Recurrent high-risk HER2-negative early-breast cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All of the following criteria must be met as primary enrollment. 1.Newly diagnosed invasive breast cancer 2.No distant metastasis from the time of diagnosis to surgery 3.18 years or older at the time of diagnosis 4.HER2 negative (Definition of HER2 negative: 0 or 1+ by immunohistochemistry (IHC), or HER2/CEP17 ratio <2.0 and HER2 copy number <6.0 by fluorescence in situ hybridization (FISH)) 5.Underwent radical surgery (mastectomy or partial mastectomy) for breast cancer between January 1, 2023 and December 31, 2023 6.Estrogen receptor (ER)-positive (ER-positive cells account for >=1% by IHC) 6-1.Four lymph node metastases (>=pN2) after prior surgery 6-2.Non-pCR (with residual invasive cancer cells) after preoperative chemotherapy 7.ER-negative (ER-positive cells account for <1% by IHC) 7-1.Invasive tumor >2 cm in diameter (>=pT2) or one lymph node metastasis (>=pN1) after prior surgery 7-2.Non-pCR (with residual invasive cancer cells) after preoperative chemotherapy To proceed to secondary enrollment, patients must have a CPS+EG score of at least 3 points if they meet the following criteria 6.ER-positive and 2.non-pCR after preoperative chemotherapy
Exclusion criteria
Exclusion criteria: Cases deemed ineligible by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of gBRCA1/2 genetic testing performed | — |
Secondary
| Measure | Time frame |
|---|---|
| Factors associated with not taking gBRCA1/2 genetic testing Proportion of patients with gBRCA1/2 pathogenic variants among those who underwent gBRCA1/2 genetic testing Proportion of patients initiated on olaparib among gBRCA1/2 pathogenic variant holders Drug therapy used other than olaparib in gBRCA1/2 pathogenic variant carriers | — |
Countries
Japan
Contacts
Kansai Medical University Hospital Department of Breast Surgery