Circulating Tumor Cells to Guide Chemotherapy for Metastatic Breast Cancer

NCT ID: NCT01349842

Last Updated: 2025-11-24

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

Clinical Phase

PHASE3

Total Enrollment

265 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-02

Study Completion Date

2018-11-06

Brief Summary

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Evaluation of the use of Circulating tumour Cells to guide chemotherapy from the 3rd line of chemotherapy for metastatic breast cancer.

Detailed Description

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Phase III multicentre, randomized, open-label study comparing early evaluation of the efficacy of chemotherapy by determination of circulating tumour cells versus conventional clinical and radiological evaluation.

Conditions

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Breast Cancer Ductal Infiltrating Metastatic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Circulating Tumor Cells

Centralized determination of CTC by CellSearch® technology (Veridex), the only technology currently validated in clinical practice for the early evaluation of response to chemotherapy of breast cancers. This evaluation is performed by blood sampling comparing the CTC level before the first injection of each new line of chemotherapy. Chemotherapy can only be continued in the case of a positive CTC response. Discontinuation of chemotherapy can also be decided by the clinician on the basis of other clinical or radiological arguments.

Group Type EXPERIMENTAL

Blood sampling

Intervention Type BIOLOGICAL

20ml of patient peripherical blood will be collected

Clinical and radiological criteria

Management of chemotherapy according to the usual clinical and radiological criteria adopted by the patient's attending physician.

Group Type OTHER

Usual clinical and radiological criteria

Intervention Type OTHER

Clinical examination, tumoral evaluation

Interventions

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Blood sampling

20ml of patient peripherical blood will be collected

Intervention Type BIOLOGICAL

Usual clinical and radiological criteria

Clinical examination, tumoral evaluation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women over the age of 18 years.
* WHO performance status: 0 to 4.
* Metastatic breast cancer.
* Progression after 2 lines of chemotherapy with decision to initiate third-line chemotherapy.
* Disease evaluable by CTC (CTC-positive before starting chemotherapy).
* Histology: lobular or ductal adenocarcinoma.
* Information of the patient and signature of the informed consent form by the patient or her legal representative.

Exclusion Criteria

* Disease not evaluable by CTC (CTC-negative before starting chemotherapy).
* History of other potentially metastatic cancer (stage III or IV cancer) different from breast cancer.
* Histology other than lobular or ductal adenocarcinoma.
* Pregnant woman, women likely to become pregnant or nursing mothers.
* Persons deprived of their freedom or under guardianship.
* Women unable to comply with the medical follow-up of the study for geographical, social or mental reasons.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Institut Curie

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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PIERGA Jean-Yves, MD

Role: PRINCIPAL_INVESTIGATOR

Institut Curie

Locations

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Centre Georges Francois Leclerc

Dijon, , France

Site Status

Clinique Victor Hugo

Le Mans, , France

Site Status

Chu Limoges

Limoges, , France

Site Status

Institut Curie

Paris, , France

Site Status

Hopital Saint Louis

Paris, , France

Site Status

Institut Rene Huguenin Curie

Saint-Cloud, , France

Site Status

Institut de Canacerologie de L'Ouest

Saint-Herblain, , France

Site Status

Countries

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France

References

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Cabel L, Berger F, Cottu P, Loirat D, Rampanou A, Brain E, Cyrille S, Bourgeois H, Kiavue N, Deluche E, Ladoire S, Campone M, Pierga JY, Bidard FC. Clinical utility of circulating tumour cell-based monitoring of late-line chemotherapy for metastatic breast cancer: the randomised CirCe01 trial. Br J Cancer. 2021 Mar;124(7):1207-1213. doi: 10.1038/s41416-020-01227-3. Epub 2021 Jan 21.

Reference Type BACKGROUND
PMID: 33473163 (View on PubMed)

Helissey C, Berger F, Cottu P, Dieras V, Mignot L, Servois V, Bouleuc C, Asselain B, Pelissier S, Vaucher I, Pierga JY, Bidard FC. Circulating tumor cell thresholds and survival scores in advanced metastatic breast cancer: the observational step of the CirCe01 phase III trial. Cancer Lett. 2015 May 1;360(2):213-8. doi: 10.1016/j.canlet.2015.02.010. Epub 2015 Feb 17.

Reference Type RESULT
PMID: 25700777 (View on PubMed)

Other Identifiers

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IC 2009-03

Identifier Type: -

Identifier Source: org_study_id

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