Early Changes in Metabolic Health in Breast Cancer Patients Initiating Endocrine Therapy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Early Breast Cancer, Metabolic Health, Estrogen Receptor Positive Breast Cancer. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Denmark
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Early Breast Cancer, Endocrine Therapy Initiation, and Early Metabolic Health Changes: a Prospective Follow-up Study
Overview
This clinical trial aims to investigate early metabolic health changes in early breast cancer patients that initiate antihormone therapy. Furthermore, how these changes are affected by estrogen level, treatment type, and patient characteristics. The hypothesis is, that initiation of antihormone therapy for early breast cancer patients is associated with an early deterioration in metabolic health after 3 months. This includes increased BMI (Body Mass Index), waist- and hip circumference, blood pressure, blood sugars, and lipids compared to when the patients initiate antihormone therapy. Concurrently, estradiol levels are expected to decrease. An estimated 112 patients initiating antihormone therapy at the Dept. of Oncology, Aarhus University Hospital (AUH) will be included in the study over 6 months from autumn 2024. Patients will have a metabolic screening on the day of initiating antihormone therapy and at 3-month antihormone treatment follow-up. The two metabolic screenings each consists of biometric measurements and a blood sample.
Detailed description
Metabolic health, closely tied to overweight and type 2 diabetes, significantly influences disease risks, notably breast cancer. With over 2.5 billion overweight adults globally, the prevalence of associated health concerns is escalating. Breast cancer, the leading cause of female cancer-related mortality, is intricately linked to metabolic factors, including overweight and diabetes, particularly affecting estrogen receptor-positive tumors. Conversely, endocrine therapy as breast cancer treatment can exacerbate metabolic issues, increasing weight gain and the risk of type 2 diabetes. Despite its efficacy in reducing recurrence risk, endocrine therapy is associated with adverse metabolic effects, including elevated cholesterol levels. Estrogen, pivotal in metabolic homeostasis, remains poorly understood in the context of endocrine therapy and metabolic disruptions. This prospective study aims to elucidate this relationship, focusing on the initiation of endocrine therapy, metabolic health, and estradiol levels among early-stage breast cancer patients. Early breast cancer patients initiating endocrine therapy at Aarhus University Hospital from autumn 2024 and six months ahead will be extended an invitation for study participation, with immediate measurements. Metabolic health will be analyzed through weight, hip and waist circumference measurements, blood sugar, cholesterol, and estrogen at baseline and 3-month follow-up. Thorough data collection, including demographics, treatment modalities, and cancer characteristics, ensures a comprehensive understanding of this complex interplay. With 112 projected participants, this study aims to shed light on the intricate connections between endocrine therapy, patient characteristics, and metabolic health changes. Through this comprehensive approach, the investigators aim to enhance patient care and understanding of managing metabolic health alongside breast cancer treatment.
Primary outcome measures
- Metabolic health changes [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- Waist and hip circumference [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- Blood pressure [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- HbA1c [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- Cholestrerol [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- Triglycerides [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- LDL [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- HDL [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
- Body Mass Index [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
Secondary outcome measures (1)
- Estrogen level [Time frame: 3 months (from initiation of endocrine therapy to 3 month treatment follow-up)]
Eligibility criteria
Inclusion criteria
- Age ≥18 years
- Invasive ER+ breast cancer
- No diabetes treatment
- Planned for initiation of any adjuvant endocrine therapy.
Exclusion criteria
- Pregnancy or lactation,
- Psychological, familial, sociological, or geographical conditions potentially hampering compliance with the study protocol and follow-up schedule; these conditions will be discussed with the patient before registration in the trial.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Denmark · 1 center
- Department of Oncology, Aarhus University Hosptial — Aarhus N
Identifiers
NCT: NCT06623903 · 1-10-72-122-24 · 09-2247