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Brief Title: Bone Mineral Density in Postmenopausal Women at Increased Risk of Breast Cancer And Who Are Receiving Exemestane on MAP3
Official Title: The Influence of Five Years of Exemestane on Bone Mineral Density in Postmenopausal Women at Increased Risk of Developing Breast Cancer
Study ID: NCT00688246
Brief Summary: RATIONALE: Learning about the effect of exemestane on bone mineral density in postmenopausal women at increased risk of breast cancer may help plan treatment, decrease the risk of broken bones, and help patients live more comfortably. PURPOSE: This research study is measuring bone mineral density in postmenopausal women at increased risk of developing breast cancer who are receiving exemestane on clinical trial CAN-NCIC-MAP3.
Detailed Description: OBJECTIVES: Primary * To assess the percentage change in bone mineral density (BMD) as measured by dual x-ray absorptometry (DEXA) scans of the spine (L1-L4) and total hip 2 years after randomization (and registration to the MAP.3B protocol). Secondary * To assess the percentage change in BMD as measured by DEXA scans of the spine (L1-L4), and total hip 5 years after randomization (and registration to the MAP.3B protocol). * To compare the proportion of women who develop BMD of the spine (L1-L4) and total hip below the absolute threshold value for osteoporosis (T score ≤ -2.5 SD below the mean peak bone mass in young women) in the treatment groups. * To examine the pattern of changes in BMD parameters and bone biomarkers (i.e., PINP and NTx) over time and the impact of covariants using exploratory longitudinal analyses. * To compare the proportion of women who develop clinical skeletal fractures in the treatment groups. OUTLINE: Patients undergo bone mineral density (BMD) measurement by dual x-ray absorptometry (DEXA). Blood specimens are collected at baseline and at 1 year, and 5 years and stored in a central laboratory for future assays of the bone biomarkers. If the subject withdraws from the core MAP.3 study before 5 years, a bone density measurement and serum for bone biomarkers is obtained unless performed within the past 3 months. Patients may continue to be followed on the MAP.3 core study for fractures (and other MAP.3 study endpoints) for a minimum of 5 years after randomization.
Minimum Age: 35 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: Yes
Los Angeles Biomedical Research Institute, Torrance, California, United States
The George Washington University, Washington, District of Columbia, United States
Maine Center for Cancer Medicine and Blood Disorders, Scarborough, Maine, United States
Suburban Hospital Cancer Program, Bethesda, Maryland, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Hutzel Women's Health Specialists, Detroit, Michigan, United States
University of Medicine and Dentistry of New Jersey, Newark, New Jersey, United States
University of Oklahoma, Oklahoma City, Oklahoma, United States
The Memorial Hospital of Rhode Island, Pawtucket, Rhode Island, United States
Fletcher Allen Health Care, Burlington, Vermont, United States
Fred Hutchinson Cancer Research Center, Seattle, Washington, United States
Univ. of Wisconsin Center for Women's Health and, Madison, Wisconsin, United States
BCCA - Cancer Centre for the Southern Interior, Kelowna, British Columbia, Canada
BCCA - Vancouver Cancer Centre, Vancouver, British Columbia, Canada
London Regional Cancer Program, London, Ontario, Canada
Northeast Cancer Center Health Sciences, Sudbury, Ontario, Canada
Univ. Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada
Name: Paul E. Goss, MD, PhD
Affiliation: Massachusetts General Hospital
Role: STUDY_CHAIR