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NCT Number: NCT07180693

Breast Cancer RElapsed in Patients Treated With Adjuvant CDK4/6 Inhibitors:

This is a multicenter observational study with both retrospective and prospective phase, designed to evaluate the clinico-pathologic characteristics and outcomes of patients with HR+/HER2- EBC at high risk of recurrence treated with ribociclib or abemaciclib in combination with ET in the adjuvant setting.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

ASST Papa Giovanni XXIII, Bergamo, Italy

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About this study

The study will also evaluate clinico-pathologic characteristics, patterns of recurrence, therapeutic choices and outcomes of the subgroup of patients relapsed during or within 12 months after adjuvant therapy with CDK4/6 inhibitors in combination with ET.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Female (regardless of menopausal status) or male ≥18 years of age;
  • The patient has confirmed HR+, HER2-, early-stage resected invasive breast cancer candidate to adjuvant CDK4/6 inhibitors (abemaciclib or ribociclib);
  • ER and PgR positivity is defined as evidence of immunohistochemical staining ≥ 1% according to ASCO/CAP recommendations; HER2 negativity is defined as expression of the membrane protein in immunohistochemistry 0 or 1+ or with a 2+ in situ hybridization (ISH) test negative as per ASCO/CAP recommendations;
  • Patients who are initiating or have initiated adjuvant treatment with a CDK4/6 inhibitor (abemaciclib or ribociclib) in combination with endocrine therapy (ET). Treatment must have started on or after January 1, 2021.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2;
  • Consent to data treatment according to the local regulation.

Exclusion criteria

  • Current participation in any other HR+/HER2- EBC study with any investigational products;
  • Patients who have already received adjuvant treatment with a CDK4/6 inhibitor as part of a clinical trial;
  • Patients unable to comply with the requirements of the study or who, in the judge of the study physician, should not be included in the study;
  • Patients with a history of previous BC, with the exception of Ductal carcinoma in situ (DCIS) treated by locoregional therapy alone ≥5 years ago;
  • Patients with a history of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix), unless in complete remission with no therapy for a minimum of 5 years from the index date, will be excluded, as well.

Treatment and study plan

Primary outcomes

  1. Invasive-disease free survival (IDFS)

    Time frame: 3 years

    Invasive disease-free survival (IDFS) will be defined as the time from surgery to invasive loco-regional recurrence, metastasis, other primary non-breast carcinomas, or death from any cause, whichever occurs first.

Secondary outcomes

  1. Distant relapse-free survival (DRFS)

    Time frame: 5 years

    DRFS will be defined as the time from surgery to distant recurrence or death from any cause, whichever occurs first.

  2. progression-free survival (PFS)

    Time frame: 5 years

    PFS will be defined as the time from the disease recurrence to the date of documented disease progression or death from any cause, whichever occurs first.

  3. Overall survival (OS)

    Time frame: 5 years

    OS will be defined as the time from surgery to death from any cause.

Study contacts

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

Nadia Bianco, MD

CONTACT

[email protected]

+39 02 94371977

Sponsors and collaborators

Lead sponsor

European Institute of Oncology

Other

Registry information

Official study title

Breast Cancer RElapsed in Patients Treated With Adjuvant CDK4/6 Inhibitors: Evaluation in the Real-world Setting

Acronym: BREAKER

Important dates

Study start
2025
Primary completion
2028
Study completion
2030
First posted
Sep 18, 2025
Registry last updated
May 29, 2026

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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