Breast Density
Conditions
Brief summary
This is a randomized, double-blinded, placebo-controlled dose-response efficacy study of oral (Z)-endoxifen in premenopausal women with measurable breast density. There will be 5 in-clinic visits (Screening, Day 1, Months 1, 3 and 6) and 3 self-report visits (Months 2, 4 and 5). Standard of care mammograms will be used for the screening mammogram as well as the 24-month follow up visit.
Interventions
Z-Endoxifen
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
1. Premenopausal women (defined as having at least one menstruation during the prior 12 months; women with an intrauterine device are considered premenopausal if \<52 years) 2. Women of childbearing potential using a highly effective method of birth control\* throughout the study period and willing to comply with monthly pregnancy testing 3. Screening mammogram performed within 3 month of study inclusion 4. Mammographic density assessed as BI-RADS® score B, C, or D 5. Must have given written informed consent before any study-related activities are carried out and must be able to understand the full nature and purpose of the trial, including possible risks and adverse effects
Exclusion criteria
1. Mammographic BI-RADS® malignancy code ≥3 at baseline mammography 2. Any previous diagnosis of breast cancer, including carcinoma in situ, or any other cancer (non-melanoma skin cancer and in situ cancer of the cervix are not
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of mammographic density area (cm2) assessed by iCAD® software | 6 months | Change from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of adverse events | 6 months | assessment of adverse events |
| Change of mammographic density area (cm2) assessed by iCAD® software | 3 months | Change from baseline |
| Change of mammographic density area (cm2) assessed by Stratus software | 6 months | Change from baseline |
| Change from baseline responses to the Breast Cancer Prevention Trial Eight Symptom Scale (BESS) | 6 months | 5-point Likert-type scale |
Countries
Sweden