Impact of Endocrine Therapy, Menstrual Cycle, PAM50, Ki67 on Treatment Decisions in HR+ and HER2- Breast Cancer
Impact of Preoperative Endocrine Therapy, Menstrual Cycle, PAM50 Assessment and Ki67 Dynamics on Adjuvant Treatment Decisions in Hormone Receptor-positive and HER2-negative Patients With Early Breast Cancer
University Hospital Tuebingen
504 participants
Apr 25, 2023
OBSERVATIONAL
Conditions
Summary
PEAK is a prospective, multicenter, non-interventional investigator-initiated trial (IIT) that aims to investigate the influence of the menstrual cycle phase on Ki67 in patients who either receive Tamoxifen, Aromatase inhibitors ± gonadotropin-releasing hormone (GnRH)-Analogues or nothing or no preoperative endocrine treatment as part of the clinical routine. The investigators moreover address the question whether PAM50 assessment in addition to Ki67 dynamics still impacts treatment recommendations.
Eligibility
Inclusion Criteria9
- women ≥ 18 years of age
- histologically proven unilateral primary non-metastatic invasive breast cancer
- Estrogen receptor (ER)-/ or Progesterone receptor (PR)- positive and HER2-negative
- Ki67 from core biopsy is available
- no lymph-node involvement by clinical evaluation and ultrasound (cN0)
- not amendable to neoadjuvant chemotherapy
- surgery or planned surgery at the Department for Women's Health, Tuebingen or Freiburg
- planned preoperative endocrine treatment with Tamoxifen, Aromatase inhibitors, Goserelin or nothing for 2 - 4 weeks
- written informed consent
Exclusion Criteria11
- ER-negative and PR-negative
- HER2-positive
- bilateral breast cancer
- preexisting cancer disease within the last 10 years
- any systemic breast cancer therapy before inclusion into the trial
- indication for neoadjuvant chemotherapy
- any systemic therapy except Tamoxifen, Aromatase inhibitors, Goserelin before surgery
- locally advanced, inoperable or metastatic breast cancer
- pregnant or lactating patients
- inadequate general condition (not fit for chemotherapy)
- hormonal contraception within 6 months before inclusion
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05878314