Prospective Validation of Ataraxis AI Test for Predicting Treatment Response in Neoadjuvant Breast Cancer

NCT ID: NCT07327970

Last Updated: 2026-01-08

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

NOT_YET_RECRUITING

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-20

Study Completion Date

2027-12-31

Brief Summary

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This study evaluates the real-world clinical workflow integration of a previously developed artificial intelligence (AI) prognostic test in breast cancer patients receiving neoadjuvant chemotherapy, and validates its accuracy in predicting treatment response.

The Ataraxis AI test analyzes digitized images of tumor biopsy slides combined with basic clinical information (age, tumor stage, hormone receptor status) to generate a risk score. Prior studies showed the AI test can predict cancer recurrence with accuracy comparable to or better than existing genomic tests.

The study has two stages:

* Stage 1 (30 patients): Assess whether the AI test can be practically integrated into routine clinical workflow, including ease of use, report clarity, and time requirements.
* Stage 2 (70-120 additional patients): Validate the accuracy of AI-predicted pathological complete response (pCR) rates against actual surgical outcomes.

This study uses a blinded design where treating physicians remain blinded to AI results until post-surgical pCR assessment. AI analysis is performed by the research coordinator in collaboration with Ataraxis. After pCR evaluation, AI results are disclosed and physicians complete surveys assessing hypothetical treatment changes. This design eliminates AI influence on treatment decisions and ensures independent validation.

Participants are adults with Stage I-III breast cancer planned for neoadjuvant chemotherapy. The study involves no additional procedures beyond standard care except for completing surveys about the AI test experience.

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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NAC Patients with AI Assessment

Stage I-III invasive breast cancer patients undergoing neoadjuvant chemotherapy. All participants receive standard-of-care treatment. AI analysis is performed but results remain blinded from treating physicians during NAC. AI results are disclosed only after surgery and pCR assessment for retrospective evaluation. Treatment decisions are made independently of AI results.

multi-modal foundation AI test

Intervention Type DIAGNOSTIC_TEST

Multi-modal AI test combining digital pathology features from H\&E-stained core needle biopsy slides with clinical information (age, molecular biomarkers, TNM stage) to generate a continuous risk score (0-1) predicting pathological complete response. Results provided as reference information only; does not influence treatment decisions.

Interventions

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multi-modal foundation AI test

Multi-modal AI test combining digital pathology features from H\&E-stained core needle biopsy slides with clinical information (age, molecular biomarkers, TNM stage) to generate a continuous risk score (0-1) predicting pathological complete response. Results provided as reference information only; does not influence treatment decisions.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed Stage I-III invasive breast cancer
* Planned for neoadjuvant chemotherapy
* H\&E-stained slides available from core needle biopsy
* Age 18 years or older
* Able to provide written informed consent

Exclusion Criteria

* Metastatic breast cancer (Stage IV)
* Not a candidate for neoadjuvant chemotherapy
* H\&E slides not obtainable from core needle biopsy
* Unable to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Young-Joon Kang

OTHER

Sponsor Role lead

Responsible Party

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Young-Joon Kang

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Central Contacts

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Young Joon Kang, Ph.D.

Role: CONTACT

+82322805179

Other Identifiers

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ATARAXIS NEOP

Identifier Type: -

Identifier Source: org_study_id

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