Nipple Secretion Samples in Detecting Breast Cancer in Patients and Healthy Participants Undergoing Breast Cancer Screening, Breast Diagnostic Studies, or Treatment for Benign Breast Disease

City of Hope

Status: Terminated

Conditions: Breast Cancer

Treatments: Genetic: proteomic profiling; Genetic: protein analysis; Genetic: protein expression analysis; Procedure: fine-needle aspiration; Procedure: needle biopsy; Other: immunohistochemistry staining method; Procedure: radiomammography; Other: diagnostic laboratory biomarker analysis; Other: mass spectrometry; Other: liquid chromatography

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT00813878

CDR0000629067 (Registry Identifier)

CHNMC-00080

P30CA033572 (U.S. NIH Grant/Contract)

00080

Details and patient eligibility

About

RATIONALE: Diagnostic procedures that measure biomarker levels in nipple section and blood samples, may help in the early detection of breast cancer.

PURPOSE: This clinical trial is studying nipple secretion samples in detecting breast cancer in patients and healthy participants undergoing breast cancer screening, breast diagnostic studies, or treatment for benign breast disease.

Full description

OBJECTIVES:

• To determine CEA levels in nipple secretions and blood samples from breast cancer patients and normal controls.
• To determine the sensitivity and specificity of measuring CEA levels in nipple secretions and blood samples for the detection of breast cancer.
• To validate the optical biosensor CEA levels measured in blood and nipple secretions in breast cancer patients and normal controls compared with standard protein assays.
• To develop a profile of proteins present in affected vs unaffected breasts using mass spectrometry.

OUTLINE: Patients and participants undergo nipple secretion and blood sample collection at baseline and at 1 month for evaluation of levels of carcinoembryonic antigen (CEA) and patterns of protein expression that may indicate the presence of early-stage breast cancer. Nipple secretions are obtained from both the affected and unaffected breasts via capillary, aspiration (nipple aspirate fluid [NAF]), and nipple blot . CEA levels are measured in serum samples, NAF, and other nipple secretions using standard CEA protein assays. Nipple secretions obtained by nipple blot are analyzed by nipple blot assay to determine the feasibility of using this technique. The results of the nipple blot assay are then compared with the results of standard protein assays to evaluate the sensitivity and specificity of the nipple blot test. CEA expression is also determined in breast tissue specimens obtained from patients undergoing diagnostic biopsy. Specimens are examined by IHC for tissue CEA levels. Proteomic profiles in NAF and serum samples are measured using liquid chromatography mass spectrometry and then compared with proteomic profiles in normal healthy controls.

Once the feasibility of the nipple blot assay has been determined, an optical biosensor will be developed to detect fluorescent-labeled antibodies directed against CEA found in serum and breast sections. Optical biosensor CEA levels measured in breast cancer patients and normal controls will then be compared to standard protein assays for evaluation of the sensitivity and specificity of biosensor measurements.

After completion of study intervention, patients and participants are followed for 5 years.

Enrollment: 126 patients

Sex: Female

Ages: 18 to 120 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

DISEASE CHARACTERISTICS:

• Referred to the Women's Health Center at the City of Hope National Medical Center for breast cancer screening, breast diagnostic studies, or treatment of breast disease

• Meets 1 of the following criteria:

  • Asymptomatic and undergoing screening mammography (normal controls)
  • Symptomatic and undergoing diagnostic mammography
  • History of an abnormal mammogram and undergoing stereotactic or ultrasound-guided fine-needle aspiration or core needle biopsy
  • Recently diagnosed biopsy-proven unilateral breast cancer prior to initiation of surgical or systemic therapy

• No prior breast surgery or surgical biopsy that removed the current breast pathology

• No prior breast reconstruction or breast reduction surgery that altered the ductal drainage pattern in the affected breast

PATIENT CHARACTERISTICS:

• No other cancer within the past 5 years except skin cancer
• Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics

Trial design

126 participants in 2 patient groups

Normal participants

Treatment:

Other: immunohistochemistry staining method

Procedure: needle biopsy

Other: diagnostic laboratory biomarker analysis

Procedure: radiomammography

Other: mass spectrometry

Other: liquid chromatography

Genetic: proteomic profiling

Procedure: fine-needle aspiration

Genetic: protein expression analysis

Genetic: protein analysis

Breast Cancer Patients

Treatment:

Other: immunohistochemistry staining method

Procedure: needle biopsy

Other: diagnostic laboratory biomarker analysis

Procedure: radiomammography

Other: mass spectrometry

Other: liquid chromatography

Genetic: proteomic profiling

Procedure: fine-needle aspiration

Genetic: protein expression analysis

Genetic: protein analysis