UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000050208
Receipt number R000057177
Scientific Title A prospective study to examine the expression status of circulating tumor DNA in patients with high-risk early breast cancer and its association with metastasis and recurrence
Date of disclosure of the study information 2023/02/13
Last modified on 2023/02/13 17:26:43

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Basic information

Public title

A prospective study to examine the expression status of circulating tumor DNA in patients with high-risk early breast cancer and its association with metastasis and recurrence

Acronym

Breast cancer ctDNA Landmark study

Scientific Title

A prospective study to examine the expression status of circulating tumor DNA in patients with high-risk early breast cancer and its association with metastasis and recurrence

Scientific Title:Acronym

Breast cancer ctDNA Landmark study

Region

Japan


Condition

Condition

Breast Cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To investigate the correlation between MRD detection frequency and recurrence by ctDNA analysis (Guardant Revea) in patients with high-risk recurrent breast cancer after completion of perioperative treatment

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

ctDNA positive rate at 1-6 months after completion of definitive treatment

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Age at the time of obtaining written consent is 20 years or older
2. Histologically diagnosed invasive breast cancer
3. Stage I-III without distant metastasis, see below for eligibility criteria for each subtype
4. Planned, undergoing, or after surgery and standard definitive treatment
Standard curative treatments include radiotherapy, chemotherapy, anti-HER2 therapy, immune checkpoint inhibitors, PARP inhibitors, CDK4/6 inhibitors, etc. Endocrine therapy is not considered. Treatment selection is based on the judgment of the attending physician in accordance with various guidelines. Patients with a high risk of recurrence who cannot be treated with standard systemic drug therapy for any reason, such as age or pre-existing conditions, are eligible if surgery has been performed.
5. Satisfy any definition of high risk of recurrence by subtype below
i. ER positive/HER2 negative
a. 4 or more lymph node metastases
b. 1-3 lymph node metastases with either tumor diameter >=5 cm or histological grade >=3 or Ki-67 >=20%
c. Remaining invasive cancer in the breast or axillary lymph nodes at the time of surgery if preoperative chemotherapy was performed
d. Diagnosed as high risk of recurrence by polygene assay
ii. HER2 positive
a. Lymph node metastasis positive
b. Tumor diameter >=2 cm
c. Remaining invasive cancer in the breast or axillary lymph nodes after preoperative chemotherapy
iii. ER/PgR/HER2 negative
a. Lymph node metastasis positive
b. Tumor diameter >=2 cm
c. Remaining invasive cancer in the breast or axillary lymph nodes after preoperative chemotherapy

Key exclusion criteria

1 More than 6 months have passed since the completion of radical treatment
2 Having multiple cancers (excludes carcinoma in situ of the skin other than malignant melanoma)
3. Pregnancy, history of organ transplantation, or other conditions that affect ctDNA analysis

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Masakazu
Middle name
Last name Toi

Organization

Graduate School of Medicine, Kyoto University

Division name

Department of Breast Surgery

Zip code

6068507

Address

54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, Japan

TEL

075-751-3660

Email

toi@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Masahiro
Middle name
Last name Takada

Organization

Graduate School of Medicine, Kyoto University

Division name

Department of Breast Surgery

Zip code

6068507

Address

54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, Japan

TEL

075-751-3660

Homepage URL


Email

masahiro@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University

Institute

Department

Personal name



Funding Source

Organization

Guardant Health

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto University Graduate School and Faculty of Medicine, Ethics Committee

Address

Konoe-cho, Yoshida, Sakyo-ku, Kyoto, Japan

Tel

075-753-4680

Email

ethcom@kuhp.kyoto-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 02 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2022 Year 12 Month 08 Day

Date of IRB

2023 Year 01 Month 17 Day

Anticipated trial start date

2023 Year 02 Month 20 Day

Last follow-up date

2026 Year 02 Month 19 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2023 Year 02 Month 01 Day

Last modified on

2023 Year 02 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000057177


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name