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RECRUITING
NCT06075953
PHASE2

DCIS: RECAST Trial Ductal Carcinoma In Situ: Re-Evaluating Conditions for Active Surveillance Suitability as Treatment

Sponsor: QuantumLeap Healthcare Collaborative

View on ClinicalTrials.gov

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

Interventions

DRUG

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.

DRUG

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

DRUG

Letrozole

For postmenopausal women: standard oral doses of AI of choice: letrozole 2.5 mg daily.

DRUG

Anastrazole

For postmenopausal women: standard oral doses of AI of choice: anastrozole 1 mg daily.

DRUG

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.

DRUG

Elacestrant

Investigational drug. Both pre- and post- menopausal subjects. Elacestrant 400mg PO with food once daily up to 36 months.

DRUG

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