Breast Neoplasms, Postmenopausal Disorder
Conditions
Keywords
Breast Neoplasms, Calcitriol, Postmenopausal, Cell Proliferation, Gene Expression Profiling
Brief summary
The purpose of this study is to evaluate whether calcitriol supplementation may reduce tumor cell proliferation and influence gene expression profile of breast cancer samples from post-menopausal patients.
Detailed description
Women affected by breast cancer present lower 1,25(OH)2D3 or 25(OH)D3 serum levels than unaffected ones. Calcitriol supplementation may be indicated to post-menopausal women to reduce bone loss. Vitamin D has antiproliferative effects in breast cancer cell lines and breast cancer xenografts. Post-menopausal breast cancer patients will be prescribed calcitriol supplementation, in doses indicated to prevent osteoporosis, while they are submitted to biopsy, staging exams and have their breast surgery scheduled (approximately one month). Tumor dimension and proliferation rate (as determined by Ki67 expression), 25(OH)D3 and/or 1,25(OH)2D3 serum concentration, will be evaluated before and after calcitriol supplementation. Tumor gene expression will be evaluated in samples collected before and after supplementation to analyze the differential profile.
Interventions
Post menopausal patients will receive Calcitriol 0.50 mcg PO per day for 1 month.
calcitriol 0.25 mcg PO bid
Sponsors
Study design
Eligibility
Inclusion criteria
* Postmenopausal women * Invasive breast carcinoma * Clinical conditions for breast surgery * No previous neoadjuvant treatment for breast cancer * Agreement to take part in the study and sign the informed consent
Exclusion criteria
* History of hypercalcemia or nephrolithiasis * Current use of corticosteroids, vitamin D supplementation, HRT * Previous chemotherapy, hormonotherapy or radiotherapy * Parathyroid disease * Absence of clinical condition to receive supplementation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tumor dimension and proliferation evaluated by ultrasound and Ki67 expression; Tumor gene expression profile | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Follow-up for 5 years | 5 years |
Countries
Brazil