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A Prospective Observational Study About Adjuvant or Neoadjuvant Chemotherapy Related Adverse Effects in Postmenopausal Breast Cancer Patients

Conditions
Breast Cancer
Interventions
Drug: Bisphosphonates
Registration Number
NCT03543072
Lead Sponsor
Sun Yat-sen University
Brief Summary

Breast cancer is one of the most common malignant tumor in women. About 69.75% of breast cancer women patients in China are over 45 years old. It is a multicenter prospective observational study. We collect the basic information, medical history, chemotherapy-related adverse reactions, and the results of blood lipid and bone density test before, during and after adjuvant or neoadjuvant chemotherapy. The purpose of the study is to investigate the risk factors for hyperlipidemia, cardiovascular disease, and osteoporosis in postmenopausal breast cancer patients before and after chemotherapy, and to assess the risk of future arteriosclerotic cardiovascular disease and osteoporotic fractures. In addition, the collected information of the subjects are analyzed to provide suggestions for the relevant prevention strategy.

Detailed Description

Breast cancer is one of the most common malignant tumor in women. About 69.75% of breast cancer women patients in China are over 45 years old. Chemotherapy is one of the important treatments for breast cancer, but it brings a series of adverse effects, especially increasing the risk of hyperlipidemia, cardiovascular disease and osteoporosis in postmenopausal women. It is a multicenter prospective observational study. The postmenopausal breast cancer women patients who are planning adjuvant or neoadjuvant chemotherapy are enrolled in the study after signing the informed consent form and passing the screening. We collect the basic information, medical history, chemotherapy-related adverse reactions, and the results of blood lipid and bone density test before, during and after chemotherapy. The purpose of the study is to investigate the risk factors for hyperlipidemia, cardiovascular disease, and osteoporosis in postmenopausal breast cancer patients before and after chemotherapy, and to assess the risk of future arteriosclerotic cardiovascular disease and osteoporotic fractures in this population.In addition, the collected information of the subjects are analyzed to provide suggestions for the relevant prevention strategy.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
2000
Inclusion Criteria
  1. Informed consent form has been signed.

  2. Breast cancer patients whose age is ≥ 18 years old and have been diagnosed by histological examination.

  3. Postmenopausal women who are defined by any of the following:

    • Previous bilateral oophorectomy;
    • Age ≥ 60 years old;
    • Age <60 years old, menopause at least 12 months, and follicle stimulating hormone [FSH] and estradiol levels in the postmenopausal range.
  4. Plan for adjuvant or neoadjuvant chemotherapy.

Exclusion Criteria
  1. Those who have already received adjuvant or neoadjuvant chemotherapy.
  2. Those who have chemotherapy contraindications.
  3. Those who have any mental condition that prevents the understanding of the contents of this study and can't provide the complete information required.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
exposure groupBisphosphonatesexposed to some factors
Primary Outcome Measures
NameTimeMethod
The rate of osteoporosis5 years

According to the result of bone mineral density

Secondary Outcome Measures
NameTimeMethod
The risk of osteoporotic fracture5 years

Calculate the risk of osteoporotic fracture with the WHO Fracture Risk Assessment Tool (FRAX® ) (http://www.shef.ac.uk/FRAX/)

Trial Locations

Locations (1)

Shusen Wang

🇨🇳

Guanzhou, Guangdong, China

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