Breast Cancer Clinical Trial
Official title:
Effects of Soy on Estrogens in Breast Fluid and Urine
RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming. Eating a
diet high in isoflavones, compounds found in soy foods, may keep cancer from forming.
PURPOSE: This randomized phase III trial is studying the effects of dietary soy on estrogens
in breast fluid, blood, and urine samples from healthy women.
OBJECTIVES:
- Examine the effects of two daily servings of soy on estrogen levels in nipple aspirate
fluid (NAF) and serum.
- Investigate cytologic patterns of epithelial breast cells obtained from NAF as a
measure of proliferation in relation to soy intake.
- Explore the effect of two daily servings of soy on cytochrome alterations of estrogen
metabolism as expressed in the formation of urinary 2-, 16α-, and 4-hydroxy estrogen
metabolites.
- Compare estrogen levels in NAF and serum measured at the same time during the luteal
phase.
OUTLINE: This is a multicenter study. Participants are randomized to 1 of 2 intervention
arms.
- Arm I: Participants partake in a high soy diet consisting of 2 daily soy servings
(approximately 50mg isoflavones). The choice of soy foods will include ½ cup of tofu, ¾
cup of soy milk, or ¼ cup of soy nuts. Replacement of currently consumed foods with soy
foods will be encouraged.
- Arm II: Participants will be asked to keep their soy intake below 3 servings per week.
The participants will also receive general nutrition counseling.
In both arms, intervention continues for 6 months. After 6 months, participants undergo a
1-month washout period and then cross-over to the other intervention arm.
Nipple aspirate fluid, urine, and blood samples are collected periodically to measure
laboratory endpoints.
;
Allocation: Randomized, Primary Purpose: Prevention
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