Using imaging and blood tests to predict response to pre-surgery chemo‑immunotherapy in triple‑negative breast cancer
Official title: Quadrimodal Radiological Prediction (Ultrasound, Angiography/Mammography, Magnetic Rsonance Imaging, Positron Emission Tomography-computed Tomgraphy Scan) of Response to Neoadjuvant Chemoimmunotherapy for Triple-negative Breast Cancer
Run by Centre Henri Becquerel · NCT06879704 · Data updated 2026-11-12
We will try to see if imaging scans and blood tests can predict which people with triple‑negative breast cancer will have no remaining tumor after pre‑surgery chemo‑immunotherapy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | Women only |
| Enrollment | 115 (estimated) |
| Sponsor | Centre Henri Becquerel Academic / other |
| Drugs / interventions | immunotherapy, pembrolizumab, chemotherapy, cyclophosphamide |
| Locations | 1 site (Rouen) |
| Status | Recruiting |
| Started | May 28, 2025 |
| Main results expected | February 28, 2028 |
| Study ends | November 28, 2029 |
| Registry record updated | January 2, 2026 |
| Trial ID | NCT06879704 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–75 with histologically confirmed triple‑negative breast cancer who are scheduled to receive neoadjuvant chemo‑immunotherapy and can attend the Centre Henri Becquerel are ideal candidates.
✕Probably not a fit
Patients with metastatic or inflammatory (T4d) disease, contraindications to immunotherapy, or who cannot undergo required imaging (for example due to claustrophobia, ferromagnetic implants, or contrast allergies) are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Participants scheduled to receive standard neoadjuvant chemo‑immunotherapy (including pembrolizumab with sequential chemotherapy as per current practice) will undergo a series of imaging exams and blood sampling before and during treatment. Multiple imaging techniques (for example mammography and contrast‑enhanced MRI or other contrast imaging) will be compared alone and in combination to identify patterns that correlate with pathological complete response (RCB 0) at surgery. Blood biomarkers will also be tested to identify signatures linked to benefit from treatment and to predict immune‑related toxicities, enabling more personalized monitoring. Imaging and biomarker results will be correlated with surgical pathology and clinical outcomes to build predictive models.
Why it matters
Potential benefit: If successful, this approach could help doctors predict who will have a complete response before surgery and personalize treatment choices and monitoring to reduce unnecessary therapy or better manage side effects.
How similar studies have gone: Adding pembrolizumab to neoadjuvant chemotherapy (KEYNOTE‑522) increased pathological complete response rates, but using imaging plus blood markers to reliably predict pCR remains an active area of research without definitive validation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Signed informed consent * Patient with histologically proven TNBC * Indication for neo-adjuvant chemo-immunotherapy treatment * Age between 18 and 75 * Affiliated or beneficiary of a social protection scheme Exclusion Criteria: * Pregnant or breast-feeding women * Contraindication to immunotherapy * Inflammatory breast cancer (T4d) * Metastatic patients * Allergies to iodine or gadolinium * Patient with an augmentation prosthesis (for angiography/mammography) * Claustrophobic patients * Renal contraindication to contrast products according to SFR-CIRTACI * Ferromagnetic material * Uncontrolled diabetes (blood glucose \>10 mmol/L) * Patient unable to understand the study for any reason or to comply with the constraints of the trial (language, psychological, geographical problems, etc.). * Patient under guardianship, curatorship or safeguard of justice
Where it's running
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Centre Henri Becquerel
Rouen, France Recruiting
Study contacts
- Principal investigator: Florian Clatot, Md, PhD — Centre Henri Becquerel
- Study coordinator: Florian Clatot, MD, PhD
- Email: florian.clatot@chb.unicancer.fr
- Phone: +33276673004
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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.