Ireland
--:--IST
Active, not recruiting Not applicable

Follow-up of Early Breast Cancer by Dynamic Evaluation of CEA and CA 15.3 Followed by 18FDG-PET

NCT02261389 · tracked via the Priya Life Science Italy tracker
Phase
Not applicable
Started
2014-09
Last updated
2022-12-29

Condition(s) studied

Breast Cancer

Investigational drug(s) / intervention(s)

Arm B, tumor markers assessment

Arm B, tumor markers assessment: Tumor markers assessment every three months through the study or until disease recurrence

Study summary

The main purpose of follow-up in asymptomatic breast cancer patients during and after adjuvant treatment is to detect breast cancer recurrence and metastatic disease.The aim of this trial is to verify if, in asymptomatic patients, the serial measurement of serum CEA and CA 15.3, with diagnostic imaging procedures (18FDG-PET) performed only in case of a critical increase of serum CEA and CA 15.3 level, can anticipate the diagnosis of breast cancer local and distant recurrence compared to the usual follow-up practice.

Eligibility

Sex
FEMALE
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria: * Male or female ≥18 years. * Histologically confirmed stage I-III epithelial breast cancer. * Adequate surgery of breast and axilla: 1. patients must have undergone either a total mastectomy or breast conserving surgery 2. surgical margins of the resected specimen must be histologically free of invasive tumor. * Cohort 1: if chemotherapy and/or radiotherapy are indicated the patients must be randomized between 1 month and 2 months from the end of chemotherapy and/or radiotherapy; if only hormonal adjuvant therapy is indicated the patients must be randomized within 3 months from the completion of surgery * Cohort 2: patients must be randomized in the trial after 5 years of follow-up without relapse (but within year 6) * Signed informed consent obtained prior to any study-specific procedures. Exclusion Criteria: * Histologically confirmed stage 0 epithelial breast cancer (carcinoma in situ). * Special histologies with a high or low risk of relapse (i.e. sarcoma and tubular carcinoma) * T1a and T1b tumors with all the following characteristics: G1-2 and N0 and RE \> 10%, RPg \> 10% and HER2 negative and Ki67≤14% * Evidence of distant metastases * Patients participating to other clinical trials requiring follow-up not equal to standard * Previous history of cancer within 5 years from randomization (except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, stage I uterine cancer, or other non-breast malignancies with an outcome similar to those mentioned above)

Primary outcome measure(s)

  • Time interval between date of randomization and date of diagnosis of disease distant recurrence — Participants will be followed from date of randomization until the date of first documented disease distant recurrence or date of death from any cause, whichever came first, assessed up to 60 months
    Primary objective of the study is to verify if the experimental arm (serial measurement of serum CEA and CA 15.3 with diagnostic imaging procedures - i.e. 18FDG-PET- performed only in case of critical increase of serum markers level) can anticipate the diagnosis of breast cancer loco-regional (except for in-breast recurrence) or distant metastases compared to the control arm (usual follow-up practice).

Trial sites (7)

FacilityCityRegionStatus
Azienda Sanitaria dell'Alto Adige - Ospedale di Bressanone Brixen Bolzano
Azienda Sanitaria dell'Alto Adige - Ospedale di Merano Merano Bolzano
ASL13 - Presidio Ospedaliero Mirano, U.O.C. Oncologia ed Ematologia Oncologica Mirano Venezia
Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, SSD Oncologia Medica Addarii Bologna Italy
Azienda Sanitaria dell'Alto Adige - Ospedale Centrale di Bolzano Bolzano Italy
Azienda Ospedaliero-Universitaria di Ferrara Ferrara Italy
IRCCS Azienda Ospedaliera S. Maria Nuova di Reggio Emilia Reggio Emilia Italy
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT02261389 on ClinicalTrials.gov ↗ ← All trials in Italy