Blood test may predict breast cancer return after chemo
NCT ID NCT06401421
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing a new blood test that looks for tiny bits of tumor DNA to see if it can predict whether high-risk early breast cancer will come back after chemotherapy. About 1,800 people with early-stage breast cancer who are about to start chemo will give blood and tissue samples. Researchers will follow them for up to 5.5 years to see if the test results match whether the cancer returns.
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 1,800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Apr 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients over the age of 18 who will undergo neoadjuvant treatment for high-risk, early breast cancer
- Ages
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18 years and older
- Sex
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Anyone
- 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. The participant or a legally authorized representative must provide study-specific informed consent prior to study entry. 2. The participant must be ≥ 18 years of age. 3. ECOG performance status 0 or 1. 4. Histologically confirmed invasive carcinoma of the breast. 5. Planned neoadjuvant therapy which includes cytotoxic chemotherapy. 6. Tumor size ≥ 2.1 cm in greatest diameter. 7. Unifocal or multifocal cancer documented to be the same histologic clinical subtype. 8. Clinically node positive or if node negative, any one of the following: 1. TNBC or HER2+ subtype 2. HR+/HER2-negative with at least one of the following: i. High tumor grade (G3) ii. Ki67 index of 20% or higher iii. High genomic risk (Oncotype DX® (ODX) Breast Recurrence Score of \> 25, MammaPrint® High, etc.) 9. Willing and able to comply with the study requirements, which includes the collection of a total of 34 cc (2.5 Tablespoons) of blood for each research blood draw. 10. Available residual tissue from diagnostic biopsy from the breast or an involved ipsilateral lymph node for submission to create a bespoke ctDNA assay. Exclusion Criteria: 1. Definitive clinical or radiologic evidence of metastatic disease. 2. Initiated neoadjuvant therapy for current breast cancer diagnosis. 3. Synchronous diagnosis of another invasive cancer, other than this breast cancer, except for non-melanoma skin cancers. 4. Completed all therapy (including endocrine therapy) \<5 years ago for any previous invasive solid organ malignancy (with exception of non-melanoma skin cancers) including prior breast cancer. Individuals with a prior history of noninvasive (in situ) carcinomas may participate if they have received definitive treatment. 5. Completed all therapy for any previous hematologic malignancy \< 5 years ago. 6. Multicentric or contralateral invasive breast cancers. 7. Known pregnancy at time of enrollment. 8. Prior solid organ transplant. 9. Prior allogeneic hematopoietic stem cell transplant.
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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
58 sites in 2 countries. 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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AdventHealth East Altamonte Oncology and Hematology
RECRUITINGAltamonte Springs, Florida, 32701, United States
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Alan B. Pearson Regional Cancer Center
RECRUITINGLynchburg, Virginia, 24501, United States
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Atrium Health Levine Cancer Institute
RECRUITINGCharlotte, North Carolina, 28204, United States
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Atrium Health Wake Forest Baptist Medical Center
RECRUITINGWinston-Salem, North Carolina, 27157, United States
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Aultman Timken Family Cancer Center
RECRUITINGCanton, Ohio, 44710, United States
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Aurora Cancer Care - Wauwatosa
RECRUITINGWauwatosa, Wisconsin, 53226, United States
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Avera Cancer Institute
RECRUITINGSioux Falls, South Dakota, 57105, United States
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Ballad Health Cancer Center
RECRUITINGKingsport, Tennessee, 37660, United States
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Baptist Cancer Care - Plantation
RECRUITINGPlantation, Florida, 33324, United States
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Baptist Health Louisville
RECRUITINGLouisville, Kentucky, 40207, United States
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Bon Secours Cancer Institute at St. Francis
RECRUITINGMidlothian, Virginia, 23114, United States
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Centre Hospitalier de l'Université de Montréal (CHUM)
RECRUITINGMontreal, Quebec, H2X 3E4, Canada
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Cleveland Clinic Main Campus
RECRUITINGCleveland, Ohio, 44195, United States
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Deaconess Chancellor Center for Oncology
RECRUITINGNewburgh, Indiana, 47630, United States
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FirstHealth Outpatient Cancer Center
RECRUITINGPinehurst, North Carolina, 28374, United States
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Greater Baltimore Medical Center
RECRUITINGBaltimore, Maryland, 21204, United States
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Guthrie Sayre
RECRUITINGSayre, Pennsylvania, 18840, United States
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Harbor-UCLA Medical Center - Hematology / Oncology
RECRUITINGTorrance, California, 90502, United States
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Holy Cross Hospital - Silver Spring
RECRUITINGSilver Spring, Maryland, 20910, United States
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Hôpital du Saint-Sacrement
RECRUITINGQuébec, Quebec, G1S 4L8, Canada
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James M Stockman Cancer Institute
RECRUITINGFrederick, Maryland, 21702, United States
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Jewish General Hospital
RECRUITINGMontreal, Quebec, H3T1E2, Canada
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Joe Arrington Cancer Research & Treatment Center
RECRUITINGLubbock, Texas, 79410, United States
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John Theurer Cancer Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Kaiser Permanente Medical Center
RECRUITINGVallejo, California, 94589, United States
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Katmai Oncology Group - Anchorage
RECRUITINGAnchorage, Alaska, 99508, United States
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Lahey Hospital & Medical Center
RECRUITINGBurlington, Massachusetts, 01805, United States
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Maisonneuve-Rosemont Hospital (HMR)
RECRUITINGMontreal, Quebec, H1T 2M4, Canada
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McGill University Health - Glen Site
RECRUITINGMontreal, Quebec, Canada
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MedStar Georgetown Cancer Institute
RECRUITINGBaltimore, Maryland, 21237, United States
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Meritus Center for Clinical Research
RECRUITINGHagerstown, Maryland, 21742, United States
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Metro Minnesota Community Oncology Consortium (MMCORC)
RECRUITINGSaint Louis Park, Minnesota, 55426, United States
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Mount Sinai Medical - Comprehensive Cancer Center
RECRUITINGMiami Beach, Florida, 33140, United States
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Norton Cancer Institute - Downtown
RECRUITINGLouisville, Kentucky, 40202, United States
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Novant Health Cancer Institute - Elizabeth
RECRUITINGCharlotte, North Carolina, 28204, United States
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Penn State Cancer Institute
RECRUITINGHershey, Pennsylvania, 17033, United States
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Penn State Health Medical Group - Andrews Patel
RECRUITINGHarrisburg, Pennsylvania, 17111, United States
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Rush Cancer Center
RECRUITINGChicago, Illinois, 60607, United States
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Rutgers Cancer Institute of New Jersey
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Saint Luke's Hospital of Kansas City
RECRUITINGKansas City, Missouri, 64111, United States
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Sinai Hospital of Baltimore
RECRUITINGBaltimore, Maryland, 21215, United States
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Spartanburg Medical Center
RECRUITINGSpartanburg, South Carolina, 29303, United States
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St. Elizabeth Edgewood Hospital
RECRUITINGEdgewood, Kentucky, 41017, United States
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St. Joseph's Women's Hospital
RECRUITINGTampa, Florida, 33607, United States
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Stanford Cancer Institute
RECRUITINGPalo Alto, California, 94304, United States
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Stony Brook Medicine
RECRUITINGStony Brook, New York, 11794, United States
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Tate Cancer Center at UM Baltimore Washington
RECRUITINGGlen Burnie, Maryland, 21061, United States
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The Center for Cancer and Blood Disorders - Bethesda
RECRUITINGBethesda, Maryland, 20818, United States
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The University of Texas MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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UCHealth Cancer Care - Anschutz Medical Campus - University of Colorado Cancer Center
RECRUITINGAurora, Colorado, 80045, United States
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UNC Cancer Care at Nash
RECRUITINGRocky Mount, North Carolina, 27804, United States
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UPMC Magee - Womens Hospital
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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University of Kansas Cancer Center
RECRUITINGWestwood, Kansas, 66205, United States
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University of Maryland St. Joseph Medical Center
RECRUITINGTowson, Maryland, 21204, United States
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VCU Massey Comprehensive Cancer Center
RECRUITINGRichmond, Virginia, 23298, United States
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WVU Cancer Institute
RECRUITINGMorgantown, West Virginia, 26505, United States
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Weinberg Center at Mercy
RECRUITINGBaltimore, Maryland, 21202, United States
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Women & Infants Hospital
RECRUITINGProvidence, Rhode Island, 02905, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Tiny magnetic seeds could guide surgeons to the right lymph node
- New PET tracer aims to light up hidden cancer targets
- Gut bacteria supplement tested against chemo hair loss
- Can a mindfulness program boost Self-Compassion in breast cancer survivors?
- Can a Decades-Old Anti-Inflammatory drug quiet the joint pain that drives women off breast cancer therapy?