Status:

RECRUITING

Omission of Local Therapies in Women Patients With HER2-positive or Triple-negative Breast Cancer

Lead Sponsor:

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

Conditions:

Breast Neoplasm Malignant Female

Eligibility:

FEMALE

18+ years

Phase:

PHASE2

Brief Summary

HER2-positive and Triple-negative are subtypes of breast cancer more sensitive to systemic therapies, where the complete pathological response rate may be higher than 50%. This gave rise to doubts abo...

Detailed Description

This is a prospective phase 2 non-randomized non-inferiority trial with two independent investigational arms. In each arm a 2-stage non-inferiority group-sequential design will be implemented; the ove...

Eligibility Criteria

Inclusion

  • Women ≥ 18y.
  • Initial diagnosis of unifocal HER2-positive (regardless of HR status) or Triple-negative (HR positivity lower than 10% is allowed) T1-2, N0-1, M0 breast cancer.
  • Treated with neoadjuvant systemic treatment according to the center recommendations.
  • Maximum responders and/or complete pathological response proved by surgery.
  • Scheduled for breast conservation.
  • Giving specific informed consent.

Exclusion

  • One of the inclusion criteria missed.
  • Residual ductal carcinoma in situ (DCIS) at VABB and/or surgery.
  • Bilateral synchronous breast cancer.
  • Previous malignancy within 5 years.
  • BRCA1-2, PALB2 or p53 proven mutation carrier (VUS are exclusion criteria as well).
  • Patients unable to perform regular follow up.

Key Trial Info

Start Date :

July 25 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 25 2035

Estimated Enrollment :

152 Patients enrolled

Trial Details

Trial ID

NCT06938724

Start Date

July 25 2025

End Date

July 25 2035

Last Update

September 15 2025

Active Locations (1)

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Fondazione IRCCS Istituto Nazionale Tumori Milano

Milan, Italy, 20133