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Spots Global Cancer Trial Database for S9630, Medroxyprogesterone in Treating Women With Breast Cancer

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Trial Identification

Brief Title: S9630, Medroxyprogesterone in Treating Women With Breast Cancer

Official Title: A Randomized Comparison Of Medroxyprogesterone Acetate (MA) And Observation For Prevention Of Endometrial Pathology In Postmenopausal Breast Cancer Patients Treated With Tamoxifen, Phase III

Study ID: NCT00002920

Study Description

Brief Summary: RATIONALE: It is not yet known whether medroxyprogesterone is effective in preventing endometrial disorder in patients with breast cancer who are taking tamoxifen. PURPOSE: Randomized phase III trial to study the effectiveness of medroxyprogesterone in preventing endometrial disorder in postmenopausal women who have ductal carcinoma in situ, lobular carcinoma in situ, Paget's disease of the nipple, stage I breast cancer, or stage II breast cancer and who are taking tamoxifen.

Detailed Description: OBJECTIVES: * Compare endometrial pathologic diagnoses (proliferative changes, simple or cystic hyperplasia, complex adenomatous hyperplasia, hyperplasia with atypia, and carcinoma) in postmenopausal women with breast carcinoma treated with adjuvant tamoxifen who are randomly assigned to medroxyprogesterone acetate (MA) vs observation. * Compare endometrial pathologic diagnoses (persistent endometrial hyperplasia, atypia, or carcinoma) resulting in tamoxifen discontinuation and intermittent bleeding in patients treated with these regimens. * Characterize the incidence of spontaneous regression and progression of simple or cystic hyperplasia in these patients. * Characterize endometrial biopsy results using different endometrial stripe width cut-off points, for cases in which the width is at least 5 mm by endovaginal ultrasound in patients receiving tamoxifen. * Compare changes over time in endometrial oncogene expression (e.g., c-fos, c-jun, p53, IGF1) and receptor status in patients receiving tamoxifen with or without prior chemotherapy who are randomly assigned to MA vs observation. * Describe the associations among change in gene expression, receptor status, endometrial abnormality, length of tamoxifen exposure, and prior chemotherapy in these patients. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to adjuvant chemotherapy (yes vs no), number of positive nodes (0-3 vs at least 4), and endovaginal sonogram endometrial stripe (less than 5 mm vs at least 5 mm). Patients are randomized to 1 of 2 arms. All patients receive adjuvant oral tamoxifen daily for five years. * Arm I: Patients undergo observation. * Arm II: Patients receive oral medroxyprogesterone acetate on days 1-14. Treatment repeats every 3 months for 5 years. Patients are followed every 6 months for 2 years and then annually thereafter. PROJECTED ACCRUAL: A total of 330 patients (165 per arm) will be accrued for this study.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: FEMALE

Healthy Volunteers: No

Locations

MBCCOP - Gulf Coast, Mobile, Alabama, United States

Providence Alaska Medical Center, Anchorage, Alaska, United States

CCOP - Western Regional, Arizona, Phoenix, Arizona, United States

Veterans Affairs Medical Center - Phoenix (Carl T. Hayden), Phoenix, Arizona, United States

Veterans Affairs Medical Center - Tucson, Tucson, Arizona, United States

Arizona Cancer Center at University of Arizona Health Sciences Center, Tucson, Arizona, United States

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

Veterans Affairs Medical Center - Little Rock, Little Rock, Arkansas, United States

City of Hope Comprehensive Cancer Center, Duarte, California, United States

Rebecca and John Moores UCSD Cancer Center, La Jolla, California, United States

Veterans Affairs Medical Center - Loma Linda (Pettis), Loma Linda, California, United States

USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States

Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, United States

Veterans Affairs Outpatient Clinic - Martinez, Martinez, California, United States

CCOP - Bay Area Tumor Institute, Oakland, California, United States

Chao Family Comprehensive Cancer Center at University of California Irvine Cancer Center, Orange, California, United States

University of California Davis Cancer Center, Sacramento, California, United States

Naval Medical Center - San Diego, San Diego, California, United States

CCOP - Santa Rosa Memorial Hospital, Santa Rosa, California, United States

University of Colorado Cancer Center at University of Colorado Health Sciences Center, Aurora, Colorado, United States

Veterans Affairs Medical Center - Denver, Denver, Colorado, United States

CCOP - Christiana Care Health Services, Newark, Delaware, United States

Lombardi Cancer Center at Georgetown University Medical Center, Washington, District of Columbia, United States

MBCCOP - Howard University Cancer Center, Washington, District of Columbia, United States

Broward General Medical Center, Fort Lauderdale, Florida, United States

CCOP - Mount Sinai Medical Center, Miami Beach, Florida, United States

Veterans Affairs Medical Center - Tampa (Haley), Tampa, Florida, United States

CCOP - Atlanta Regional, Atlanta, Georgia, United States

MBCCOP - Hawaii, Honolulu, Hawaii, United States

MBCCOP - University of Illinois at Chicago, Chicago, Illinois, United States

Veterans Affairs Medical Center - Chicago (Westside Hospital), Chicago, Illinois, United States

University of Chicago Cancer Research Center, Chicago, Illinois, United States

Louis A. Weiss Memorial Hospital, Chicago, Illinois, United States

CCOP - Central Illinois, Decatur, Illinois, United States

Veterans Affairs Medical Center - Hines, Hines, Illinois, United States

Cardinal Bernardin Cancer Center at Loyola University Medical Center, Maywood, Illinois, United States

CCOP - Illinois Oncology Research Association, Peoria, Illinois, United States

West Suburban Center for Cancer Care, River Forest, Illinois, United States

Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center, Kansas City, Kansas, United States

CCOP - Wichita, Wichita, Kansas, United States

Veterans Affairs Medical Center - Wichita, Wichita, Kansas, United States

Veterans Affairs Medical Center - Lexington, Lexington, Kentucky, United States

Markey Cancer Center at University of Kentucky Chandler Medical Center, Lexington, Kentucky, United States

MBCCOP - LSU Health Sciences Center, New Orleans, Louisiana, United States

Tulane Cancer Center at Tulane University Hospital and Clinic, New Orleans, Louisiana, United States

Veterans Affairs Medical Center - New Orleans, New Orleans, Louisiana, United States

Veterans Affairs Medical Center - Shreveport, Shreveport, Louisiana, United States

Louisiana State University Health Sciences Center - Shreveport, Shreveport, Louisiana, United States

Greenebaum Cancer Center at University of Maryland Medical Center, Baltimore, Maryland, United States

Cancer Research Center at Boston Medical Center, Boston, Massachusetts, United States

UMASS Memorial Cancer Center - University Campus, Worcester, Massachusetts, United States

CCOP - Michigan Cancer Research Consortium, Ann Arbor, Michigan, United States

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States

Veterans Affairs Medical Center - Detroit, Detroit, Michigan, United States

Josephine Ford Cancer Center at Henry Ford Health System, Detroit, Michigan, United States

CCOP - Grand Rapids, Grand Rapids, Michigan, United States

CCOP - Beaumont, Royal Oak, Michigan, United States

Providence Cancer Institute at Providence Hospital - Southfield, Southfield, Michigan, United States

University of Minnesota Cancer Center, Minneapolis, Minnesota, United States

University of Mississippi Medical Center, Jackson, Mississippi, United States

Veterans Affairs Medical Center - Jackson, Jackson, Mississippi, United States

CCOP - Kansas City, Kansas City, Missouri, United States

Siteman Cancer Center at Barnes-Jewish Hospital, Saint Louis, Missouri, United States

St. Louis University Hospital Cancer Center, Saint Louis, Missouri, United States

CCOP - St. Louis-Cape Girardeau, Saint Louis, Missouri, United States

CCOP - Cancer Research for the Ozarks, Springfield, Missouri, United States

CCOP - Montana Cancer Consortium, Billings, Montana, United States

UNMC Eppley Cancer Center at the University of Nebraska Medical Center, Omaha, Nebraska, United States

New Hampshire Oncology-Hematology, PA - Hooksett, Hooksett, New Hampshire, United States

Cooper University Hospital, Camden, New Jersey, United States

Veterans Affairs Medical Center - Albuquerque, Albuquerque, New Mexico, United States

MBCCOP - University of New Mexico HSC, Albuquerque, New Mexico, United States

CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C., East Syracuse, New York, United States

North Shore University Hospital, Manhasset, New York, United States

NYU School of Medicine's Kaplan Comprehensive Cancer Center, New York, New York, United States

Mount Sinai Medical Center, New York, New York, United States

Herbert Irving Comprehensive Cancer Center at Columbia University, New York, New York, United States

James P. Wilmot Cancer Center at University of Rochester Medical Center, Rochester, New York, United States

SUNY Upstate Medical University Hospital, Syracuse, New York, United States

Veterans Affairs Medical Center - Asheville, Asheville, North Carolina, United States

NorthEast Oncology Associates - Concord, Concord, North Carolina, United States

CCOP - Southeast Cancer Control Consortium, Goldsboro, North Carolina, United States

Lenoir Memorial Hospital Cancer Center, Kinston, North Carolina, United States

FirstHealth Moore Regional Hospital, Pinehurst, North Carolina, United States

Comprehensive Cancer Center at Wake Forest University, Winston-Salem, North Carolina, United States

Veterans Affairs Medical Center - Cincinnati, Cincinnati, Ohio, United States

Charles M. Barrett Cancer Center at University Hospital, Cincinnati, Ohio, United States

Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States

CCOP - Columbus, Columbus, Ohio, United States

Arthur G. James Cancer Hospital at Ohio State University, Columbus, Ohio, United States

Veterans Affairs Medical Center - Dayton, Dayton, Ohio, United States

CCOP - Dayton, Dayton, Ohio, United States

Oklahoma University Medical Center, Oklahoma City, Oklahoma, United States

Cancer Institute at Oregon Health and Science University, Portland, Oregon, United States

Veterans Affairs Medical Center - Portland, Portland, Oregon, United States

CCOP - Columbia River Oncology Program, Portland, Oregon, United States

Veterans Affairs Medical Center - Charleston, Charleston, South Carolina, United States

Hollings Cancer Center at Medical University of South Carolina, Charleston, South Carolina, United States

CCOP - Greenville, Greenville, South Carolina, United States

CCOP - Upstate Carolina, Spartanburg, South Carolina, United States

University of Tennessee Cancer Institute at Methodist Central Hospital, Memphis, Tennessee, United States

Veterans Affairs Medical Center - Memphis, Memphis, Tennessee, United States

Harrington Cancer Center, Amarillo, Texas, United States

Veterans Affairs Medical Center - Amarillo, Amarillo, Texas, United States

Brooke Army Medical Center, Fort Sam Houston, Texas, United States

University of Texas Medical Branch, Galveston, Texas, United States

University of Texas - MD Anderson Cancer Center, Houston, Texas, United States

University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States

Veterans Affairs Medical Center - San Antonio (Murphy), San Antonio, Texas, United States

Veterans Affairs Medical Center - Temple, Temple, Texas, United States

CCOP - Scott and White Hospital, Temple, Texas, United States

Huntsman Cancer Institute, Salt Lake City, Utah, United States

Veterans Affairs Medical Center - Salt Lake City, Salt Lake City, Utah, United States

Vermont Cancer Center at University of Vermont, Burlington, Vermont, United States

Virginia Oncology Associates - Norfolk, Norfolk, Virginia, United States

MBCCOP - Massey Cancer Center, Richmond, Virginia, United States

Oncology and Hematology Associates of Southwest Virginia, Incorporated - Roanoke, Roanoke, Virginia, United States

CCOP - Virginia Mason Research Center, Seattle, Washington, United States

Veterans Affairs Medical Center - Seattle, Seattle, Washington, United States

Puget Sound Oncology Consortium, Seattle, Washington, United States

CCOP - Northwest, Tacoma, Washington, United States

Contact Details

Name: Ronald K. Potkul, MD

Affiliation: Loyola University

Role: STUDY_CHAIR

Name: Barbara L. Smith, MD, PhD

Affiliation: Massachusetts General Hospital

Role: STUDY_CHAIR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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