Actively Recruiting

Age: 18Years +
FEMALE
ID07289282

The Relationship Between microRNAs in Breast Cancer Subtypes and Response to Neoadjuvant Chemotherapy and Pathological Response

Led by Atlas University · Updated on 2026-03-31

80

Participants Needed

1

Research Sites

17 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are investigating how specific circulating microRNAs (miRNAs) relate to the response to neoadjuvant chemotherapy (NAC) in breast cancer patients. This observational study focuses on changes in miRNA levels before starting NAC and before surgery, aiming to understand their association with treatment outcomes. The study also explores whether these miRNA changes can predict responses across different breast cancer subtypes, potentially helping to guide personalized therapy. Participants diagnosed with breast cancer and scheduled for standard NAC will have serum samples collected at two key points: before starting chemotherapy and after completing NAC but before surgery. The study will use quantitative RT-PCR to measure selected miRNAs such as the miR-200 family, miR-34a, miR-221/222, miR-155, and miR-146a. Treatment response will be assessed using pathological complete response (pCR) status and Miller-Payne tumor regression grading. No experimental drugs or devices are involved, and all treatments follow standard care protocols. During the study, researchers will collect and analyze blood samples to track miRNA changes and correlate these with cancer subtype and treatment response. They will also examine circulating tumor cell levels and their relationship to outcomes. The primary outcome is the change in circulating miRNA expression before and after NAC. The study aims to identify minimally invasive biomarkers that could improve prediction of chemotherapy response and support personalized treatment planning. Participation involves routine clinical evaluations and blood draws, with the study expected to run until December 2026.

CONDITIONS

Brief Title

Circulating microRNAs and Response to Neoadjuvant Chemotherapy in Breast Cancer

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically confirmed breast cancer
  • Planned to receive neoadjuvant chemotherapy
  • Biologically female
  • Age 218 years or older
  • Ability to provide informed consent
  • Adequate organ function to receive standard neoadjuvant chemotherapy based on routine clinical evaluation
Not Eligible

You will not qualify if you...

  • Presence of metastatic disease at diagnosis
  • Prior systemic chemotherapy for breast cancer
  • Pregnancy or breastfeeding
  • Active infection or uncontrolled comorbid conditions interfering with study participation
  • Any condition preventing collection of blood samples

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - Duration of neoadjuvant chemotherapy period

Participants who undergo routine neoadjuvant chemotherapy are observed, with serum samples collected before starting chemotherapy and after completing chemotherapy but before surgery to evaluate microRNA expression.

2 visits (in-person) for blood sample collection

Trial Site Locations

Total: 1 location

1

Istanbul Atlas University Faculty of Medicine

Istanbul, Turkey (Türkiye)

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Research Team

E

Emine Yildirim, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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