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The Prevention of Osteoporosis in Premenopausal and Newly Postmenopausal (Up to 8 Years) Women With Breast Cancer Following Chemotherapy (REBBeCA Study)
This study is ongoing, but not recruiting participants.
First Received: June 30, 2005   Last Updated: June 8, 2009   History of Changes
Sponsors and Collaborators: University of Pittsburgh
Procter and Gamble
Aventis Pharmaceuticals
Information provided by: University of Pittsburgh
ClinicalTrials.gov Identifier: NCT00118508
  Purpose

The purpose of this study is to evaluate the effectiveness of once weekly risedronate in the prevention and treatment of bone loss in premenopausal and newly menopausal women with breast cancer who have received chemotherapy.

The hypothesis is that bisphosphonate therapy will prevent bone loss at clinically relevant sites, such as the hip and spine. The investigators also hypothesize that there will be a correlation between biochemical markers of bone turnover and changes in bone mineral density.


Condition Intervention
Osteoporosis
Drug: risedronate (including placebo)

Study Type: Interventional
Study Design: Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Single Group Assignment, Efficacy Study
Official Title: The Prevention of Osteoporosis in Premenopausal and Newly Postmenopausal (Up to 8 Years) Women With Breast Cancer Following Chemotherapy (REBBeCA Study)

Resource links provided by NLM:


Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:
  • That bone loss, as determined through BMD every six months, will be prevented at clinically relevant sites, such as the hip & spine, through the use of bisphosphonate therapy in study subjects. [ Time Frame: 24 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • There will be a correlation between biochemical markers of bone turnover and changes in BMD. [ Time Frame: 24 months ] [ Designated as safety issue: No ]

Enrollment: 87
Study Start Date: May 2003
Estimated Study Completion Date: July 2009
Primary Completion Date: July 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Placebo Comparator
Group A will receive active study drug
Drug: risedronate (including placebo)
risedronate 35mg weekly

Detailed Description:

Breast cancer is a significant public health problem accounting for approximately 30% of new cancers diagnosed annually. Much advancement has been made in the treatment of these cancers which has significantly decreased the mortality rates. Treatment, including adjuvant chemotherapy and hormonal therapy, prolongs disease free survival and overall survival of patients with breast cancer. The cytotoxic drugs, however, can cause premature ovarian failure and subsequent menopause. This risk has been reported to range from 53% to 89%. Temporary or permanent chemotherapy induced ovarian failure is important because of potential bone loss associated with the estrogen loss. Initiating a potent antiresorptive agent, risedronate, should prevent or improve bone mass in these women.

Comparison: The investigators will compare bone mass/markers of study subjects receiving risedronate with study subjects receiving placebo. All subjects will be provided calcium and vitamin D supplementation as needed.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Pre- and newly postmenopausal (up to 8 years) women ages 18 and older
  • Breast cancer treated with chemotherapeutic agents, with or without tamoxifen/aromatase inhibitors
  • Negative pregnancy test

Exclusion Criteria:

  • Stage 4 breast cancer
  • Any illness or medications known to affect bone metabolism
  • History of osteoporosis or history of vertebral or hip fractures
  • Kidney stones in the past 5 years
  • Active peptic ulcer disease
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00118508

Locations
United States, Pennsylvania
University of Pittsburgh Medical Center (GCRC)
Pittsburgh, Pennsylvania, United States, 15213
Sponsors and Collaborators
University of Pittsburgh
Procter and Gamble
Aventis Pharmaceuticals
Investigators
Principal Investigator: Susan L Greenspan, MD University of Pittsburgh
  More Information

No publications provided by University of Pittsburgh

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):
Responsible Party: University of Pittsburgh ( Susan L. Greenspan, MD (Principal Investigator) )
Study ID Numbers: IRB#0404173
Study First Received: June 30, 2005
Last Updated: June 8, 2009
ClinicalTrials.gov Identifier: NCT00118508     History of Changes
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Calcium, Dietary
Musculoskeletal Diseases
Skin Diseases
Calcium Channel Blockers
Osteoporosis
Breast Neoplasms
Bone Density Conservation Agents
Bone Diseases, Metabolic
Cardiovascular Agents
Bone Diseases
Risedronic acid
Breast Diseases

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Skin Diseases
Physiological Effects of Drugs
Calcium Channel Blockers
Breast Neoplasms
Osteoporosis
Bone Diseases, Metabolic
Bone Density Conservation Agents
Cardiovascular Agents
Bone Diseases
Pharmacologic Actions
Membrane Transport Modulators
Neoplasms
Neoplasms by Site
Musculoskeletal Diseases
Therapeutic Uses
Breast Diseases
Risedronic acid

ClinicalTrials.gov processed this record on September 09, 2009