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Breast CancerNBRSTNCT01479101

NBRST: Prospective Neo-adjuvant REGISTRY Trial

An observational study of Breast Cancer, run by Agendia at 76 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 scope of this registry study is to measure chemosensitivity as defined by pCR (primary endpoint), or endocrine sensitivity as defined by partial response (decrease in longest tumor diameter or residual cancer burden category 1 (RCB1), a primary endpoint for neo-adjuvant endocrine therapy and a secondary endpoint… Read more about this study

Who is it for?
Ages 18 to 90 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
MammaPrint 70-gene expression profile and BluePrint 80 gene expression profile
How many people
1,142 participants
Where
76 sitesUnited States
Study dates
Jul 2011to Jan 2021
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 18 to 90 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Women with histologically proven breast cancer, who have started or are scheduled to start neo-adjuvant chemotherapy therapy or neo-adjuvant hormone therapy.

Who may be able to join

  • Women with histologically proven breast cancer, who have started or are scheduled to start neo-adjuvant chemotherapy therapy or neo-adjuvant hormone therapy, after successful MammaPrint assay
  • Age 18-90
  • Written informed consent

Who cannot join

  • Patients who have had excisional biopsy or axillary dissection Patients with confirmed distant metastatic disease
  • Tumor sample shipped to Agendia with ≤ 30% tumor cells or that fails QA or QC criteria
  • Patients who have had any prior chemotherapy, radiotherapy, or endocrine therapy for the treatment of breast cancer
  • Any serious uncontrolled intercurrent infections, or other serious uncontrolled concomitant disease

Trial locations and contacts

76 sites in 1 country.

76 sites in 1 country

United States76 sites
  • Akron General Hospital

    Akron, Ohio, 44302

  • Breast Care Specialists

    Allentown, Pennsylvania, 18104

  • Texas Tech University

    Amarillo, Texas

  • Austin Cancer Center

    Austin, Texas, 78303

  • Alta Bates Summit Comprehensive Cancer Center

    Berkeley, California, 94705

  • Advanced Breast Care Specialists

    Bloomingdale, Illinois, 60108

  • McLaren Health Care

    Burton, Michigan, 48509

  • The Breast Place

    Charleston, South Carolina, 29406

  • Cancer Specialists of Charleston

    Charleston, South Carolina, 29414

  • Virginia Breast Care

    Charlottesville, Virginia, 22911

  • Ashikari Breast Center

    Cortlandt Manor, New York, 10567

  • Dallas Surgical Group

    Dallas, Texas, 75230

  • Texas Health

    Dallas, Texas, 75230

  • Halifax Health Center for Oncology

    Daytona Beach, Florida, 32114

  • Florida Hospital Memorial Medical Center

    Daytona Beach, Florida, 32117

  • Dekalb Medical

    Decatur, Georgia

  • Exempla Health St Joseph

    Denver, Colorado, 80218

  • Hematology Oncology Associates of Central New York

    East Syracuse, New York, 13057

  • McAllen Oncology

    Edinburg, Texas

  • University Surgical Consultants

    Elk Grove Village, Illinois, 60007

  • Evansville Surgical Associates

    Evansville, Indiana, 47710

  • Theresa & Eugene M. Lang Research Center

    Flushing, New York, 11355

  • 21st Century Oncology

    Fort Myers, Florida, 33907

  • Fresno Breast Surgery

    Fresno, California, 93710

  • Northeast Georgia Medical Center

    Gainesville, Georgia, 30501

  • Arizona Center for Cancer Care

    Glendale, Arizona, 85306

  • Bellin Hospital

    Green Bay, Wisconsin, 54313

  • Greenwich Hospital

    Greenwich, Connecticut, 06830

  • Great Lakes Cancer Management Specialists

    Grosse Pointe Woods, Michigan, 48236

  • Rockingham Memorial Hospital

    Harrisonburg, Virginia, 22801

  • East Houston General Surgery

    Houston, Texas, 77396

  • St. Vincent Healthcare

    Jacksonville, Florida, 322004

  • St Lukes Cancer Center

    Kansas City, Missouri, 64111

  • ACMH Cancer Center

    Kittanning, Pennsylvania, 16201

  • The Breast Institute at JFK Medical Center

    Lake Worth, Florida, 33461

  • St. Mary Medical Center

    Langhorne, Pennsylvania, 19047

  • Signature Breast Care

    Lanham, Maryland, 20706

  • Compehensive Cancer Care of Nevada

    Las Vegas, Nevada, 89128

  • BreastLink

    Long Beach, California, 90806

  • Long Beach Memorial Medical Center

    Long Beach, California, 90806

  • Lynchburg Hematology Oncology Clinic

    Lynchburg, Virginia, 24501

  • Baptist Health South Florida

    Miami, Florida, 33183

  • Lakes Research

    Miami Lakes, Florida, 33014

  • Bon Secours Virginia Breast Center

    Midlothian, Virginia, 23114

  • Columbia St. Marys Cancer Center

    Milwaukee, Wisconsin, 53211

  • Community Hospital of Monterey Peninsula

    Monterey, California, 93940

  • Coastal Carolina Breast Center

    Murrells Inlet, South Carolina, 29576

  • Nashville Breast Center

    Nashville, Tennessee, 37203

  • Alta Bates

    Oakland, California, 94609

  • University of Oklahoma

    Oklahoma City, Oklahoma, 73104

  • University of Nebraska

    Omaha, Nebraska, 68198

  • Comprehensive Cancer Center - Palm Springs

    Palm Springs, California

  • Advocate Lutheran General Hospital

    Park Ridge, Illinois, 60068

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

  • St. Clair Hospital

    Pittsburgh, Pennsylvania, 15243

  • Sutter Roseville Medical Center

    Roseville, California, 95661

  • Kathryn A. Wagner Private Practice

    San Antonio, Texas, 78205

  • Radiation Oncology of San Antonio

    San Antonio, Texas

  • SHARP Memorial

    San Diego, California

  • Redwood Regional

    Santa Rosa, California

  • Center for Breast Care

    Savannah, Georgia, 31404

  • 21 Century Oncology

    Scottsdale, Arizona, 85251

  • Swedish Cancer Institute

    Seattle, Washington, 98104

  • Willis-Knighton Cancer Center

    Shreveport, Louisiana, 71103

  • Hematology/Oncology of The North Shore

    Skokie, Illinois, 60076

  • Northern Indiana Cancer Research

    South Bend, Indiana, 46601

  • Providence Cancer Institute

    Southfield, Michigan, 48075

  • Rockwood Clinic

    Spokane, Washington, 99216

  • Christian Hospital

    St Louis, Missouri, 63136

  • Stamford Hospital

    Stamford, Connecticut, 06902

  • University of Toledo

    Toledo, Ohio, 43614

  • Waukesha Memorial Hospital

    Waukesha, Wisconsin, 53188

  • Wheaton Franciscan Healthcare

    Wauwatosa, Wisconsin, 53226

  • Wellness Oncology Hematology

    West Hills, California, 91307

  • Wellness Oncology Hematology

    West Hills, California

  • Virtua Health

    Willingboro, New Jersey, 08046

Other trials in United States

About this study

Official title: Prospective Neo-adjuvant REGISTRY Trial Linking MammaPrint, Subtyping and Treatment Response: Neoadjuvant Breast Registry - Symphony Trial (NBRST) (Pronounced "in Breast")

The scope of this registry study is to measure chemosensitivity as defined by pCR (primary endpoint), or endocrine sensitivity as defined by partial response (decrease in longest tumor diameter or residual cancer burden category 1 (RCB1), a primary endpoint for neo-adjuvant endocrine therapy and a secondary endpoint for neoadjuvant chemotherapy), metastasis-free survival and relapse-free survival(secondary endpoints) in molecular subgroups, determined by the established MammaPrint, BluePrint, Targetprint and Theraprint profiles in addition to possible novel expression profiles.

Read the detailed description

This will be a prospective observational, case-only study linking MammaPrint, BluePrint, TargetPrint, TheraPrint and possible additional profiles of interest to treatment response and Distant Metastases Free Survival (DMFS) and Relapse Free Survival (RFS). Only patients who receive neo-adjuvant therapy can participate.

For this project, approximately 50-70 institutions in the US will be invited to contribute clinical patient data from enrolled patients after a MammaPrint, TargetPrint, BluePrint and TheraPrint test has been successfully performed and the patient has started neo-adjuvant therapy.

Treatment is at the discretion of the physician, adhering to NCCN approved regimens or a recognized alternative.

The clinical data is to be entered online at 4 time points; amounting to four Case Report Forms (CRFs). Data will be collected on an ongoing basis, the first CRF must be completed within 6 weeks after the MammaPrint, BluePrint, TargetPrint, and TheraPrint result was provided. The second CRF should be completed 4 weeks after definitive surgery. CRF 3 and CRF4 will be completed 2-3 and 5 years after surgery.

It is expected that we will enroll around 1000 patients in 4 years.

OBJECTIVES

  • Measure chemosensitivity (as defined by pCR) or endocrine sensitivity (as defined by decrease in longest tumor diameter or RCB1)in the molecular subgroups as determined by combining MammaPrint and BluePrint results.
  • Correlate chemosensitivity (as defined by pCR) to TheraPrint Therapy Gene Assay results.
  • Compare local IHC and FISH results (if available) with TargetPrint results. Compare the three BluePrint molecular subgroups with IHC-based subtype classification.
  • Document impact of MammaPrint, TargetPrint and BluePrint result on treatment decision.
  • Assess the 2-3 and 5 years DMFS and RFS for the different molecular subgroups.
  • Measure chemosensitivity or endocrine sensitivity correlation with novel expression profiles.
Conditions
Breast Cancer
Being tested
MammaPrint 70-gene expression profile, BluePrint 80 gene expression profile
Keywords
neo adjuvant, breast cancer
Medical subject headings
Breast Neoplasms

What participants receive

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

  • MammaPrint 70-gene expression profileOther

  • BluePrint 80 gene expression profileOther

Study groups in NCT01479101
Study groupRoleWhat they receive
MammaPrint, BluePrint, neo-adj CT or HTAll patients receive the MammaPrint and BluePrint gene expression profile. Treatment at the discretion of the physician while adhering to NCCN guidelines.
Receives: Other: MammaPrint 70-gene expression profile; Other: BluePrint 80 gene expression profile

What is being measured

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

  1. Chemosensitivity as defined by pCR

    For neo-adjuvant chemotherapy patients the primary endpoint is pathological complete response (pCR) which is defined as the absence of invasive carcinoma in both the breast and axilla at microscopic examination of the resection specimen, regardless of the presence of carcinoma in situ. The response rate and corresponding confidence intervals will be presented as a proportion of all patients enrolled. Comparison of response rates between different molecular subgroups will be conducted using Pearson Chi-square test.

    Measured: Up to 6 months

  2. Endocrine sensitivity as defined by partial response (decrease in longest tumor diameter or residual cancer burden category 1 (RCB1)

    The primary endpoint for patients with neo-adjuvant hormonal therapy is partial response which is defined as decrease in longest tumor diameter. The response rate and corresponding confidence intervals will be presented as a proportion of all patients enrolled. Comparison of response rates between different molecular subgroups will be conducted using Pearson Chi-square test.

    Measured: Up to 6 months

Secondary outcomes (5)
  1. Correlate chemosensitivity (as defined by pCR) to TheraPrint Therapy Gene Assay results.

    Correlation of chemosensitivity and endocrine sensitivity (as defined by pCR) to TheraPrint Therapy Gene Assay results will be determined using Pearson correlation and linear fit models.

    Measured: Up to 6 months.

  2. Assess metastasis-free survival and relapse-free survival in molecular subgroups, determined by the established MammaPrint, BluePrint, profiles.

    Kaplan-Meier curves for DMFS will be calculated for the following eight subgroups

    1. Luminal subtype
    2. ERBB2 subtype
    3. Basal subtype
    4. Luminal subtype and high risk MammaPrint
    5. Luminal subtype and low risk MammaPrint
    6. ERBB2 subtype and high risk MammaPrint
    7. ERBB2 subtype and low risk MammaPrint

    Measured: At -2-3 years and 5 years after definitive surgery.

  3. Compare local IHC and FISH results (if available) with TargetPrint results.

    Correlation of TargetPrint ER, PR, and HER2 microarray readout with IHC/FISH assessment will be determined using Pearson correlation and linear fit models. Agreement measurements between binary microarray and IHC classifications will be based on 2-way contingency table analysis and include overall concordance, positive agreement defined as the number of samples classified positive by both IHC and TargetPrint divided by the number of positive samples using IHC, negative agreement and Cohen's Kappa coefficient score.

    Measured: Baseline; before start of neo-adjuvant therapy.

  4. Compare the three BluePrint molecular subgroups with IHC-based subtype classification.

    Correlation of BluePrint molecular subgroup microarray readout with IHC-based subtype classification.

    Measured: Baseline; before start of neo-adjuvant therapy.

  5. Document impact of MammaPrint, TargetPrint and BluePrint result on treatment decision.

    Review the impact of MammaPrint, TargetPrint, and BluePrint on physician treatment decisions.

    Measured: Baseline; before start neo-adjuvant therapy.

Timeline

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

  1. First posted24 Nov 2011 (estimated)
  2. Study startJul 2011
  3. Primary completionJan 2015
  4. Study completionJan 2021

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
1,142 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01479101
Sponsor's protocol ID
P0339 NBRST Registry
Acronym
NBRST
Status last verified
Jan 2021
First submitted
18 Nov 2011
Last updated
19 Jan 2021
Results posted
No
Data monitoring committee
No

Publications

  • Whitworth PW, Beitsch PD, Murray MK, Richards PD, Mislowsky A, Dul CL, Pellicane JV, Baron PL, Rahman RL, Lee LA, Dupree BB, Kelemen PR, Ashikari AY, Budway RJ, Lopez-Penalver C, Dooley W, Wang S, Dauer P, Menicucci AR, Yoder EB, Finn C, Blumencranz LE, Audeh W. Genomic Classification of HER2-Positive Patients With 80-Gene and 70-Gene Signatures Identifies Diversity in Clinical Outcomes With HER2-Targeted Neoadjuvant Therapy. JCO Precis Oncol. 2022 Sep;6:e2200197. doi: 10.1200/PO.22.00197.

    PubMed 36108259
  • Whitworth PW, Beitsch PD, Pellicane JV, Baron PL, Lee LA, Dul CL, Murray MK, Gittleman MA, Budway RJ, Rahman RL, Kelemen PR, Dooley WC, Rock DT, Cowan KH, Lesnikoski BA, Barone JL, Ashikari AY, Dupree BB, Wang S, Menicucci AR, Yoder EB, Finn C, Corcoran K, Blumencranz LE, Audeh W; NBRST Investigators Group. Distinct Neoadjuvant Chemotherapy Response and 5-Year Outcome in Patients With Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Breast Tumors That Reclassify as Basal-Type by the 80-Gene Signature. JCO Precis Oncol. 2022 Apr;6(1):e2100463. doi: 10.1200/PO.21.00463.

    PubMed 35476550

Questions about this trial

What is this clinical trial studying?

An observational study of Breast Cancer, run by Agendia at 76 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 3 inclusion and 4 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 19 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 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?

Chemosensitivity as defined by pCR (time frame: Up to 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01479101, which also lists 2 linked publications.

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 19 Jan 2021.

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