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CNS Monitoring for Breast Cancer
N/A
Recruiting
Led By Jessica Wilcox, MD
Research Sponsored by Memorial Sloan Kettering Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Able to provide written informed consent *ASCO/CAP guidelines: HER2+ defined as IHC 3+ positive and/or by ISH average copy number ≥ 6 signals/cell
HER2+ as defined by ASCO/CAP guidelines*
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 years
Awards & highlights
Study Summary
This trial is testing whether scanning the brain and testing cerebrospinal fluid can help find HER2-positive breast cancer earlier, so it can be treated sooner.
Who is the study for?
This trial is for men and women over 18 with HER2-positive Stage II-III or IV metastatic breast cancer, but without CNS disease. They must have had at least one line of HER2 therapy and be able to undergo an MRI and a lumbar puncture. It's not open to those who can't have an MRI with gadolinium, already have CNS metastases, or show positive cytology from a lumbar puncture.Check my eligibility
What is being tested?
The study is testing if brain scans (MRI) and cerebrospinal fluid tests (lumbar puncture) can detect early spread of breast cancer to the central nervous system in patients with HER2-positive breast cancer before symptoms appear.See study design
What are the potential side effects?
Potential side effects include discomfort or pain from the lumbar puncture procedure, headache, backache, bleeding around the spine area; for MRI: allergic reaction to dye (gadolinium), claustrophobia during scan.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can sign a consent form and my cancer is HER2 positive according to specific guidelines.
Select...
My cancer is HER2 positive according to specific guidelines.
Select...
I have stage IV HER2+ breast cancer and have received HER2 therapy but don't have brain involvement.
Select...
My breast cancer is Stage II-III, HER2 positive, and has not spread to my brain.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 2 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Number of eligible patients completing initial MRI
Percentage of eligible patients completing cerebrospinal fluid (CSF) evaluation
Trial Design
2Treatment groups
Experimental Treatment
Group I: Stage IV HER2+ breast cancerExperimental Treatment2 Interventions
Once enrolled on study, patients will undergo screening MRI Brain (unless already done as standard of care within 2 months on enrollment to evaluate for CNS disease) as well as lumbar puncture to evaluate for CNS disease. Once on study, patients will undergo LP and MRI Brain at 2 timepoints 6 months apart (+/- 8 weeks). LP will be performed to analyze cerebrospinal fluid for: cytology, circulating tumor cells and cell-free DNA. 6-month intervals for investigations have been based on feedback from patient advocates as well as clinical determination.
Group II: Stage II-III HER2+ breast cancerExperimental Treatment2 Interventions
Once enrolled on study, patients will undergo screening MRI Brain (unless already done as standard of care within 2 months on enrollment to evaluate for CNS disease) as well as lumbar puncture to evaluate for CNS disease. Once on study, patients will undergo LP and MRI Brain at 2 timepoints 6 months apart (+/- 8 weeks). LP will be performed to analyze cerebrospinal fluid for: cytology, circulating tumor cells and cell-free DNA. 6-month intervals for investigations have been based on feedback from patient advocates as well as clinical determination.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
MRI
2009
Completed Phase 2
~1370
Lumbar puncture
2013
Completed Phase 3
~1180
Find a Location
Who is running the clinical trial?
Memorial Sloan Kettering Cancer CenterLead Sponsor
1,935 Previous Clinical Trials
588,841 Total Patients Enrolled
202 Trials studying Breast Cancer
81,117 Patients Enrolled for Breast Cancer
Jessica Wilcox, MDPrincipal InvestigatorMemorial Sloan Kettering Cancer Center
Rachna Malani, MDPrincipal InvestigatorMemorial Sloan Kettering Cancer Center
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am 18 years old or older.I can sign a consent form and my cancer is HER2 positive according to specific guidelines.My cancer is HER2 positive according to specific guidelines.My spinal fluid test shows abnormal cells.I have stage IV HER2+ breast cancer and have received HER2 therapy but don't have brain involvement.My breast cancer is Stage II-III, HER2 positive, and has not spread to my brain.I can have a lumbar puncture to get spinal fluid for the study.If you have breast implants or tissue expanders, you can join if it's safe for you to have an MRI.You cannot have an MRI scan with a contrast agent called gadolinium.You have cancer that has spread to your brain as shown on a screening MRI.
Research Study Groups:
This trial has the following groups:- Group 1: Stage IV HER2+ breast cancer
- Group 2: Stage II-III HER2+ breast cancer
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there any sign-up opportunities available for this medical experiment?
"Affirmative. According to the information on clinicaltrials.gov, this research project, initially advertised on July 13th 2022 is currently recruiting participants and has set a limit of 20 enrollees at one medical site."
Answered by AI
What is the maximum capacity of participants in this clinical research program?
"Affirmative. According to the information published on clinicaltrials.gov, this trial is still admitting participants and began doing so since July 13th 2022. The study was last edited on November 8th 2022 and requires 20 individuals from a single site for enrolment."
Answered by AI
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