Breast Cancer Clinical Trial
Official title:
Phase I/II Trial of Tamoxifen Following Epigenetic Regeneration of Estrogen Receptor Using Decitabine and LBH 589 in Patients With Triple Negative Metastatic Breast Cancer
Patients are being asked to take part in this study because they have metastatic breast
cancer that is triple negative (does not express estrogen receptor (ER), progesterone
receptor (PR) or HER2). This means that agents such as trastuzumab (Herceptin®) and
tamoxifen are not currently treatment options for their cancer. Another option for treating
the patient's cancer at this point is with chemotherapy. The patient should discuss this and
other options with their doctor prior to entering this study.
Laboratory studies have demonstrated that ER is actually present in some triple negative
breast cancers but is "silenced" (does not function properly) because methyl and histone
groups are attached to it and inactivate it. Special drugs called demethylating inhibitors
(such as decitabine) and histone deacetylase inhibitors (such as LBH589) can remove these
methyl and histone groups and reactivate ER. This reactivated ER can then be targeted with
agents like tamoxifen.
The patient is being asked to join this clinical research study to find out if ER can be
reactivated in their cancer using decitabine in combination with LBH589. If ER is
reactivated in their cancer, we will then determine if tamoxifen can decrease the growth of
the cancer.
n/a
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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