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DCIS: RECAST Trial Ductal Carcinoma In Situ: Re-Evaluating Conditions for Active Surveillance Suitability as Treatment
Sponsor: QuantumLeap Healthcare Collaborative
Summary
The goal of this trial is to see if active surveillance monitoring and hormonal therapy in patients diagnosed with ductal cell carcinoma in situ (DCIS), an early stage of breast cancer, can be an effective management of the disease. Participants will be asked to receive control hormonal therapy or an investigational hormonal therapy treatment. Participants will be asked to return for evaluation with MRI at three months and six months. Depending on the evaluation participants will have the option to continue on the treatment. If the evaluation suggests surgery is recommended, the participant will discontinue the study treatment and will undergo surgery. In addition to the treatment and MRI evaluation, participants will be asked to provide blood sample to understand their immune status, provide saliva sample for genetic testing, provide the study with a portion of the tissue or slides generated from tissue removed during surgery performed as part of their standard of care.
Official title: DCIS: RECAST Trial -Ductal Carcinoma In Situ: Re-Evaluating Conditions for Active Surveillance Suitability as Treatment: a Breast Cancer Prevention Pilot Study
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
400
Start Date
2024-02-17
Completion Date
2033-11
Last Updated
2026-03-16
Healthy Volunteers
No
Conditions
Interventions
Tamoxifen
For premenopausal women: 20 mg tamoxifen orally daily (standard dose) or 10 mg every other day (low dose). For postmenopausal women who are not tolerating an AI, investigators can change them to the low dose (10 mg every other day) or standard dose (20 mg) of tamoxifen.
Exemestane
For postmenopausal women: standard oral doses of AI of choice: exemestane 25 mg daily, or reduced exemestane dosing: 25 mg 3 times per week orally
Letrozole
For postmenopausal women: standard oral doses of AI of choice: letrozole 2.5 mg daily.
Anastrazole
For postmenopausal women: standard oral doses of AI of choice: anastrozole 1 mg daily.
Testosterone + Anastrazole
Investigational drug. Both pre- and post- menopausal subjects. 100mg testosterone in combination with 4mg anastrazole administered subcutaneously every 3 months for up to 3 years.
Elacestrant
Investigational drug. Both pre- and post- menopausal subjects. Elacestrant 400mg PO with food once daily up to 36 months.
Z-endoxifen
Investigational drug. Both pre- and post- menopausal subjects. (z)-endoxifen 10mg delayed release capsule 1 hour before a meal or 2 hours after a meal once daily for up to 36 months.
Locations (27)
Berkeley Outpatient Center
Berkeley, California, United States
City of Hope -Duarte Cancer Center
Duarte, California, United States
City of Hope - Lennar Foundation Cancer Center
Irvine, California, United States
UCLA
Los Angeles, California, United States
UCSF
San Francisco, California, United States
City of Hope
South Pasadena, California, United States
John Muir Health
Walnut Creek, California, United States
Moffitt Cancer Center
Tampa, Florida, United States
Winship Cancer Institute, Emory University
Atlanta, Georgia, United States
University of Chicago Medical Center
Chicago, Illinois, United States
Maple Grove Cancer Center
Maple Grove, Minnesota, United States
Hennepin Healthcare -Minneapolis
Minneapolis, Minnesota, United States
University of Minnesota
Minneapolis, Minnesota, United States
Health Partners - Frauenshuh Cancer Center
Saint Louis Park, Minnesota, United States
Health Partners - Regions Hospital
Saint Paul, Minnesota, United States
Englewood Hospital and Medical Center
Englewood, New Jersey, United States
Mount Sinai Union Square
New York, New York, United States
Mount Sinai Chelsea
New York, New York, United States
Mount Sinai West
New York, New York, United States
Icahn School of Medicine at Mount Sinai
New York, New York, United States
Duke Cancer Institute
Durham, North Carolina, United States
Atrium Health Wake Forest Baptist Comprehensive Cancer Center
Winston-Salem, North Carolina, United States
Bryn Mawr Hospital
Bryn Mawr, Pennsylvania, United States
Paoli Hospital
Paoli, Pennsylvania, United States
Lankenau Medical Center
Wynnewood, Pennsylvania, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Huntsman Cancer Institute
Salt Lake City, Utah, United States