Early Stage Triple Negative ER Low Breast Cancer
Conditions
Keywords
WOO
Brief summary
This study will examine changes in the tumor microenvironment (TME) induced by 14 days of pre-operative IL-1-inhibiting therapy among patients with early breast cancer (including TNBC and ER-low positive). Key immune biomarkers (TILs, TAMs, NK cells, IL1\[beta\] and inflammasome component expression) will be evaluated at baseline and following 14 days of IL-1 antagonist therapy (Anakinra) using paired tissue specimens.
Interventions
100 mg/daily subcutaneously
Sponsors
Study design
Intervention model description
This study will examine changes in the tumor microenvironment (TME) induced by 14 days of pre-operative IL-1-inhibiting therapy among patients with early breast cancer (including TNBC and ER-low positive \[1-9%\]). Key immune biomarkers (TILs, TAMs, NK cells, IL-1β and inflammasome component expression) will be evaluated at baseline and following 14 days of IL-1 antagonist therapy (Anakinra) using paired tissue specimens. A total of 50 patients will be recruited across 2-5 institutions, randomized 4:1 to treatment (n=40) versus control (n=10).
Eligibility
Inclusion criteria
* For inclusion in this study, patients must fulfill all the following criteria: 1. Age \> 18 years 2. Histologically confirmed non-metastatic invasive adenocarcinoma of the breast meeting one of the following criteria: i. Clinical stage T1a/b N0 TNBC ii. Clinical stage T1a/b N0 ER-low (1-9%) 3. Not planned for neoadjuvant chemotherapy
Exclusion criteria
Patients who satisfy any of the following
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the changes in the breast cancer TME in paired patient samples (core biopsy and surgical specimen) before and after 14 days of treatment with the IL-1 receptor antagonist, Anakinra. | 2 years |
Countries
Canada