Follow-up of Early Breast Cancer by Dynamic Evaluation of CEA and CA 15.3 Followed by 18FDG-PET

NCT ID: NCT02261389

Last Updated: 2022-12-29

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

1507 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2030-12-31

Brief Summary

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The main purpose of follow-up in asymptomatic breast cancer patients during and after adjuvant treatment is to detect breast cancer recurrence and metastatic disease.The aim of this trial is to verify if, in asymptomatic patients, the serial measurement of serum CEA and CA 15.3, with diagnostic imaging procedures (18FDG-PET) performed only in case of a critical increase of serum CEA and CA 15.3 level, can anticipate the diagnosis of breast cancer local and distant recurrence compared to the usual follow-up practice.

Detailed Description

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Conditions

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Breast Cancer

Keywords

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breast cancer follow-up tumor markers

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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Arm A, usual follow-up practice

Imaging studies and serum markers (CEA, CA 15.3, others) performed according to local practice

Group Type NO_INTERVENTION

No interventions assigned to this group

Arm B, tumor markers assessment

Serum CEA and CA 15.3 performed every 3 months. No imaging studies allowed in asymptomatic patients: imaging studies (18 FDG-PET) performed only in case of critical increase of CEA and /or CA 15.3 serum levels (+100% for CEA and +75% for CA15.3), even if in the normal range.

Group Type EXPERIMENTAL

Arm B, tumor markers assessment

Intervention Type OTHER

Tumor markers assessment every three months through the study or until disease recurrence

Interventions

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Arm B, tumor markers assessment

Tumor markers assessment every three months through the study or until disease recurrence

Intervention Type OTHER

Other Intervention Names

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CEA CA15-3 18FDG-PET

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥18 years.
* Histologically confirmed stage I-III epithelial breast cancer.
* Adequate surgery of breast and axilla:

1. patients must have undergone either a total mastectomy or breast conserving surgery
2. surgical margins of the resected specimen must be histologically free of invasive tumor.
* Cohort 1: if chemotherapy and/or radiotherapy are indicated the patients must be randomized between 1 month and 2 months from the end of chemotherapy and/or radiotherapy; if only hormonal adjuvant therapy is indicated the patients must be randomized within 3 months from the completion of surgery
* Cohort 2: patients must be randomized in the trial after 5 years of follow-up without relapse (but within year 6)
* Signed informed consent obtained prior to any study-specific procedures.

Exclusion Criteria

* Histologically confirmed stage 0 epithelial breast cancer (carcinoma in situ).
* Special histologies with a high or low risk of relapse (i.e. sarcoma and tubular carcinoma)
* T1a and T1b tumors with all the following characteristics: G1-2 and N0 and RE \> 10%, RPg \> 10% and HER2 negative and Ki67≤14%
* Evidence of distant metastases
* Patients participating to other clinical trials requiring follow-up not equal to standard
* Previous history of cancer within 5 years from randomization (except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, stage I uterine cancer, or other non-breast malignancies with an outcome similar to those mentioned above)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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PONS-S (Patientenorientierte Nachsorge-Stiftung), Augsburg, Germany

UNKNOWN

Sponsor Role collaborator

Azienda ULSS 12 Veneziana

OTHER

Sponsor Role collaborator

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

OTHER

Sponsor Role collaborator

IRCCS Azienda Ospedaliero-Universitaria di Bologna

OTHER

Sponsor Role lead

Responsible Party

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Claudio Zamagni MD

MD Medical Oncologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Claudio Zamagni, MD

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliero-Universitaria di Bologna

Locations

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Azienda Sanitaria dell'Alto Adige - Ospedale di Bressanone

Brixen, Bolzano, Italy

Site Status

Azienda Sanitaria dell'Alto Adige - Ospedale di Merano

Merano, Bolzano, Italy

Site Status

ASL13 - Presidio Ospedaliero Mirano, U.O.C. Oncologia ed Ematologia Oncologica

Mirano, Venezia, Italy

Site Status

Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, SSD Oncologia Medica Addarii

Bologna, , Italy

Site Status

Azienda Sanitaria dell'Alto Adige - Ospedale Centrale di Bolzano

Bolzano, , Italy

Site Status

Azienda Ospedaliero-Universitaria di Ferrara

Ferrara, , Italy

Site Status

IRCCS Azienda Ospedaliera S. Maria Nuova di Reggio Emilia

Reggio Emilia, , Italy

Site Status

Countries

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Italy

Other Identifiers

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PONS-S Italy

Identifier Type: OTHER

Identifier Source: secondary_id

KRONOS

Identifier Type: -

Identifier Source: org_study_id