Malignant Tumor of BreastLifeBreastNCT04174391
Lifestyles and Breast Cancer
A study testing Mediterranean diet supplemented with extra-virgin olive oil and Low-fat diet in people with Malignant Tumor of Breast, run by University of Navarra at 4 sites in Spain.
Trial summary
Background: In Spain, 1 out of every 11 women will have a breast cancer before the age of 85 years and breast cancer is the leading cause of potential years of life lost. The randomized intervention in PREDIMED trail, using Mediterranean diet with free provision of extra virgin olive oil (MedDiet+EVOO) dramatically… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Malignant Tumor of Breast
- What is being tested?
- Mediterranean diet supplemented with extra-virgin olive oil and Low-fat diet
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 766 participants
- Where
- 4 sitesSpain
- Study dates
- 29 May 2020to Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Women with primary pathologically confirmed invasive breast adenocarcinoma in stages I, II or IIIA
Who cannot join
- breast cancer recurrence
- in situ CDIS or LDIS
- inability or unwillingness to give written informed consent
- difficulty to comply with the intervention
- lack of willpower to change their diet (using the models of Prochaska and DiClemente)
- inability or unwillingness to communicate with study personnel
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- medical condition that prevents the intervention (digestive disease with fat intolerance; severe psychiatric, neurological or endocrine disease; or allergy or hypersensitivity to any of the key foods of the intervention (EVOO or nuts) or impossibility to follow a Mediterranean diet and/or EVOO intake
- immunodeficiency or HIV-positive status
- concomitant condition that limits life-expectancy to less than 1 year
- difficulty or impossibility for an adequate follow-up
- institutionalized patients with lack of autonomy
- impossibility for attending group sessions and yearly follow-up visits or for telephone contact
- usual alcohol consumption >80 g/d
- BMI>40
- Patients with acute infection or inflammatory process (e.g. pneumonia) may be included in the study three months after the resolution of the infectious symptoms
Trial locations and contacts
4 sites in 1 country.
Spain4 sites
Instituto de Investigación Biosanitaria de Granada ibs.GRANADA
Granada, Granada, 18016
University of Jaen
Jaén, Jaen, 23071
University of Navarra-Instituto de Investigación Sanitaria de Navarra
Pamplona, Navarre, 31008
University of Cantabria
Santander, Cantabria, 39011
About this study
Official title: Lifestyles for the Prevention of Relapses Among Women with Early Breast Cancer
Background: In Spain, 1 out of every 11 women will have a breast cancer before the age of 85 years and breast cancer is the leading cause of potential years of life lost. The randomized intervention in PREDIMED trail, using Mediterranean diet with free provision of extra virgin olive oil (MedDiet+EVOO) dramatically and significantly reduced the occurrence of cases of postmenopausal breast cancer.
Objectives: Assess the efficacy of a nutritional intervention with MedDiet+EVOO for the prevention of relapses among women with early breast cancer.
Methods: Randomized, multicenter trial (LifeBreast) among 766 women diagnosed with early breast cancer. Participants will be randomized in a 1:1 ratio to i) MedDiet+EVOO or ii) low-fat diet. Changes in circulating tumor cells, inflammatory biomarkers, oxidative stress and quality of life will be evaluated. The intervention will be delivered by face-to-face interviews with study dietitian, phone calls, and online tools. Participants in the MedDiet+EVOO group will receive 0.5l/week of EVOO and participants in the low-fat group will receive allotments of different foods, both at no cost. Generalized estimating equations will be used to estimate between-group differences in the following outcomes: circulating tumor cells, inflammatory biomarkers, oxidative stress, and quality of life will be evaluated.
- Conditions
- Malignant Tumor of Breast
- Being tested
- Mediterranean diet supplemented with extra-virgin olive oil, Low-fat diet
- Keywords
- breast cancer prognosis, Mediterranean diet, extra-virgin olive oil, low-fat diet
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mediterranean diet supplemented with extra-virgin olive oilBehavioural
Dietary advice on how to follow a Mediterranean diet will be received by the intervention group. The intervention will be delivered mainly by phone (1 call/month), internet and written materials. Also, there will be yearly face-to-face individual interviews and biannual group sessions. A total of 0.5l/week of EVOO for free will be received by participants of this group. In addition, advice on physical activity will be provided.
Low-fat dietBehavioural
Dietary advice on how to follow a low-fat diet will be received by the intervention group. The intervention will be delivered mainly by phone (1 call/month), internet and written materials. Also, there will be yearly face-to-face individual interviews and biannual group sessions. Allotments of commercial foods - equivalent to the extra-virgin olive oil allotment - will be received by participants of this group for free. In addition, advice on physical activity will be provided.
| Study group | Role | What they receive |
|---|---|---|
| Mediterranean diet supplemented with extra-virgin olive oil | Experimental | Not described Receives: Behavioral: Mediterranean diet supplemented with extra-virgin olive oil |
| Low-fat diet | Active comparator | Not described Receives: Behavioral: Low-fat diet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Presence of circulating tumour cells
Blood samples will be collected at baseline and yearly thereafter. Presence of circulating tumour cells will be determined with immunohistochemical techniques and defined as ≥1 circulating tumour cell in 10 ml of peripheral blood.
Measured: average follow-up: 1.5 years and then extended to 3.5 years
Changes in inflammatory markers
Changes in the inflammatory profile of the participants as plasma cytokines - such as IL-6 -, changes in oxidative stress response with the lipid peroxidation test (LPO test), and changes in DNA damage with electrophoresis single-cell alkaline (comet Assay) in buffy coat will be assessed.
Measured: average follow-up: 1.5 years and then extended to 3.5 years
Secondary outcomes (3)
Changes in quality of life
Changes in quality of life will be assessed with the 36-Item Short Form Survey (SF-36) questionnaire. The questionnaire score ranges from 0-100, with higher score meaning better outcomes.
Measured: average follow-up: 1.5 years and then extended to 3.5 years
Changes in quality of life
Changes in quality of life will be assessed with the the Functional Assessment of Cancer Therapy - Breast (FACT-B) questionnaire. The questionnaire score ranges from 0-148, with higher score meaning better outcomes.
Measured: average follow-up: 1.5 years and then extended to 3.5 years
Changes in body mass-index
Weight and height will be ascertained at baseline and yearly thereafter Weight and height will be directly measured in triplicate by trained study personnel
Measured: average follow-up: 1.5 years and then extended to 3.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Nov 2019
- Study start29 May 2020
- Primary completionDec 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Malignant Tumor of BreastStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 766 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Navarra
- Sponsor type
- University, hospital or other
- Collaborators
- Instituto de Salud Carlos III
- Responsible party
- Principal investigator, Estefania Toledo, University of Navarra
- Investigators
- Estefania A Toledo, MD, MPH, PhD, Principal investigator, University of Navarra (IdiSNA)Trinidad Dierssen-Sotos, MD, PhD, Principal investigator, University of CantabriaJose J Jimenez-Moleon, MD, PhD, Principal investigator, Instituto de Investigación Biosanitaria de Granada (ibs.Granada)Marina Pollan, Md, PhD, Principal investigator, Instituto de Salud Carlos III
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04174391
- Sponsor's protocol ID
- 2019.046
- Acronym
- LifeBreast
- Status last verified
- Dec 2024
- First submitted
- 15 Nov 2019
- Last updated
- 30 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Sanchez-Quesada C, Toledo E, Jimenez-Moleon JJ, Gaforio JJ. Viable Cryopreservation Strategy for Extending the Timeframe of Circulating Tumor Cell Detection in Breast Cancer Clinical Trials. Biomolecules. 2025 May 15;15(5):723. doi: 10.3390/biom15050723.
PubMed 40427618
Study at a glance
From the registry record, last updated by the sponsor on 30 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Lifestyles for the Prevention of Relapses Among Women with Early Breast Cancer
- ClinicalTrials.gov ID
- NCT04174391
- Acronym / sponsor ID
- LifeBreast / 2019.046
- Conditions
- Malignant Tumor of Breast
- Keywords
- breast cancer prognosis, Mediterranean diet, extra-virgin olive oil, low-fat diet
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 766 participants (estimated)
- Lead sponsor
- University of NavarraUniversity, hospital or other
- Collaborators
- Instituto de Salud Carlos III
- Study start
- 29 May 2020 (actual)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 22 Nov 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Background: In Spain, 1 out of every 11 women will have a breast cancer before the age of 85 years and breast cancer is the leading cause of potential years of life lost. The randomized intervention in PREDIMED trail, using Mediterranean diet with free provision of extra virgin olive oil (MedDiet+EVOO) dramatically and significantly reduced the occurrence of cases of postmenopausal breast cancer.
Objectives: Assess the efficacy of a nutritional intervention with MedDiet+EVOO for the prevention of relapses among women with early breast cancer.
Methods: Randomized, multicenter trial (LifeBreast) among 766 women diagnosed with early breast cancer. Participants will be randomized in a 1:1 ratio to i) MedDiet+EVOO or ii) low-fat diet. Changes in circulating tumor cells, inflammatory biomarkers, oxidative stress and quality of life will be evaluated. The intervention will be delivered by face-to-face interviews with study dietitian, phone calls, and online tools. Participants in the MedDiet+EVOO group will receive 0.5l/week of EVOO and participants in the low-fat group will receive allotments of different foods, both at no cost. Generalized estimating equations will be used to estimate between-group differences in the following outcomes: circulating tumor cells, inflammatory biomarkers, oxidative stress, and quality of life will be evaluated.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Mediterranean diet supplemented with extra-virgin olive oil | Experimental | Behavioral: Mediterranean diet supplemented with extra-virgin olive oil |
| Low-fat diet | Active comparator | Behavioral: Low-fat diet |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Women with primary pathologically confirmed invasive breast adenocarcinoma in stages I, II or IIIA
Key exclusion criteria (15 listed)
- breast cancer recurrence
- in situ CDIS or LDIS
- inability or unwillingness to give written informed consent
- difficulty to comply with the intervention
- lack of willpower to change their diet (using the models of Prochaska and DiClemente)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mediterranean diet supplemented with extra-virgin olive oilDietary advice on how to follow a Mediterranean diet will be received by the intervention group. The intervention will be delivered mainly by phone (1 call/month), internet and written materials. Also, there will be yearly face-to-face individual interviews and biannual group sessions. A total of 0.5l/week of EVOO for free will be received by participants of this group. In addition, advice on physical activity will be provided. | Behavioural | Mediterranean diet supplemented with extra-virgin olive oil |
| Low-fat dietDietary advice on how to follow a low-fat diet will be received by the intervention group. The intervention will be delivered mainly by phone (1 call/month), internet and written materials. Also, there will be yearly face-to-face individual interviews and biannual group sessions. Allotments of commercial foods - equivalent to the extra-virgin olive oil allotment - will be received by participants of this group for free. In addition, advice on physical activity will be provided. | Behavioural | Low-fat diet |
Primary outcome
Presence of circulating tumour cells
Time frame: average follow-up: 1.5 years and then extended to 3.5 years
Blood samples will be collected at baseline and yearly thereafter. Presence of circulating tumour cells will be determined with immunohistochemical techniques and defined as ≥1 circulating tumour cell in 10 ml of peripheral blood.
Changes in inflammatory markers
Time frame: average follow-up: 1.5 years and then extended to 3.5 years
Changes in the inflammatory profile of the participants as plasma cytokines - such as IL-6 -, changes in oxidative stress response with the lipid peroxidation test (LPO test), and changes in DNA damage with electrophoresis single-cell alkaline (comet Assay) in buffy coat will be assessed.
3 secondary outcomes
Changes in quality of life
Time frame: average follow-up: 1.5 years and then extended to 3.5 years
Changes in quality of life
Time frame: average follow-up: 1.5 years and then extended to 3.5 years
Changes in body mass-index
Time frame: average follow-up: 1.5 years and then extended to 3.5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Dec 2024.
- Derived from this study: PubMed 40427618Sanchez-Quesada C, Toledo E, Jimenez-Moleon JJ, Gaforio JJ. Viable Cryopreservation Strategy for Extending the Timeframe of Circulating Tumor Cell Detection in Breast Cancer Clinical Trials. Biomolecules. 2025 May 15;15(5):723. doi: 10.3390/biom15050723.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Estefania A Toledo, MD, MPH, PhD principal investigator
University of Navarra (IdiSNA)
Trinidad Dierssen-Sotos, MD, PhD principal investigator
University of Cantabria
Jose J Jimenez-Moleon, MD, PhD principal investigator
Instituto de Investigación Biosanitaria de Granada (ibs.Granada)
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mediterranean diet supplemented with extra-virgin olive oil and Low-fat diet in people with Malignant Tumor of Breast, run by University of Navarra at 4 sites in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 30 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Presence of circulating tumour cells (time frame: average follow-up: 1.5 years and then extended to 3.5 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04174391, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Dec 2024.