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Evolutionary pattern of HER2 expression during neoadjuvant chemotherapy and its predictive value for pathological complete remission and prognosis: a multicenter cohort study

Evolutionary pattern of HER2 expression during neoadjuvant chemotherapy and its predictive value for pathological complete remission and prognosis: a multicenter cohort study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600125594
Enrollment
Unknown
Registered
2026-05-28
Start date
2026-04-10
Completion date
Unknown
Last updated
2026-06-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HER-2 positive breast cancer

Interventions

The observation group of HER-2 positive breast cancer patients with down-regulation of HER-2 expression after receiving neoadjuvant chemotherapy:None
The observation group of HER-2 positive breast cancer with stable HER-2 expression after receiving neoadjuvant chemotherapy:None
The observation group of HER-2 positive breast cancer patients who achieved pCR after receiving neoadjuvant chemotherapy:None

Sponsors

The First Affiliated Hospital of Chongqing Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1.Female patients aged between 18 and 80 years old; 2.Pathological confirmation of primary invasive ductal carcinoma through hollow core needle biopsy; 3. Initial immunohistochemistry (IHC) or fluorescence in situ hybridization (FISH) confirmed HER2 positivity (IHC 3+or IHC 2+/FISH amplification); 4.Preoperative neoadjuvant chemotherapy (NACT) combined with anti-HER2 targeted therapy (single or double target) for foot therapy; 5.Receive standardized surgical treatment after surgery and obtain clear pathological evaluation of residual tumors; 6.Have paired data on HER2 expression status before (puncture) and after (surgery) treatment; 7.Clinical pathological data, laboratory test reports, and survival follow-up data are complete;

Exclusion criteria

Exclusion criteria: 1.breast cancer patients whose initial diagnosis is stage IV (distant metastasis); 2.Patients with inflammatory breast cancer or bilateral primary breast cancer; 3.Patients with a history of other malignant tumors or concomitant serious systemic diseases who cannot tolerate treatment; 4. Those who have not completed the established neoadjuvant therapy cycle before surgery, or have changed treatment plans during the treatment period due to non disease progression; 5. Key clinical variables (such as hormone receptor status, postoperative pathological grading, etc.) are missing or lost to follow-up during the follow-up process.

Design outcomes

Primary

MeasureTime frame
Area under the receiver operating characteristic curve for predicting stable HER2 evolution pattern after neoadjuvant therapy;

Secondary

MeasureTime frame
Clinical net benefit of the prediction model;Area under the receiver operating characteristic curve in the external validation cohort;

Countries

China

Contacts

Public ContactLiu Shengchun

The First Affiliated Hospital of Chongqing Medical University

liushengchun1969@163.com+86 23 8901 1876

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 11, 2026