A "Window Trial" on Boswellia for Breast Cancer Primary Tumors

To determine whether oral administration of Boswellia serrata causes biological changes
related to angiogenesis (CD31), apoptosis (DNA fragmentation), and cell proliferation (Ki67)
in primary tumors of breast cancer patients.

Inclusion Criteria:

- Histologically confirmed ductal carcinoma in situ (DCIS) or invasive breast cancer
(stages I, II, or III) with primary tumor(s) ≥ 1.0 cm on mammogram, ultrasound, MRI,
or physical exam

- 18 years of age or older

- Subject must understand risks and benefits of the protocol and be able to give
informed consent

- Females of child-bearing potential must agree to use an approved form of birth control
and to have a negative pregnancy test result before and throughout the study

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

- Adequate hematologic and end organ function

- Ability and capacity to comply with the study and follow-up procedure

- Subjects must be scheduled for surgery at MUSC no less than 5 days from the planned
start of day 1 and no more than 56 days from the planned start of day 1.

- At least 6 sections of unstained slides should be obtained. If sufficient slides or
tissue is unavailable, the patient will be excluded from the trial.

Exclusion Criteria:

- Subjects undergoing neoadjuvant chemotherapy or neoadjuvant endocrine therapy

- Subjects with end-stage kidney disease and/or grade II liver dysfunction

- Subject has active or history of deep vein thrombosis (DVT)

- Subject has a history of coagulopathies or hematological disorders

- Subjects who are pregnant or are lactating.

- Subjects already taking drugs known to be 5-lipoxygenase inhibitors (Refer to section
5)

- Subjects taking drugs that interact with OATP1B3 (an anion transporter), MRP2 (a
multidrug resistant protein), and/or P-Glycoprotein (P-Gp) (Refer to section 5.)

- Subjects taking anti-coagulants or platelet inhibitors (Refer to section 5)

- Subjects with bowel obstruction

- Subjects undergoing emergency surgery.