Brief Summary

The PREgnancy and FERtility (PREFER) study is a comprehensive program aiming to optimize care and improve knowledge around the topics of fertility preservation and pregnancy issues in young breast cancer patients. The program was initiated at the National Institute for Cancer Research, IRCCS AOU San Martino - IST in Genova (Liguria Region, Italy) and then it has been spread to other Italian Institutions under the umbrella of the Gruppo Italiano Mammella (GIM) study group. It is composed of two distinctive studies, one assessing fertility (i.e. PREFER-FERTILITY) and the other pregnancy (PREFER-PREGNANCY) issues. Hence, two different study protocols were developed under the umbrella of the PREFER registry. PREFER-FERTILITY aims to obtain and centralize data about the preferences and choices of young cancer patients on the fertility preservation strategies available in Italy. Furthermore, it aims to assess the outcomes of patients undergoing one or more strategies for fertility preservation in terms of success of the techniques (i.e. recovery of ovarian function, number of cryopreserved oocytes, post-treatment pregnancies) and safety (i.e. long-term survival outcomes). PREFER-PREGNANCY has two main objectives: 1) to obtain and centralize data on the management of breast cancer diagnosed during pregnancy, the obstetrical and paediatric care of children born after prior in utero exposure to anticancer treatments, and the long-term survival outcomes of these patients; 2) to obtain and centralize data on the clinical outcomes of breast cancer survivors that achieve a pregnancy after prior diagnosis and treatment of breast cancer.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
79mo left

Started Nov 2012

Longer than P75 for all trials

Geographic Reach
1 country

23 active sites

Status
recruiting

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 Progress68%
Nov 2012Nov 2032

Study Start

First participant enrolled

November 1, 2012

Completed
3.8 years until next milestone

First Submitted

Initial submission to the registry

August 22, 2016

Completed
18 days until next milestone

First Posted

Study publicly available on registry

September 9, 2016

Completed
11.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2027

Expected
5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2032

Last Updated

April 30, 2026

Status Verified

April 1, 2026

Enrollment Period

15 years

First QC Date

August 22, 2016

Last Update Submit

April 29, 2026

Conditions

Keywords

breast neoplasmsfertility preservationpregnancy

Outcome Measures

Primary Outcomes (9)

  • Rate of patients interested in the available strategies for fertility preservation

    Assessed through medical records

    15 years

  • Rate of patients undergoing the different strategies for fertility preservation

    Assessed through medical records

    15 years

  • Type of strategies for fertility preservation proposed by oncologists

    Assessed through medical records

    15 years

  • Reasons for refusal of the available strategies for fertility preservation

    Assessed through an open questionnaire

    15 years

  • Type of anticancer therapies administered during pregnancy

    Assessed through medical records

    15 years

  • Safety: pregnancy complications

    Assessed through medical records

    15 years

  • Safety: incidence of adverse events

    Assessed through medical records

    15 years

  • Disease-free survival

    15 years

  • Overall survival

    15 years

Secondary Outcomes (6)

  • Success of the available strategies for fertility preservation: rate of recovery of ovarian function after antitumor treatments

    15 years

  • Success of the available strategies for fertility preservation: number of oocytes collected and cryopreserved

    15 years

  • Success of the available strategies for fertility preservation: number of pregnancies achieved after breast cancer treatments

    15 years

  • Serum hormonal changes during chemotherapy and study follow up

    15 years

  • Obstetrical and paediatric care of children born after prior in utero exposure to anticancer treatments

    15 years

  • +1 more secondary outcomes

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Young breast cancer patients facing fertility and pregnancy issues

You may qualify if:

  • breast cancer diagnosis
  • age between18 and 45 years (only for PREFER-FERTILITY)
  • have not received any radiation or chemotherapy for cancer before enrolment (only for PREFER-FERTILITY)
  • absence of metastatic disease (only for PREFER-FERTILITY)
  • diagnosis of breast cancer during pregnancy or within 1 year from the end of pregnancy or pregnancy after prior diagnosis and treatment for breast cancer (only for PREFER-PREGNANCY)
  • informed consent

You may not qualify if:

  • inability to provide written informed consent
  • stage IV disease at diagnosis (only for PREFER-FERTILITY)
  • serious psychiatric disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Ospedale Cardinal Massaia

Asti, Asti, Italy

RECRUITING

Presidio Ospedaliero 'Antonio Perrino'

Brindisi, BR, 72100, Italy

RECRUITING

AOU di Cagliari Strada

Monserrato, Cagliari, Italy

ACTIVE NOT RECRUITING

Azienda Ospedaliera S. Croce e Carle

Cuneo, CN, 12100, Italy

RECRUITING

Arcispedale S. Anna - A.O.U. di Ferrara

Cona, FE, 44124, Italy

RECRUITING

Irccs Aou San Martino - Ist

Genoa, GE, 16132, Italy

RECRUITING

Ospedale Vito Fazzi

Lecce, LE, 73100, Italy

RECRUITING

Ospedale Unico Versilia

Lido di Camaiore, LU, 55041, Italy

RECRUITING

Azienda Ospedaliera Carlo Poma

Mantua, MN, 46100, Italy

RECRUITING

Ospedale 'Guglielmo da Saliceto'

Piacenza, PC, 29121, Italy

ACTIVE NOT RECRUITING

AOU Pisana - Ospedale S. Chiara

Pisa, Pisa, Italy

RECRUITING

Fondazione S. Maugeri IRCCS

Pavia, PV, 27100, Italy

RECRUITING

Azienda Ospedaliera S. Carlo

Potenza, PZ, 85100, Italy

RECRUITING

Arcispedale Santa Maria Nuova di Reggio Emilia

Reggio Emilia, Reggio Emilia, Italy

RECRUITING

Istituto Regina Elena per lo studio e la cura dei tumori

Roma, RM, 00144, Italy

ACTIVE NOT RECRUITING

Azienda Ospedaliera n. 1 - Annunziata

Sassari, SS, 07100, Italy

RECRUITING

Fondazione del Piemonte per l'Oncologia - IRCC di Candiolo

Candiolo, TO, 10060, Italy

RECRUITING

ASS1 Triestina

Trieste, Trieste, Italy

RECRUITING

AOU SM Misericordia

Udine, UD, Italy

RECRUITING

Ospedale Sacro Cuore Don Calabria

Negrar, VE, 37024, Italy

RECRUITING

A.O.U. Federico II

Naples, 80131, Italy

RECRUITING

Istituto Nazionale dei Tumori - Fondazione G.Pascale

Naples, 80131, Italy

RECRUITING

Ospedale Santa Maria della Misericordia

Perugia, Italy

RECRUITING

Related Publications (1)

  • Lambertini M, Anserini P, Fontana V, Poggio F, Iacono G, Abate A, Levaggi A, Miglietta L, Bighin C, Giraudi S, D'Alonzo A, Blondeaux E, Buffi D, Campone F, Merlo DF, Del Mastro L. The PREgnancy and FERtility (PREFER) study: an Italian multicenter prospective cohort study on fertility preservation and pregnancy issues in young breast cancer patients. BMC Cancer. 2017 May 19;17(1):346. doi: 10.1186/s12885-017-3348-8.

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
15 Years
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

August 22, 2016

First Posted

September 9, 2016

Study Start

November 1, 2012

Primary Completion (Estimated)

November 1, 2027

Study Completion (Estimated)

November 1, 2032

Last Updated

April 30, 2026

Record last verified: 2026-04

Locations