CtDNA Based MRD Testing for NAC Monitoring in TNBC

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorPersonalis Inc.

About this trial

A prospective, multicenter, observational study to evaluate the correlation of Molecular Residual Disease (MRD) detection using circulating tumor DNA guided test to pathological complete response (pCR) after neoadjuvant chemotherapy (NAC) in stage I-III triple negative breast cancer (TNBC). Results from this study aim to improve MRD detection and disease outcomes for future patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have histologically documented TNBC (defined as ER expression ≤10% by IHC, PR expression≤10% by IHC and HER2 0 or 1+ by IHC or FISH ratio <2 or HER2 gene copy number of <6).

Early-stage breast cancer (stage I-III) and scheduled to undergo NAC treatment with curative intent.

Be informed of the investigational nature of the study and all pertinent aspects of the trial.

Have the ability to understand and the willingness to sign a written informed consent document in accordance with institutional and federal guidelines.

Disqualifiers

Receiving concurrent anti-neoplastic therapy for another malignancy.

Stage IV disease.

Current or history of another primary cancer within 5 years of study entry, with the exception of basal or squamous cell skin cancer, or non-invasive malignancy.

History of allogeneic bone marrow or organ transplant.

Trial population

Female patient who are scheduled to start NAC with early-stage Triple Negative Breast Cancer.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Evaluate the correlation of MRD to pCR after NAC in TNBC

Evaluate the correlation of MRD detection by NeXT Personal CTA to pathological Complete Response (pCR) after neoadjuvant chemotherapy (NAC) in stage I-III triple negative breast cancer (TNBC). The pCR is defined as the absence of residual invasive cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled regional lymph nodes following completion of neoadjuvant systemic therapy.

Time frame
through study completion, an average of 6 months

Secondary outcomes

1

Evaluate the trajectory of changes in MRD to pCR or non pCR in TNBC

Evaluate the trajectory of changes in MRD detected by NeXT Personal CTA during neoadjuvant chemotherapy (NAC) to pathological Complete Response (pCR) or non pCR in stage I-III triple negative breast cancer (TNBC).

Time frame
through study completion, an average of 6 months

Other outcomes

1

Stratification based on NAC therapy regimen

NeXT Personal CTA clinical accuracy may be evaluated as compared to other clinically available tests. Stratification based on NAC therapy regimen, genomic profiles and biomarker analysis.

Time frame
through study completion, an average of 6 months
2

Evaluate genomic profiles

Evaluate genomic profile for specific biomarkers during neoadjuvant chemotherapy (NAC)

Time frame
through study completion, an average of 6 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Personalis Inc.

Lead sponsor

George Washington University

Sponsor institution