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Development Of A Blood Test To Improve The Performance Of Breast Cancer Screening

MSK Discovery Study: Use of cfNA To Distinguish Between Benign and Malignant BI-RADS 4 Radiographic Lesions

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03372902
Enrollment
628
Registered
2017-12-14
Start date
2017-12-07
Completion date
2025-03-12
Last updated
2025-03-14

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

Conditions

Breast Cancer, Breast Benign

Keywords

Breast imaging, 17-598

Brief summary

The purpose of this study is to collect blood and tissue to help develop tests that might be able to detect cancer earlier. The investigator will be collecting these samples and reviewing test results from participants who have had an area of concern found on breast imaging, as well as from participants who are scheduled to have a routine breast cancer screening mammogram.

Interventions

Participants with dense breast tissue will get a mammogram and MRI

DEVICEBreast Mammogram

State-of-the-art full-field digital mammography (FFDM) and or digital breast tomosynthesis (DBT) comprising both raw and post-processed images as well as ultrasound and MRI images from the initial screening study will be collected and sent to the MSKCC Breast Radiology Department.

OTHERBlood draw

Participants will donate approximately 60ml of peripheral blood. Mononuclear cells from peripheral blood will be used to extract germline DNA. Germline genomic testing will be employed as a matched control for tumor sequencing and for germline breast cancer susceptibility testing.

PROCEDUREBreast Biopsy

Tissue specimens from the biopsy of the BI-RADS 4 mammographic lesion and (among women undergoing surgical excision) the surgical specimen(s) will be subjected to genomic profiling at GRAIL, Inc. or MSKCC. The tumor specimens from the participants diagnosed with cancer during the follow-up period will also undergo molecular profiling.

BEHAVIORALonline participant reported questionnaire

Participants will be asked to complete a questionnaire that covers the topics of breast health, general health and lifestyle, genetic testing, personal, and family history of cancer.

Sponsors

GRAIL, Inc.
CollaboratorINDUSTRY
Memorial Sloan Kettering Cancer Center
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Females with one or more BI-RADS 4 radiographic lesions who are undergoing ultrasound, stereotactic or MRI-guided breast biopsy at MSKCC or at an MSK Alliance Member Site. If multiple imaging modalities were employed (mammogram, ultrasound, MRI) and no integrated score is provided, then the highest BI-RADS score will be used. * Age ≥ 18 years at the time of breast biopsy * Willing to provide blood samples for research purposes before biopsy. * Able to provide written informed consent

Exclusion criteria

* Women with a BI-RADS 4 lesion who had the lesion previously biopsied * Females with a current active malignancy other than non-melanoma skin cancers. Females are considered not to have a current active malignancy if they have completed therapy and have no evidence of systemic disease for at least three years from the initial diagnosis * Currently pregnant women * History of bilateral mastectomy. * Participant has or is currently participating in another GRAIL-sponsored protocol

Design outcomes

Primary

MeasureTime frameDescription
number of participants with malignant biopsy2 yearsresult of the biopsy of the BIRADS 4 breast

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026