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Effect of Flutamide on Biomarkers in Blood and Tissue Samples From Patients at High Risk of Ovarian Cancer

Phase 2
Completed
Conditions
Ovarian Cancer
Interventions
Registration Number
NCT00699907
Lead Sponsor
University of Arizona
Brief Summary

Studying samples of blood and tissue in the laboratory from patients with a high risk of developing ovarian cancer may help doctors identify and learn more about biomarkers related to cancer. We hypothesized that (i) preclinical biologic evidence exists for the role of androgens in ovarian cancer development and (ii) flutamide treatment of women at high risk for ovarian cancer may identify meaningful tissue biomarkers of androgen action and of ovarian cancer initiation. This phase II trial studied the effect of flutamide on biomarkers in blood and tissue samples from patients at high risk of ovarian cancer.

Detailed Description

OBJECTIVE: Compare the biomarkers of patients at high risk for ovarian cancer who are undergoing prophylactic oophorectomy and are interested in taking flutamide vs patients at high risk for ovarian cancer who are undergoing prophylactic oophorectomy and are not interested in taking flutamide (control) vs patients who are undergoing oophorectomy for a medical indication (control).

OUTLINE: Patients who elected not to receive flutamide received prophylactic oophorectomy or oophorectomy for a medical indication. Patients who elected to receive flutamide received 125mg once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent prophylactic oophorectomy. All patients underwent blood and ovarian tissue sample collection at the time of surgery for biomarker laboratory studies. Proteomic, microarray, and polymorphism analysis were performed on the blood and tissue samples.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
127
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment ArmflutamidePatients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
Primary Outcome Measures
NameTimeMethod
Colony Stimulating Factor (CSF-1) Expression in Ovarian StromaSurgery

CSF-1 levels were measured by immunohistochemistry (IHC).

Colony Stimulating Factor (CSF-1) Expression in Ovarian EndosalpingiosisSurgery

CSF-1 levels were measured by immunohistochemistry (IHC).

The modified H-Score assess extent of nuclear immunoreactivity applicable to steroid receptors.

The modified H-scores total range is 0-300. A lower modified H-score indicates weakly staining nuclei. A higher modified H-score indicated strongly staining nuclei.

This applies to all measures.

Tyrosine Kinase V-erb-b2 Erythroblastic Leukemia Viral Oncogene Homolog-4 (ErbB4) Expression in Ovarian EndosalpingiosisSurgery

ErbB4 levels were measured by immunohistochemistry (IHC).

Tyrosine Kinase V-erb-b2 Erythroblastic Leukemia Viral Oncogene Homolog-4 (ErbB4) Expression in Ovarian EpitheliumSurgery

ErbB4 levels were measured by immunohistochemistry (IHC).

Tyrosine Kinase V-erb-b2 Erythroblastic Leukemia Viral Oncogene Homolog-4 (ErbB4) Expression in Ovarian StromaSurgery

ErbB4 levels were measured by immunohistochemistry (IHC).

Colony Stimulating Factor (CSF-1) Expression in Ovarian EpitheliumSurgery

CSF-1 levels were measured by immunohistochemistry (IHC).

Colony Stimulating Factor-1 Receptor (CSF-1R) Expression in Ovarian StromaSurgery

CSF-1R levels were measured by immunohistochemistry (IHC).

Colony Stimulating Factor-1 Receptor (CSF-1R) Expression in Ovarian EpitheliumSurgery

CSF-1R levels were measured by immunohistochemistry (IHC).

Colony Stimulating Factor-1 Receptor (CSF-1R) Expression in Ovarian EndosalpingiosisSurgery

CSF-1R levels were measured by immunohistochemistry (IHC).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

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