replace
Triage: High /protocolSection/designModule/phases/0 Matched rules
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phase_changeTrial phase changes are high review-priority design changes.
Before
NA
After
PHASE3
NCT01224678
Version 108 to 109 · Alliance for Clinical Trials in Oncology
Patch inspector
Manual review pending.
eligibility_criteria_changephase_changesecondary_outcome_any_change None recorded.
e12616f25e57fe6e1705544767aa71b30042b35725ea1104b2ffc80385dc25af/protocolSection/designModule/phases/0 phase_change Trial phase changes are high review-priority design changes. NA
PHASE3
/protocolSection/eligibilityModule/eligibilityCriteria eligibility_criteria_change Eligibility criteria changes can alter the studied population. <p>DISEASE CHARACTERISTICS:</p><ul><li>Women with breast density ≥ 25% (correlating with the BIRAD-2 category of "scattered fibroglandular densities" 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 < 20 IU/L</li></ul></li><li>Calcium < 10.5 mg/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>
<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 < 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 < 10.5 mg/dL</li></ol>
/protocolSection/outcomesModule/secondaryOutcomes/1/measure secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. Change in tissue biomarkers (atypia and Ki67) compared between arms
Change (between baseline and year 1) in tissue biomarker (atypia) compared between arms
/protocolSection/outcomesModule/secondaryOutcomes/2/measure secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. Comparison among 3 methods of breast density determination
Change (between baseline and year 1) in tissue biomarker (Ki67) compared between arms
/protocolSection/outcomesModule/secondaryOutcomes/3 secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. {
"measure": "Change (between baseline and year 1) in breast cancer biomarker (density) compared between arms",
"timeFrame": "Up to 12 months"
} /protocolSection/outcomesModule/secondaryOutcomes/4 secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. {
"measure": "Change (between baseline and year 1) in breast cancer biomarker (IGF1) compared between arms",
"timeFrame": "Up to 12 months"
} /protocolSection/outcomesModule/secondaryOutcomes/5 secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. {
"measure": "Change (between baseline and year 1) in breast cancer biomarkers (atypia) compared between arms",
"timeFrame": "Up to 12 months"
} /protocolSection/outcomesModule/secondaryOutcomes/6 secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. {
"measure": "Change (between baseline and year 1) in breast cancer biomarkers (Ki67) compared between arms",
"timeFrame": "Up to 12 months"
} /protocolSection/outcomesModule/secondaryOutcomes/7 secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. {
"measure": "Reported time spent outside as assessed using the Sunlight Questionnaire",
"timeFrame": "Up to 12 month"
} /protocolSection/outcomesModule/secondaryOutcomes/8 secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. {
"measure": "Change (between baseline and year 1) in breast density measurements",
"timeFrame": "Up to 12 months"
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