The purpose of this study is to learn whether daily use of Duavee® is accepted and tolerated by peri- and post-menopausal women at moderate risk for development of breast cancer.
Duavee® is tissue specific estrogen complex of bazedoxifene plus conjugated estrogen which is FDA approved for relief of menopausal symptoms and prevention of osteoporosis in women with a uterus who have not been diagnosed with estrogen dependent neoplasia. The overall purpose of this research is to demonstrate in a preliminary fashion that despite reduction in menopausal symptoms, (Duavee®) does not increase and may decrease proliferation in benign breast tissue in a cohort of peri- or post-menopausal women at moderately increased risk for breast cancer. If this pilot shows rapid accrual, good retention, and lack of significant increase in the risk biomarker Ki-67 in benign breast tissue, a larger prevention trial is envisioned
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
28
Once daily tablet of Duavee (Bazedoxifene (20 mg) plus conjugated estrogen (0.45 mg))
University of Kansas Medical Center
Kansas City, Kansas, United States
University of Kansas Medical Center Breast Cancer Prevention Center
Westwood, Kansas, United States
Feasibility for a Larger Trial
Outcome will be based on three separate factors used collectively to determine feasibility of the study and consideration of a subsequent larger trial. These are accrual rate (ability to accrue target number of subjects in a timely manner), dropout rate (frequency of subjects who are compliant and complete the intervention) and change in Ki-67 (increase vs decrease in percent of cells stained positive in the majority of subjects). Should accrual be inadequate or too slow; or if retention is too low; then a decision would be made not to proceed to a larger trial. Also, if there is evidence of an increase in proliferation (Ki-67) then no further studies would be planned.
Time frame: 6 Months
Change in Ki-67
Assessment by immunocytochemistry of the percent of breast epithelial cells staining positive. Per protocol, restricted to those subjects with baseline Ki-67 positivity \>1.0% but \< 4%
Time frame: Change from Baseline to Month 6
Change in Fibroglandular Volume (FGV)
Assessment of mammograms for percent of breast defined as FGV by Volpara automated assessment.
Time frame: Change from Baseline to Month 6
Change in Body Composition (Total Mass)
Assessment by Dual Energy X-ray Absorptivity (DEXA)
Time frame: Change from Baseline to Month 6
Levels of Bazedoxifene in the Blood
Assessment of concentration of bazedoxifene in plasma by High-performance liquid chromatography (HPLC)
Time frame: Month 6
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