Study of proliferation in the mammary epithelium of young women using combined oral contraceptives

ISRCTN ISRCTN59588862
DOI https://doi.org/10.1186/ISRCTN59588862
Secondary identifying numbers 685/000
Submission date
11/11/2006
Registration date
14/12/2006
Last edited
01/10/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Maria Alicia Navarrete
Scientific

Rua Jose Maria Lisboa
1036 apto 111
Sao Paulo
01423000
Brazil

Phone +55 (11) 3088 0096
Email chile@stanford.edu

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymEPEMAHO (Estudo da Proliferacao no Epitelio da Mama de usuarias de Anticoncepcional Hormonal Oral)
Study objectivesCombined Oral Contraceptives (COC) affect the proliferation rate of mammary epithelium in young women (below 36 years of age) to a greater degree than older women.
Ethics approval(s)This study, at the time of registration, received appropriate ethics committee approval from the Health Ministry of Brazil and the National Committee of Research Ethics on December 12, 2000.
Health condition(s) or problem(s) studiedFibroadenoma
InterventionGoal:
To determine the impact of one cycle of a combined oral contraceptive on breast homeostasis, we evaluated the Proliferation Index (PI), determined by the expression of KI-67, in normal human mammary epithelial cells and correlated it with cellular proliferation in spontaneous menstrual cycles during the same period.

Methods:
Normal breast tissue samples were obtained from 82 patients who were randomised in two groups:
Group A - Forty two women received one cycle of a Combined Oral Contraceptive (COC) (30 µg ethinyl estradiol and 150 µg levonorgestrel) administrated daily for 21 days, beginning on the first day of the menstrual cycle.
Group B - Forty patients experienced a natural menstrual cycle. No placebo was given.
Excision of the fibroadenoma then took place.

Menstrual cycle phase characterisation was based on the date of the last period and subsequent menses, and on progesterone serum levels obtained just before the time of biopsy.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Ethinyl estradiol and levonorgestrel
Primary outcome measureSuccessful excision of fibroadenoma; the histologically normal tissue (at least 1 cm away from the FA) was studied in women with COC and with natural cycles during the first, second, third and fourth week of the menstrual cycle.
Secondary outcome measuresNot provided at time of registration
Overall study start date23/11/2000
Completion date15/12/2004

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants82 patients
Key inclusion criteria1. Females between 14 to 36 years of age
2. Undergoing excision of Fibroadenomas (FA) (a condition thought not to be associated with an increase risk of cancer) at the Department of Gynecology, Mastology Division: Benign mammary diseases, Federal University of São Paulo, Paulista Medical School
3. Signed an informed consent before enrolment in the study
4. Regular menstrual cycles (intervals of 28 ± two days) in the previous six months
5. A known date of the last menstrual period
Key exclusion criteria1. Use of hormone therapy in the previous 12 months
2. Pregnancy
3. Breast feeding during the previous 12 months
4. Any endocrine disorder
5. Taking any medication at the time that tissue for the study was obtained
Date of first enrolment23/11/2000
Date of final enrolment15/12/2004

Locations

Countries of recruitment

  • Brazil

Study participating centre

Rua Jose Maria Lisboa
Sao Paulo
01423000
Brazil

Sponsor information

Federal university of Sao Paulo (Universidade Federal de Sao Paulo) (Brazil)
University/education

Escola Paulista de Medicina
Rua Botucatu
740 - Vila Clementino
Sao Paulo
01454-010
Brazil

Phone +55 (11) 570 3321
Email dgnarvaiza@intertim.com.br
Website http://www.unifesp.br/
ROR logo "ROR" https://ror.org/02k5swt12

Funders

Funder type

University/education

Federal University of Sao Paulo and Health Ministry of Brazil (Brazil)

No information available

The National Commission of Ethics in Research (Comissao Nacional de Etica em Pesquisas [CONEP]) (Brazil) (registration number: 685/000)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2008 Yes No