Utilization of Genomic Signature as Decision-making for Adjuvant Treatment of Breast Cancer
SA02
Utilisation of Genomic Signature as Decision-making for Adjuvant Treatment of Breast Cancer: A Prospective Cohort Study.
1 other identifier
interventional
375
1 country
4
Brief Summary
Method: This multicentric prospective cohort is composed of patients with no metastatic breast cancer selected by tumor's genomic analysis and treated by chemotherapy with Anthracycline without Taxanes (6 cycles of FEC 100). The patient can be included before or after the surgery and a written consent must be signed for the proteomic and genomic analysis of the tumor. Patients who have a "good signature" for the genomic analysis will receive the standard chemotherapy. Primary objective:
- To compare metastasis free survival at 5 years in a cohort of patients with no metastatic breast cancer, who are selected by their genomic profile of the tumor and received a standard chemotherapy containing Anthracycline, with result of retrospectives studies. Secondary Objectives:
- Overall survival.
- Creation of a circuit (transport-extraction-genomic analysis-result) which allows the beginning of the chemotherapy within 6 weeks following the primary surgery.
- Histological and seric proteomic exploratory studies.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable breast-cancer
Started Apr 2007
Longer than P75 for not_applicable breast-cancer
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2007
CompletedFirst Submitted
Initial submission to the registry
May 29, 2009
CompletedFirst Posted
Study publicly available on registry
June 3, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2015
CompletedMarch 20, 2013
March 1, 2013
8.1 years
May 29, 2009
March 19, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Estimation of metastasis free survival at 5 years of the patients who had a good genomic signature. The metastasis free survival is defined by the time between the histological diagnosis of the breast cancer and the apparition of the first metastasis.
5 years
Secondary Outcomes (3)
Time between collection for the genomic signature study and the beginning of the chemotherapy.
6 weeks
Seric and histological proteomic exploratory studies with SELDI-TOF MS to: search correlation with histo-clinical or/and molecular parameter and to identify one or few proteic signature with a prognosis value.
6 weeks
Overall survival.
5 years
Study Arms (1)
good signature
EXPERIMENTALPatients who have a "good signature" for the genomic analysis. They will receive the standard chemotherapy.
Interventions
Eligibility Criteria
You may qualify if:
- Women aged between 18 and 70
- Patient with life condition \< 2 (WHO scale)
- One-sided breast adenocarcinoma with a histological evidence (all type)
- Clinical presentation which allowed a complete surgery with healthy limits
- Absence of metastasis detectable at clinical examination or radiology
- Histological evidence for homolateral axillary ganglionic invasion, whatever is the number of node invaded (N \> 1)
- The beginning of the chemotherapy within 6 weeks following the primary surgery
You may not qualify if:
- All metastatic affect
- Tumor classed \>= T4a: cutaneous invasion, deep adherence, inflammatory breast
- All chemotherapy, hormonotherapy or radiotherapy before surgery
- Tumoral residue not removed
- Any suspect clinic or radiologic lesion, in the contralateral breast, which is not controlled
- History of invasive neoplasm, mammary or other (except in situ carcinoma of cervix uteri and epithelioma)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Centre Léon BERARD
Lyon, France
Institut PAOLI-CALMETTES
Marseille, France
Centre Antoine LACASSAGNE
Nice, France
Chu Font-Pre
Toulon, France
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Marc EXTRA, MD
Institut Paoli-Calmettes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 29, 2009
First Posted
June 3, 2009
Study Start
April 1, 2007
Primary Completion
May 1, 2015
Study Completion
May 1, 2015
Last Updated
March 20, 2013
Record last verified: 2013-03