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Monoclonal Antibodies

Denosumab to Prevent Breast Cancer in Women With BRCA1 Mutation (BRCA-P Trial)

Phase 3
Recruiting
Research Sponsored by Alliance for Clinical Trials in Oncology
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Women with a confirmed deleterious or likely deleterious BRCA 1 germline mutation (variant class 4 or 5)
Age >= 25 years and =< 55 years at randomization
Must not have
Prior bilateral mastectomy
History of ovarian cancer (including fallopian and peritoneal cancer)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years post treatment
Awards & highlights
Pivotal Trial

Summary

This trial is testing whether denosumab can prevent breast cancer in women with a BRCA1 gene mutation, which is linked to a higher risk of developing the disease.

Who is the study for?
Women aged 25-55 with a BRCA1 gene mutation, no breast or ovarian cancer, and not planning preventive breast surgery can join. They must have normal recent breast exams, not be pregnant or breastfeeding, agree to use contraception, and have good physical health.
What is being tested?
The trial is testing if Denosumab can prevent breast cancer in women with the BRCA1 mutation compared to a placebo. It's a phase III study where participants are randomly given either Denosumab or an inactive substance while their quality of life is monitored.
What are the potential side effects?
Denosumab may cause issues like jaw bone problems (osteonecrosis), low calcium levels in the blood (hypocalcemia), infection risks, and possibly interfere with healing after dental procedures.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have a harmful BRCA1 gene mutation.
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I am between 25 and 55 years old.
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I currently show no signs of ovarian cancer.
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I am not planning to have preventive breast surgery.
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I am fully active or restricted in physically strenuous activity but can do light work.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had both breasts removed.
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I have had ovarian, fallopian, or peritoneal cancer.
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I have a history of breast cancer.
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I have low calcium levels or a history of low calcium that's relevant to my health.
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I have previously used denosumab.
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I am currently taking medication for bone health or to stop new blood vessels from forming.
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I have an active hepatitis B or C infection.
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I am HIV positive.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years post treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years post treatment for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Time to the occurrence of any breast cancer (invasive or ductal carcinoma in situ [DCIS])
Secondary study objectives
Assess incidence, nature and severity of adverse events (AEs) using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0
Frequency of benign breast lesions
Frequency of breast biopsies
+5 more

Side effects data

From 2022 Phase 4 trial • 37 Patients • NCT04026256
31%
nausea
15%
headache
15%
rhinorrhea
8%
phototoxic dermatitis
8%
dizziness
100%
80%
60%
40%
20%
0%
Study treatment Arm
Teriparatide Only
Denosumab and Teriparatide
Denosumab Only

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Arm A (denosumab)Experimental Treatment2 Interventions
Patients receive denosumab SC q6m for up to 5 years in the absence of disease progression or unacceptable toxicity.
Group II: Arm B (placebo)Placebo Group2 Interventions
Patients receive placebo SC q6m for up to 5 years in the absence of disease progression.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Denosumab
2020
Completed Phase 4
~12020

Find a Location

Who is running the clinical trial?

Austrian Breast & Colorectal Cancer Study Group (ABCSG)UNKNOWN
Alliance for Clinical Trials in OncologyLead Sponsor
518 Previous Clinical Trials
222,037 Total Patients Enrolled
74 Trials studying Breast Cancer
39,843 Patients Enrolled for Breast Cancer
National Cancer Institute (NCI)NIH
13,956 Previous Clinical Trials
41,112,089 Total Patients Enrolled
942 Trials studying Breast Cancer
1,442,832 Patients Enrolled for Breast Cancer
Judy E. Garber, MD, MPHStudy ChairDana-Farber Cancer Institute

Media Library

Denosumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04711109 — Phase 3
Denosumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04711109 — Phase 3
Breast Cancer Research Study Groups: Arm A (denosumab), Arm B (placebo)
Breast Cancer Clinical Trial 2023: Denosumab Highlights & Side Effects. Trial Name: NCT04711109 — Phase 3
~173 spots leftby Jul 2027