Status:

RECRUITING

Serial Circulating Tumor DNA (ctDNA) Monitoring During Adjuvant Capecitabine in Early Triple-negative Breast Cancer

Lead Sponsor:

Stanford University

Conditions:

Triple Negative Breast Cancer

Breast Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purpose of the study is to evaluate the use of a circulating tumor DNA (ctDNA) assay, ie, a "liquid biopsy," as a tool to identify triple-negative breast cancer (TNBC) patients who will or will no...

Detailed Description

The Primary Objective is to characterize the circulating tumor DNA (ctDNA) profile of triple-negative breast cancer (TNBC) in participants with residual disease after standard neoadjuvant chemotherapy...

Eligibility Criteria

Inclusion

  • Anatomic stage I - III triple-negative breast cancer at diagnosis
  • Estrogen receptors (ER) and Progesterone receptors (PR) status \<10%
  • Residual disease following at least 4 cycles of neoadjuvant chemotherapy. Patients who received other investigational immunotherapy or targeted therapy during the neoadjuvant phase of treatment are eligible.
  • ≥ 18 years of age
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
  • All clinically significant toxic effects of prior cancer therapy resolved to Grade ≤ 1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE, v 5.0), except alopecia and G2 neuropathy.
  • No evidence of metastatic disease.
  • A minimum 4-week wash out from previous chemotherapy treatment is required.
  • Adequate hematologic function: Absolute neutrophil count (ANC) ≥ 1,500 cells/μL (≥ 1,500/mm3); Platelets ≥ 100,000 cells/μL (≥ 100,000/mm3)
  • Adequate hepatic function: Bilirubin ≤ 1.5 times the specific institutional upper limit of normal (ULN). Exception: If Gilbert's syndrome; then ≤ 5 times ULN. Aspartate transaminase (AST) and alanine transaminase (ALT) each ≤ 2.5 x ULN
  • Adequate renal function: Serum creatinine ≤ 1.5 x ULN; or calculated creatinine clearance \> 50 mL/min using the Cockcroft Gault formula.
  • Planned for 6 months or 8 cycles of adjuvant capecitabine.
  • Women of childbearing potential (WOCBP) must have a negative pregnancy test.
  • WOCBP must agree to use effective contraception during the study and for 3 months after the last dose.
  • Male participants and their female partners of child bearing potential must be willing to use an appropriate method of contraception during the study and for 3 months after the last dose.
  • Capable of giving signed informed consent, which includes compliance with requirements and restrictions listed in the informed consent form (ICF) and in the protocol

Exclusion

  • Metastatic breast cancer
  • Has not had definitive surgical resection
  • Pregnant or breastfeeding
  • Has not completed definitive adjuvant radiation if planned
  • Known human immunodeficiency virus (HIV) positivity or active hepatitis B or C.
  • Investigational agents within 4 weeks of study initiation
  • Inability to swallow oral medications

Key Trial Info

Start Date :

February 3 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT04768426

Start Date

February 3 2021

End Date

February 1 2026

Last Update

March 20 2025

Active Locations (1)

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1

Stanford University

Stanford, California, United States, 94304