Breast cancer Cancer Malignant neoplasm of breast
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pre-menopausal 2. Attends the Family History Clinic at the Nightingale & Genesis Prevention Centre 3. At moderate or high risk of breast cancer 4. Normal mammogram 5. Willing to use a non-hormonal form of contraception (mirena coil is permitted) 6. Upper Age Limit 46 years ; Lower Age Limit 33 years
Exclusion criteria
Exclusion criteria: 1. Use of coumarin type anticoagulants 2. Use of droperidol 3. Use of Bupropion 4. Diabetes (type I or II) 5. Use of hormonal contraceptives within 3 monhts of joining the study (mirena coil is permitted) 6. Pregnancy and breastfeeding 7. Prophylactic mastectomy or plans to have this procedure 8. Personal or family history of thromboembolism 9. Previous cancer in the last five years (except basal cell carcinoma or in situ cancer of the cervix) 10. Symptomatic gynaecological problems requiring medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Uptake: Recruitment is over an 18-month period so will be assessed at the end of the 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Reduction in breast density measured at 12-30 months 2. Oestrogen receptor (ESR) status and CYP2D6 status, measured from DNA collected from a blood tested at baseline 3. Changes in biomarkers - IGF-1, insulin, glucose and lipids measured from blood samples collected at baseline and after 12 months of tamoxifen use (in addition lipids will be assessed after 2 months of tamoxifen use) 4. Body weight and composition, measured at baseline, and after 2 and 12 months of tamoxifen. This will be measured using the Tanita 180, Tanita UK Ltd scales. Waist and hip measurements will be done using standard tape measures, at baseline, and after 2 and 12 months of tamoxifen 5. Cost-effectiveness - symptom and healthcare resource use diary used to assist in economic evaulation | — |
Countries
England, United Kingdom