Breast cancer breast cancer, BRCA2, tamoxifen, prevention
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Women of age >= 20 and <=70 years at enrollment 2)Women with a confirmed deleterious BRCA2 germline mutation 3)No evidence of breast cancer by mammography and breast ultrasound with latest examination prior to enrollment 4)ECOG performance status (PS) is 0 or 1 5)Women who do not wish or plan for preventive mastectomy 6)Women who have major organ functions 7)Women who have written informed consent to participate in this study Genetic tests tested outside of Japan will be those that meet CLIA criteria.
Exclusion criteria
Exclusion criteria: 1)Women who underwent bilateral mastectomy 2)History of invasive breast cancer or non-invasive ductal carcinoma 3)History of invasive cancer except for basal cell carcinoma, spinous cell carcinoma, carcinoma in situ of the cervix, papilla cancer or follicular cancer 4)Any medical or psychiatric condition that may prevent the subject from completing the study 5)Women who are judged inappropriate to participate the study by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of breast cancer in women with BRCA2 deleterious mutation after three years of low dose tamoxifen treatment (overall/ER-positive breast cancer) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) The incidence of non-invasive ductal carcinoma in women with BRCA2 deleterious mutation after three years of low dose tamoxifen treatment(overall/ER-positive ductal carcinoma) 2)Evaluation of tolerability of tamoxifen (incidence of endometrial cancer/ovarian cancer/thrombus/fracture/cardiovascular event) 3) Adverse events and side effects 4) Diagnosis accuracy of breast MRI (BI-RADS(R) category determination) 5) Sensitivity of breast MRI to breast cancer detection 6) Frequency and percentage of malignancy of MRI guided biopsy 7) Relationship between the degree of background parenchymal enhancement (BPE) by breast MRI and the incidence of breast cancer 8) Sensitivity of miRNA and ctDNA to breast cancer detection | — |
Contacts
SHOWA Medical University Hospital