Immune Tumor Stroma Factors and Pathologic Complete Response After Neoadjuvant Chemotherapy in Early Breast Cancer
AKRA
Study AKRA: Correlation of Immune-Related Tumor Stroma Factors With Complete Pathologic Remission in Early Breast Cancer After Neoadjuvant Chemotherapy and With Circulating Tumor Cells/Circulating Tumor DNA
2 other identifiers
interventional
268
1 country
1
Brief Summary
This prospective cohort study aims to identify immune-related predictive factors of response to neoadjuvant chemotherapy in patients with early breast cancer. The study will evaluate immune markers in tumor stroma and blood samples collected before treatment to determine their association with complete pathological remission (pCR). In addition, circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) will be analyzed to explore their correlation with treatment response. The results may contribute to improved selection of patients who are most likely to benefit from neoadjuvant chemotherapy.
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 Mar 2017
Longer than P75 for not_applicable 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
Study Start
First participant enrolled
March 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2017
CompletedFirst Submitted
Initial submission to the registry
February 6, 2026
CompletedFirst Posted
Study publicly available on registry
February 12, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2026
CompletedFebruary 17, 2026
February 1, 2026
1 month
February 6, 2026
February 12, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pathological Complete Response (pCR)
To determine immune-related predictive factors of response to neoadjuvant chemotherapy in the tumor stroma of patients with early breast cancer, in relation to achieving pathological complete response (pCR).
After completion of neoadjuvant chemotherapy (at surgery)
Study Arms (1)
Neoadjuvant Chemotherapy for Early Breast Cancer
OTHERPatients with early breast cancer receiving standard neoadjuvant chemotherapy will be followed to assess immune-related tumor stroma factors and blood biomarkers in association with complete pathologic remission (pCR) and circulating tumor cells/circulating tumor DNA.
Interventions
Standard neoadjuvant chemotherapy administered to patients with early breast cancer according to institutional protocols. Treatment is not experimental and is part of routine clinical care. Immune-related tumor stroma factors and blood biomarkers will be analyzed in relation to pathological complete response (pCR) and circulating tumor cells/circulating tumor DNA.
Eligibility Criteria
You may qualify if:
- Female patients with early breast cancer
- Planned neoadjuvant chemotherapy (NACT)
- Availability of tumor tissue sample (biopsy) before treatment
- Ability to provide blood sample(s)
- Signed informed consent
You may not qualify if:
- Male breast cancer
- Patients without neoadjuvant chemotherapy
- Inability or refusal to provide informed consent
- Insufficient biological material for analysis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institute of Oncology Ljubljana
Ljubljana, 1000, Slovenia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 6, 2026
First Posted
February 12, 2026
Study Start
March 1, 2017
Primary Completion
March 31, 2017
Study Completion
February 28, 2026
Last Updated
February 17, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share