Breast Cancer
Conditions
Keywords
breast
Brief summary
Evaluating Multiparameter Gene Testing as a Predictor of Short Term Endocrine Therapy Response in Hormone Receptor Positive Breast Cancers
Detailed description
The clinical trial will be a prospective, two strata, non-blinded, single institution, Health Canada approved, Window of Opportunity trial with 2 weeks of pre-surgical endocrine therapy using either anastrozole or tamoxifen. Tissue from the initial biopsy and from surgery will be sent for Ki67 analysis using the NanoString® Assay.
Interventions
Participants will take endocrine therapy for 2 weeks prior to surgery.
Sponsors
Study design
Intervention model description
The clinical trial will be a prospective, two-strata, non-blinded, single institution Health Canada approved window of opportunity trial with 2 weeks of pre-surgical endocrine therapy using either anastrozole or tamoxifen.
Eligibility
Inclusion criteria
* Any patient with histologically confirmed newly diagnosed operable ER+, Her2 negative invasive carcinoma on diagnostic core biopsy that has a radiographic size ≥ 1.5 cm * Histology has to be ductal, lobular or mixed * Surgery date planned in the next 2-6 weeks * Negative pregnancy test if of child baring potential * Post-menopausal status verified by FSH and Estradiol (with 6 months of amenorrhea)
Exclusion criteria
* Previous treatment with endocrine therapy, chemotherapy or chest wall radiation within last 6 months * Known metastatic or recurrent breast cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endocrine Therapy response | at one year | Introduction and validation of the use of NanoString® technology and a development of a custom gene codeset predictive of endocrine therapy response into the window setting as a more robust and reliable method of biomarker assessment as compared to Ki67. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biomarker Predictive value | at one year | Window of Opportunity clinical trial design as a means to evaluate the predictive value of potential biomarkers or biomarker-based tools. |