Clinical trial

Prediction in Silico of Overall Survival in a Pilot Prospective Cohort Study of Metastatic Breast Cancer Patients

Name
ICO-N-2017-12
Description
RATIONALE : Currently, the mechanisms associated with the response or resistance to treatment are poorly understood and are multifactorial. These mechanisms involve clinical and biological factors associated with the host and the tumor and possibly the patient's psycho-social environment. PURPOSE : This trial will assess the use of a prospective database dedicated to patients with breast cancers that contains clinical data as well as epidemiological, psychological, emotional, social, imaging, biological and bio-pathological data. These data will allow a creation of new modelling algorithms in order to predict response and resistance to treatment.
Trial arms
Trial start
2018-12-24
Estimated PCD
2035-12-24
Trial end
2036-12-30
Status
Recruiting
Treatment
Metastasis biopsy
Metastasis biopsy will be performed for multi-omic analysis
Arms:
Patients HER2 + with or without HR+, Patients HR + and HER2-, Patients triple negative (HR- and HER2-)
Biomarkers blood, urine and microbiota samples
Biomarkers blood, urine and microbiota samples for multi-omic analysis
Arms:
Patients HER2 + with or without HR+, Patients HR + and HER2-, Patients triple negative (HR- and HER2-)
Patient Reported Outcome (PRO)
Patient Reported Outcome (PRO) will be collected throughout the study duration to assess quality of life, anxiety, depression distress, physical activity and food habits.
Arms:
Patients HER2 + with or without HR+, Patients HR + and HER2-, Patients triple negative (HR- and HER2-)
Size
300
Primary endpoint
Creation of complex prospective clinico-biological database in metastatic breast cancer
At each progressive disease, 15 years after inclusion
Creation of complex prospective clinico-biological database in metastatic breast cancer
At each progressive disease, 15 years after inclusion
Overall survival
15 years after inclusion
Eligibility criteria
Inclusion Criteria: 1. Written informed consent obtained from the patient prior to performing any protocol-related procedures, including screening biopsy, blood sample, faeces and questionnaires 2. Women \> 18 years old at time of written consent 3. Patient with histologically confirmed breast cancer 4. Breast cancer metastatic disease or locally advanced not eligible for local curative treatment intent with or without personal history of adjuvant therapy for this cancer (chemotherapy, radiotherapy, surgery ...) 5. Patient with metastases that can be biopsied. 6. Performance status ≤ 2 (according to WHO criteria) 7. Indication of any systemic therapeutic strategy can be performed alongside this current cohort in accordance with national and / or international recommendations. 8. HR and HER2 status on metastatic sites or breast tumor if local recurrence: * For group 1 : * Histologic and/or cytological confirmation of estrogen-receptor positive (ER+) and/ or progesterone receptor positive (PR+) breast cancer determined by local laboratory testing * No HER2-overexpression in the patient's tumor tissue determined by local laboratory testing * For group 2 : * Histologic and/or cytological confirmation of estrogen-receptor positive or negative and/ or progesterone receptor positive or negative breast cancer determined by local laboratory testing * HER2-overexpression in the patient's tumor tissue determined by local laboratory testing * For group 3 : * Histologic and/or cytological confirmation of estrogen-receptor negative and progesterone receptor negative breast cancer determined by local laboratory testing * No HER2-overexpression in the patient's tumor tissue determined by local laboratory testing 9. Menopausal status : as per the institutional standard of care 10. Patient is willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations including follow up. 11. Patient must be affiliated to a Social Health Insurance Exclusion Criteria: 1. Other malignancy treated within the last 5 years (except non-melanoma skin cancer or in situ carcinoma of the cervix) 2. Coagulopathy or other pathology that contraindicates biopsy procedures 3. Prior systemic treatment in metastatic setting 4. Patients with exclusive brain metastasis not available for surgery 5. Pregnant or nursing patient 6. Individual deprived of liberty or placed under the authority of a tutor 7. Impossibility to submit to the medical follow-up of this clinical trial for geographical, social or psychological reasons
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'monocentric, open, prospective database with specific biopsy and blod collections done (biocollection)', 'primaryPurpose': 'OTHER', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 300, 'type': 'ESTIMATED'}}
Updated at
2023-08-01

1 organization

1 product

1 indication

Product
Biomarkers
Indication
Breast Cancer