Status:

RECRUITING

Local Therapy for ER/PR-positive Oligometastatic Breast Cancer

Lead Sponsor:

Instituto do Cancer do Estado de São Paulo

Conditions:

Breast Cancer

Eligibility:

FEMALE

18+ years

Phase:

PHASE2

Brief Summary

Randomized phase 2 trial to evaluate the efficacy of local therapy for oligometastasis from ER/PR-positive breast cancer. The study hypothesis is that local therapy in addition to systemic therapy imp...

Detailed Description

Patients with estrogen receptor/ progesterone receptor-positive oligometastatic breast cancer with disease controlled after at least six months of systemic therapy will be enrolled in the study. Patie...

Eligibility Criteria

Inclusion

  • Female sex
  • ≥ 18 years of age
  • Histologically confirmed invasive breast cancer, with oligometastatic disease defined as one of the following criteria: 1) One to four bone lesions; 2) One to four lung and/ or hepatic lesions; 3) Distant metastasis limited to ipsilateral cervical lymph nodes; 4) Distant metastasis limited to contralateral axillary lymph nodes
  • Oligometastatic sites amenable to treatment with a local therapy modality, including surgical resection, stereotactic radiotherapy, or radiofrequency ablation
  • Estrogen receptor-positive and/ or progesterone receptor-positive breast cancer
  • Partial response or stable disease after at least six months of systemic therapy for breast cancer
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Measurable or non-measuble disease according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
  • Life expectancy of at least 12 weeks
  • For women in childbearing age, negative pregnancy test until 21 days before the date of study enrollment.
  • Signed informed consent form
  • Disposition and aptitude to fulfill the study protocol during the study duration

Exclusion

  • HER2-positive breast cancer
  • Progressive disease during the last systemic treatment received for metastatic disease
  • Previous local therapy for distant metastasis
  • Current or previous history of severe diseases, such as clinically relevant heart failure, acute myocardium infarction in the last six months, chronic obstructive lung disease, HIV infection, chronic active hepatitis B or C infection, current serious uncontrolled infections or other severe diseases that may impact patients' expected survival)
  • Current or previous history of other invasive malignancy within the last five years, excluding non-melanoma skin cancer

Key Trial Info

Start Date :

April 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2031

Estimated Enrollment :

74 Patients enrolled

Trial Details

Trial ID

NCT04698252

Start Date

April 1 2021

End Date

April 1 2031

Last Update

August 8 2022

Active Locations (1)

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1

ICESP

São Paulo, São Paulo, Brazil, 01246-000