Breast Cancer
Conditions
Keywords
everolimus, NK, metastatic
Brief summary
NK (Natural Killer) cells are important in the fight against tumor, especially for the control of cancer metastasis. The purpose of this prospective study is to evaluate the impact on lymphocytes NK functions and development of an everolimus treatment in women treated for a metastatic breast cancer. In particular, the study of lymphocytes NK functions and development under everolimus treatment could permit to validate an early biomarker of the impact of everolimus on these NK cells.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Women \> 18 years old * Metastatic breast cancer HR+ (Hormone Receptor positive), HER2/neu negative (Human Epidermal Growth Factor Receptor-2) * ECOG PS (Eastern Cooperative Oncology Group Performance Status) ≤2 * Eligible to an hormonotherapy treatment combined to an mTOR (mammalian Target Of Rapamycin) inhibitor (i.e. SPC (Summary of Product Characteristics) modalities) * Measurable disease according to RECIST 1.1 (Response Evaluation Criteria In Solid Tumors) * Not receiving the non-authorized concomitant treatments * Patient should understand, sign, and date the written voluntary informed consent form at the screening visit prior to any protocol-specific procedures performed. * Patients must be covered by a medical insurance
Exclusion criteria
* BMI\>30 * All dysimmune disease, history of transplantation or immunosuppressive therapy or corticotherapy * All chronic inflammatory diseases * Last chemotherapy \< 6 months * Corticotherapy \<1 year and more than 1 month * Restrictive diet ≤3 months before inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measure of the level of Granzyme B (GzmB) | Timepoint at 3 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-Free Survival (PFS) | 12 months | Measured from the date of study drugs start to the date of the first objective radiological disease progression using RECIST 1.1 or death. |
| Overall Survival (OS) | 12 months | Defined as the duration of time from start of treatment to time of death. |
| Objective Response Rate | 12 months | The objective response rate (ORR) will be defined as the proportion of patients (described on the efficacy-evaluable population) who achieve complete response (CR) or partial response (PR). ORR is based on tumor assessments (measurements according to RECIST 1.1 |
| Circulating NK functions | Timepoint at 3 months and at 9 months | Characterization of circulating NK functions by flow cytometry |
| mTOR activation status | Timepoint at 3 months and at 9 months | rpS6 phosphorylation rate by western blot |
| Intercurrent diseases reporting | 12 months | Number of patients with adverse events (including infectious events) related to everolimus |
Countries
France