Using ctDNA to monitor treatment response in triple-negative breast cancer
Official title: Breast Cancer-Minimal/Molecular Residual Disease Detection and Therapy Monitoring in Patients with Early Stage TNBC-Phase I (B-STRONGER-I)
Run by Personalis Inc. · NCT06230185 · Data updated 2026-11-12
This study is testing if checking for cancer DNA in the blood can help doctors see how well treatment is working for people with triple-negative breast cancer after they receive chemotherapy.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 422 (estimated) |
| Sponsor | Personalis Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 14 sites (Tucson, Arizona and 13 other locations) |
| Status | Recruiting |
| Started | November 9, 2023 |
| Main results expected | August 30, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | January 7, 2025 |
| Trial ID | NCT06230185 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with histologically documented stage I-III triple-negative breast cancer scheduled to undergo neoadjuvant chemotherapy.
✕Probably not a fit
Patients with stage IV breast cancer or those receiving concurrent anti-neoplastic therapy for another malignancy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study evaluates the correlation between Molecular Residual Disease (MRD) detection using circulating tumor DNA (ctDNA) and pathological complete response (pCR) after neoadjuvant chemotherapy (NAC) in patients with stage I-III triple-negative breast cancer (TNBC). It employs next-generation sequencing technology to analyze cfDNA from blood samples and tumor tissue to create a personalized panel for MRD detection. The goal is to improve the understanding of MRD and enhance disease outcomes for future patients undergoing NAC.
Why it matters
Potential benefit: If successful, this approach could lead to more accurate monitoring of treatment response and improved outcomes for patients with TNBC.
How similar studies have gone: Other studies utilizing ctDNA for monitoring treatment response have shown promising results, indicating potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Have histologically documented TNBC (defined as ER expression ≤10% by IHC, PR expression≤10% by IHC and HER2 0 or 1+ by IHC or FISH ratio \<2 or HER2 gene copy number of \<6). 2. Early-stage breast cancer (stage I-III) and scheduled to undergo NAC treatment with curative intent. 3. Be informed of the investigational nature of the study and all pertinent aspects of the trial. 4. Have the ability to understand and the willingness to sign a written informed consent document in accordance with institutional and federal guidelines. 5. Be ≥ 18years of age. 6. Patient who are scheduled to start NAC. 7. Be willing to provide blood samples before and during treatment. 8. Have available biopsy tissue. Exclusion Criteria: 1. Receiving concurrent anti-neoplastic therapy for another malignancy. 2. Stage IV disease. 3. Current or history of another primary cancer within 5 years of study entry, with the exception of basal or squamous cell skin cancer, or non-invasive malignancy. 4. History of allogeneic bone marrow or organ transplant. 5. Blood transfusion within two weeks before collection of blood for central ctDNA testing. 6. Started systemic therapy for their breast cancer. 7. Pregnancy
Where it's running
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Arizona Oncology
Tucson, Arizona, United States Recruiting -
University of Colorado Cancer Center
Aurora, Colorado, United States Recruiting -
George Washington University
Washington D.C., District of Columbia, United States Recruiting -
Mount Sinai Medical Center of Florida
Miami Beach, Florida, United States Recruiting -
Comprehensive Hematology Oncology (ONare Alliance, LLC / Exigent Research, LLC
St. Petersburg, Florida, United States Recruiting -
Illinois Cancer Care
Peoria, Illinois, United States Recruiting
Show 8 more locations
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Louisiana State University
New Orleans, Louisiana, United States Recruiting -
Trinity Health-Michigan
Ypsilanti, Michigan, United States Recruiting -
Nebraska Methodist
Omaha, Nebraska, United States Recruiting -
Stony Brook University Cancer Center
Stony Brook, New York, United States Recruiting -
Oregon Oncology Specialists
Salem, Oregon, United States Recruiting -
Cancer Care Associates of York
York, Pennsylvania, United States Recruiting -
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
Cancer Care Northwest
Spokane, Washington, United States Recruiting
Study contacts
- Principal investigator: Pavani Chalasani — George Washington University
- Study coordinator: Soumya Chappidi
- Email: schappidi@criteriuminc.com
- Phone: 484-704-2599
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Patient-specific MRD liquid biopsy for resected NSCLC
This study tests a personalized MRD blood and bronchial washing test after surgery to see if it can signal recurrence earlier in people with resected NSCLC.
-
ctDNA blood test to spot buried cancer after surgery or treatment in colorectal cancer
A blood test that looks for specific KRAS mutations in circulating tumor DNA to see if colorectal cancer has left residual disease or is likely to relapse.
-
MRD-guided postoperative monitoring and adaptive treatment for resectable NSCLC
This study tests a personalized follow-up and treatment plan using ctDNA MRD testing and pathology to guide adjuvant therapy after surgery for stage IB-IIIA NSCLC treated with neoadjuvant immunotherapy.
-
Imaging Test for Metastatic Urothelial and Breast C cancers and NSCLC
This imaging study tests how well the imaging agent works in people with metastatic urothelial cancer, various breast cancers, or NSCLC.
-
Radiotherapy with chemotherapy plus adebrelimab and bevacizumab for TNBC with brain metastases
This phase II study tests a combination of radiotherapy, cisplatin or carboplatin, adebrelimab, and bevacizumab in adults with triple-negative breast cancer that has spread to the brain.
-
First-line therapy for advanced TNBC with QL1706, plus anlotinib and nab-paclitaxel
This study tests whether a combination of QL1706 with anlotinib and nab-paclitaxel can help people with newly diagnosed, advanced triple-negative breast cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.