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NCT01224678

Vitamin D and Breast Cancer Biomarkers in Female Patients

Version 108 to 109 · Alliance for Clinical Trials in Oncology

Patch inspector

Version 108 to 109

14 operations 4 path groups ctgov_internal_history
ClinicalTrials.gov
Severity is deterministic uncalibrated triage metadata, not validated review priority. Operation-level severity is inferred from deterministic path rules. Rule matches shown per operation are approximate previews (they skip the pipeline's suppression passes); the authoritative classification is the stored event record.
Plain-language summary

Manual review pending.

Rules fired
eligibility_criteria_changephase_changesecondary_outcome_any_change
Value signals

None recorded.

Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:14:58+00
Raw hash
e12616f25e57fe6e1705544767aa71b30042b35725ea1104b2ffc80385dc25af
Payload
Source URL
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 1 ops
replace /protocolSection/designModule/phases/0
Triage: High
Design Change Operation 4
Matched rules
  • phase_change Trial phase changes are high review-priority design changes.
Before
NA
After
PHASE3
Eligibility Criteria and population definition changes. Triage: High 1 ops
replace /protocolSection/eligibilityModule/eligibilityCriteria
Triage: High
Eligibility Change Operation 13
Matched rules
  • eligibility_criteria_change Eligibility criteria changes can alter the studied population.
Before
<p>DISEASE CHARACTERISTICS:</p><ul><li>Women with breast density ≥ 25% (correlating with the BIRAD-2 category of &quot;scattered fibroglandular densities&quot; or greater)</li><li>Hormone receptor status not specified</li></ul><p>PATIENT CHARACTERISTICS:</p><ul><li><p>Premenopausal defined as meeting at least one of the following criteria:</p><ul><li>Have regular menstrual cycles</li><li>Have had at least four cycles in the last six months</li><li>Have had a hysterectomy with ovaries intact and FSH level &lt; 20 IU&#x2F;L</li></ul></li><li>Calcium &lt; 10.5 mg&#x2F;dL</li><li>Not pregnant</li><li>Fertile patients must use effective contraception</li><li>Patients with a history of breast cancer (including DCIS) or ovarian cancer are not eligible</li><li>Patients with two or more bone fractures in the past five years are not eligible</li><li>Patients with a diagnosis of osteoporosis with physician recommendation for treatment of low bone mass are not eligible</li><li>Patients known to have hyperparathyroid disease or other serious disturbances of calcium metabolism requiring intervention in the past 5 years are not eligible</li><li>Patients with a history of kidney stones (unless documented not to have been a calcium stone) are not eligible</li></ul><p>PRIOR CONCURRENT THERAPY:</p><ul><li><p>Patients who are currently receiving hormone replacement therapy (estrogen or progesterone) or are taking tamoxifen or raloxifene are not eligible</p><ul><li>Women who have taken these medications must have stopped for at least 4 months prior to study entry</li><li>Topical estrogen is allowed</li></ul></li><li>Patients who are currently using hormonal contraception, should be taking it for at least 4 months prior to study entry</li><li><p>Patients who are taking regular vitamin D supplementation (above 400 IUs daily) and refuse or are unable to stop use are not eligible</p><ul><li>Women who agree to stop will need to do so for at least 6 months prior to registration</li></ul></li><li>Patients may not start vitamin D supplementation after registration (regardless of results of vitamin D testing) but they may continue vitamin D if they are already taking 400 IUs daily or less and have been taking vitamin D for at least 6 months prior to baseline mammogram</li><li>Patients participating in a concurrent breast cancer chemoprevention trial are not eligible</li><li>No history of breast implants or breast reduction</li></ul>
After
<ol><li>Premenopausal women 55 years of age or younger with regular menstrual cycles (at least four cycles in the last six months).
Women with fewer than 4 menses in the last 6 months or who have had a hysterectomy with ovaries intact will be considered premenopausal if FSH level &lt; 20.</li><li>Women with breast density ≥ 25% (scattered fibroglandular densities or greater) are eligible.</li><li><p>Prior Treatment</p><ol><li><p>Patients who are currently receiving hormone replacement therapy (estrogen or progesterone); or are taking tamoxifen or raloxifene are not eligible.
Women who have taken these medications must have stopped for at least 4 months prior to study entry.</p><p>Topical estrogen (eg, transdermal patches and vaginal estrogens) is allowed.</p></li><li>Patients who are currently using hormonal contraception, should be taking it for at least 4 months prior to study entry.</li></ol></li><li><p>Vitamin D Use</p><ol><li>Patients who are taking regular vitamin D supplementation (above 400 IUs daily) and refuse or are unable to stop use are not eligible.
Women who agree to stop will need to do so for at least 6 months prior to registration.</li><li>Patients may not start vitamin D supplementation after registration (regardless of results of vitamin D testing) but they may continue vitamin D if they are already taking 400 IUs daily or less and have been taking vitamin D for at least 6 months prior to baseline mammogram.</li></ol></li><li>Patients with a history of breast cancer (including DCIS) or ovarian cancer are not eligible.</li><li>Patients with a history of breast implants or breast reduction are not eligible.</li><li>Patients with two or more bone fractures in the past five years are not eligible.</li><li>Patients with a diagnosis of osteoporosis with physician recommendation for treatment of low bone mass are not eligible.</li><li>Patients known to have hyperparathyroid disease or other serious disturbances of calcium metabolism requiring intervention in the past 5 years are not eligible.</li><li>Patients with a history of kidney stones (unless documented not to have been a calcium stone) are not eligible.</li><li>Patients participating in a concurrent breast cancer chemoprevention trial are not eligible.</li><li>Required initial laboratory values - Calcium &lt; 10.5 mg&#x2F;dL</li></ol>
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 8 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/1/measure
Triage: High
Secondary Outcome Change Operation 5
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Change in tissue biomarkers (atypia and Ki67) compared between arms
After
Change (between baseline and year 1) in tissue biomarker (atypia) compared between arms
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
Triage: High
Secondary Outcome Change Operation 6
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Comparison among 3 methods of breast density determination
After
Change (between baseline and year 1) in tissue biomarker (Ki67) compared between arms
add /protocolSection/outcomesModule/secondaryOutcomes/3
Triage: High
Secondary Outcome Change Operation 7
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Change (between baseline and year 1) in breast cancer biomarker (density) compared between arms",
  "timeFrame": "Up to 12 months"
}
add /protocolSection/outcomesModule/secondaryOutcomes/4
Triage: High
Secondary Outcome Change Operation 8
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Change (between baseline and year 1) in breast cancer biomarker (IGF1) compared between arms",
  "timeFrame": "Up to 12 months"
}
add /protocolSection/outcomesModule/secondaryOutcomes/5
Triage: High
Secondary Outcome Change Operation 9
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Change (between baseline and year 1) in breast cancer biomarkers (atypia) compared between arms",
  "timeFrame": "Up to 12 months"
}
add /protocolSection/outcomesModule/secondaryOutcomes/6
Triage: High
Secondary Outcome Change Operation 10
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Change (between baseline and year 1) in breast cancer biomarkers (Ki67) compared between arms",
  "timeFrame": "Up to 12 months"
}
add /protocolSection/outcomesModule/secondaryOutcomes/7
Triage: High
Secondary Outcome Change Operation 11
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Reported time spent outside as assessed using the Sunlight Questionnaire",
  "timeFrame": "Up to 12 month"
}
add /protocolSection/outcomesModule/secondaryOutcomes/8
Triage: High
Secondary Outcome Change Operation 12
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Change (between baseline and year 1) in breast density measurements",
  "timeFrame": "Up to 12 months"
}
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 4 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2015-07
After
2016-06
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2015-07-09
After
2016-06-17
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2015-07-10
After
2016-06-21
add /annotationSection
Triage: Uncategorized
Uncategorized Operation 14
After
{
  "annotationModule": {
    "unpostedAnnotation": {
      "unpostedEvents": [
        {
          "date": "2017-03-06",
          "type": "RELEASE"
        },
        {
          "date": "2017-04-14",
          "type": "RESET"
        },
        {
          "date": "2017-05-16",
          "type": "RELEASE"
        },
        {
          "date": "2017-07-28",
          "type": "RESET"
        }
      ],
      "unpostedResponsibleParty": "Alliance for Clinical Trials in Oncology"
    }
  }
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2016-06"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2016-06-17"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2016-06-21"
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/phases/0",
    "value": "PHASE3"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
    "value": "Change (between baseline and year 1) in tissue biomarker (atypia) compared between arms"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
    "value": "Change (between baseline and year 1) in tissue biomarker (Ki67) compared between arms"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3",
    "value": {
      "measure": "Change (between baseline and year 1) in breast cancer biomarker (density) compared between arms",
      "timeFrame": "Up to 12 months"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4",
    "value": {
      "measure": "Change (between baseline and year 1) in breast cancer biomarker (IGF1) compared between arms",
      "timeFrame": "Up to 12 months"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5",
    "value": {
      "measure": "Change (between baseline and year 1) in breast cancer biomarkers (atypia) compared between arms",
      "timeFrame": "Up to 12 months"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/6",
    "value": {
      "measure": "Change (between baseline and year 1) in breast cancer biomarkers (Ki67) compared between arms",
      "timeFrame": "Up to 12 months"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/7",
    "value": {
      "measure": "Reported time spent outside as assessed using the Sunlight Questionnaire",
      "timeFrame": "Up to 12 month"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/8",
    "value": {
      "measure": "Change (between baseline and year 1) in breast density measurements",
      "timeFrame": "Up to 12 months"
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/eligibilityModule/eligibilityCriteria",
    "value": "<ol><li>Premenopausal women 55 years of age or younger with regular menstrual cycles (at least four cycles in the last six months).\nWomen with fewer than 4 menses in the last 6 months or who have had a hysterectomy with ovaries intact will be considered premenopausal if FSH level &lt; 20.</li><li>Women with breast density ≥ 25% (scattered fibroglandular densities or greater) are eligible.</li><li><p>Prior Treatment</p><ol><li><p>Patients who are currently receiving hormone replacement therapy (estrogen or progesterone); or are taking tamoxifen or raloxifene are not eligible.\nWomen who have taken these medications must have stopped for at least 4 months prior to study entry.</p><p>Topical estrogen (eg, transdermal patches and vaginal estrogens) is allowed.</p></li><li>Patients who are currently using hormonal contraception, should be taking it for at least 4 months prior to study entry.</li></ol></li><li><p>Vitamin D Use</p><ol><li>Patients who are taking regular vitamin D supplementation (above 400 IUs daily) and refuse or are unable to stop use are not eligible.\nWomen who agree to stop will need to do so for at least 6 months prior to registration.</li><li>Patients may not start vitamin D supplementation after registration (regardless of results of vitamin D testing) but they may continue vitamin D if they are already taking 400 IUs daily or less and have been taking vitamin D for at least 6 months prior to baseline mammogram.</li></ol></li><li>Patients with a history of breast cancer (including DCIS) or ovarian cancer are not eligible.</li><li>Patients with a history of breast implants or breast reduction are not eligible.</li><li>Patients with two or more bone fractures in the past five years are not eligible.</li><li>Patients with a diagnosis of osteoporosis with physician recommendation for treatment of low bone mass are not eligible.</li><li>Patients known to have hyperparathyroid disease or other serious disturbances of calcium metabolism requiring intervention in the past 5 years are not eligible.</li><li>Patients with a history of kidney stones (unless documented not to have been a calcium stone) are not eligible.</li><li>Patients participating in a concurrent breast cancer chemoprevention trial are not eligible.</li><li>Required initial laboratory values - Calcium &lt; 10.5 mg&#x2F;dL</li></ol>"
  },
  {
    "op": "add",
    "path": "/annotationSection",
    "value": {
      "annotationModule": {
        "unpostedAnnotation": {
          "unpostedEvents": [
            {
              "date": "2017-03-06",
              "type": "RELEASE"
            },
            {
              "date": "2017-04-14",
              "type": "RESET"
            },
            {
              "date": "2017-05-16",
              "type": "RELEASE"
            },
            {
              "date": "2017-07-28",
              "type": "RESET"
            }
          ],
          "unpostedResponsibleParty": "Alliance for Clinical Trials in Oncology"
        }
      }
    }
  }
]