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Biomarkers in Blood Samples From Older Breast Cancer Survivors

26 februari 2014 uppdaterad av: UNC Lineberger Comprehensive Cancer Center

The Effect of Chemotherapy on Aging in Older Women With Breast Cancer as Measured by Expression of p16INK4a

RATIONALE: Studying samples of blood from patients with cancer in the laboratory may help doctors identify and learn more about biomarkers related to cancer. It may also help doctors understand how well patients respond to treatment.

PURPOSE: This research study is studying biomarkers in blood samples from older women with stage I, stage II, or stage III breast cancer who have finished primary therapy or breast cancer survivors.

Studieöversikt

Detaljerad beskrivning

OBJECTIVES:

Primary

  • To measure and compare normalized p16^INK4a gene expression in women ≥ 65 years of age with stage I-III breast cancer who have completed primary therapy comprising surgery with or without radiotherapy followed by endocrine therapy (cohort 2) versus surgery with or without radiotherapy followed by chemotherapy and with or without endocrine therapy (cohort 3) .
  • To measure and compare normalized p16^INK4a gene expression in women ≥ 65 years of age with stage I-III breast cancer who have completed primary therapy comprising surgery with or without radiotherapy (cohort 1) versus women treated in cohort 2.
  • To compare normalized p16^INK4a gene expression between cohorts 1, 2, and 3 versus an age-matched contemporaneous control group of healthy volunteers accrued from a separate study (cohort 4).

Secondary

  • To access functional status (ability to live independently at home and in the community), co-morbid medical conditions, cognition, psychological status, social functioning and support, medication review, nutritional status, and health-behavior status of these patients.

Tertiary (exploratory)

  • To compare methodologies of p16 ^INK4a gene expression measurement in 50 patients in order to develop a batchable and analytically validated assay that eliminates the need for rapid sample processing.
  • To explore any association between p16^INK4a expression and amount of vigorous physical activity, smoking habits, and/or weekly alcohol consumption.
  • To explore any association between p16^INK4a expression and type of chemotherapy received, co-morbidities, concomitant medications, and/or tumor characteristics.
  • To correlate p16^INK4a expression with scores from selected domains of the Geriatric Assessment (i.e., cognitive function, activities of daily living (ADL), and the instrumental ADL.

OUTLINE: Breast cancer survivors and healthy volunteers undergo blood collection for p16^INK4a gene expression analysis by Taqman RT-PCR.

Breast cancer survivors complete the Health Behavior and the Geriatric Assessment Questionnaires. They also complete a Timed Up and Go test to determine physical mobility.

Medical charts are reviewed to record information about diagnosis and treatment.

Studietyp

Observationell

Inskrivning (Faktisk)

246

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • North Carolina
      • Chapel Hill, North Carolina, Förenta staterna, 27599-7295
        • Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

50 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Kvinna

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Breast cancer survivors age 50 and older who have completed their breast cancer treatment.

Beskrivning

DISEASE CHARACTERISTICS:

  • Histologically confirmed breast cancer

    • Stage I-III disease
  • Breast cancer survivors meeting 1 of the following criteria:

    • Prior surgery with or without (±) radiotherapy (RT) (cohort 1)
    • Prior surgery ± RT, followed by prior or concurrent hormonal (endocrine) therapy (cohort 2)

      • Must have received or be on endocrine therapy for ≥ 3 months
    • Prior surgery ± RT, followed by prior chemotherapy ± endocrine therapy (cohort 3)
  • No recurrent disease
  • No history of clonal bone marrow disorder (i.e., myelodysplastic or myeloproliferative disorder, acute or chronic leukemia)

PATIENT CHARACTERISTICS:

  • Life expectancy > 12 months
  • Absolute lymphocyte count > 500/μL
  • No acute or active infection
  • No other co-morbid illness that would impair ability to participate in the study

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • At least 3 months since prior surgery with or without radiotherapy
  • At least 3 months since prior chemotherapy (cohort 3)
  • No concurrent radiotherapy, chemotherapy, or experimental therapy

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
Treatment w/Surgery
Breast Cancer survivors treated with surgery with or without radiation.
blood samples will be analyzed for the expression of the p16 gene.
perform reverse transcriptase-polymerase chain reaction on all blood samples.
perform laboratory biomarker analysis on all blood samples
perform medical chart review for all subjects
each cohort will be given the same questionnaire
Treatment w/endocrine therapy
Breast Cancer survivors treated with surgery with or without radiation plus endocrine therapy.
blood samples will be analyzed for the expression of the p16 gene.
perform reverse transcriptase-polymerase chain reaction on all blood samples.
perform laboratory biomarker analysis on all blood samples
perform medical chart review for all subjects
each cohort will be given the same questionnaire
Treatment w/ chemotherapy
Breast Cancer survivors treated with surgery with or without radiation and chemotherapy with or without endocrine therapy.
blood samples will be analyzed for the expression of the p16 gene.
perform reverse transcriptase-polymerase chain reaction on all blood samples.
perform laboratory biomarker analysis on all blood samples
perform medical chart review for all subjects
each cohort will be given the same questionnaire

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
p16INK4a expression between cohort 2 vs cohort 3
Tidsram: 2 years
2 years
p16INK4a expression between cohort 1 vs cohort 2
Tidsram: 2 years
2 years
p16INK4a expression between cohorts 1, 2, and 3 vs cohort 4
Tidsram: 2 years
2 years

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 januari 2010

Primärt slutförande (Faktisk)

1 januari 2013

Avslutad studie (Faktisk)

1 februari 2014

Studieregistreringsdatum

Först inskickad

4 juni 2010

Först inskickad som uppfyllde QC-kriterierna

4 juni 2010

Första postat (Uppskatta)

7 juni 2010

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

27 februari 2014

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

26 februari 2014

Senast verifierad

1 februari 2014

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • LCCC 0924
  • P30CA016086 (U.S.S. NIH-anslag/kontrakt)
  • CDR0000674103 (Annan identifierare: PDQ number)

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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