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Showing 12 of 4196 trials
Conditions HER2-positive Breast Cancer
Phase PHASE3
Enrollment 442
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

A Clinical Study to Evaluate the Efficacy and Safety of DP303c versus trastuzumab emtansine in patients with HER2-positive Advanced Breast Cancer

Design

Study type: Interventional Phases: Phase3 Allocation: Randomized Intervention model: Parallel Primary purpose: Treatment Masking/blinding: None

Interventions / Regimen

  • Drug: DP303c — intravenous injection
  • Drug: trastuzumab emtansine — intravenous injection

Primary Outcomes

  • Progression-free survival (PFS) by BIRC (Up to approximately 4 years)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: PHASE3
Status: Recruiting
Start Date: 2024-03-13
Completion: 2028-02
Eligibility
Age: 18 Years and older
Sex: ALL
Volunteers: false
Enrollment: 442 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
Contact Information
Study Contact:
Clinical Trials Information Group officer
86-0311-69085587
ctr-contact@cspc.cn
Xichun Hu, PhD
021-64175590
xchu2009@hotmail.com
Fudan University Shanghai Cancer Center
Interventions
  • Drug: DP303c — intravenous injection
  • Drug: trastuzumab emtansine — intravenous injection
Study Locations (1 sites)
Fudan University Shanghai Cancer Center, Shanghai, Shanghai Municipality 200032 China
Eligibility Criteria
Inclusion Criteria: * 1.Voluntarily agree to participate in the study and sign the informed consent; * 2.Age≥18 years old; * 3.Patients with unresectable locally advanced or metastatic breast cancer confirmed by histology; * 4.Confirmed to be HER2 positive (HER2-positive is defined as IHC 3+ or IHC 2+ with ISH positive); * 5.Previously received regimens containing trastuzumab and taxanes at the advanced stage of disease. * 6.The Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2; * 7.Patients with adequate organ functions; * 8.Life expectancy ≥ 3 months; * 9.Female and male patients of childbearing age must agree to take adequate contraceptive measures during the entire study period. Exclusion Criteria: * 1\. Patients who have previously received tubulin inhibitor-loaded HER2 ADC therapy * 2\. History of any other malignant tumors within three years * 3\. With uncontrollable serous effusion within 14 days before randomization, which required frequent drainage or medical intervention. * 4\. Known contraindication to the study drugs; * 5\. Has not recovered from adverse reactions caused by previous anti-tumor treatments to ≤ Grade 1 or baseline (refer to NCI CTCAE 5.0); * 6\. NCI-CTCAE 5.0 ≥Grade 2 peripheral nephropathy occurred during previous systemic anti-tumor treatment; * 7\. Received immunotherapy, macromolecular targeted therapy or other anti-tumor biological therapy within 4 weeks before randomization, or received endocrine therapy, cytotoxic drug chemotherapy and small molecular targeted drug therapy within 2 weeks before randomization, or received traditional Chinese medicine preparations with anti-tumor indications within 2 weeks before randomization . * 8\. Major organ surgery (excluding needle biopsy) within 28 days before randomization; * 9\. Untreated (including baseline findings) or unstable cerebral parenchymal metastasis, spinal cord metastasis or compression, and cancerous meningitis. * 10.The cumulative amount of previous exposure to anthracyclines has reached the dosage; * 11.History of LVEF \< 40%, symptomatic congestive heart failure (CHF), * 12.Serious or uncontrolled cardiovascular disease; * 13.History of (non-infectious) interstitial lung disease/pneumonitis requiring steroid hormone therapy; * 14.Patients who currently have ocular diseases that require medication or surgical intervention; or unwilling to stop wearing contact lenses during the study. * 15.Active infections requiring intravenous antibiotics, antivirals, or antifungals within 14 days before randomization; * 16.There are other circumstances that may interfere with the subject's participation in the study procedures or do not meet the subject's maximum benefit from participating in the study or affect the study results.
Conditions Advanced Breast Cancer, Metastatic Breas...
Phase Not Applicable
Enrollment 7000
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

The Southeast Netherlands Advanced Breast Cancer (SONABRE) Registry is a real life multi-center study. The registry aims to include all patients diagnosed with advanced breast cancer as of 2007 in 11 hospitals in the Netherlands. Data on patient, tumor and treatment characteristics are collected retrospectively from electronic medical files by trained registry clerks.

Design

Study type: Observational Observational model: Cohort Time perspective: Prospective

Primary Outcomes

  • Treatment pattern (up to 13 years)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: OBSERVATIONAL
Phase: Not Applicable
Status: Recruiting
Start Date: 2007-01-01
Completion: 2027-12-31
Eligibility
Age: 18 Years and older
Sex: ALL
Volunteers: false
Enrollment: 7000 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Academisch Ziekenhuis Maastricht
Collaborators: Novartis, Pfizer, Roche Pharma AG, Eli Lilly and Company, ZonMw: The Netherlands Organisation for Health Research and Development, Eisai Inc., Daiichi Sankyo, AstraZeneca, Gilead Sciences
Contact Information
Study Contact:
Vivianne CG Tjan-Heijnen, MD, PhD
+31 (0) 43 3877025
vcg.tjan.heijnen@mumc.nl
Sandra ME Geurts, PhD
+31 (0) 43 3877025
sandra.geurts@mumc.nl
Vivianne CG Tjan-Heijnen, MD, PhD
+31 (0) 43 3877025
vcg.tjan.heijnen@mumc.nl
Multiple hospitals in the Netherlands (see Eligibility)
Interventions
N/A
Study Locations (1 sites)
Multiple hospitals in the Netherlands (see Eligibility), Maastricht, Netherlands
Eligibility Criteria
Inclusion Criteria: * Diagnosed with de novo or recurrent advanced breast cancer since 2007 * Diagnosed with or treated for advanced breast cancer in one of the participating hospitals * Participating hospitals (period of inclusion): Maastricht UMC+ (2007-2025), Zuyderland hospitals Sittard/Heerlen (2007-2025), Amphia Hospital Breda (2013-2025), Catharina Hospital Eindhoven (2007-2025), Elkerliek Hospital Helmond (2010-2025), Maxima Medical Center Veldhoven/Eindhoven (2007-2025), Jeroen Bosch Hospital Den Bosch (2013-2025), Laurentius Hospital Roermond (2007-2025), St. Annaziekenhuis Geldrop (2007-2025), St. Elisabeth Hospital Tilburg (2007-2009), St. Jans Gasthuis Weert (2007-2025), VieCuri Medical Center Venlo/Venray (2013-2025), all in the Netherlands. * Hospitals (and periods) were eligible for inclusion if (distant) registration from Maastricht UMC+ was possible. * The inclusion period may be prolonged after 2025. Exclusion Criteria: none
Conditions Breast Cancer, Gynecologic Cancer
Phase Not Applicable
Enrollment 30
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

This pilot observational study evaluates the feasibility and acceptability of conducting a prospective study alongside the individualized integrative oncology cure stay program "Via Shalva" for breast and gynecological cancer survivors. The study further explores preliminary changes in patient-reported outcomes, physiological measures, and biological markers before and after the retreat and compared with a matched control group.

Design

Study type: Observational Observational model: Cohort Time perspective: Prospective

Interventions / Regimen

  • Behavioral: Integrative Cure Stay — Participants attend a 7-day integrative oncology retreat including individualized consultations, complementary therapies, and group-based mind-body interventions
  • Other: Matched Control Group — Participants receive usual oncology follow-up without attending the retreat

Primary Outcomes

  • Feasibility of Study Conduct (Composite Outcome) (Baseline to 6 months)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: OBSERVATIONAL
Phase: Not Applicable
Status: Recruiting
Start Date: 2025-10-06
Completion: 2027-06
Eligibility
Age: 18 Years and older
Sex: FEMALE
Volunteers: false
Enrollment: 30 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: University Hospital, Basel, Switzerland
Principal Investigators:
  • Viola Heinzelmann-Schwarz, Prof. MD (STUDY_CHAIR) - University Hospital of Basel
Contact Information
Study Contact:
Isabell Ge, MD
+41 61 32 85885
Isabellxiang.ge@usb.ch
Isabell Ge, MD
+41 61 32 85885
Isabellxiang.ge@usb.ch
University Hospital Basel
Isabell Ge, MD
University Hospital Basel
Interventions
  • Behavioral: Integrative Cure Stay — Participants attend a 7-day integrative oncology retreat including individualized consultations, complementary therapies, and group-based mind-body interventions
  • Other: Matched Control Group — Participants receive usual oncology follow-up without attending the retreat
Study Locations (1 sites)
University Hospital Basel, Basel, 4031 Switzerland
Eligibility Criteria
Inclusion Criteria: * Breast and gynecological cancer (including but not limited to ovarian, endometrial, cervical, vulvar and vaginal cancer) survivors, including recurrent disease * Completed primary treatment (operation +/- radiation +/- chemotherapy) * Age ≥ 18 years * Ongoing or planned maintenance treatment scheduled for \> 3 months during study period is allowed (e.g. antihormonal therapy, Anti-Her2-antibodies, CDK4/6-inhibitors, Anti-VEGF-inhibitor, PARP-inhibitor, immune-checkpoint inhibitors etc.) * Signed informed consent for participation of the trials * Presence of a stoma is allowed * Prior cancer is allowed * Prior treatment - including chemotherapy - for a prior malignant tumor (including breast or gynecological cancer) is allowed * Concomitant participation in an experimental therapeutic drug trial is allowed * Use of other complementary methods (including mistletoe) is allowed * Pregnancy is allowed. Exclusion Criteria: * Language or cognitive deficits (including impaired consciousness) that are incompatible with the participation in the study * Severe physical or psychiatric comorbidity that prevents a patient from participating in the study * Patients incapable of giving consent
Conditions Breast Cancer, Circulating Tumor Cell
Phase NA
Enrollment 484
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

The GILUPI CellCollector® is the first in vivo CTC isolation product worldwide, which is CE approved. This is a prospective, multicenter study to evaluate the prognostic value of circulating tumor cells in breast cancer patients who completed surgery after neoadjuvant treatment.

Design

Study type: Interventional Phases: Allocation: Non Randomized Intervention model: Parallel Primary purpose: Screening Masking/blinding: None

Interventions / Regimen

  • Device: GILUPI CellCollector® — Use of GILUPI CellCollector® to detect CTC

Primary Outcomes

  • invasive disease-free survival (iDFS) (From surgery until time of event up to 3 years)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: NA
Status: Recruiting
Start Date: 2022-09-14
Completion: 2029-06
Eligibility
Age: 18 Years – 70 Years
Sex: FEMALE
Volunteers: false
Enrollment: 484 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: RenJi Hospital
Contact Information
Study Contact:
Wenji Yin
86(21)68385569
followroad@163.com
Qi Lu
86(21)68383364
rjllb3364@163.com
Jinsong Lu, MD
lujjss@163.com
Renji Hospital, School of Medicine, Shanghai Jiao Tong University
Interventions
  • Device: GILUPI CellCollector® — Use of GILUPI CellCollector® to detect CTC
Study Locations (1 sites)
Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Shanghai Municipality 200127 China
Eligibility Criteria
Inclusion Criteria: * Female, aged ≥18 and ≤70 years; * Histologically confirmed invasive breast cancer (cT2-4N0-2M0 or cT1N1-3M0 before neoadjuvant treatment); * Completed neoadjuvant treamtment and surgery (within 4 years after surgery); * Administered neoadjuvant chemotherapy (regardless of chemotherapy regimen); * ECOG 0-1 Exclusion Criteria: * Metastatic disease (Stage IV); * Female patients who are pregnancy or lactation; * Uncontrollable puncture site infection or systemic infection;
Conditions Genitourinary Syndrome of Menopause (GSM...
Phase Not Applicable
Enrollment 264
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

Breast cancer survivors (BCS) often face unique challenges during and after treatment, including the onset of menopause-related symptoms. Genitourinary Syndrome of Menopause (GSM) is a common concern in BCS undergoing endocrine therapy (ET). It is a chronic condition caused by estrogen deficiency, leading to vaginal and urinary symptoms such as dryness, irritation, pain during intercourse, recurrent infections, and urinary urgency. The prevalence of GSM in BCS varies widely depending on factors such as the type of ET, individual patient characteristics, and the duration of treatment. As such, the prevalence of GSM in BCS can range from 13% to 95.2%. A recent systematic review performed by part of the investigators of this study concludes that GSM is a significant problem for breast cancer patients. However, most studies lack a control group, limiting the results' validity. Therefore, this study aims to determine the extent of the GSM burden in BCS using a prospective, controlled cohort study. This study will compare breast cancer patients receiving endocrine therapy (ET) with those undergoing chemotherapy (CT), as CT may also induce GSM-like symptoms. In addition, a comparison will be made with healthy controls. For this study, two groups of participants are included: women with breast cancer and a healthy control group without breast cancer. Within the breast cancer group, a distinction is made between women receiving chemotherapy only and women undergoing hormone therapy only. All participants complete questionnaires. The control group completes these questionnaires once, whereas women with breast cancer are asked to complete the same questionnaires at multiple time points during their treatment and follow-up. This longitudinal approach allows us to assess how potential symptoms evolve over the course of treatment. By comparing responses between both groups, a clearer understanding of which symptoms occur more frequently in women with breast cancer as a consequence of their treatment can be obtained.

Design

Study type: Observational Observational model: Cohort Time perspective: Prospective

Interventions / Regimen

  • Other: Questionnaires (NRS, DASS-21, EORTC QLQ-C30, EORTC QLQ-BR42, FSFI, FSDS-R) — Primary objective: The study seeks primarily to provide a comprehensive overview of the burden of GSM in breast cancer patients receiving endocrine therapy (ET) or chemotherapy (CT) in comparison to a healthy control group. Secondary objective: The secondary aim of this study is to evaluate the extent of GSM-related symptoms in breast cancer patients and compare CT and ET. Furthermore, this study aims to evaluate the effect of GSM on the QoL, sexual health, and mental well-being of breast cancer patients. This study also seeks to analyze correlations between the extent of GSM, treatment, and patient characteristics.

Primary Outcomes

  • Vaginal dryness (NRS) (From enrollment up till 12 months later.)
  • Vaginal pruritus (NRS) (From enrollment up till 12 months later.)
  • Vaginal discharge (NRS) (From enrollment up till 12 months later.)
  • Vaginal hemorrhage (NRS) (From enrollment up till 12 months later.)
  • Vaginal burning sensation (NRS) (From enrollment up till 12 months later.)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: OBSERVATIONAL
Phase: Not Applicable
Status: Recruiting
Start Date: 2026-03-05
Completion: 2028-08-31
Eligibility
Age: 18 Years and older
Sex: FEMALE
Volunteers: true
Enrollment: 264 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Jessa Hospital
Contact Information
Study Contact:
Jeroen Mebis, Prof. Dr.
+32 11 33 72 21
jeroen.mebis@jessazh.be
Sofie Van Duffel, MSc
+32 11 33 72 31
sofie.vanduffel@uhasselt.be
Jeroen Mebis, Prof. Dr.
+32 11 33 72 21
jeroen.mebis@jessazh.be
Jessa Hospital
Interventions
  • Other: Questionnaires (NRS, DASS-21, EORTC QLQ-C30, EORTC QLQ-BR42, FSFI, FSDS-R) — Primary objective: The study seeks primarily to provide a comprehensive overview of the burden of GSM in breast cancer patients receiving endocrine therapy (ET) or chemotherapy (CT) in comparison to a healthy control group. Secondary objective: The secondary aim of this study is to evaluate the extent of GSM-related symptoms in breast cancer patients and compare CT and ET. Furthermore, this study aims to evaluate the effect of GSM on the QoL, sexual health, and mental well-being of breast cancer patients. This study also seeks to analyze correlations between the extent of GSM, treatment, and patient characteristics.
Study Locations (1 sites)
Jessa Hospital, Hasselt, Limburg 3500 Belgium
Eligibility Criteria
Inclusion Criteria: * Women diagnosed with breast cancer stage 0, I, II, and III * Prior to CT/ET, receiving only one of both (no combination) * Age 18 years or above * Have no documented or observable psychiatric or neurological disorders that might interfere with study participation (e.g., dementia or psychosis) * Dutch-speaking (be able to understand the informed consent and study-related questionnaires) * Signed informed consent Exclusion Criteria: * Concomitant CT and ET treatment * Structural restorative therapies, such as photobiomodulation therapy (PBM) and fractional CO₂ laser treatment, are not permitted during the study period. During the study period, only symptomatic treatment of GSM (e.g., vaginal lubricants or moisturizers) will be allowed
Conditions Breast Cancer
Phase PHASE1
Enrollment 300
Locations 3 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

The overarching purpose of this study is to determine if the mainstay chemotherapeutic regimens represented by several genotoxic agents including but not limited to Cyclophosphamide, Doxorubicin, Epirubicin, Fluorouracil and Methotrexate (CDEFM), in the format of either a single agent or combinations are safe, tolerable, and effective in the treatment of patients with infiltrating ductal carcinoma of breast.

Design

Study type: Interventional Phases: Phase1 Allocation: Randomized Intervention model: Parallel Primary purpose: Treatment Masking/blinding: None

Interventions / Regimen

  • Drug: Single agent of cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate — Procedure: Routine chemotherapeutic regimens using one out of cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate (CDEFM) as single agent was performed 30\~60 days before surgery:cyclophosphamide 100mg/M2, doxorubicin 60mg/M2, epirubicin 100mg/M2, fluorouracil 500mg/M2, or methotrexate 50mg/M2.The agent was given on a regular route of IV administration on the 1st and 8th day of each cycle, 28 days per cycle, totally 6 cycles. Subsequently, there was a 30-day interval between the last cycle and radical surgery.
  • Drug: cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate (CDEFM) — Procedure: Routine chemotherapeutic regimens using two agents from cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate (CDEFM) as combinatorial treatment was performed 30\~60 days before surgery:cyclophosphamide 100mg/M2, doxorubicin 60mg/M2, epirubicin 100mg/M2, fluorouracil 500mg/M2, or methotrexate 50mg/M2.The agents were given on a regular route of IV administration on the 1st and 8th day of each cycle, 28 days per cycle, totally 6 cycles. Subsequently, there was a 30-day interval between the last cycle and radical surgery.
  • Drug: Placebo — Procedure: Routine placebo standardized in clinical oncology was provided to patients to replace any chemotherapeutic agent.

Primary Outcomes

  • Incidence of treatment-emergent adverse events (6 months)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: PHASE1
Status: Recruiting
Start Date: 2013-01
Completion: 2027-12
Eligibility
Age: 18 Years and older
Sex: FEMALE
Volunteers: false
Enrollment: 300 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Shanghai Jiao Tong University School of Medicine
Collaborators: Shanghai 10th People's Hospital, China-Japan Union Hospital, Jilin University, Ganzhou City People's Hospital
Principal Investigators:
  • Yu Sun, Ph.D (PRINCIPAL_INVESTIGATOR) - Shanghai Jiao Tong University School of Medicine
Contact Information
Study Contact:
Yu Sun, Ph.D
86-21-54923302
sunyu@sibs.ac.cn
Xiao-Ming Zhong, M.D
86-18160779919
jxthrz@qq.com
Ganzhou City People's Hospital
Xian-Ling Cong, M.D
86-0431-89876626
congxl888@hotmail.com
China-Japan Union Hospital, Jilin University
Interventions
  • Drug: Single agent of cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate — Procedure: Routine chemotherapeutic regimens using one out of cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate (CDEFM) as single agent was performed 30\~60 days before surgery:cyclophosphamide 100mg/M2, doxorubicin 60mg/M2, epirubicin 100mg/M2, fluorouracil 500mg/M2, or methotrexate 50mg/M2.The agent was given on a regular route of IV administration on the 1st and 8th day of each cycle, 28 days per cycle, totally 6 cycles. Subsequently, there was a 30-day interval between the last cycle and radical surgery.
  • Drug: cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate (CDEFM) — Procedure: Routine chemotherapeutic regimens using two agents from cyclophosphamide, doxorubicin, epirubicin, fluorouracil and methotrexate (CDEFM) as combinatorial treatment was performed 30\~60 days before surgery:cyclophosphamide 100mg/M2, doxorubicin 60mg/M2, epirubicin 100mg/M2, fluorouracil 500mg/M2, or methotrexate 50mg/M2.The agents were given on a regular route of IV administration on the 1st and 8th day of each cycle, 28 days per cycle, totally 6 cycles. Subsequently, there was a 30-day interval between the last cycle and radical surgery.
  • Drug: Placebo — Procedure: Routine placebo standardized in clinical oncology was provided to patients to replace any chemotherapeutic agent.
Study Locations (3 sites)
Ganzhou City People's Hospital, Ganzhou, Jiangxi 341000 China
China-Japan Union Hospital, Jilin University, Changchun, Jilin 130033 China
Shanghai 10th People's Hospital, Tongji University School of Medicine, Shanghai, 200072 China
Eligibility Criteria
Inclusion Criteria: * Patients ≥ 18 years of age with histologically proven infiltrating ductal carcinoma of breast * no severe major organ dysfunction * Patients must have adequate hematopoietic function as evidenced by: white blood cells (WBC) ≥ 3,000/μl absolute neutrophil count (ANC) ≥ 1,500/μl Platelet count ≥ 100,000/μl hemoglobin (HGB) ≥ 10 g/dl and not transfusion dependent * Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 10% above upper limit of normal * Individuals of child-bearing potential must have a negative serum or urine pregnancy test within 72 hours of Cycle 1 Day 1. * World Health Organization (WHO) performance status of 0 or 1 * No prior or concurrent cancer-associated chemotherapy, no initiation of new hormonal therapy * Hormone receptor (estrogen receptor (ER), progesterone receptor (PR), epidermal growth factor receptor 2 (Her2)) status not specified * Menopausal status not specified * Patients or their legal representatives must be willing and able to provide written informed consent * A Clinical Stage ≥ I subtype A (IA) (T1a, N0, M0) of Beast Cancer but without diagnosed distant metastasis (according to the 1997 revision of the International Union Against Cancer-PrimaryTumor, Regional Nodes and Metastasis (TNM) staging system) as determined by a preoperative evaluation that included a chest computed tomography (CT) scan and/or X-ray mammography. Exclusion Criteria: * Age \< 18 * Severe major organ dysfunction * WHO performance status of \>1 * Prior cancer chemotherapy * Stage IV * Patients with symptomatic central nervous system (CNS) metastases from breast cancer * Patients with a history of another invasive malignancy within the last 3 years * History of loss of consciousness or transient ischemic attack within 12 months before study treatment initiation. * Patients who have known active HIV, Hepatitis B, or Hepatitis C infections. * Patients with any other condition which in the opinion of the investigator would preclude participation in the study.
Conditions HER2-positive Breast Cancer
Phase Not Applicable
Enrollment 285
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

Human epidermal growth factor receptor 2 (HER2) positive breast cancer is a molecular subtype with high malignancy and high risk of recurrence and metastasis. HER2 targeted drugs has greatly improved the prognosis and survival of such patients. At present, for HER2 positive breast cancer patients with negative lymph nodes, chemotherapy drugs combined with trastuzumab is the current standard treatment scheme, and in most cases, chemotherapy uses a combination of two drugs, while the main beneficiaries of the trastuzumab and paltuzumab are concentrated in the group of patients with positive lymph nodes. Can targeted therapy be used to reduce the progression of chemotherapy and further achieve efficient and low toxicity strategies. To explore the efficacy and safety of adjuvant therapy of taxane chemotherapy combined with trastuzumab targeting therapy for low-risk HER2 positive and lymph node negative early breast cancer.

Design

Study type: Observational Observational model: Cohort Time perspective: Other

Primary Outcomes

  • invasive disease free survival (5 years)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: OBSERVATIONAL
Phase: Not Applicable
Status: Recruiting
Start Date: 2015-01-01
Completion: 2031-12-31
Eligibility
Age: Not reported
Sex: FEMALE
Volunteers: false
Enrollment: 285 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Shu Wang
Contact Information
Study Contact:
yuan peng, doctor
86+13671287670
13671287670@163.com
yuan peng
86+13671287670
Peking University People's Hospital
Interventions
N/A
Study Locations (1 sites)
Peking University People's Hospital, Beijing, Beijing Municipality 100044 China
Eligibility Criteria
Inclusion Criteria: * 1\) Treatment in Peking University People's Hospital for radical resection of breast cancer and had hospitalization records; * 2\) Postoperative pathology confirmed invasive breast cancer, and the pathological stage was T1a-b (T ≤ 1cm), N0, HER2 positive, with high-risk factors (G3, or hormone receptor negative); Or the pathological stage is T1c (1cm \< T ≤ 2cm), N0, and there are no high-risk factors (G1/G2, hormone receptor positive); * 3)Signed an agreement to participate in the PKUPH Breast Disease Cohort study at Peking University People's Hospital. Exclusion Criteria: * 1\) Lack of clinical pathological data (such as imaging data, pathological data); * 2\) Preoperative neoadjuvant therapy; * 3\) Patients with metastatic breast cancer or bilateral breast cancer; * 4\) Failed to undergo curative surgery.
Conditions Breast Cancer Female, Breast Cancer, Bre...
Phase PHASE2
Enrollment 72
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

The purpose of this study is to test the safety and effectiveness of a sequence of drugs (a Taxane plus Trastuzumab plus Pertuzumab followed by Trastuzumab Deruxtecan, followed by Tucatinib plus Ado-Trastuzumab Emtansine (T-DM1), followed by Trastuzumab plus Pertuzumab plus Tucatinib) in HER2+ Breast Cancer. The study will help investigators understand whether first intensifying therapy for a specific period and then stopping treatment is safe and effective for participants. The names of the study drugs involved in this study are: * Paclitaxel (a type of anti-microtubule agent) * Docetaxel (a type of anti-microtubule agent) * Nab-Paclitaxel (a type of anti-microtubule agent) * Trastuzumab (a type of IgG1 kappa monoclonal antibody) * Pertuzumab (a type of monoclonal antibody) * Trastuzumab Deruxtecan (a type of HER2-directed antibody drug conjugate) * Tucatinib (Tyrosine Kinase HER2 Inhibitor) * Ado-trastuzumab emtansine or T-DM1 (a type of HER2-targeted antibody-drug conjugate)

Design

Study type: Interventional Phases: Phase2 Allocation: Intervention model: Single Group Primary purpose: Treatment Masking/blinding: None

Interventions / Regimen

  • Drug: Nab-Paclitaxel — Anti-microtubule agent, via intravenous (into the vein) infusion per institutional guidelines.
  • Drug: Paclitaxel — Anti-microtubule agent, via intravenous infusion per institutional guidelines.
  • Drug: Docetaxel — Anti-microtubule agent, via intravenous infusion per institutional guidelines.
  • Drug: Phesgo — Pertuzumab plus trastuzumab plus hyaluronidase-zzxf, 10 or 15mL single-dose vial, via subcutaneous (under the skin) injection per protocol.
  • Drug: T-DM1 — HER2-targeted antibody-drug conjugate, 16 or 100 mg single-use vials, via intravenous infusion per institutional guidelines.
  • Drug: Pertuzumab — Recombinant humanized monoclonal antibody, 20mL single-use vial, via intravenous infusion per institutional guidelines.
  • Drug: Trastuzumab Deruxtecan — HER2-directed antibody drug conjugate, 100mg vial, via intravenous infusion per institutional guidelines.
  • Drug: Trastuzumab Subcutaneous Subcutaneous — Humanized IgG1 kappa monoclonal antibody, 6mL vial, via subcutaneous injection per institutional guidelines.

Primary Outcomes

  • Disease Free Survival at 4 Years (DFS4) (Up to 4 years)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: PHASE2
Status: Recruiting
Start Date: 2024-08-08
Completion: 2033-03-30
Eligibility
Age: 18 Years and older
Sex: ALL
Volunteers: false
Enrollment: 72 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Dana-Farber Cancer Institute
Collaborators: Translational Breast Cancer Research Consortium, Johns Hopkins University
Principal Investigators:
  • Nancy Lin, MD (PRINCIPAL_INVESTIGATOR) - Dana-Farber Cancer Institute
Contact Information
Study Contact:
Nancy Lin, MD
617-632-2335
Nancy_Lin@dfci.harvard.edu
Nancy Lin, MD
617-632-2335
nancy_lin@dfci.harvard.edu
Dana-Farber Cancer Institute
Nancy Lin, MD
Dana-Farber Cancer Institute
Interventions
  • Drug: Nab-Paclitaxel — Anti-microtubule agent, via intravenous (into the vein) infusion per institutional guidelines.
  • Drug: Paclitaxel — Anti-microtubule agent, via intravenous infusion per institutional guidelines.
  • Drug: Docetaxel — Anti-microtubule agent, via intravenous infusion per institutional guidelines.
  • Drug: Phesgo — Pertuzumab plus trastuzumab plus hyaluronidase-zzxf, 10 or 15mL single-dose vial, via subcutaneous (under the skin) injection per protocol.
  • Drug: T-DM1 — HER2-targeted antibody-drug conjugate, 16 or 100 mg single-use vials, via intravenous infusion per institutional guidelines.
Study Locations (1 sites)
Dana-Farber Cancer Institute, Boston, Massachusetts 02215 United States
Eligibility Criteria
Inclusion criteria: * Participants must have histologically or cytologically confirmed unresectable locally advanced or metastatic invasive breast carcinoma. Patients must have stage IV breast carcinoma at diagnosis (i.e., de novo metastatic) with unequivocal evidence of metastasis on imaging. * Diagnosis of HER2-positive invasive breast carcinoma and 3+ by immunohistochemistry on both breast and metastatic biopsies, as defined by the current American Society of Clinical Oncology - College of American Pathologists (ASCO/CAP) guidelines. HER2 status must be determined at a Clinical Laboratory Improvements Amendments (CLIA)-certified or International Organization for Standardization (ISO)-accredited laboratory (central testing not required). Patients with HER2 1+ or 2+ disease which is HER2 FISH positive are not eligible to enroll. * No prior systemic therapy for invasive breast cancer, aside from first-line trastuzumab/pertuzumab/taxane (THP) within 6 weeks from treatment start. Prior endocrine therapy for non-invasive breast carcinoma or non-cancerous lesions is allowed if it has been completed at least 5 years prior to study entry. * Age ≥18 years. Because no dosing or adverse event data are currently available on the use of trastuzumab, pertuzumab, paclitaxel, trastuzumab deruxtecan, T-DM1 and tucatinib in Participants \&lt;18 years of age, children are excluded from this study, but will be eligible for future pediatric trials. * Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0-1 * Left ventricular ejection fraction (LVEF) ≥50%, as assessed by echocardiogram (ECHO) or multiple-gated acquisition scan (MUGA) documented within 12 weeks prior to first dose of study treatment, or within 12 weeks before starting THP for patients who start metastatic therapy prior to study entry. * Participants must meet the following organ and marrow function as defined below within 28 days prior to registration: * Hgb ≥9.0 g/dL * Absolute Neutrophil Count ≥ 1,000 /mm3 * Platelets ≥100,000/mm3 * Total bilirubin ≤ 1.5 x ULN (institutional) or direct bilirubin within normal limits in patients with a history of Gilbert\&#39;s syndrome. * AST and ALT ≤ 2.5 x ULN (institutional) or ≤ 5 x ULN for participants with documented liver metastases * Serum creatinine ≤ 1.5 x ULN (institutional) OR calculated GFR ≥60mL/min * Participants with concurrent human immunodeficiency virus (HIV) infection are eligible provided the following criteria are met: * CD4+ T-cell (CD4+) counts \&gt; 350 cells/uL * No history of AIDS-defining opportunistic infection within 12 months prior to enrollments * Any medication used in an ART regimen must have no known interaction with the agents used in the study treatment regimen. * Participants with active or chronic Hepatitis B or C are eligible provided they meet the liver function criteria described in 3.1.7 and are not on a medication with a known liver function criteria described in 3.1.7 and are not on a medication with a known interaction with the agents used in the study treatment regimen. The following guidance applies: * patients with chronic HBV infection with active disease who meet the FDA criteria for anti-HBV therapy should be on a suppressive antiviral therapy prior to initiation of cancer therapy. * patients with a history of HCV infection should have completed curative antiviral treatment. HCV viral load must be below the limit of quantification. * patients who are HCV Ab positive but HCV RNA negative due to prior treatment or natural resolution are eligible. * Participants with brain metastases identified at diagnosis or at time of screening are eligible if the following criteria are met: * Known, untreated brain metastases must undergo definitive local therapy - as determined by treating physician - prior to study entry. * Treated brain metastases must be clinically stable since treatment. Restaging brain MRI is not required to deem eligibility if local therapy was given within 28 days from first dose of study treatment. Patients are eligible if time from local therapy and first dose of study treatment is: * 7 days for stereotactic radiosurgery (SRS); * 14 days for whole-brain radiation therapy (WBRT); * 28 days for surgical resection. * Patients who have already started THP prior to study entry and have brain metastasis detected at screening MRI are eligible after completion of definitive local therapy- as determined by treating physician. Systemic treatment can be interrupted as determined by the treating physician and after discussion with the Sponsor Investigator. * Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible (i.e., adequately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer). * This study involves agents that have known genotoxic, mutagenic and teratogenic effects. For this reason, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while she or her Partner is participating in this study, she should inform her treating physician immediately. Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 7 months after completion of study therapy. * Women of childbearing potential must have had a negative pregnancy test within 14 days of registration. Childbearing potential is defined as: those who have not been surgically sterilized and/or have had a menstrual period in the past 12 months or who have been on ovarian suppression in the past year. * Ability to understand and the willingness to sign a written informed consent document indicating awareness of the investigational nature and the risks of this study * Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Exclusion criteria: * Prior history of invasive breast carcinoma * Treatment with any other investigational agents for this condition. * Major surgical procedure (excluding placement of vascular access) or significant traumatic injury within 28 days of study entry or an anticipated need for major surgery during the study. * Extracranial palliative radiotherapy within 7 days prior to enrollment. * History of allergic reactions attributed to compounds of similar chemical or biologic composition to trastuzumab, pertuzumab, paclitaxel, trastuzumab deruxtecan, trastuzumab emtansine, tucatinib. * Participants with a medical history of myocardial infarction within 6 months before enrollment or symptomatic CHF (NYHA Class II to IV). * Subjects must not have any of the following: * Any untreated brain lesion on screening MRI, unless approved by the Sponsor Investigator * Ongoing use of systemic corticosteroids for control of symptoms of brain metastases at a total daily dose of \&gt;2 mg of dexamethasone (or equivalent). * Known or concurrent leptomeningeal disease on screening MRI * Poorly controlled (\&gt;1/week) generalized or complex partial seizures * History of arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia), which is symptomatic or requires treatment (CTCAE Grade 3), symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia. Participants with atrial fibrillation controlled by medication or arrhythmias controlled by pacemakers may be permitted upon discussion with the Sponsor-Investigator. * History of (non-infectious) ILD/pneumonitis that required steroids, has cu
Conditions Breast Cancer, Cognitive Dysfunction
Phase NA
Enrollment 300
Locations 25 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

Investigator propose the first French randomized comparative study to assess the efficacy of a remotely supervised online cognitive stimulation program, compared to an unsupervised online cognitive exercise intervention, in reducing cognitive complaints in localized breast cancer patients after adjuvant chemotherapy. Previous randomized studies have confirmed the effectiveness of online cognitive stimulation programs compared to standard care. The study seeks to determine the added value of remote supervision by a neuropsychologist. The control group will have access to the same online cognitive exercises as the experimental group but without supervision. Investigator has chosen not to include a wait-list group as it would be unethical to deny patients with cognitive complaints the opportunity to participate in an intervention expected to benefit them. The secondary objective is to evaluate the benefit of the supervised digitalized cognitive intervention on objective cognitive impairment. The research hypothesis is that incorporating personalized remote support with supervision from a neuropsychologist into a digitalized cognitive stimulation program will reinforce the effectiveness of the intervention on cognitive complaints. This will be achieved by improving participation/adherence to the online cognitive stimulation program, as well as through the personalized supervision itself. Investigator believe that the supervision sessions, including educational components, will enable patients to identify their strengths, promote their cognitive awareness, and develop individualized strategies to apply their compensatory abilities in real-life situations. Since cognitive difficulties have multiple underlying causes, reducing these symptoms requires a multifaceted approach. The hypothesis is that combining cognitive training (which increases neuroplasticity and directly targets the cognitive domains affected by cancer and its treatments), with structured supervised educational sessions based on compensatory strategies, will yield better outcomes than online cognitive stimulation alone.

Design

Study type: Interventional Phases: Allocation: Randomized Intervention model: Parallel Primary purpose: Other Masking/blinding: Single

Interventions / Regimen

  • Other: Cognitive exercises with supervision — The experimental group will receive a 12-week intervention consisting of three 20-minute online cognitive stimulation sessions per week along with a weekly 30-minute centralized online remote supervision session with a neuropsychologist. Patient will also have access to the "PRESCO" program of the "HAPPYNeuron-Pro" software, which is designed to train up to 12 different cognitive domains, including attention, memory, executive functions and processing speed
  • Other: Cognitive exercises without supervision — Patient will have access to the program named "PRESCO" of the "HAPPYNeuron-Pro" software, which is designed to train up to 12 different cognitive domains, including attention, memory, executive functions and processing speed

Primary Outcomes

  • Average change in the score of the Perceived Cognitive Impairment (PCI) subscale score of the Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) (After 12 weeks)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: NA
Status: Recruiting
Start Date: 2024-02-09
Completion: 2029-03
Eligibility
Age: 18 Months and older
Sex: FEMALE
Volunteers: false
Enrollment: 300 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Centre Francois Baclesse
Collaborators: UNICANCER
Contact Information
Study Contact:
Nadine DOHOLLOU, MD
Polyclinique Bordeaux Nord Aquitaine
Nadine DOHOLLOU, MD
Polyclinique Bordeaux Nord Aquitaine
Jean-Baptiste MERIC, MD
33686961024
jb.meric@chbligny.fr
Centre hospitalier de Bligny
Interventions
  • Other: Cognitive exercises with supervision — The experimental group will receive a 12-week intervention consisting of three 20-minute online cognitive stimulation sessions per week along with a weekly 30-minute centralized online remote supervision session with a neuropsychologist. Patient will also have access to the "PRESCO" program of the "HAPPYNeuron-Pro" software, which is designed to train up to 12 different cognitive domains, including attention, memory, executive functions and processing speed
  • Other: Cognitive exercises without supervision — Patient will have access to the program named "PRESCO" of the "HAPPYNeuron-Pro" software, which is designed to train up to 12 different cognitive domains, including attention, memory, executive functions and processing speed
Study Locations (25 sites)
Polyclinique Bordeaux Nord Aquitaine, Bordeaux, France
Centre hospitalier de Bligny, Briis-sous-Forges, France
Centre François Baclesse, Caen, 14000 France
CH Métropole Savoie, Chambéry, France
Centre Jean Perrin, Clermont-Ferrand, France
Centre George François Leclerc, Dijon, France
Groupe Hospitalier Mutualiste de Grenoble, Grenoble, France
CHU de Limoges, Limoges, France
Centre Léon Bérard, Lyon, France
Institut Paoli Calmettes, Marseille, France
Eligibility Criteria
Inclusion Criteria: * Patient diagnosed with localized breast cancer * Age 18 or older, * Who have received adjuvant or neo-adjuvant chemotherapy and are currently undergoing adjuvant radiotherapy (ongoing hormone therapy, maintenance therapy other as target therapies or immunotherapy are permitted) until 6 months after end of radiotherapy. * Patients who report cognitive complaints that significantly impact their quality of life, as evaluated by the quality of life subscale of the FACT-Cog questionnaire. This subscale is composed by 4 questions: 1. I have been upset about these problems; 2. These problems have interfered with my ability to work; 3. These problems have interfered with my ability to do things I enjoy; 4. These problems have interfered with the quality of my life. Patients are eligible if their score on this subscale is at or below the 10th percentile, based on age guidelines and normative data (Lange et al., 2015), namely: * ≤ 8 for patients aged 30-49 years * ≤ 9 for patients aged 50-69 years * ≤ 10 for patients aged 70-89 years * Patients who have completed at least three years of primary school education, as determined by the Barbizet scale, * Patient with access to a functional laptop/computer with a keyboard, internet connection and an e-mail account - being able to use those tools alone, * Fluent in French, * Patients who have provided informed consent to participate in the study. Exclusion Criteria: * Personality disorder or any known progressive psychiatric pathology (e.g. schizophrenia), * Previous neurological history with ongoing cognitive symptoms (sequelae of head trauma, stroke, multiple sclerosis, epilepsy, neurodegenerative pathology, etc.), * Excessive alcohol intake or drug use, which could compromise participation to the intervention * Major visual and/or hearing deficit, * Patient who might not be able to complete neuropsychological testing, (including those with significant cognitive disorders that impede the completion of cognition tests, as determined by the cognitive screening test MoCA (MONTREAL COGNITIVE ASSESSMENT) and based on age and educational level according to GRECOGVASC (Reflection Group for Vascular COGnitive Assessment) normative data) * Already participating in a cognitive training program, * Refusal to participate, * Patient deprived of liberty or under guardianship, * Patient who might not be able to participate due to geographic, social or psychopathological reasons.
Conditions Advanced Solid Tumors, Advanced Breast C...
Phase PHASE1, PHASE2
Enrollment 233
Locations 15 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

Phase 1/2, open-label study of ETX-636 in participants with advanced solid tumors

Design

Study type: Interventional Phases: Phase1, Phase2 Allocation: Non Randomized Intervention model: Sequential Primary purpose: Treatment Masking/blinding: None

Interventions / Regimen

  • Drug: ETX-636 dose escalation — ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet that will be taken once per day in 28-day cycles, to evaluate escalating dose levels.
  • Drug: ETX-636 dose escalation in combination with fulvestrant — ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet. ETX-636 will be taken in combination with fulvestrant in 28-day cycles, to evaluate escalating dose levels. EXT-636 is an oral tablet that will be taken once per day. Fulvestrant will be administered as an injection 2 weeks apart in the first 28 days, followed by monthly injections.
  • Drug: ETX-636 dose expansion in combination with fulvestrant — ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet. ETX-636 will be taken in combination with fulvestrant in 28-day cycles, to expand selected dose levels. EXT-636 is an oral tablet that will be taken once per day. Fulvestrant will be administered as an injection 2 weeks apart in the first 28 days, followed by monthly injections.

Primary Outcomes

  • Evaluate Safety and Tolerability of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B (First 28 days of treatment)
  • Evaluate Safety and Tolerability of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B (Average of 6 months)
  • Select the Recommended Phase 2 Dose(s) (RP2D) in Part B to be further explored in Part C (combination therapy expansion) (Average of 6 months)
  • Evaluate efficacy of ETX-636 plus fulvestrant combination therapy at the RP2D(s) in Part C (Average of 6 months)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: PHASE1, PHASE2
Status: Recruiting
Start Date: 2025-06-10
Completion: 2027-12-30
Eligibility
Age: 18 Years and older
Sex: ALL
Volunteers: false
Enrollment: 233 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Ensem Therapeutics
Contact Information
Study Contact:
Lori Cykowski
1-617-383-4993
lori.cykowski@Ensemtx.com
Angela J Fuller
949-764-4891
aj.fuller@hoag.org
Hoag Memorial Hospital Presbyterian
Monica Mita, MD
Hoag Memorial Hospital Presbyterian
Interventions
  • Drug: ETX-636 dose escalation — ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet that will be taken once per day in 28-day cycles, to evaluate escalating dose levels.
  • Drug: ETX-636 dose escalation in combination with fulvestrant — ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet. ETX-636 will be taken in combination with fulvestrant in 28-day cycles, to evaluate escalating dose levels. EXT-636 is an oral tablet that will be taken once per day. Fulvestrant will be administered as an injection 2 weeks apart in the first 28 days, followed by monthly injections.
  • Drug: ETX-636 dose expansion in combination with fulvestrant — ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet. ETX-636 will be taken in combination with fulvestrant in 28-day cycles, to expand selected dose levels. EXT-636 is an oral tablet that will be taken once per day. Fulvestrant will be administered as an injection 2 weeks apart in the first 28 days, followed by monthly injections.
Study Locations (15 sites)
Hoag Memorial Hospital Presbyterian, Newport Beach, California 92663 United States
UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, California 94158 United States
Yale University, Yale Cancer Center, New Haven, Connecticut 06520 United States
Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215 United States
Dana-Farber Cancer Institute, Boston, Massachusetts 02215 United States
Carolina BioOncology Institute, Huntersville, North Carolina 28078 United States
The University of Texas MD Anderson Cancer Center, Houston, Texas 77030 United States
START, San Antonio, Texas 78229 United States
NEXT, Fairfax, Virginia 22031 United States
Fred Hutchinson Cancer Center, Seattle, Washington 98109 United States
Eligibility Criteria
Key Inclusion Criteria: * Metastatic or locally advanced and unresectable solid tumor that has progressed on or after at least one available therapy. * Tumor harboring an activating PIK3CA mutation detected in either tumor tissue or ctDNA. * At least 1 measurable lesion or evaluable disease per RECIST v1.1. * An ECOG performance status score of 0 or 1. * Adequate organ function. Additional key inclusion criterion for Parts B and C: \- Confirmed metastatic or locally advanced HR+/HER2- breast cancer not amenable to surgical resection with curative intent and must have received at least 1 prior CDK4/6 inhibitor and at least 1 prior anti-estrogen therapy. Key Exclusion Criteria: * Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied. * Has symptomatic brain or spinal metastases or a known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement. * Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2. * Has received treatment with any local or systemic anticancer therapy or investigational anticancer agent within 14 days prior to start of treatment. * Has toxicities from previous anticancer therapies that have not resolved to baseline levels with the exception of alopecia and peripheral neuropathy. * Has had radiotherapy outside the target tumor lesions within 14 days prior to start of treatment.
Conditions Breast Cancer Metastatic
Phase Not Applicable
Enrollment 100
Locations 1 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

The study will be conducted as an open-label, single-center, Phase II clinical study, with a planned enrollment of 86 patients with locally advanced or metastatic HER2-positive and HER2-low breast cancer who are intended to receive at least two cycles of T-DXd monotherapy. All patients receiving T-DXd treatment must meet current clinical indications. After screening and enrollment, participants will undergo FDG-PET scans and free-of-charge HER2-PET scans prior to T-DXd treatment, with tissue biopsies performed as needed. Participants will receive single-agent T-DXd treatment until disease progression, with additional tissue biopsies performed as needed.This study will integrate and analyze patients' baseline clinical characteristics, treatment efficacy, and prognostic information, along with HER2 expression levels and HER2 expression heterogeneity as assessed by HER2-PET, to evaluate the feasibility of guiding T-DXd treatment in patients with advanced breast cancer.

Design

Study type: Observational Observational model: Cohort Time perspective: Prospective

Interventions / Regimen

  • Other: PET — HER2-PET/CT and FDG-PET/CT

Primary Outcomes

  • negative predictive value (NPV) (through study completion, an average of 1 year)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: OBSERVATIONAL
Phase: Not Applicable
Status: Recruiting
Start Date: 2024-11-11
Completion: 2026-12-11
Eligibility
Age: 18 Years and older
Sex: FEMALE
Volunteers: false
Enrollment: 100 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Fudan University
Contact Information
Study Contact:
Juan Jin Attending physician
15996290233
medjinjuan@126.com
Juan Jin Attending physician
15996290233
medjinjuan@126.com
Fudan Cancer Hospital
Interventions
  • Other: PET — HER2-PET/CT and FDG-PET/CT
Study Locations (1 sites)
Fudan Cancer Hospital, Shanghai, China
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 years. Histopathologically confirmed unresectable locally advanced or metastatic breast cancer, with documented prior immunohistochemistry (IHC) results indicating HER2-positive (IHC 3+, or IHC 2+ with positive FISH) or HER2-low (IHC 1+, or IHC 2+ with negative FISH) expression. For patients with hormone receptor-positive (HR+), HER2-negative breast cancer, patients must have received prior treatment with a CDK4/6 inhibitor in the locally advanced or metastatic setting, or experienced disease recurrence during adjuvant intensified CDK4/6 inhibitor therapy or within 12 months after completing adjuvant intensified CDK4/6 inhibitor therapy. (HR-positive is defined as ≥ 1% of tumor cells demonstrating positive ER staining by IHC; HER2-negative is defined as IHC score 0 or 1+, or IHC score 2+ with no evidence of in situ hybridization \[ISH\] gene amplification, or no evidence of ISH gene amplification in the absence of an IHC test.) Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Documented radiological or objective evidence of disease progression on or after the most recent line of systemic therapy prior to initiating study treatment. Life expectancy ≥ 12 weeks at the time of screening. Presence of at least one lesion (measurable and/or non-measurable) that can be accurately evaluated at baseline by CT (or MRI if CT is contraindicated) and is suitable for repeated assessment according to RECIST v1.1. Left ventricular ejection fraction (LVEF) ≥ 50% within 28 days prior to randomization. Adequate organ and bone marrow function within 14 days prior to randomization. For all laboratory parameters listed below, the most recently obtained values must meet the eligibility criteria: 1. Hemoglobin ≥ 9.0 g/dL; 2. Absolute neutrophil count (ANC) ≥ 1,500/mm³; 3. Platelet count ≥ 100,000/mm³; 4. At baseline, total bilirubin (TBL) ≤ 1.5 × upper limit of normal (ULN) in the absence of liver metastases, or \< 3.0 × ULN in the presence of Gilbert's syndrome (unconjugated hyperbilirubinemia) or documented liver metastases; 5. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3.0 × ULN (\< 5.0 × ULN for patients with liver metastases); 6. Serum albumin ≥ 2.5 g/dL; 7. Creatinine clearance (CrCl) ≥ 30 mL/min (calculated using the Cockcroft-Gault formula); 8. International Normalized Ratio (INR) or prothrombin time (PT), and partial thromboplastin time or activated partial thromboplastin time (aPTT) ≤ 1.5 × ULN. Female patients must refrain from donating eggs (oocytes) or retrieving/banking eggs for personal use from the screening period, throughout the entire study treatment period, and for at least 7 months after the final dose of study treatment. Breastfeeding must be discontinued during this period. Patients wishing to preserve eggs/fertility should consider undergoing these procedures prior to randomization in this study. Exclusion Criteria: 1. Uncontrolled concurrent diseases, including but not limited to: persistent or active infections, uncontrolled or significant cardiovascular disease, severe chronic gastrointestinal disease with diarrhea, or psychiatric/social conditions that may limit compliance with study requirements, significantly increase the risk of adverse events (AEs), or impair the patient's ability to provide written informed consent. 2. Uncontrolled or significant cardiovascular disease, including any of the following: 1. History of myocardial infarction or symptomatic congestive heart failure (CHF) (NYHA Class II to IV) within 6 months prior to randomization. Patients with troponin levels above the Upper Limit of Normal (ULN) (as defined by the manufacturer) at screening without any symptoms related to myocardial infarction should undergo cardiac consultation prior to randomization to rule out myocardial infarction; 2. Uncontrolled hypertension; 3. Uncontrolled and/or clinically significant arrhythmias. 3. History of (non-infectious) interstitial lung disease (ILD)/pneumonitis requiring steroid treatment, current ILD/pneumonitis, or suspected ILD/pneumonitis that cannot be ruled out by imaging at screening. 4. Patients who have used immunosuppressive agents within 14 days prior to the first dose of study drug, with the exception of those using intranasal and inhaled corticosteroids, or systemic corticosteroids at a dose less than 10 mg/day prednisone or an equivalent dose. 5. Clinically significant pulmonary-specific comorbidities, including but not limited to any underlying pulmonary disease (e.g., pulmonary embolism within three months prior to randomization, severe asthma, severe chronic obstructive pulmonary disease \[COPD\], restrictive lung disease, significant pleural effusion, etc.) and any autoimmune, connective tissue, or inflammatory disease with associated pulmonary involvement (e.g., rheumatoid arthritis, Sjögren's syndrome, sarcoidosis, etc.), and/or prior lung resection. 6. Uncontrolled infection requiring intravenous antibiotics, antiviral, or antifungal medications. 7. Spinal cord compression or clinically active central nervous system (CNS) metastases, defined as untreated and symptomatic, or requiring corticosteroid or anticonvulsant treatment to control associated symptoms. Subjects with clinically non-active brain metastases may be included in this study. If subjects have received treatment for brain metastases, are no longer symptomatic, do not require corticosteroids or anticonvulsants, and have recovered from acute toxicities of radiotherapy, they may be enrolled in this study. 8. Active primary immunodeficiency, known Human Immunodeficiency Virus (HIV) infection, or active Hepatitis B or C infection. Among patients who are Hepatitis C antibody positive, only those with a negative polymerase chain reaction (PCR) for HCV RNA are eligible for study enrollment. 9. Unresolved toxicities from prior anti-cancer therapy, defined as toxicities not resolved to ≤ Grade 1 or baseline (excluding alopecia). Note: Subjects with chronic, stable Grade 2 toxicities (defined as not worsening to ≥ Grade 2 for at least 3 months prior to enrollment and manageable with standard treatment) that are deemed by the investigator to be related to prior anti-cancer therapy may be included, e.g., chemotherapy-induced neuropathy or fatigue; residual toxicity from prior immunosuppressive therapy: Grade 1 or 2 endocrine disorders. 10. Pregnant or lactating female patients, or patients planning pregnancy. Known history of severe hypersensitivity reaction to the active pharmaceutical ingredient (API), excipients in the drug formulation, or other monoclonal antibodies. 11. History of another primary malignancy within 3 years, with the exception of adequately treated non-melanoma skin cancer, cured in situ disease, other cured solid tumors, or contralateral breast cancer. 12. Substance abuse or any other medical condition that, in the opinion of the investigator, might interfere with the patient's participation in the clinical study or the evaluation of the clinical study results, e.g., psychiatric disorders.
Conditions Diabetes Mellitus, Type 2
Phase NA
Enrollment 119680
Locations 4 sites
Compensation Not reported — ask the study team
Data Updated 2026-11-12
Study Details Design, interventions, and primary outcomes

About This Study

Sixteen institutions will be selected from a HRSA uniform data system and have data collected for up to 3 years. Eight institutions will begin the iPATH practice transformation during year one, the other eight institutions will begin iPATH in year two. FQHC administrators, clinicians and staff will be enrolled to participate in the iPATH transformation in their clinic and will participate in qualitative interviews. Patient HbA1c data from the clinics will be collected for comparative data analysis during each year of the study.

Design

Study type: Interventional Phases: Allocation: Randomized Intervention model: Parallel Primary purpose: Health Services Research Masking/blinding: Single

Interventions / Regimen

  • Other: iPATH implementation approach — A multi-level, multi-component, customized, standardized, technology enabled, person-centered, and team-based care practice transformation strategy.

Primary Outcomes

  • Hemoglobin A1c (Before and after 1-year practice transformation period)
Interested in this trial?
Contact the study team directly or view the official listing
Study Information
Type: INTERVENTIONAL
Phase: NA
Status: Recruiting
Start Date: 2025-09-30
Completion: 2028-01-31
Eligibility
Age: 18 Years and older
Sex: ALL
Volunteers: true
Enrollment: 119680 (ESTIMATED)
Sponsor & Investigators
Lead Sponsor: Stanford University
Collaborators: Ohio State University, Harvard School of Public Health (HSPH), Impactivo, LLC., National Institute on Minority Health and Health Disparities (NIMHD)
Contact Information
Study Contact:
Sara Singer, PhD
650-498-5354
ssinger@stanford.edu
Board of Trustees of the Leland Stanford Junior University
Michaela Kerrissey, PhD
617-432-4520
mkerrissey@hsph.harvard.edu
President and Fellows of Harvard College, T.H. Chan School
Daniel Walker, PhD
614-293-2428
daniel.walker@osumc.edu
The Ohio State University
Interventions
  • Other: iPATH implementation approach — A multi-level, multi-component, customized, standardized, technology enabled, person-centered, and team-based care practice transformation strategy.
Study Locations (4 sites)
Board of Trustees of the Leland Stanford Junior University, Stanford, California 94305 United States
President and Fellows of Harvard College, T.H. Chan School, Boston, Massachusetts 02115 United States
The Ohio State University, Columbus, Ohio 43210 United States
Impactivo, LLC., San Juan, Puerto Rico 00907 Puerto Rico
Eligibility Criteria
Inclusion Criteria: * Two largest clinic sites in multi-clinic FQHCs operating in or near Massachusetts, Ohio, California, Puerto Rico * We will prioritize FQHCs performing in the lower half of the distribution for A1c control, as these FQHCs have greater room for improvement. Exclusion Criteria: * FQHCs that have a patient population comprised of more than 80% children * FQHCs that have a patient population multiplied by the FQHC's diabetes prevalence in the lowest 10% of all the clinics * FQHCs that have fewer than 5,000 or more than 50,000 patients.