breast cancer triple negative breast cancer triple negative
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Women with a new diagnosis of triple negative breast cancer who have not yet started systemic treatment. • Aged < 50 years • Women who have a (regular) physiological menstrual cycle • Patients who are assigned to receive neoadjuvant chemotherapy with or without immunotherapy, targeted therapy • Patients must be systemic treatment naïve for current malignancy (e.g. no chemotherapy or targeted therapy) • Signed written informed consentRegistration cohort (NKI-AVL only)Hormonal contraceptive use less than 2 month before start NAC, or Use of LHRH analog for fertility preservation, or fertility preservation with oocyte/embryo cryopreservation preceding NAC
Exclusion criteria
Exclusion criteria: - current use of hormonal contraception or in the 2 months prior to start of neoadjuvant systemic treatment for breast cancer, either: • Oral contraception (OAC) • Hormonal intra-uterine device (IUD, Mirena) • No ovarian function suppression to preserve fertility • Other forms of hormonal contraception, including but not limited to: nuva-ring, Implanon, prikpil - currently pregnant and / or breast feeding. In case of recent use of hormonal contraception or if patient has given birth in de last year: patients should have had at least 2 menstrual cycles since stopping hormonal contraception. - IVF-trajectory for egg cell preservation prior to start of neoadjuvant systemic treatment - Patients with known PCOS polycystic ovarian syndrome- patients with locoregional recurrence of breast cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint of the study will be the rate of patients achieving a pathological complete response (pCR rate) after neo-adjuvant treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include: radiological and pathological reduction in tumor size, residual cancer burden (RCB), recurrence-free interval (RFI), distant-recurrence free intervall (DRFI), changes in menstrual cycle and changes in tumor micro environment. | — |
Countries
Netherlands
Contacts
Antoni van Leeuwenhoek (AVL)