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Breast CancerNCT00897702

Molecular Mechanisms of Clinical Resistance to Targeted Therapy Among Patients With Breast Cancer

An observational study of Breast Cancer, run by Memorial Sloan Kettering Cancer Center at 7 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to learn why certain drugs stop working in patients.In lab studies, tumors become resistant in several ways. Specific molecules seem to change and this may be why therapy stops working. However, we do not know if the same molecules change in patients. Read more about this study

Who is it for?
Any age
Conditions the study is for
Breast Cancer
What is being tested?
Blood draw, immunoenzyme technique and biopsy
Type of treatment
Surgery or procedure
How many people
269 participants
Where
7 sitesUnited States
Study dates
9 Jan 2007to 23 Jan 2026
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Potential research subjects will be identified by a member of the patient's treatment team, the protocol investigator, or research team at Memorial Sloan-Kettering Cancer Center (MSKCC).

Who may be able to join

  • All patients:
  • Diagnosed with breast cancer.
  • Patient must be able to consent to a biopsy
  • Patient must be able to safely undergo a secondary biopsy, if needed.
  • Cohort 1
  • Patients who previously received treatment with anti-HER2 therapy (including trastuzumab, pertuzumab, TDM1, lapatinib, neratibin, or DS8201) as part of adjuvant chemotherapy and now have progressive or recurrent breast cancer or, patients who previously (or currently) received anti-HER2 therapy as part of a regimen for metastatic breast cancer and subsequently experienced.
Show all 12Show fewer
  • Evidence of disease progression or recurrence after prior therapy (e.g. radiologic progression by RECIST criteria or new metastasis).
  • Prior tumor biopsy (may be original) defined as HER2+ by amplification by FISH (>1.9 gene copy number) or IHC 3+.
  • Cohort 2
  • Patients who previously received treatment with hormonal therapy (including aromatase inhibitors or SERMs or SERDs) as a part of adjuvant therapy and now have progressive or recurrent breast cancer or patients who previously (or currently) receive hormonal therapy as part of a regimen for metastatic breast cancer and subsequently experienced evidence of disease progression.
  • Cohort 3
  • Patients not eligible for Cohorts 1 or 2.

Who cannot join

  • Patients who are unable to consent to a biopsy.
  • Patients for whom a repeat biopsy would be medically unsafe

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

United States7 sites
  • Memorial Sloan Kettering Basking Ridge (Consent only)

    Basking Ridge, New Jersey, 07920

  • Memorial Sloan Kettering Commack (Consent only)

    Commack, New York, 11725

  • Memorial Sloan Kettering Westchester (Consent only)

    Harrison, New York

  • Memorial Sloan Kettering Monmouth (Consent only)

    Middletown, New Jersey, 07748

  • Memorial Sloan Kettering Bergen (Consent only)

    Montvale, New Jersey, 07645

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Memorial Sloan Kettering Nassau (Consent only)

    Uniondale, New York, 11553

Other trials in United States

About this study

The purpose of this study is to learn why certain drugs stop working in patients.In lab studies, tumors become resistant in several ways. Specific molecules seem to change and this may be why therapy stops working. However, we do not know if the same molecules change in patients. This study is being done to see if they do change. If we learn more about how patients become resistant, we may be able to offer better treatment in the future.

Conditions
Breast Cancer
Being tested
Blood draw, immunoenzyme technique, biopsy, histopathologic examination
Keywords
recurrent breast cancer, male breast cancer, stage IV breast cancer
Medical subject headings
Breast Neoplasms, Breast Neoplasms, Male

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Blood drawOther

    A single 10ml tube of blood will also be obtained for a comparison of patient's normal DNA for genomic analyses either at the time of the procedure or at a followup appointment if feasible.

  • immunoenzyme techniqueOther

  • biopsyProcedure or surgery

  • histopathologic examinationProcedure or surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To look for mutations in druggable oncogenic pathways in tumors progressing on anti-HER2 therapy or hormonal therapy

    Measured: 3 years

  2. To characterize the activity of the PI3K signaling pathway in progressive breast tumors using proteomic methods

    Measured: 3 years

  3. To develop new laboratory models of treatment refractory breast cancer from human tumor specimens

    Measured: 3 years

Secondary outcomes (3)
  1. To look for mutations in druggable oncogenic pathways in tumor progressing on breast cancer targeted therapies

    Measured: 3 years

  2. To evaluate dynamic proteomic changes in response to inhibition of the RTK/PI3K/ATK/mTOR pathway.

    Measured: 3 years

  3. To characterize the genetic heterogeneity of progressive, metastatic tumors using next generation sequencing

    Measured: 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 May 2009 (estimated)
  2. Study start9 Jan 2007
  3. Primary completion23 Jan 2026
  4. Study completion23 Jan 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
269 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00897702
Sponsor's protocol ID
06-163
Other IDs
MSKCC-06163
Status last verified
Jan 2026
First submitted
9 May 2009
Last updated
28 Jan 2026
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Breast Cancer, run by Memorial Sloan Kettering Cancer Center at 7 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To look for mutations in druggable oncogenic pathways in tumors progressing on anti-HER2 therapy or hormonal therapy (time frame: 3 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2026.

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