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Raloxifene With or Without Exercise Compared With Exercise Alone in Women Who Have Been Previously Treated for Breast Cancer

Information source: National Cancer Institute (NCI)
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Breast Cancer; Menopausal Symptoms; Osteoporosis; Quality of Life

Intervention: raloxifene (Drug); quality-of-life assessment (Procedure)

Phase: N/A

Status: Active, not recruiting

Sponsored by: Oregon Health and Science University Cancer Institute

Official(s) and/or principal investigator(s):
Anna Schwartz, FNP, PhD, Study Chair, Affiliation: Oregon Health and Science University Cancer Institute

Summary

RATIONALE: Raloxifene and exercise may improve bone health and quality of life in breast cancer survivors. Assessing bone health and quality of life may improve the ability to plan treatment.

PURPOSE: Randomized clinical trial to study the effectiveness of raloxifene with or without exercise compared with exercise alone in women who have been previously treated for breast cancer.

Clinical Details

Official title: Breast Cancer Survivors: Exercise and Raloxifene

Study design: Supportive Care, Randomized, Placebo Control

Detailed description: OBJECTIVES:

- Determine the effects of raloxifene with or without exercise versus exercise alone on

bone reabsorption rate, bone formation rate, and bone density in women previously treated for breast cancer.

- Determine the effects of these regimens on the quality of life of these patients.

OUTLINE: This is a randomized, placebo-controlled, multicenter study. Patients are randomized to one of four treatment arms.

- Arm I: Patients are asked to exercise 5 days a week with instruction. Patients also

receive oral placebo once daily.

- Arm II: Patients receive oral raloxifene once daily.

- Arm III: Patients are asked to exercise as in arm I. Patients also receive oral

raloxifene once daily.

- Arm IV: Patients receive oral placebo once daily. All patients receive oral calcium

supplements once daily. Treatment continues in all arms for 24 months in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline and every 3 months during study.

PROJECTED ACCRUAL: A total of 240 patients (60 per treatment arm) will be accrued for this study.

Eligibility

Minimum age: N/A. Maximum age: N/A. Gender(s): Female.

Criteria:

DISEASE CHARACTERISTICS:

- Histologically confirmed breast cancer

- No metastatic disease

- At least 3 months but no more than 1 year since prior chemotherapy regimen including

doxorubicin or methotrexate and catabolic steroids (to prevent nausea, vomiting, fluid retention, or hypersensitivity reactions)

- No routine of regular strenuous exercise (more than 90 minutes per day 6 days/week OR

120 minutes per day 4 days/week)

- Hormone receptor status:

- Estrogen and progesterone receptor negative OR

- Estrogen and progesterone receptor positive

PATIENT CHARACTERISTICS:

Age:

- Any age

Sex:

- Female

Menopausal status:

- Postmenopausal (at diagnosis OR chemotherapy-induced)

- No spontaneous menses for more than 6 months with increased follicle-stimulating

hormone and decreased estradiol

Performance status:

- Ambulatory

Life expectancy:

- Not specified

Hematopoietic:

- Not specified

Hepatic:

- Not specified

Renal:

- Not specified

Cardiovascular:

- No cardiac problems that would preclude exercise

- No unstable angina

Pulmonary:

- No respiratory problems that would preclude exercise

- No chronic obstructive pulmonary disease

- No oxygen dependence

Other:

- No endocrine disease (e. g., parathyroid hormone disorders) that would accelerate bone

turnover and loss

- No musculoskeletal problems or other disease that would preclude exercise (e. g.,

movement-limiting arthritis, muscular dystrophy, or chronic fatigue syndrome)

- No known cognitive or psychiatric disorders that would preclude study

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Not specified

Chemotherapy:

- See Disease Characteristics

- Prior adjuvant or neoadjuvant chemotherapy allowed

- No concurrent chemotherapy

Endocrine therapy:

- See Disease Characteristics

- No concurrent tamoxifen

Radiotherapy:

- Prior adjuvant radiotherapy after chemotherapy allowed

- No concurrent radiotherapy

Surgery:

- Not specified

Other:

- No concurrent bisphosphonates

Locations and Contacts

Oregon Cancer Center, Portland, Oregon 97201-3098, United States
Additional Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Starting date: March 2001
Last updated: May 23, 2008

Page last updated: June 20, 2008

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