Low Dose Aspirin for the Prevention of Postpartum Related Breast Cancer

Last updated: January 24, 2025
Sponsor: Mayo Clinic
Overall Status: Active - Recruiting

Phase

2

Condition

Carcinoma

Cancer/tumors

Fibrocystic Breast Disease

Treatment

Biospecimen Collection

Ultrasound-Guided Biopsy

Questionnaire Administration

Clinical Study ID

NCT05557877
MC220301
P30CA015083
22-000606
MC220301
R01CA262393
NCI-2022-07430
  • Ages 18-45
  • Female

Study Summary

This phase II trial tests whether low-dose aspirin can affect markers of inflammation in postpartum (after childbirth) women planning to have a breast biopsy. Chronic inflammation may increase the risk of postpartum related breast cancer. Low-dose aspirin is a non-steroidal anti-inflammatory drug. Giving low-dose aspirin may affect markers of inflammation in blood and tissue and may prevent postpartum related breast cancer.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • PRE-REGISTRATION: Age >= 18 years and =< 45 years of age

  • PRE-REGISTRATION: Willingness to provide mandatory tissue specimens for correlativeresearch at two timepoints.

  • PRE-REGISTRATION: Had a live birth =< 10 years prior to pre-registration

  • PRE-REGISTRATION: Pre-menopausal according to patient report and/or clinicaldetermination

  • PRE-REGISTRATION: Provide written informed consent

  • PRE-REGISTRATION: Ability to complete questionnaire(s) by themselves or withassistance

  • PRE-REGISTRATION: Willingness to provide mandatory blood and urine specimens forcorrelative research

  • REGISTRATION: Age >= 18 years and =< 45 years of age

  • REGISTRATION: Registration for this study must be completed either =< one (1) yearafter the qualifying pre-registration biopsy is performed for this study or =< one (1) year after collection of the archived tissue (for those who did not have apre-registration biopsy performed after pre-registration for this study)

  • REGISTRATION: Hemoglobin >= 9.0 g/dL (obtained =< 30 days prior to registration)

  • REGISTRATION: Platelet count >= 100,000/mm^3 (obtained =< 30 days prior toregistration

  • REGISTRATION: Serum creatinine =< 2.0 mg/dl (obtained =< days prior to registration)

  • REGISTRATION: Negative pregnancy test done =< 14 days prior to registration

  • REGISTRATION: Willing to use contraception while on treatment

  • REGISTRATION: Provide written informed consent

  • REGISTRATION: Ability to complete questionnaire(s) by themselves or with assistance

  • REGISTRATION: Willingness to provide mandatory blood and urine specimens forcorrelative research

  • REGISTRATION: Willing to return to enrolling institution for follow-up (during theactive monitoring phase of the study)

Exclusion

Exclusion Criteria:

  • PRE-REGISTRATION: History of breast cancer including ductal breast carcinoma in situ (DCIS)

  • PRE-REGISTRATION: Received systemic treatment for any other cancer at any time

  • PRE-REGISTRATION: Currently taking aspirin or other non-steroidal anti-inflammatorydrugs (NSAIDS) (no doses within =< 5 days prior to pre-registration and no more thanfour doses within =< 30 days prior to pre-registration)

  • PRE-REGISTRATION: Currently taking other agents for the prevention of breast cancer

  • PRE-REGISTRATION: Currently taking anticoagulants

  • PRE-REGISTRATION: Contraindication for aspirin use

  • PRE-REGISTRATION: Known or suspected active breast infection

  • REGISTRATION: Known DCIS or invasive cancer

  • REGISTRATION: No research tissue available from pre-registration biopsy or fromarchived tissue (collected =< 12 months prior to pre-registration)

  • REGISTRATION: Currently taking aspirin or other non-steroidal anti-inflammatorydrugs (NSAIDs) (NOTE: no doses within =< 5 days prior to registration and no morethan four doses within =< 30 days prior to registration)

  • REGISTRATION: Co-morbid illnesses/conditions which, in the judgment of theinvestigator, would make the patient inappropriate for entry into this study orinterfere significantly with the proper assessment of safety and toxicity of theprescribed regimens

  • REGISTRATION: Any contraindication to aspirin use including but not limited to:

  • Bleeding disorders (e.g., hemophilia)

  • Stomach or intestinal bleeding =< 6 months prior to registration

  • Known allergy to other non-steroidal anti-inflammatory drugs (NSAIDs)

  • REGISTRATION: Currently taking anticoagulants

  • REGISTRATION: Any prior or current malignancy requiring prior or current systemictherapy

  • REGISTRATION: Currently pregnant or planning to become pregnant in the next 90 days

  • REGISTRATION: Post-menopausal:

  • Prior bilateral surgical oophorectomy or

  • No menses for > 1 year with estradiol levels within postmenopausal range,according to institutional standard

  • REGISTRATION: Known or suspected active breast infection

Study Design

Total Participants: 100
Treatment Group(s): 5
Primary Treatment: Biospecimen Collection
Phase: 2
Study Start date:
March 09, 2023
Estimated Completion Date:
January 30, 2027

Study Description

PRIMARY OBJECTIVE:

I. Pre- versus (vs.) post-intervention change in post-partum-related breast cancer (PRBC) score.

SECONDARY OBJECTIVE:

I. Pre- vs. post-intervention change in postpartum involution (PPI) signature score.

EXPLORATORY OBJECTIVES:

I. Pre- vs. post-intervention change in percent of epithelial cells positive for COX-2, estrogen receptor (ER)/Ki67, gammaH2AX, and p16 in "normal" and in benign breast disease (BBD) lobule.

II. Pre- vs. post-intervention change in serum C-reactive protein (CRP), estrogens, insulin/insulin-like growth factors (IGFs), and adipokines.

III. Pre- vs. post-intervention changes in tissue and urine prostaglandins (PGs) and PGE2.

OUTLINE:

Patients undergo standard of care breast biopsy for assessment of abnormalities seen on imaging, as well as collection of blood during screening. If cancer is found, patient is taken off study and treatment options are discussed with treating physician.

Patients without a cancer finding on biopsy then receive low-dose aspirin orally (PO) daily and undergo collection of blood on study. Patients may undergo breast biopsy as clinically indicated.

After completion of study treatment, patients are followed up at 30 days.

Connect with a study center

  • Mayo Clinic in Arizona

    Scottsdale, Arizona 85259
    United States

    Active - Recruiting

  • Mayo Clinic in Florida

    Jacksonville, Florida 32224-9980
    United States

    Suspended

  • Indiana University Simon Comprehensive Cancer Center

    Indianapolis, Indiana 46202
    United States

    Active - Recruiting

  • Mayo Clinic in Rochester

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

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