RATIONALE: Eating a diet rich in soy foods may slow the progression of some types of cancer. Isoflavones are compounds found in soy food that may slow the growth of breast cancer cells and prevent further development of breast cancer. PURPOSE: Randomized pilot trial to study the effectiveness of isoflavones in preventing further development of breast cancer in women who are planning to undergo mastectomy or lumpectomy.
OBJECTIVES: * Determine the effect of soy protein isolate (isoflavones) on modulation of intermediate endpoint biomarkers (such as cell proliferation, apoptosis, and steroid hormones) in women planning to undergo mastectomy or lumpectomy for breast cancer. * Determine the effect of soy protein isolate on serum isoflavone levels in these patients. * Correlate changes in serum isoflavones with changes in cell proliferation, apoptosis, and hormonal levels in patients treated with this therapy. * Correlate the changes in cell proliferation and apoptosis with hormonal markers in patients treated with this therapy. OUTLINE: This is a randomized, placebo-controlled, double-blind study. Patients are stratified according to the phase of the menstrual cycle at time of biopsy and time of surgery (follicular phase \[i.e., during first 7 days of menstrual cycle\] vs luteal phase \[i.e., after day 7 of the menstrual cycle\]). Patients are randomized to one of two treatment arms. * Arm I: Patients receive oral soy protein isolate twice daily and oral multivitamins once daily. * Arm II:Patients receive oral placebo twice daily and oral multivitamins once daily. In both arms, treatment continues for 2-4 weeks depending on time from study entry to planned surgical procedure. PROJECTED ACCRUAL: A total of 106 patients (53 per treatment arm) will be accrued for this study within 18 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
1
Arm I: Patients receive oral soy protein isolate twice daily and oral multivitamins once daily.
Arm II: Patients receive oral placebo twice daily and oral multivitamins once daily.
CCOP - Western Regional, Arizona
Phoenix, Arizona, United States
H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States
Coastal Hematology and Oncology, P.C. - Savannah
Savannah, Georgia, United States
St. John's Regional Health Center
Springfield, Missouri, United States
Occurrence of Soy Protein Isolate Effect
Determine the effect of soy protein isolate (isoflavones) on modulation of intermediate endpoint biomarkers (such as cell proliferation, apoptosis, and steroid hormones) in women planning to undergo mastectomy or lumpectomy for breast cancer.
Time frame: 1 Year
Occurrence of Effect on Serum Isoflavone Levels
Determine the effect of soy protein isolate on serum isoflavone levels in these patients.
Time frame: 1 Year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Hulston Cancer Center at Cox Medical Center South
Springfield, Missouri, United States
Comprehensive Cancer Center at Our Lady of Mercy Medical Center
The Bronx, New York, United States
CCOP - Merit Care Hospital
Fargo, North Dakota, United States