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NCT Number: NCT06762977

A Composite Assay for HER2-positive Early-stage Breast Cancer Management

The goal of this observational study is to assess the prognostic value of a genomic classifier (S18) and its refined version (S*) in women with early-stage HER2-positive breast cancer. The study aims to determine whether these tools can predict event-free (EFS) and disease-free survival (DFS) in patients treated with neoadjuvant and/or adjuvant trastuzumab-based therapies.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Ospedale Di Summa-Perrino, Brindisi, Italy

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About this study

The population includes women aged 18 or older with stage I-III HER2-positive breast cancer who received trastuzumab ± pertuzumab. Data and tumor tissue samples from this population have been collected prospectively from Istituto Nazionale dei Tumori IRCCS Fondazione Pascale, Naples (cohort A), and from Ospedale "Di Summa-Perrino", Brindisi (cohort B). The study integrates clinical-pathological and genomic data to refine and validate the prognostic capabilities of the S18 classifier.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥ 18 years
  • Operable breast cancer (stage I-III)
  • Any status of hormone receptor in the primary tumor, according to institutional guidelines
  • HER2-positive primary tumor, according to ASCO guidelines, i.e., HER2-positive phenotype by immunohistochemistry (IHC) 3+ or 2+ with a positive result for ERBB2 gene amplification analysis using ISH techniques (CISH, SISH, FISH)
  • Neoadjuvant and/or adjuvant therapy based on trastuzumab ± pertuzumab
  • Written informed consent from patients

Exclusion criteria

  • Patient in follow-up for less than 3 years after surgery
  • A prior diagnosis of invasive cancer before the diagnosis of breast cancer

Treatment and study plan

Primary outcomes

  1. Event-free survival (EFS) and Disease-free survival (DFS) according to the value of S18 and S*

    Time frame: From the initiation of systemic therapy through to at least 3 years post-treatment.

    To assess the prognostic value of the gene expression based classifier, with or without the integration of clinical-pathological variables, in patients receiving neoadjuvant and/or adjuvant chemotherapy with trastuzumab ± pertuzumab, with respect to event-free survival (EFS) and disease-free survival (DFS).

Secondary outcomes

  1. Explorative evaluation of overall survival (OS) according to the value of S18 and S*

    Time frame: From the initiation of therapy through to at least 3 years post-treatment.

    To assess the prognostic value of the gene expression based classifier, with or without the integration of clinical-pathological variables, in patients receiving neoadjuvant and/or adjuvant chemotherapy with trastuzumab ± pertuzumab, with respect to overall survival (OS).

  2. Evaluation of pathological complete response (pCR) according to the value of S18 and S*

    Time frame: Assessed in the surgical specimen obtained from definitive surgery performed within up to 10 months of initiating neoadjuvant treatment.

    To evaluate the predictive value of the gene expression based classifier in relation to pathological complete response (i.e., absence of breast cancer cells in surgical specimens) following neoadjuvant therapy with chemotherapy plus trastuzumab ± pertuzumab.

Study contacts

Contact information is provided by the study sponsor or research team.

Paolo Verderio, PhD

CONTACT

[email protected]

+39 02 2390 3201

Serena Di Cosimo, MD, PhD

CONTACT

[email protected]

+39 02 2390 2700

Sponsors and collaborators

Lead sponsor

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

Other

Collaborators

  • Istituto Nazionale Tumori IRCCS - Fondazione G. Pascale
  • Ospedale Di Summa-Perrino

Registry information

Acronym: HERCard

Important dates

Study start
2024
Primary completion
2025
Study completion
2026
First posted
Jan 8, 2025
Registry last updated
Jan 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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