NCT04875351

Brief Summary

The purpose of the Breast Cancer Index (BCI) Registry study is to conduct a large scale, population-based prospective registry to evaluate long-term clinical outcome, clinical impact, medication adherence and quality of life in hormone receptor positive (HR+) early-stage breast cancer patients receiving BCI testing as part of routine clinical care to inform extended endocrine therapy.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
3,465

participants targeted

Target at P75+ for all trials

Timeline
31mo left

Started Apr 2021

Longer than P75 for all trials

Geographic Reach
1 country

105 active sites

Status
active not 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 Progress66%
Apr 2021Dec 2028

Study Start

First participant enrolled

April 14, 2021

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

April 26, 2021

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 6, 2021

Completed
7.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

September 19, 2024

Status Verified

September 1, 2024

Enrollment Period

7.6 years

First QC Date

April 26, 2021

Last Update Submit

September 4, 2024

Conditions

Keywords

Breast NeoplasmInvasive Breast CarcinomaEarly Stage (I, II or III) Breast CancerHormone Receptor positive (HR+) Breast CancerExtended Endocrine Therapy

Outcome Measures

Primary Outcomes (2)

  • To determine BCI test performance by evaluating the long-term outcome of BCI risk groups over the follow-up period.

    5 Years

  • To determine medication adherence in patients undergoing extended endocrine therapy.

    Patients will be asked to complete a Medication Adherence Questionnaire during routine follow-up visits. Medication adherence scores over time will be evaluated in patients that are recommended for or elect to continue treatment to complete 10 years of adjuvant endocrine therapy.

    5 Years

Secondary Outcomes (2)

  • To prospectively assess the impact of BCI on extended endocrine therapy decision-making.

    5 Years

  • To correlate BCI results with molecular tumor profiles in early stage breast cancer.

    5 Years

Study Arms (1)

Breast Cancer Index (BCI) Risk of Recurrence & Extended Endocrine Benefit Testing

Female patients diagnosed with hormone receptor-positive (HR+), lymph node-negative (LN-) or lymph node-positive (LN+, with 1-3 positive nodes) early-stage invasive breast cancer, who are distant recurrence-free.

Diagnostic Test: Breast Cancer Index (BCI) Risk of Recurrence & Extended Endocrine Benefit Test

Interventions

The BCI test provides a quantitative estimate of the risk for both late (post-5 years from diagnosis) distant recurrence and of the cumulative distant recurrence risk over 10 years (0-10y) in patients treated with adjuvant endocrine therapy (LN- patients) or adjuvant chemoendocrine therapy (LN+ patients), and prediction of the likelihood of benefit from extended (\>5 year) endocrine therapy.

Also known as: Breast Cancer Index (BCI) Test
Breast Cancer Index (BCI) Risk of Recurrence & Extended Endocrine Benefit Testing

Eligibility Criteria

Age18 Years+
Sexfemale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study will include patients with stage I-III HR+ breast cancer that have signed an informed consent. Patients seen within a physician practice participating in the registry are potential candidates after meeting eligibility criteria requirements.

You may qualify if:

  • Early stage (I, II or III) female breast cancer patients, who have completed 4-7 years of primary adjuvant endocrine therapy
  • Patient was diagnosed with invasive breast carcinoma (ductal, lobular, or mixed ductal/lobular).
  • The primary tumor was hormone receptor positive (HR+), i.e. estrogen receptor-positive and/or progesterone receptor-positive.
  • The primary tumor was HER2 negative or positive and node-negative or node-positive with 1-3 positive lymph nodes.
  • Subject has pre-treatment breast tumor tissue \[formalin fixed and paraffin embedded (FFPE)\] from a previous breast-conserving surgery, mastectomy or core needle biopsy available for testing by the Sponsor.

You may not qualify if:

  • Patient has distant metastatic disease (M1).
  • Patient was diagnosed with metaplastic breast cancer, carcinosarcoma, sarcoma, neuroendocrine carcinoma, adenoid cystic carcinoma, or phyllodes tumor.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (105)

Southern Cancer Center, P.C. - Daphne

Daphne, Alabama, 36526, United States

Location

Southern Cancer Center, PC - Mobile Infirmary

Mobile, Alabama, 36607, United States

Location

Southern Cancer Center, PC - Providence Hospital

Mobile, Alabama, 36608, United States

Location

Southern Cancer Center, PC - Springhill Medical Center

Mobile, Alabama, 36608, United States

Location

Arizona Oncology Associates, PC - Glendale - Saguaro Cancer Center

Glendale, Arizona, 85308, United States

Location

Arizona Oncology Associates, PC - Goodyear

Goodyear, Arizona, 85395, United States

Location

Arizona Oncology Associates, PC - Phoenix - Biltmore Cancer Center

Phoenix, Arizona, 85016, United States

Location

Arizona Oncology Associates, PC - Phoenix - Deer Valley

Phoenix, Arizona, 85027, United States

Location

Arizona Oncology Associates, PC - Scottsdale

Scottsdale, Arizona, 85258, United States

Location

Arizona Oncology Associates, PC - East Valley Cancer Center

Tempe, Arizona, 85284, United States

Location

Sansum Clinic - Ridley-Tree Cancer Center

Santa Barbara, California, 93105, United States

Location

Sansum Clinic - Ridley-Tree Cancer Center (Solvang)

Solvang, California, 93463, United States

Location

Rocky Mountain Cancer Center - Aurora

Aurora, Colorado, 80012, United States

Location

Rocky Mountain Cancer Center - Boulder

Boulder, Colorado, 80303, United States

Location

Rocky Mountain Cancer Center - Centennial

Centennial, Colorado, 80112, United States

Location

Rocky Mountain Cancer Center - Colorado Springs

Colorado Springs, Colorado, 80907, United States

Location

Rocky Mountain Cancer Center - Denver Midtown

Denver, Colorado, 80218, United States

Location

Rocky Mountain Cancer Center - Denver

Denver, Colorado, 80220, United States

Location

Rocky Mountain Cancer Center - Swedish Medical Center

Englewood, Colorado, 80113, United States

Location

Rocky Mountain Cancer Centers - Lakewood

Lakewood, Colorado, 80228, United States

Location

Rocky Mountain Cancer Center - Littleton

Littleton, Colorado, 80120, United States

Location

Rocky Mountain Cancer Center - Lone Tree

Lone Tree, Colorado, 80124, United States

Location

Rocky Mountain Cancer Center - Longmont

Longmont, Colorado, 80504, United States

Location

Rocky Mountain Cancer Center - Pueblo

Pueblo, Colorado, 81003, United States

Location

Rocky Mountain Cancer Center - Thornton

Thornton, Colorado, 80260, United States

Location

Cancer Care Centers of Brevard, Inc.

Palm Bay, Florida, 32901, United States

Location

Illinois Cancer Specialists - Arlington Heights

Arlington Heights, Illinois, 60005, United States

Location

Affiliated Oncologists, LLC

Chicago Ridge, Illinois, 60415, United States

Location

Illinois Cancer Specialists - Niles

Niles, Illinois, 60714, United States

Location

Maryland Oncology Hematology, P.A. - Bethesda

Bethesda, Maryland, 20817, United States

Location

Maryland Oncology Hematology, P.A. - Brandywine

Brandywine, Maryland, 20613, United States

Location

Maryland Oncology Hematology, P.A. - Clinton

Clinton, Maryland, 20735, United States

Location

Maryland Oncology Hematology, P.A. - Columbia

Columbia, Maryland, 21044, United States

Location

Maryland Oncology Hematology, P.A. - Frederick

Frederick, Maryland, 21702, United States

Location

Maryland Oncology Hematology, P.A. - Lanham

Lanham, Maryland, 20706, United States

Location

Maryland Oncology Hematology, P.A. - Rockville - Aquilino Cancer Center

Rockville, Maryland, 20850, United States

Location

Maryland Oncology Hematology, P.A. - Silver Spring - White Oak Cancer Center

Silver Spring, Maryland, 20904, United States

Location

New York Oncology Hematology, P.C. - Albany Cancer Center

Albany, New York, 12206, United States

Location

New York Oncology Hematology, P.C. - Albany Medical Center

Albany, New York, 12208, United States

Location

Broome Oncology, LLC - Binghamton

Binghamton, New York, 13905, United States

Location

New York Oncology Hematology, P.C. - Clifton Park Cancer Center

Clifton Park, New York, 12065, United States

Location

Broome Oncology, LLC - Johnson City

Johnson City, New York, 13790, United States

Location

Alliance Cancer Specialists, PC

Bensalem, Pennsylvania, 19020, United States

Location

Consultants In Medical Oncology and Hematology, P.C.

Broomall, Pennsylvania, 19008, United States

Location

Alliance Cancer Specialists, PC

Horsham, Pennsylvania, 19044, United States

Location

Alliance Cancer Specialists, PC

Langhorne, Pennsylvania, 19047, United States

Location

Alliance Cancer Specialists, PC

Philadelphia, Pennsylvania, 19115, United States

Location

Alliance Cancer Specialists, PC

Sellersville, Pennsylvania, 18960, United States

Location

Alliance Cancer Specialists, PC

Wynnewood, Pennsylvania, 19096, United States

Location

Texas Oncology - Abilene

Abilene, Texas, 79606, United States

Location

Texas Oncology - Allen

Allen, Texas, 75013, United States

Location

Texas Oncology - Amarillo

Amarillo, Texas, 79106, United States

Location

Texas Oncology - DFWW

Arlington, Texas, 76012, United States

Location

Texas Oncology - DFWW

Arlington, Texas, 76014, United States

Location

Texas Oncology - Beaumont

Beaumont, Texas, 77701, United States

Location

Texas Oncology - Beaumont Mamie McFaddin Ward Cancer Center

Beaumont, Texas, 77702, United States

Location

Texas Oncology - DFWW

Bedford, Texas, 76022, United States

Location

Texas Oncology - Carrollton

Carrollton, Texas, 75010, United States

Location

Texas Oncology - DFWW

Dallas, Texas, 75203, United States

Location

Texas Oncology - Medical City Dallas

Dallas, Texas, 75230, United States

Location

Texas Oncology - Presbyterian Cancer Center Dallas

Dallas, Texas, 75231, United States

Location

Texas Oncology - DFWW

Dallas, Texas, 75237, United States

Location

Texas Oncology - Baylor Charles A. Sammons Cancer Center

Dallas, Texas, 75246, United States

Location

Texas Oncology - Denison

Denison, Texas, 75020, United States

Location

Texas Oncology - Denton

Denton, Texas, 76201, United States

Location

Texas Oncology - El Paso Cancer Treatment Center Grandview

El Paso, Texas, 79902, United States

Location

Texas Oncology - El Paso Cancer Treatment Center Gateway

El Paso, Texas, 79915, United States

Location

Texas Oncology - El Paso Cancer Treatment Center Joe Battle

El Paso, Texas, 79938, United States

Location

Texas Oncology - Flower Mound

Flower Mound, Texas, 75028, United States

Location

Texas Oncology - DFWW

Grapevine, Texas, 76051, United States

Location

Texas Oncology - Harlingen

Harlingen, Texas, 78550, United States

Location

Texas Oncology - Memorial City

Houston, Texas, 77024, United States

Location

Texas Oncology - Willowbrook

Houston, Texas, 77070, United States

Location

Texas Oncology - Northeast Texas

Longview, Texas, 75601, United States

Location

Texas Oncology - McAllen

McAllen, Texas, 78503, United States

Location

Texas Oncology - McKinney

McKinney, Texas, 75071, United States

Location

Texas Oncology - Midland

Midland, Texas, 79701, United States

Location

Texas Oncology - New Braunfels

New Braunfels, Texas, 78130, United States

Location

Texas Oncology - Odessa

Odessa, Texas, 79761, United States

Location

Texas Oncology - Northeast Texas

Palestine, Texas, 75801, United States

Location

Texas Oncology - Northeast Texas

Paris, Texas, 75460, United States

Location

Texas Oncology - Plano West

Plano, Texas, 75093, United States

Location

Texas Oncology - San Antonio Downtown

San Antonio, Texas, 78212, United States

Location

Texas Oncology - San Antonio Northeast

San Antonio, Texas, 78217, United States

Location

Texas Oncology - San Antonio

San Antonio, Texas, 78240, United States

Location

Texas Oncology - San Antonio Stone Oak

San Antonio, Texas, 78258, United States

Location

Texas Oncology - Sugar Land

Sugar Land, Texas, 77479, United States

Location

Texas Oncology - The Woodlands

The Woodlands, Texas, 77380, United States

Location

Texas Oncology - Northeast Texas

Tyler, Texas, 75702, United States

Location

Texas Oncology - Austin

Waco, Texas, 76712, United States

Location

Texas Oncology - Horizon Circle

Waco, Texas, 76712, United States

Location

Texas Oncology - Deke Slayton Cancer Center

Webster, Texas, 77598, United States

Location

Texas Oncology - Weslaco

Weslaco, Texas, 78596, United States

Location

Texas Oncology - Wichita Falls

Wichita Falls, Texas, 76310, United States

Location

Virginia Cancer Specialists, PC - Alexandria

Alexandria, Virginia, 22304, United States

Location

Virginia Cancer Specialists, PC - Arlington

Arlington, Virginia, 22205, United States

Location

Virginia Oncology Associates

Chesapeake, Virginia, 23320, United States

Location

Virginia Cancer Specialists, PC - Fairfax

Fairfax, Virginia, 22031, United States

Location

Virginia Cancer Specialists, PC - Gainesville

Gainesville, Virginia, 20155, United States

Location

Virginia Cancer Specialists, PC - Loudoun

Leesburg, Virginia, 20176, United States

Location

Virginia Oncology Associates

Newport News, Virginia, 23606, United States

Location

Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

Location

Virginia Oncology Associates

Virginia Beach, Virginia, 23456, United States

Location

Virginia Oncology Associates

Williamsburg, Virginia, 23188, United States

Location

Shenandoah Oncology, P.C.

Winchester, Virginia, 22601, United States

Location

Related Publications (5)

  • Noordhoek I, Treuner K, Putter H, Zhang Y, Wong J, Meershoek-Klein Kranenbarg E, Duijm-de Carpentier M, van de Velde CJH, Schnabel CA, Liefers GJ. Breast Cancer Index Predicts Extended Endocrine Benefit to Individualize Selection of Patients with HR+ Early-stage Breast Cancer for 10 Years of Endocrine Therapy. Clin Cancer Res. 2021 Jan 1;27(1):311-319. doi: 10.1158/1078-0432.CCR-20-2737. Epub 2020 Oct 27.

    PMID: 33109739BACKGROUND
  • Bartlett JMS, Sgroi DC, Treuner K, Zhang Y, Ahmed I, Piper T, Salunga R, Brachtel EF, Pirrie SJ, Schnabel CA, Rea DW. Breast Cancer Index and prediction of benefit from extended endocrine therapy in breast cancer patients treated in the Adjuvant Tamoxifen-To Offer More? (aTTom) trial. Ann Oncol. 2019 Nov 1;30(11):1776-1783. doi: 10.1093/annonc/mdz289.

    PMID: 31504126BACKGROUND
  • Zhang Y, Schnabel CA, Schroeder BE, Jerevall PL, Jankowitz RC, Fornander T, Stal O, Brufsky AM, Sgroi D, Erlander MG. Breast cancer index identifies early-stage estrogen receptor-positive breast cancer patients at risk for early- and late-distant recurrence. Clin Cancer Res. 2013 Aug 1;19(15):4196-205. doi: 10.1158/1078-0432.CCR-13-0804. Epub 2013 Jun 11.

    PMID: 23757354BACKGROUND
  • Sgroi DC, Sestak I, Cuzick J, Zhang Y, Schnabel CA, Schroeder B, Erlander MG, Dunbier A, Sidhu K, Lopez-Knowles E, Goss PE, Dowsett M. Prediction of late distant recurrence in patients with oestrogen-receptor-positive breast cancer: a prospective comparison of the breast-cancer index (BCI) assay, 21-gene recurrence score, and IHC4 in the TransATAC study population. Lancet Oncol. 2013 Oct;14(11):1067-1076. doi: 10.1016/S1470-2045(13)70387-5. Epub 2013 Sep 12.

    PMID: 24035531BACKGROUND
  • Sgroi DC, Carney E, Zarrella E, Steffel L, Binns SN, Finkelstein DM, Szymonifka J, Bhan AK, Shepherd LE, Zhang Y, Schnabel CA, Erlander MG, Ingle JN, Porter P, Muss HB, Pritchard KI, Tu D, Rimm DL, Goss PE. Prediction of late disease recurrence and extended adjuvant letrozole benefit by the HOXB13/IL17BR biomarker. J Natl Cancer Inst. 2013 Jul 17;105(14):1036-42. doi: 10.1093/jnci/djt146. Epub 2013 Jun 28.

    PMID: 23812955BACKGROUND

Biospecimen

Retention: SAMPLES WITH DNA

Tumor Tissue

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Joyce A O'Shaughnessy, MD

    US Oncology Network

    PRINCIPAL INVESTIGATOR
  • Kai Treuner, PhD

    Biotheranostics, Inc.

    STUDY DIRECTOR
  • Amanda KL Anderson, PhD

    Biotheranostics, Inc.

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 26, 2021

First Posted

May 6, 2021

Study Start

April 14, 2021

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

December 1, 2028

Last Updated

September 19, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

Locations