Biomarker Change Linked to Breast Cancer Clinical Trial
Official title:
Prostaglandin Inhibition to Prevent Breast Cancer
This is a biomarker study with the goal of measuring changes in proteins and gene
methylation. This study is not intended for use in diagnosing, mitigating, treating, curing,
or preventing disease.
The purpose of this study is to determine if Vitamin D (cholecalciferol) alone and in
combination with celecoxib (Celebrex, a non-steroidal anti-inflammatory drug, or NSAID), act
together to decrease breast cancer risk by their effect on certain biological indicators
(biomarkers) of breast cancer risk (called PGE2, COX-2, and 15-PGDH) and cell changes in the
breast.
This is a biomarker study with the goal of measuring changes in protein and rna expression.
This study is not intended for use in diagnosing, mitigating, treating, curing, or preventing
disease.
66 women at normal risk for developing breast cancer will be recruited and enrolled. 22 women
will be randomized into each arm, with anticipation of 2 women in each group will not be
evaluable, leaving 20 in each group for evaluation.
A combination of vitamin D and celecoxib act synergistically to decrease breast cancer risk
by decreasing cell proliferation in the mammary epithelium through their action on
prostaglandin synthesis and metabolism.
Specific Aims:
-Evaluate vitamin D metabolism, through the measurement of CYP24 in the breast.
2-Evaluate breast specific levels of vitamin D and celecoxib, and assess if the levels of
these compounds correlate with response to markers which influence prostaglandin synthesis
and metabolism. Additionally, in women without active breast cancer , we will determine the
effect of vitamin D, with or without celecoxib, on 1) PG synthesis and metabolism, through
the measurement of PGE2, COX-2 and 15-PGDH in the breast, 2) proliferative activity in the
breast,, and 3) circulating levels of vitamin D and celecoxib, to determine if levels of
these compounds correlate with response to markers of PG production, metabolism, or cell
proliferation.
;