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

NCT ID: NCT06247449

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms
Neoplasm Metastasis
Brain Neoplasms

Conditions: Keywords:
HER2
Triple Negative
Brain Metastasis

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: Brain imaging
Description: Brain Magnetic resonance (or computed tomography if magnetic resonance is contraindicated)
Arm group label: Screening MRI

Intervention type: Diagnostic Test
Intervention name: Analysis of circulating tumor DNA
Description: One single blood draw for analysis of circulating tumor DNA
Arm group label: Screening MRI

Intervention type: Behavioral
Intervention name: Testing Morbidities Index
Description: Questionnaire regarding the participant's perception of brain imaging.
Arm group label: Screening MRI

Summary: The goal of this multi-centre, prospective study is to assess the frequency of asymptomatic brain metastasis in patients with stage II or III Triple Negative or HER2 positive breast cancer. The main questions it aims to answer are: 1. What proportion of patients with stage II or III Triple Negative or HER2 positive breast cancer have asymptomatic brain metastases identified on a screening contrast-enhanced magnetic resonance imaging (or computed tomography when Magnetic resonance is not possible) of the brain? 2. How do patients feel about undergoing brain imaging to screen for asymptomatic Brain metastasis? 3. What clinical and tissue-based biomarkers are associated with asymptomatic detection of Brain metastasis? Participants will undergo a brain imaging, collect one blood sample to perform ctDNA analysis, and fill the Testing Morbidities Index (TMI) after imaging is done. Procedures must take place within one year of initial diagnosis, either prior to or after completion of (neo)-adjuvant systemic therapy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age > 18. 2. Triple Negative OR HER2+ breast cancer (as per 2018 ASCO/CAP guidelines). 3. Stage II 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.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Sunnybrook Health Science Centre

Address:
City: Toronto
Zip: M4N 3M5
Country: Canada

Status: Recruiting

Contact:
Last name: Katarzyna Jerzak, MD M.Sc

Phone: 416-480-6100

Phone ext: 5248
Email: katarzyna.jerzak@sunnybrook.ca

Start date: November 29, 2023

Completion date: June 1, 2028

Lead sponsor:
Agency: Sunnybrook Health Sciences Centre
Agency class: Other

Collaborator:
Agency: Princess Margaret Hospital, Canada
Agency class: Other

Collaborator:
Agency: MOUNT SINAI HOSPITAL
Agency class: Other

Collaborator:
Agency: Trillium Health Partners
Agency class: Other

Source: Sunnybrook Health Sciences Centre

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06247449

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