Optimizing Biomarkers for Neoadjuvant Therapy in HER2-positive Breast Cancer

BRE-10: BIomarker OptimizatioN of NeOadjuVAnt Therapy in BrEast Cancer: The INNOVATE Trial

This study is testing if a special test on breast cancer samples can help doctors choose the best chemotherapy for adults with early-stage HER2-positive breast cancer.

Quick facts

• Phase: Phase 2
• Study type: Interventional
• Enrollment: 28 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: University of Illinois at Chicago (Academic / other)
• Drugs / interventions: chemotherapy
• Locations: 1 site (Chicago, Illinois)
• Trial ID: NCT06441890 on ClinicalTrials.gov

What this trial studies

This clinical trial focuses on adult patients with early-stage HER2-positive breast cancer who will undergo a MammaPrint®/BluePrint® assay on their biopsy specimens. The study aims to identify patients whose tumors exhibit a HER2-enriched molecular subtype and who are recommended for neoadjuvant chemotherapy. Participants will receive treatments including Paclitaxel, Nab-paclitaxel, Docetaxel, Trastuzumab, and Pertuzumab as part of their therapy regimen. The goal is to optimize biomarker-driven treatment strategies to improve patient outcomes.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 and older with early-stage, HER2-positive breast cancer who are recommended for neoadjuvant chemotherapy.

Not a fit: Patients with distant metastatic disease or those not classified as HER2-positive by IHC or FISH may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to more personalized and effective treatment options for patients with HER2-positive breast cancer.

How similar studies have performed: Other studies have shown promise in using biomarker optimization for targeted therapies in breast cancer, indicating a potential for success in this approach.

Eligibility criteria

Inclusion Criteria:

* Age ≥ 18 years of age at time of consent
* ECOG performance status 0, 1, or 2
* Histologically confirmed invasive breast cancer documented by core needle or surgical biopsy with 90 days prior to study registration.
* HER2-positive by IHC or FISH according to ASCO/CAP 2018 guidelines
* HER2-enriched subtype on the MammaPrint/BluePrint gene expression profile within 90 days prior to study registration.
* Curative resection of primary breast tumor(s) is planned; ipsilateral axillary nodes will be sampled by sentinel lymph node biopsy or axillary dissection
* Treating Oncologist recommends neoadjuvant chemotherapy
* No evidence of distant metastatic disease
* AJCC clinical stage: cT1c-T3, cN0-N2
* Baseline left ventricular ejection fraction (LVEF) of at least 50% on Echo or MUGA scan within 90 days prior to registration.

Adequate organ function as defined below:

Leukocytes ≥2,000/mm3 Platelet count ≥ 75,000/mm3 Absolute Neutrophil Count (ANC) ≥ 1,000/mm3 Hemoglobin (Hgb) ≥ 9.0 g/dL Creatinine/Calculated Creatine clearance (CrCI) Cr \< 1.5 x upper limit of normal (ULN) or CrCl ≥ 50 mL/min using the Cockcroft-Gault formula Bilirubin ≤ 1.5 × ULN. Subjects with Gilbert's syndrome may have a bilirubin \> 1.5 × ULN, if no evidence of biliary obstruction exists Aspartate aminotransferase (AST) ≤ 2.5 × ULN Alanine aminotransferase (ALT) ≤ 2.5 × ULN

* Patients with synchronous bilateral primary breast tumors or multiple ipsilateral primary breast tumors are eligible if the treating Oncologist determines that the assigned treatment regimen is appropriate therapy for all primary tumors requiring chemotherapy.
* Able to provide written informed consent and HIPAA authorization for release of personal health information, via an approved UIC Institutional Review Board (IRB) informed consent form and HIPAA authorization. or the Legally Authorized Representative (LAR) is able to provide consent and HIPAA authorization.
* Women of childbearing potential must agree to use a barrier form of contraception if they are sexually active with a male partner and cannot be pregnant or breast-feeding. A negative serum or urine pregnancy test is required per institutional practice guidelines.
* As determined at the discretion of the enrolling physician or protocol designee, ability of the subject to understand and comply with study procedures for the entire length of the study.
* Patients with history of HIV/AIDS (acquired immunodeficiency syndrome) are eligible for this study if they are receiving anti-retroviral therapy and it does not include any medications known to alter metabolism or tolerability of component drugs in the protocol treatment regimen and the following criteria is met:

  \- Patients without a history of AIDS-defining opportunistic infections within the past 12 months.
* Patients with Hepatitis B (HBV): chronic carriers of HBV infection (HBsAg-positive) or individuals who have serologic evidence of a resolved prior HBV infection (i.e., HBsAg-negative and anti-HBc-positive) are eligible if they are receiving appropriate suppressive antiviral therapy that does not include medications known to alter metabolism or tolerability of component drugs in the protocol treatment (see Appendix) prior to initiation of cancer therapy, and liver function tests meet study eligibility criteria.
* Patients with Hepatitis C (HCV): patients with a history of HCV infection who have completed curative antiviral treatment are eligible if the HCV RNA viral load is below the limit of quantification within 90 days of study enrollment. Patients on concurrent HCV treatment must have HCV RNA viral load below the limit of quantification within 30 days of study enrollment. Patients must also meet liver function test eligibility requirements and antiviral therapy does not include medications known to alter metabolism or tolerability of component drugs in the protocol treatment

Exclusion Criteria

* Any prior therapy for this breast cancer
* Active infection requiring systemic therapy at the time of study registration
* Pregnant or nursing
* Any prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of this investigational regimen, as determined by the treating medical oncologist.
* Any mental or medical condition that prevents the patient from giving informed consent or participating in the trial.
* Other major comorbidity (e.g., compromised liver function, major cardiovascular or cerebrovascular event within the past 6 months, uncontrolled diabetes mellitus or hypertension), as determined by treating physician.
* Any contraindication for any chemotherapy drug used in the assigned regimen.
* Baseline sensory neuropathy \> grade 1
* History of hypersensitivity to any of the drugs in the treatment regimen. Patients with history of hypersensitivity may be treated on this protocol with either nab-paclitaxel or docetaxel.
* Prisoners

Where this trial is running

Chicago, Illinois

• University of Illinois — Chicago, Illinois, United States (Recruiting)

Study contacts

• Study coordinator: kent hoskins

Conditions Breast Cancer; HER2-positive Breast Cancer