NCT04916808

Brief Summary

This is a prospective cohort study for patients diagnosed with ductal carcinoma in situ (DCIS) of the breast. The primary objective of the study is to create a de-identified database of patients, test results, treatment decisions and outcomes that can be queried to determine the utility of the DCISionRT™ test in the diagnosis and treatment of ductal carcinoma in situ of the breast.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
1,500

participants targeted

Target at P75+ for all trials

Timeline
97mo left

Started Jul 2021

Longer than P75 for all trials

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress38%
Jul 2021May 2034

First Submitted

Initial submission to the registry

June 1, 2021

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 8, 2021

Completed
24 days until next milestone

Study Start

First participant enrolled

July 2, 2021

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2024

Completed
10 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2034

Expected
Last Updated

September 21, 2021

Status Verified

September 1, 2021

Enrollment Period

2.8 years

First QC Date

June 1, 2021

Last Update Submit

September 20, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percent of Cases with Changes in Treatment Recommendation

    The study will collect details on physician treatment recommendations before and after availability of the genomic test (DCISionRT) results. The data elements include type of surgery (lumpectomy, therapeutic mastectomy, contralateral prophylactic mastectomy), type of radiation therapy (none, IORT, APBI, whole breast RT) and endocrine therapy (yes, no). The main measure will be percent of cases in which treatment recommendations are changed after the test results become available.

    5 years

Secondary Outcomes (2)

  • Function of Demographic Factors

    5 years

  • Function of Tumor Factors

    5 years

Other Outcomes (2)

  • Distribution of DCISionRT scores across the cohort

    5 years

  • Function of Geographic Region

    5 years

Study Arms (1)

Ductal Carcinoma In Situ (DCIS)

Patients must have histologically confirmed ductal carcinoma in situ (DCIS) in a single breast without evidence of invasive cancer (presence of lobular carcinoma in situ (LCIS) or other benign breast disease in addition to DCIS is acceptable).

Diagnostic Test: DCISionRT Test

Interventions

DCISionRT TestDIAGNOSTIC_TEST

The Prelude DCISionRT Test was developed by Prelude Corporation and is performed at its CLIA laboratory facility. The biomarkers used to evaluate the biologic signature of DCIS tissue are based on over a decade of research including the University of California, San Francisco, Yale University as well as Prelude Corporation. The test is prognostic for 10-year recurrence risk and predicts RT treatment benefit for invasive breast cancer. The laboratory is regulated under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high-complexity clinical testing and is accredited by the College of American Pathologists (CAP).

Ductal Carcinoma In Situ (DCIS)

Eligibility Criteria

Age26 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study population will be selected from the clinical practices of the participating investigators and institutions. Patients who have been recently diagnosed with DCIS and are being evaluated for the need for further therapy will be screened for eligibility per the following eligibility criteria.

You may qualify if:

  • A clinical decision has been made to order the DCISionRT™ Test as part of routine patient care
  • Patient must have histologically confirmed ductal carcinoma in situ (DCIS) in a single breast (presence of lobular carcinoma in situ (LCIS) or other benign breast disease in addition to DCIS is acceptable)
  • Patient must be consented within 120 days after surgery
  • Patient must be eligible for, or have already received breast conserving surgery
  • Patient must be eligible to receive radiation and/or systemic treatment
  • Patient must be female and greater than 25 years old
  • Patient must be able to provide informed consent

You may not qualify if:

  • Patient tissue is insufficient to generate DCISionRT test results or required DCISionRT inputs (age, tumor size, margin status, palpability) are missing
  • Patient has invasive breast cancer or evidence in the ipsilateral or contralateral breast of invasive breast cancer, including microinvasion, lymph node involvement, or Paget's disease of the nipple
  • Patient has already been surgically treated with a mastectomy for primary DCIS
  • Patient has prior in situ or invasive breast cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

GenesisCare

Alexandria, New South Wales, 2015, Australia

RECRUITING

Royal Melbourne Hospital

Parkville, Victoria, 3050, Australia

RECRUITING

Related Publications (1)

  • Bremer et al. Cancer Research. Feb 2017. Vol 77 Issue 4 Supp. SABCS16-S5-0.1

    BACKGROUND

MeSH Terms

Conditions

Carcinoma, Intraductal, Noninfiltrating

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsBreast Carcinoma In SituCarcinoma in SituNeoplasms, Ductal, Lobular, and Medullary

Study Officials

  • Troy Bremer

    Prelude Corp

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
10 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 1, 2021

First Posted

June 8, 2021

Study Start

July 2, 2021

Primary Completion

May 1, 2024

Study Completion (Estimated)

May 1, 2034

Last Updated

September 21, 2021

Record last verified: 2021-09

Locations