Exosomal and Free Extracellular RNAs and Proteins as Predictive Biomarkers for HER2 Therapies in Breast Cancer

NCT ID: NCT01840306

Last Updated: 2025-07-08

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

330 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-10-12

Study Completion Date

2023-05-24

Brief Summary

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Primary Objective:

(i) To identify panels of RNAs and proteins predictive of response to HER2 targeted agents, considering clinical responses. (ii) To investigate associations between presence vs. absence (or relative levels) of identified extracellular (EC) RNAs/proteins and patients' clinicopathological characteristics, including age at diagnosis, time to progression and overall survival, as well as correlations with serum protein biomarkers routinely analysed for these patients. (iii) To compare HER2 positive samples versus HER2 negative samples for the existence of RNAs/proteins identified in (i) and (ii).

Secondary Objective:

To develop a predictive model for use in the HER2 positive population based on the most accurate and sensitive combination of the identified biomarkers.

Detailed Description

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This is a translational pilot study, involving two patient cohorts, designed to identify predictive biomarkers for HER2 targeted therapy, which will be validated in a larger future study.

Cohort 1: 300 newly diagnosed (including metastatic) HER2 positive breast cancer patients. Cohort 2: 30 newly diagnosed HER2 negative breast cancer patients.

Blood specimens will be taken:

* before starting treatment (cohort 1 and 2)
* after receiving chemotherapy and before starting HER2 targeted treatment (if applicable) (cohort 1)
* within one month following 1st treatment of HER2 targeted treatment (cohort 1)
* approximately every 3 months (coinciding with formal disease assessment) while on HER2 targeted treatment for a maximum of 5 years (cohort 1)

Blood will be processed to serum, which will be analysed for RNA and protein biomarkers.

Conditions

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Breast Cancer HER2 Positive Breast Cancer HER2 Negative Breast Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort 1: HER2 positive breast cancer

Female patients with newly diagnosed (including metastatic) HER2 positive breast cancer.

Biomarker Analysis

Intervention Type OTHER

Cohort 2: HER2 negative breast cancer

Female patients with newly diagnosed HER2 negative breast cancer

Biomarker Analysis

Intervention Type OTHER

Interventions

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Biomarker Analysis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Patient with a newly diagnosed (including metastatic) HER2 positive breast cancer, who is to commence HER2 targeted treatment.

OR

\- Patient with a newly diagnosed HER2 negative breast cancer, who is to commence any type of treatment.
2. Patient must be female and aged 18 years or over.
3. Patient must provide written informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cancer Trials Ireland

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Bon Secours Hospital

Cork, , Ireland

Site Status

Cork University Hospital

Cork, , Ireland

Site Status

Letterkenny General Hospital

Donegal, , Ireland

Site Status

Our Lady of Lourdes Hospital

Drogheda, , Ireland

Site Status

Beacon Hospital

Dublin, , Ireland

Site Status

Beaumont Hospital

Dublin, , Ireland

Site Status

St James's Hospital

Dublin, , Ireland

Site Status

St Vincent's University Hospital

Dublin, , Ireland

Site Status

The Adelaide & Meath Hospital, Dublin Incorporating the National Children's Hospital

Dublin, , Ireland

Site Status

Sligo General Hospital

Sligo, , Ireland

Site Status

University Hospital Waterford

Waterford, , Ireland

Site Status

Countries

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Ireland

Other Identifiers

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ICORG 10-15

Identifier Type: -

Identifier Source: org_study_id

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