Blood Levels of Tumor Cells in Predicting Response in Patients Receiving First-Line Chemotherapy for Stage IV Breast Cancer

NCT ID: NCT00898014

Last Updated: 2011-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

216 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-05-31

Brief Summary

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RATIONALE: Measuring blood levels of tumor cells in patients with breast cancer may help doctors predict how patients will respond to treatment.

PURPOSE: This laboratory study is looking at blood levels of tumor cells in predicting response in patients receiving first-line chemotherapy for stage IV breast cancer.

Detailed Description

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OBJECTIVES:

Primary

* Predict the overall and progression-free survival of patients with stage IV breast cancer by measuring the rate of circulating tumor cells (CTC) before the second course of chemotherapy.

Secondary

* Predict overall and progression-free survival of these patients by measuring the rate of CTC before the start of chemotherapy, at the first tumor evaluation, and after 2-3 courses of chemotherapy.
* Correlate the detection of CTC with tumor markers, clinical response, and radiological response.
* Study the changing status of HER-2 in CTC in patients receiving trastuzmab (Herceptin®).

OUTLINE: This is a multicenter study.

Blood samples are collected at baseline, before the second course of chemotherapy, before the third or fourth course of chemotherapy, and when progressive disease is diagnosed (before second-line treatment is initiated). Circulating tumor cells from the blood samples are examined by immunofluorescence.

Patients are followed periodically for up to 3 months.

Conditions

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Breast Cancer

Interventions

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fluorescence in situ hybridization

Intervention Type GENETIC

immunologic technique

Intervention Type OTHER

laboratory biomarker analysis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosis of stage IV breast cancer
* Measurable or evaluable disease
* Scheduled to receive first-line chemotherapy with or without trastuzumab (Herceptin®), depending on HER-2 status
* Histologic block available for confirming pathologic diagnosis and measuring HER-2 status via FISH

PATIENT CHARACTERISTICS:

* Life expectancy \> 3 months
* No other cancer in the past 5 years except for basal cell skin cancer or epithelial in situ cancer of the cervix
* No geographic, social, or psychiatric reasons that would make treatment impossible

PRIOR CONCURRENT THERAPY:

* No prior chemotherapy for metastatic disease
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Curie

OTHER

Sponsor Role lead

Principal Investigators

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Jean-Yves Pierga, MD, PhD

Role: STUDY_CHAIR

Institut Curie

Locations

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Institut Curie Hopital

Paris, , France

Site Status

Countries

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France

Other Identifiers

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CLCC-IC-2006-04

Identifier Type: -

Identifier Source: secondary_id

INCA-RECF0474

Identifier Type: -

Identifier Source: secondary_id

CDR0000574195

Identifier Type: -

Identifier Source: org_study_id

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