MRI Screening for Brain Metastases Among Patients With Triple Negative or HER2+ Stage II or III Breast Cancer

NCT ID: NCT06247449

Last Updated: 2025-12-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-29

Study Completion Date

2028-06-01

Brief Summary

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The goal of this multi-centre, prospective study is to assess the frequency of asymptomatic brain metastasis in patients with stage IIb or III Triple Negative or HER2 positive breast cancer. The main questions it aims to answer are:

1. What proportion of patients with stage IIb or III Triple Negative or HER2 positive breast cancer have asymptomatic brain metastases identified on a screening contrast-enhanced magnetic resonance imaging (MRI) of the brain?
2. How do patients feel about undergoing brain imaging to screen for asymptomatic brain metastasis?
3. What clinical as well as liquid and tissue-based biomarkers are associated with asymptomatic detection of brain metastasis?

Participants will undergo brain imaging, provide one blood sample (for analysis of ctDNA), and complete the Testing Morbidities Index (TMI) questionnaire after imaging is done. Procedures may take place either prior to or after completion of (neo)-adjuvant systemic therapy; however, the study interventions must take place within 18 months of initial breast cancer diagnosis.

Detailed Description

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Conditions

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Breast Cancer

Keywords

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HER2 Triple Negative Brain Metastasis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Patients (30 with TN and 30 with HER2+ breast cancer) will be recruited initially as part of a 2-stage design. If at least 1 out of 30 recruited patients is diagnosed with a BrM (3.3% incidence), then an additional 70 patients will be recruited to characterize the risk of BrM among 100 patients in the relevant subgroup (TN and/or HER2+).
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Screening MRI

One-time contrast-enhanced brain magnetic resonance imaging (MRI), blood draw for circulating tumor DNA and assessment via the Testing Morbidity Index (TMI)

Group Type EXPERIMENTAL

Brain imaging

Intervention Type DIAGNOSTIC_TEST

Contrast-enahanced Brain Magnetic Resonance Imaging (MRI)

Analysis of circulating tumor DNA

Intervention Type DIAGNOSTIC_TEST

Blood draw for analysis of circulating tumor DNA

Testing Morbidities Index

Intervention Type BEHAVIORAL

Questionnaire regarding the participant's perception of brain imaging.

Interventions

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Brain imaging

Contrast-enahanced Brain Magnetic Resonance Imaging (MRI)

Intervention Type DIAGNOSTIC_TEST

Analysis of circulating tumor DNA

Blood draw for analysis of circulating tumor DNA

Intervention Type DIAGNOSTIC_TEST

Testing Morbidities Index

Questionnaire regarding the participant's perception of brain imaging.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Age \> 18.
2. Triple Negative OR HER2+ breast cancer (as per 2018 ASCO/CAP guidelines).
3. Stage IIb or III disease.
4. Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen may participate.
5. Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria

1. Creatinine clearance \<30 mL/min using the Cockcroft-Gault equation (in accordance with the product monograph for Gadavist IV contrast.
2. Pregnant women are not permitted to participate given that the safety of IV contrast is unknown in this population.
3. Patients with central nervous system symptoms that are concerning for brain metastases that would otherwise be referred for brain imaging.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Princess Margaret Hospital, Canada

OTHER

Sponsor Role collaborator

MOUNT SINAI HOSPITAL

OTHER

Sponsor Role collaborator

Trillium Health Partners

OTHER

Sponsor Role collaborator

Sunnybrook Health Sciences Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Katarzyna Jerzak, MD, M.Sc

Role: PRINCIPAL_INVESTIGATOR

Sunnybrook Health Science Centre

Locations

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Sunnybrook Health Science Centre

Toronto, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Katarzyna Jerzak, MD, M.Sc

Role: CONTACT

Phone: 416-480-6100

Email: [email protected]

Facility Contacts

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Katarzyna Jerzak, MD M.Sc

Role: primary

Other Identifiers

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SUN#5967

Identifier Type: -

Identifier Source: org_study_id