Breast Cancer Clinical Trial
Official title:
A Double Blind Prospective Study of Metformin vs. Placebo in Overweight or Obese Post-menopausal Women at Elevated Risk for Breast Cancer
This randomized clinical trial studies metformin hydrochloride in overweight or obese patients at elevated risk for breast cancer. Metformin hydrochloride may decrease the expression of early tumor makers in breast tissue of patients at increased risk for breast cancer
PRIMARY OBJECTIVES:
I. To determine the changes in the signal pathway profiling of breast tissue using reverse
phase proteomics in tissue biopsy of overweight or obese women at elevated risk for breast
cancer treated with metformin (metformin hydrochloride) (850mg orally twice a day) for 12
cycles.
SECONDARY OBJECTIVES:
I. To determine the effect of metformin on breast tissue density of overweight or obese women
at elevated risk for breast cancer using qualitative mammographic fat density criteria.
II. To determine the effect of metformin on the insulin axis in serum of overweight or obese
women at elevated risk for breast cancer treated with metformin (850mg orally twice a day)
for 12 cycles.
III. To determine the toxicities associated with metformin.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive metformin hydrochloride by mouth once daily on days 1-30 in course 1
and twice daily on days 1-30 thereafter. Treatment repeats every 30 days for 12 courses in
the absence of disease progression or unacceptable toxicity.
ARM II: Patients receive placebo by mouth once daily on days 1-30 in course 1 and twice daily
on days 1-30 thereafter. Treatment repeats every 30 days for 12 courses in the absence of
disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 6 months for up to 5
years.
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