Louis, Missouri, United States, 63117
- Department of Ob/Gyn - Women's Health University of Saint Louis
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Nevada
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Reno, Nevada, United States, 89502
- The Medical Group of Northern Nevada
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New Jersey
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Lawrenceville, New Jersey, United States, 08648
- Women's Health Research Center, LLC
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Moorestown, New Jersey, United States, 08057
- Laurel Creek Research Associates
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New York
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Bronx, New York, United States, 10461
- Montefiore Medical Center/Albert Einstein College of Medicine
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North Carolina
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Raleigh, North Carolina, United States, 27612
- Wake Research Associates, LLC
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Ohio
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Cincinnati, Ohio, United States, 45249
- Radiant Research
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Miamisburg, Ohio, United States, 45342
- HWC Women's Research Center
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Oklahoma
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Norman, Oklahoma, United States, 73071
- Lion Research
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health & Science University
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Pennsylvania
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Hershey, Pennsylvania, United States, 17033
- Penn State The Milton S. Hershey Medical Center
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Philadelphia, Pennsylvania, United States, 19102-1192
- Drexel University College of Medicine
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Rhode Island
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Pawtucket, Rhode Island, United States, 02860
- Memorial Hospital of Rhode Island
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South Carolina
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Hilton Head Island, South Carolina, United States, 29926
- Fellows Research Alliance, Inc.
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Washington
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Seattle, Washington, United States, 98105
- Women's Clinical Research Center/North Seattle Women's Group
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Tacoma, Washington, United States, 98405
- Tacoma Women's Specialists
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- History of clinical breast pain.
- Documentation of 6 or more sequential days of moderate or severe pain by patient daily diary.
- Conservative measures such as local heat, non-prescription analgesics, and properly fitted garments are not effective for the treatment of symptoms
- Euthyroid with no prior history of thyroid disease.
- Premenopausal female between the ages of 18 and 50.
- The presence of at least one palpable structure (nodules, cysts) and involvement (diffuse nodularity or breast thickening) of at least 25% of at least one breast surface.
Exclusion Criteria:
- History of thyroid disease
- Non-cyclic breast pain
- Treatment with gonadotropin releasing hormone (GnRH) agonist, Danocrine, tamoxifen, raloxifene, or bromocriptine within three months of starting the trial
- Initiation or change of any hormonal therapy within 6 months of enrollment; including birth control pills, hormone replacement therapy, any progestin including Norplant or Depo-Provera;
- Current treatment with iodine or iodine-containing medications or diagnostics
- Known hypersensitivity to iodine-containing products
- Breast implants;
- Oophorectomy (complete or partial)
- Uncontrolled hypertension;
- Breast biopsy breast biopsy within two months of screening; or expectation of a breast biopsy during the study for a suspicious mass present at baseline;
- Pregnant women or nursing mothers
- History of malignancy within the previous 5 years other than basal cell or squamous cell carcinoma of the skin
- History of breast cancer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Total clinical breast pain as documented by patient daily diary.
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Secondary Outcome Measures
Outcome Measure |
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Change in fibrosis based upon breast examination.
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Julia Kazakhin, M.D., Symbollon Pharmaceuticals, Inc.
Publications and helpful links
General Publications
- Ader DN, Browne MW. Prevalence and impact of cyclic mastalgia in a United States clinic-based sample. Am J Obstet Gynecol. 1997 Jul;177(1):126-32. doi: 10.1016/s0002-9378(97)70450-2.
- Aceves C, Anguiano B, Delgado G. Is iodine a gatekeeper of the integrity of the mammary gland? J Mammary Gland Biol Neoplasia. 2005 Apr;10(2):189-96. doi: 10.1007/s10911-005-5401-5.
- Cann SA, van Netten JP, van Netten C. Hypothesis: iodine, selenium and the development of breast cancer. Cancer Causes Control. 2000 Feb;11(2):121-7. doi: 10.1023/a:1008925301459.
- Kessler JH. The effect of supraphysiologic levels of iodine on patients with cyclic mastalgia. Breast J. 2004 Jul-Aug;10(4):328-36. doi: 10.1111/j.1075-122X.2004.21341.x.
- Ghent WR, Eskin BA, Low DA, Hill LP. Iodine replacement in fibrocystic disease of the breast. Can J Surg. 1993 Oct;36(5):453-60.
- Garcia-Solis P, Alfaro Y, Anguiano B, Delgado G, Guzman RC, Nandi S, Diaz-Munoz M, Vazquez-Martinez O, Aceves C. Inhibition of N-methyl-N-nitrosourea-induced mammary carcinogenesis by molecular iodine (I2) but not by iodide (I-) treatment Evidence that I2 prevents cancer promotion. Mol Cell Endocrinol. 2005 May 31;236(1-2):49-57. doi: 10.1016/j.mce.2005.03.001. Epub 2005 Apr 13.
- Eskin BA, Grotkowski CE, Connolly CP, Ghent WR. Different tissue responses for iodine and iodide in rat thyroid and mammary glands. Biol Trace Elem Res. 1995 Jul;49(1):9-19. doi: 10.1007/BF02788999.
- Thrall KD, Bull RJ, Sauer RL. Distribution of iodine into blood components of the Sprague-Dawley rat differs with the chemical form administered. J Toxicol Environ Health. 1992 Nov;37(3):443-9. doi: 10.1080/15287399209531682.
- Venturi S. Is there a role for iodine in breast diseases? Breast. 2001 Oct;10(5):379-82. doi: 10.1054/brst.2000.0267.
- Smyth PP. Role of iodine in antioxidant defence in thyroid and breast disease. Biofactors. 2003;19(3-4):121-30. doi: 10.1002/biof.5520190304.
- Ader DN, South-Paul J, Adera T, Deuster PA. Cyclical mastalgia: prevalence and associated health and behavioral factors. J Psychosom Obstet Gynaecol. 2001 Jun;22(2):71-6. doi: 10.3109/01674820109049956.
- Ader DN, Shriver CD, Browne MW. Cyclical mastalgia: premenstrual syndrome or recurrent pain disorder? J Psychosom Obstet Gynaecol. 1999 Dec;20(4):198-202. doi: 10.3109/01674829909075596.
Study record dates
Study Major Dates
Study Start
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Skin Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Pain
- Neurologic Manifestations
- Infant, Newborn, Diseases
- Genetic Diseases, Inborn
- Pancreatic Diseases
- Cystic Fibrosis
- Breast Diseases
- Fibrocystic Breast Disease
- Mastodynia
- Physiological Effects of Drugs
- Anti-Infective Agents, Local
- Anti-Infective Agents
- Trace Elements
- Micronutrients
- Iodine
- Cadexomer iodine
Other Study ID Numbers
- SYM1210
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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