EXActDNA-003 / NSABP B-64: Study of Molecular Residual Disease Detection in Breast Cancer (MRD)

NCT ID: NCT06401421

Last Updated: 2026-01-20

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

Total Enrollment

1800 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-06-07

Study Completion Date

2030-04-30

Brief Summary

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The EXActDNA-003 study will prospectively enroll participants who are planning to undergo chemotherapy for high-risk, early breast cancer, who are willing to provide tissue and blood specimens for circulating tumor DNA (ctDNA) analysis.

Participants will be followed for up to 5.5 years.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Participants with High Risk Early Breast Cancer

Participants with High Risk Early Breast Cancer

ctDNA MRD test

Intervention Type DIAGNOSTIC_TEST

Blood and tissue samples will be collected for the ctDNA MRD test

Interventions

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ctDNA MRD test

Blood and tissue samples will be collected for the ctDNA MRD test

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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Oncodetect™

Eligibility Criteria

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Inclusion Criteria

1. The participant or a legally authorized representative must provide study-specific informed consent prior to study entry.
2. The participant must be ≥ 18 years of age.
3. ECOG performance status 0 or 1.
4. Histologically confirmed invasive carcinoma of the breast.
5. Planned neoadjuvant therapy which includes cytotoxic chemotherapy.
6. Tumor size ≥ 2.1 cm in greatest diameter.
7. Unifocal or multifocal cancer documented to be the same histologic clinical subtype.
8. Clinically node positive or if node negative, any one of the following:

1. TNBC or HER2+ subtype
2. HR+/HER2-negative with at least one of the following:

i. High tumor grade (G3) ii. Ki67 index of 20% or higher iii. High genomic risk (Oncotype DX® (ODX) Breast Recurrence Score of \> 25, MammaPrint® High, etc.)
9. Willing and able to comply with the study requirements, which includes the collection of a total of 34 cc (2.5 Tablespoons) of blood for each research blood draw.
10. Available residual tissue from diagnostic biopsy from the breast or an involved ipsilateral lymph node for submission to create a bespoke ctDNA assay.

Exclusion Criteria

1. Definitive clinical or radiologic evidence of metastatic disease.
2. Initiated neoadjuvant therapy for current breast cancer diagnosis.
3. Synchronous diagnosis of another invasive cancer, other than this breast cancer, except for non-melanoma skin cancers.
4. Completed all therapy (including endocrine therapy) \<5 years ago for any previous invasive solid organ malignancy (with exception of non-melanoma skin cancers) including prior breast cancer. Individuals with a prior history of noninvasive (in situ) carcinomas may participate if they have received definitive treatment.
5. Completed all therapy for any previous hematologic malignancy \< 5 years ago.
6. Multicentric or contralateral invasive breast cancers.
7. Known pregnancy at time of enrollment.
8. Prior solid organ transplant.
9. Prior allogeneic hematopoietic stem cell transplant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NSABP Foundation Inc

NETWORK

Sponsor Role collaborator

Exact Sciences Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Katmai Oncology Group - Anchorage

Anchorage, Alaska, United States

Site Status RECRUITING

Stanford Cancer Institute

Palo Alto, California, United States

Site Status RECRUITING

Harbor-UCLA Medical Center - Hematology / Oncology

Torrance, California, United States

Site Status RECRUITING

Kaiser Permanente Medical Center

Vallejo, California, United States

Site Status RECRUITING

UCHealth Cancer Care - Anschutz Medical Campus - University of Colorado Cancer Center

Aurora, Colorado, United States

Site Status RECRUITING

AdventHealth East Altamonte Oncology and Hematology

Altamonte Springs, Florida, United States

Site Status RECRUITING

Mount Sinai Medical - Comprehensive Cancer Center

Miami Beach, Florida, United States

Site Status RECRUITING

Baptist Cancer Care - Plantation

Plantation, Florida, United States

Site Status RECRUITING

St. Joseph's Women's Hospital

Tampa, Florida, United States

Site Status RECRUITING

Rush Cancer Center

Chicago, Illinois, United States

Site Status RECRUITING

Deaconess Chancellor Center for Oncology

Newburgh, Indiana, United States

Site Status RECRUITING

University of Kansas Cancer Center

Westwood, Kansas, United States

Site Status RECRUITING

St. Elizabeth Edgewood Hospital

Edgewood, Kentucky, United States

Site Status RECRUITING

Norton Cancer Institute - Downtown

Louisville, Kentucky, United States

Site Status RECRUITING

Baptist Health Louisville

Louisville, Kentucky, United States

Site Status RECRUITING

Weinberg Center at Mercy

Baltimore, Maryland, United States

Site Status RECRUITING

Greater Baltimore Medical Center

Baltimore, Maryland, United States

Site Status RECRUITING

Sinai Hospital of Baltimore

Baltimore, Maryland, United States

Site Status RECRUITING

MedStar Georgetown Cancer Institute

Baltimore, Maryland, United States

Site Status RECRUITING

The Center for Cancer and Blood Disorders - Bethesda

Bethesda, Maryland, United States

Site Status RECRUITING

James M Stockman Cancer Institute

Frederick, Maryland, United States

Site Status RECRUITING

Tate Cancer Center at UM Baltimore Washington

Glen Burnie, Maryland, United States

Site Status RECRUITING

Meritus Center for Clinical Research

Hagerstown, Maryland, United States

Site Status RECRUITING

Holy Cross Hospital - Silver Spring

Silver Spring, Maryland, United States

Site Status RECRUITING

University of Maryland St. Joseph Medical Center

Towson, Maryland, United States

Site Status RECRUITING

Lahey Hospital & Medical Center

Burlington, Massachusetts, United States

Site Status RECRUITING

Metro Minnesota Community Oncology Consortium (MMCORC)

Saint Louis Park, Minnesota, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status RECRUITING

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status RECRUITING

Stony Brook Medicine

Stony Brook, New York, United States

Site Status RECRUITING

Atrium Health Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status RECRUITING

Novant Health Cancer Institute - Elizabeth

Charlotte, North Carolina, United States

Site Status RECRUITING

FirstHealth Outpatient Cancer Center

Pinehurst, North Carolina, United States

Site Status RECRUITING

UNC Cancer Care at Nash

Rocky Mount, North Carolina, United States

Site Status RECRUITING

Atrium Health Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Aultman Timken Family Cancer Center

Canton, Ohio, United States

Site Status RECRUITING

Cleveland Clinic Main Campus

Cleveland, Ohio, United States

Site Status RECRUITING

Penn State Health Medical Group - Andrews Patel

Harrisburg, Pennsylvania, United States

Site Status RECRUITING

Penn State Cancer Institute

Hershey, Pennsylvania, United States

Site Status RECRUITING

UPMC Magee - Womens Hospital

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Guthrie Sayre

Sayre, Pennsylvania, United States

Site Status RECRUITING

Women & Infants Hospital

Providence, Rhode Island, United States

Site Status RECRUITING

Spartanburg Medical Center

Spartanburg, South Carolina, United States

Site Status RECRUITING

Avera Cancer Institute

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Ballad Health Cancer Center

Kingsport, Tennessee, United States

Site Status RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Joe Arrington Cancer Research & Treatment Center

Lubbock, Texas, United States

Site Status RECRUITING

Alan B. Pearson Regional Cancer Center

Lynchburg, Virginia, United States

Site Status RECRUITING

Bon Secours Cancer Institute at St. Francis

Midlothian, Virginia, United States

Site Status RECRUITING

VCU Massey Comprehensive Cancer Center

Richmond, Virginia, United States

Site Status RECRUITING

WVU Cancer Institute

Morgantown, West Virginia, United States

Site Status RECRUITING

Aurora Cancer Care - Wauwatosa

Wauwatosa, Wisconsin, United States

Site Status RECRUITING

Maisonneuve-Rosemont Hospital (HMR)

Montreal, Quebec, Canada

Site Status RECRUITING

Centre Hospitalier de l'Université de Montréal (CHUM)

Montreal, Quebec, Canada

Site Status RECRUITING

Jewish General Hospital

Montreal, Quebec, Canada

Site Status RECRUITING

McGill University Health - Glen Site

Montreal, Quebec, Canada

Site Status RECRUITING

Hôpital du Saint-Sacrement

Québec, Quebec, Canada

Site Status RECRUITING

Countries

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United States Canada

Central Contacts

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NSABP Department of Site and Study Management Department of Site and Study Management

Role: CONTACT

1-800-270-3165

Facility Contacts

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Theodore Kim

Role: primary

Irene Wapnir

Role: primary

Jennifer Lee

Role: primary

Samantha Seaward

Role: primary

Marie Wood

Role: primary

Wassim Mchayleh

Role: primary

Oleg Gligich

Role: primary

Lauren Carcas

Role: primary

Robert Gabordi

Role: primary

Ruta Rao

Role: primary

Samer Schuman

Role: primary

Julia White

Role: primary

Daniel Flora

Role: primary

John Hamm

Role: primary

Mounika Mandadi

Role: primary

David Riseberg

Role: primary

Robert Donegan

Role: primary

Qiwei Gai

Role: primary

Shweta Kurian

Role: primary

Victor Priego

Role: primary

Natalia Marina

Role: primary

Aaron Iddings

Role: primary

Victoria Giffi

Role: primary

Cheryl Aylesworth

Role: primary

Ethan Rogers

Role: primary

Ragisha Gopalakrishnan

Role: primary

Yan Ji

Role: primary

Whitney Hensing

Role: primary

Deena Graham

Role: primary

Mridula George

Role: primary

Alison Stopeck

Role: primary

Arielle Heeke

Role: primary

Kimberly Strickland

Role: primary

Charles Kuzma

Role: primary

Elie Choufani

Role: primary

Katherine Ansley

Role: primary

Sunitha Vemulapalli

Role: primary

Shimoli Barot

Role: primary

Kumudini Rao

Role: primary

Cristina Truica

Role: primary

Julia Foldi

Role: primary

Mohammed Ziauddin

Role: primary

William Sikov

Role: primary

Isaac Alwine

Role: primary

Jason Jones

Role: primary

Asheesh Shipstone

Role: primary

Vincente Valero

Role: primary

Ibrahim Shalaby

Role: primary

Michael O'Neill

Role: primary

William Irvin

Role: primary

Elizabeth Barrows

Role: primary

Sobha Kurian

Role: primary

Peter Polewski

Role: primary

Lucas Sideris

Role: primary

Erica Patocskai

Role: primary

Mark Basik

Role: primary

Nathaniel Bouganim

Role: primary

Dominique Boudreau

Role: primary

Other Identifiers

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2023-05

Identifier Type: -

Identifier Source: org_study_id

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