AI reads MRI scans to predict who will benefit from chemo
NCT ID NCT07702708
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This study tests whether an artificial intelligence model can predict which patients with HR+/HER2- breast cancer will benefit most from chemotherapy given before surgery. Researchers will use pre-treatment MRI scans to classify patients into high- or low-benefit groups and compare their outcomes, such as residual cancer after treatment. The goal is to personalize chemotherapy decisions and avoid unnecessary treatment for those unlikely to respond.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pre-treatment DCE-MRI-based AI model
- What this could lead to
- If successful, this AI tool could help doctors identify which patients with HR+/HER2- breast cancer are most likely to benefit from chemotherapy before starting treatment, potentially sparing others from unnecessary side effects.
- What could go wrong
- This is an observational study, not a treatment trial, so it does not directly test a new therapy. The AI model's predictions need to be validated against historical data and may not improve outcomes in practice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This study population consists of female patients aged 18 years or older with histologically confirmed stage II-III HR+/HER2-negative invasive breast cancer according to the 8th AJCC staging system. All participants receive routine standard neoadjuvant chemotherapy in multi-center breast cancer departments, complete standardized pre-treatment DCE-MRI with qualified imaging data, have ECOG performance status 0-1 and intact vital organ function. Subjects must satisfy all inclusion criteria, without meeting any exclusion criteria, and sign written informed consent voluntarily. Approximately 100 eligible patients will be consecutively enrolled from participating hospitals.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Female patients aged ≥ 18 years old. 2. Histopathologically confirmed invasive breast carcinoma. 3. Hormone receptor positive (ER and/or PR ≥1%), HER2-negative status (IHC 0-1+, or IHC 2+ with negative FISH result). 4. Clinical stage II-III breast cancer per the 8th AJCC staging system, with clinical indication for neoadjuvant chemotherapy or primary surgery. 5. Standard pre-treatment breast DCE-MRI performed before neoadjuvant chemotherapy, with image quality eligible for AI model analysis. 6. ECOG performance status 0 or 1; adequate function of major vital organs to tolerate planned clinical treatment. 7. Voluntary participation with written informed consent obtained. Exclusion Criteria: 1. Prior systemic anti-tumor therapy for breast cancer other than planned neoadjuvant chemotherapy. 2. Inflammatory breast cancer or distant metastatic disease (M1). 3. Concurrent active malignant tumors of other origins. 4. Contraindications to MRI examination or unqualified MRI images that cannot support model analysis. 5. Severe comorbidities incompatible with neoadjuvant chemotherapy or surgical resection. 6. Any other conditions judged ineligible for enrollment by the investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Fujian Cancer Hospital
RECRUITINGFuzhou, Fujian, China
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Fujian Provincial Hospital
RECRUITINGFuzhou, Fujian, China
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Ningde First Hospital
RECRUITINGNingde, Ningde, China
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Sanming Second Hospital
RECRUITINGSanming, Sanming, China
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The Second Affiliated Hospital of Fujian Medical University
RECRUITINGQuanzhou, Fujian, China
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Other studies related to the condition(s) this trial covers.
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- Could skipping a lymph node check spare women from unneeded surgery?
- Can exercise during breast cancer treatment boost fitness and predict response?
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