Evaluating breast cancer response using advanced imaging techniques

Contrast-enhanced Spectral Mammography (CESM) Early Quantitative Evaluation of Tumoral Response and Pathologic Complete Response Prediction for Localized Breast Cancer Treated by Neoadjuvant Chemotherapy

NA · Hospices Civils de Lyon · NCT06299202

This study is testing if a new imaging technique called CESM can better show how well chemotherapy is working for patients with stage II and III HER2 positive or triple-negative breast cancer.

Quick facts

PhaseNA
Study typeInterventional
Enrollment100 (estimated)
Ages35 Years and up
SexFemale
SponsorHospices Civils de Lyon (other)
Drugs / interventionschemotherapy
Locations1 site (Lyon)
Trial IDNCT06299202 on ClinicalTrials.gov

What this trial studies

This study investigates the effectiveness of Contrast Enhanced Spectral Mammography (CESM) in assessing the response of localized breast cancer to neoadjuvant chemotherapy. It focuses on patients with stage II and III HER2 positive or triple-negative breast cancer, utilizing CESM to visualize tumor characteristics enhanced by contrast medium. The goal is to improve the prediction of pathologic complete response compared to traditional MRI methods. Participants will undergo CESM imaging to evaluate their tumor response during treatment.

Who should consider this trial

Good fit: Ideal candidates are women diagnosed with stage II or III localized breast cancer who are set to receive neoadjuvant chemotherapy.

Not a fit: Patients with very high genetic risk for breast cancer or those who cannot receive iodinated contrast material may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to more accurate assessments of treatment response in breast cancer patients, potentially improving treatment outcomes.

How similar studies have performed: Other studies have shown promise with advanced imaging techniques like CESM, suggesting potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* With a histological diagnosis of stage II or III localised breast cancer, with an indication for first or neoadjuvant chemotherapy validated by the RCP: HER2+, Triple negative
* Affiliated or beneficiary of a social security scheme or similar
* Having signed an informed consent for participation in the study.

Exclusion Criteria:

* Patients considered to be at very high risk (BRCA 1 and 2 mutation, Li Fraumeni syndrome, Lynch syndrome, previous thoracic irradiation for lymphoma) and high genetic risk as determined by an oncogenetic consultation
* Pregnancy, breastfeeding
* Contraindication to the injection of iodinated contrast material: hypersensitivity to the active substance or to one of the excipients of the contrast material, renal insufficiency with glomerular filtration rate \< 35ml/min
* Patients who do not master the French language
* Patient who is an adult protected by law, under curatorship or guardianship
* Patient who has participated in another research study with a current exclusion period

Where this trial is running

Lyon

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Breast Cancer, Breast cancer, Contrast Enhanced Spectral Mamography, Neodjuvant chemotherapy, Quantitative analysis, Complete histological response

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.