Circulating Tumor Cells and Treatment De-escalation After Neoadjuvant Therapy for HER2 Positive Breast Cancer
Recruiting · NCT04993014 · Interventional (participants receive a specific treatment) · Lead sponsor: AC Camargo Cancer Center
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
Phase II unicentric randomized trial which will include early HER2 positive breast cancer patients, candidate to neoadjuvant therapy with trastuzumab and pertuzumab. Circulating tumor cells will be collected at neoadjuvant therapy baseline. Patients with pathological complete response will be randomized in 1:1 ratio for adjuvant trastuzumab (arm A) versus trastuzumab + pertuzumab (arm B) in a two factorial design: group A, with HER2 positive CTCs and group B, with HER2 negative/absent CTCs.
Who can take part
Age range
18 Years and older
Sex
All (male and female)
Healthy volunteers
No - a diagnosis or condition is required
Phase
Phase 2
Study type
Interventional (participants receive a specific treatment)
Inclusion criteria
- HER2 positive breast cancer (hormone receptors positive or negative)
- Stage I to III
- Indication for neoadjuvant therapy with chemo (any regimen) + trastuzumab + pertuzumab
- Breast surgery after neoadjuvant therapy
- Preserved coagnition
- ECOG 0-3
- For the randomization phase: pathological complete response (ypT0/ypTis and ypN0)
- Agreement on participation and signature of de ICF
Exclusion criteria
- Contradindication for trastuzumab or pertuzumab
- Adjuvant chemotherapy. Hormone therapy is allowed
- Second primary tumor \< 5 years, with an exception for treated non-melanoma skin cancer, and in situ cervical cancer
Where it is running
1 location listed.
- A.C. Camargo Cancer Center - São Paulo, Brazil