Clinical trial NCT04368442: Cohort Study of Patients With HER2-negative MBC and BRCA 1/2 Pathogenic Mutation
Official title: Epidemiologic Evaluation and Clinical Outcomes for HER2-negative Metastatic Breast Cancer (MBC) Patients With Germline BRCA1 and 2 Pathogenic Mutation in Korea
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Breast Cancer Metastatic
Keywords: BRCA
Lead sponsor: Samsung Medical Center
Sponsor class: OTHER
First posted: 2020-04-29
Enrollment: 583
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Korean patients with HER2-negative unresectable locally advanced or metastatic breast cancer

Brief summary: The purpose of this study is to investigate the prevalence germline pathogenic BRCA1/2 mutation in a large group of potential candidate of PARP inhibitors, among the unselected patients with HER2-negative unresectable locally advanced or metastatic breast cancer.

Detailed description: This is a multicenter, prospective, non-interventional study on the prevalence of germline pathogenic BRCA1/2 mutation (Blood) and somatic pathogenic BRCA1/2 mutation (Tissue, optional) in patients with HER2-negative unresectable locally advanced or metastatic breast cancer.

1. For the assessment of germline mutational status of BRCA1 and BRCA2, (1)Collect peripheral blood from each subject. (2) Extract DNA from the collected blood. (3)From the extracted DNA, germline BRCA1/2 mutational status will be assessed by next generation sequencing(NGS) using NGeneBioBRCAaccuTest®
2. For the assessment of somatic mutational status of BRCA1 and BRCA2, (1)Collect FFPE from about 100 subjects. (2) Extract DNA from the FFPE. (3)From the extracted DNA, somatic BRCA1/2 mutational status will be assessed by next generation sequencing(NGS) using NGeneBioBRCAaccuTest®
3. Collect variables on the patients and compare clinical outcomes (Overall survival, Invasive Disease-free survival, Distant Disease-free survival, Progression free survival) that can be affected by clinicopathologic characteristics and type of treatment.

Eligibility criteria: Inclusion Criteria:

* Age ≥ 20 years old
* Histologically confirmed, unresectable locally advanced or metastatic breast invasive carcinoma
* Human Epidermal Growth Factor Receptor 2 (HER2) negative breast cancer
* Germline mutational status of BRCA1 and/or BRCA2 can be known or unknown
* Signed written informed consent
* The patient is regarded as good candidate for active palliative management at time of enrollment. The patient with terminal cancer which is not appropriate for further endocrine treatment or chemotherapy cannot be enrolled to this study.

Exclusion Criteria:

* HER2 positive breast cancer
* Amenable to curative surgery

Primary outcomes:
measure: Progression free survival
timeFrame: Length of time from the first date of each line of palliative endocrine treatment or chemotherapy until the date of the first documented progression of breast cancer or death of any cause,, assessed up to 60 months
Secondary outcomes:
measure: Overall survival 1
timeFrame: Length of time from the date of first neoadjuvant chemotherapy or curative surgery until death for any cause,, assessed up to 60 months
measure: Overall survival 2
timeFrame: Length of time from the first date of the first line of chemotherapy, assessed up to 60 months
measure: Disease-free survival
timeFrame: Length of time from the date of first neoadjuvant chemotherapy or curative surgery until the date of the first recurrence of breast cancer, diagnosis of second invasive cancer, or death for any cause whichever comes first, assessed up to 60 months
Other outcomes:
Locations:
city: Seoul
country: Korea, Republic of
facility: Samsung Medical Center
Study officials:
affiliation: Samsung Medical Center
name: YEON HEE PARK
role: PRINCIPAL_INVESTIGATOR
References: