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Study Works to Improve Breast Cancer Treatment By Combining Nutrition and Medicine

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Cynthia Thomson, PhD, RD

University of Arizona Cancer Center researchers are continuing to seek participants for a study designed to determine if a compound found in broccoli can enhance the health-promoting effects of the breast cancer drug Tamoxifen in women at risk of developing breast cancer or those previously treated for early-stage breast cancer.

Since receiving a $3 million grant from the National Cancer Institute in 2011, Cynthia Thomson, PhD, RD, a professor of Health Promotion Sciences in the Mel and Enid Zuckerman College of Public Health at the University of Arizona, and her team at the UACC have recruited about 50 women who are taking Tamoxifen for the DIME study. Enrollment will continue through December 2013 with a goal of 170 participants.

Tamoxifen is an accepted treatment for breast cancer. Dr. Thomson, a cancer researcher, notes that data from diet studies of people who have a higher intake of cruciferous vegetables – cauliflower, Brussels sprouts, kohlrabi and broccoli – suggest that intake may reduce the risk of certain cancers, including breast, colorectal, bladder and possibly prostate.

“We have previously shown that women taking Tamoxifen who eat more vegetables may decrease cancer recurrence risk. This study will test the potential health-promoting effects using one isolated bioactive compound found in cruciferous vegetables, diindolylmethane (DIME), and compare it to a placebo intervention in favorably changing hormone levels and breast characteristics like breast density,” Dr. Thomson says.

Alison Stopeck, MD, a co-investigator in the study and the director of the Clinical Breast Cancer Program at the UA Cancer Center, sees this research as a unique opportunity to determine the potential of non-invasive imaging to be a reliable biomarker for breast cancer risk. Women in the study will complete periodic magnetic resonance imaging (MRI) procedures for measuring breast characteristics.

Study participants will be asked to take the supplement or placebo for 18 months and complete periodic clinical evaluation visits. The supplement is a patented, absorption enhancing formulation of diindolylmethane known as BioResponse DIM® (also known under the tradenames Indolplex® or BR-Dim®) supplied by BioResponse, LLC, of Boulder, Colo.

For more information about the DIME study, call Julie West at (520) 321-7748. More information is also available at azcc.arizona.edu/node/3628

The DIME Study is supported by grant number CA149417 from the National Cancer Institute of the National Institutes of Health.

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