breast carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Breast cancer patients with local recurrent or distant metastases • The site of the tumor should be easy amendable for biopsy. NB: lung metastases (high risk of hematothorax) and bone metastases (not suitable for ex vivo HRD test because calcifications interfere with experimental procedures) are excluded. • Age >18 years • WHO performance status 0 or 1 • Bilirubin 100 x 10e9/L and INR
Exclusion criteria
Exclusion criteria: • Current therapeutically use of anti-coagulant (coumarin derivates, warfarin, heparin or low molecular weight heparin [LMWH]) whereby a short interruption of drug use is not allowed. LMWH if used for prophylaxis is allowed. Use of low molecular weight heparin (LMWH) should be interrupted shortly before biopsy is scheduled, unless this is not necessary according to local protocols or after consent of the intervention radiologist. • Any psychological condition potentially hampering compliance with the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of biopsies from local recurrent or metastatic lesions showing HRD among patients with BR grade 3 ER/PR+ or HER2+ primary breast cancer. | — |
Secondary
| Measure | Time frame |
|---|---|
| To explore that the percentage of HRD is higher in the ER/PR+ grade 3 subgroup compared to other subgroups. To explore that within TNBC and grade 1 or 2 ER/PR+ breast cancers the percentage of HRD is not substantially increased in the metastatic lesions compared to primary breast cancers. Molecular analysis will be performed to determine if a general molecular denominator can be found within the HRD versus the non-HRD group. An attempt will be made to grow organoids from the biopsies to expand the limited amount of starting material in order to perform additional molecular analyses. | — |
Countries
The Netherlands