Phase II Study of Systemic Screening in Pathologic Node Positive Breast Cancer
1 other identifier
interventional
120
1 country
1
Brief Summary
The purpose of the study is to determine the frequency of systemic metastasis in node positive breast cancer following chemotherapy and surgery. Participants will be asked to spend about 6 months in this study. Participants will undergo a computed tomography (CT) screening of the thorax, abdomen, and pelvis at baseline prior to adjuvant radiation therapy and another CT screening of the thorax, abdomen, and pelvis at 6 months if the baseline CT is found to be negative.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 breast-cancer
Started Feb 2025
Shorter than P25 for phase_2 breast-cancer
1 active site
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
First Submitted
Initial submission to the registry
February 13, 2025
CompletedFirst Posted
Study publicly available on registry
February 18, 2025
CompletedStudy Start
First participant enrolled
February 24, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2026
April 1, 2026
March 1, 2026
1.6 years
February 13, 2025
March 31, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Systemic Metastasis
Proportion of participants with systemic metastasis at baseline and 6 months.
Baseline and 6 months
Secondary Outcomes (2)
Metastasis Treatment
Up to 12 months
Metastasis Frequency
Up to 12 months
Study Arms (3)
Triple negative
OTHERParticipants diagnosed with triple negative breast cancer.
HER2+
OTHERParticipants diagnosed with HER2+ breast cancer.
Hormone receptor (HR)+
OTHERParticipants diagnosed with hormone receptor (HR)+ breast cancer.
Interventions
Participants will undergo a screening CT thorax, abdomen, pelvis at baseline prior to adjuvant radiation therapy and additional screening CT thorax, abdomen, and pelvis at 6 months if the baseline CT is found to be negative.
Eligibility Criteria
You may qualify if:
- Histologic diagnosis of breast cancer with documentation of ER/PR/HER2 status.
- HR+ will be defined as ER and/or PR ≥ 10%. To be classified as HER2+ disease, overexpression of HER2 by either IHC or in-situ hybridization is necessary as defined by the ASCO / CAP Guidelines27. Triple negative will be classified as ER and PR \<10% and HER2-.
- Node positive HER2+ and triple negative breast cancer (ypN+) following receipt of neoadjuvant chemotherapy. HR+/HER2- patients should have ypN2 or ypN3 disease following receipt of neoadjuvant chemotherapy and surgery.
- Patient must have completed a minimum of 8 weeks of standard neoadjuvant chemotherapy consisting of an anthracycline and/or taxane-based regimen. To include HER2 directed therapy for HER2+ patients.
- Age ≥ 18.
- Life expectancy ≥ 6 months.
- Eastern Cooperative Oncology Group performance status 0 to 2.
- Patients must be able to understand and the willingness to sign an informed consent for study procedures.
- Ability to understand and stated willingness to comply with all study procedures and availability for the duration of the study.
You may not qualify if:
- Prior diagnosis of systemic metastases.
- Patients with prior history of non-breast cancer malignancies should have NED ≥ 2 years excluding adequately treated non-melanoma skin cancer, in situ cancer of the cervix or bladder.
- Contraindication towards CT IV contrast.
- Chronic kidney disease stage IV or V or end stage renal disease (CrCl \<30 ml/min).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Moffitt Cancer Center
Tampa, Florida, 33612, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kamran Ahmed
Moffitt Cancer Center
- PRINCIPAL INVESTIGATOR
Matthew Mills
Moffitt Cancer Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2025
First Posted
February 18, 2025
Study Start
February 24, 2025
Primary Completion (Estimated)
October 1, 2026
Study Completion (Estimated)
October 1, 2026
Last Updated
April 1, 2026
Record last verified: 2026-03